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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization
VOLLRATH COMPANY EMPLOYEE HEALTH & WELFARE BENEFIT TRUST
 
Employer identification number

39-5017019
Return Reference Explanation
Form 990, Part VI, Section B, Line 11b THE REVIEW OF THE FORM 990 IS CONDUCTED BY THE CFO OF THE VOLLRATH COMPANY LLC AND THE BENEFITS MANAGER IN THE HUMAN RESOURCES DEPARTMENT. THE PLAN PAYS FOR THE VOLLRATH COMPANY CO LLC EMPLOYEES AND THEIR FAMILIES HEALTH, DENTAL, AND VISION INSURANCE BENEFITS. THE PLAN IS MONITORED ON A WEEKLY BASIS AS PAYMENTS FOR SERVICES ARE MADE. THE PLAN'S BANK ACCOUNT IS MONITORED AND RECONCILED ON A MONTHLY BASIS.
Form 990, Part VI, Section C, Line 19 THE ORGANIZATION SENDS SUMMARY PLAN DESCRIPTIONS TO ALL EMPLOYEES (PLAN PARTICIPANTS) ON AN ANNUAL BASIS. THESE DOCUMENTS INCLUDE: COVERAGE TYPES, DEDUCTIBLE INFORMATION, COVERAGE LIMITS, CO-PAYS, PRE-APPROVAL PROCESS, AND DISPUTE RESOLUTION PROCEDURES. THE PLAN'S FINANCIAL STATEMENTS ARE INCLUDED WITH THE ANNUAL SUMMARY PLAN DOCUMENT FILINGS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2023


Additional Data


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