SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
right arrow Attach to Form 990 or 990-EZ.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
THE LOUISIANA ASSOCIATION OF SELF INSURED EMPLOYERS
 
Employer identification number

72-1185746
Return Reference Explanation
Pt VI, Line 6 The organization is comprised of members. There are two classes of members. One group is comprised of group self insurance funds, individually self insured employers and deductible policy employers. This group has voting rights. The second group does not have voting rights and is comprised of third party administrator companies, insurance agents, and other peripheral businesses.
Pt VI, Line 7a The members who attend the Organization's annual meeting can cast a vote to elect the board of directors, which is the governing body.
Pt VI, Line 11b The organization's CPA prepares the Form 990 using information furnished by the Executive Director. If time permits, the organization's Executive Committee is given an opportunity to review Form 990 and suggest edits before the return is filed. If time does not permit a review by the Exceutive Committee, the Executive Director performs the review and authorizes the filing of Form 990.
Pt VI, Line 12c Each year the board membership changes and all members are required to sign a new conflict of interest disclosure.
Pt VI, Line 15a The Executive Committee periodically reviews the American Society of Association's executive compensation and benefits package and compares that information to our package. Then, the Executive Committee recommends what our Executive Director should receive as compensation and benefits. The board of directors will then vote to accept or reject the Executive Committee's recommendation.
Pt VI, Line 19 If requested, we will allow a requester to inspect a copy of Form 990, our governing documents, and conflict of interest policy at our main office.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2022


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