[§87D-4]  Annual report.  (a)  The trustshall publish an annual report with respect to every employee welfare benefitplan to which this chapter applies.  The report shall be filed with thedepartment of accounting and general services and the respective departments ofthe counties as their interests may appear.

(b)  The annual report shall contain thefollowing:

(1)  The number of employees, retirees, and otherpersons covered by the plan;

(2)  The name and address of each fiduciary;

(3)  Except in the case of a person whose compensationis minimal and who performs solely ministerial duties, the name of each person(including but not limited to any consultant, broker, trustee, accountant,insurance carrier, actuary, administrator, investment manager, or custodian whorendered services to the plan or who had transactions with the plan) whoreceived directly or indirectly compensation from the plan during the precedingplan year for services rendered to the plan or its participants, the amount ofsuch compensation, the nature of the person's services to the plan or itsparticipants, the person's relationship to the employee organization, and anyother office, position, or employment that the person holds with a party ininterest;

(4)  An explanation of the reason for any change inappointment of any trustee, accountant, insurance carrier, enrolled actuary,administrator, investment manager, or custodian; and

(5)  A financial statement that meets the requirementsof this chapter.

The annual report shall contain any otherinformation required by Title 29 United States Code sections 1001-1191, asamended, and related regulations.

(c)  The financial statement of the annualreport shall contain the following information with respect to an employeewelfare benefit plan:

(1)  A statement of assets and liabilities;

(2)  A statement of changes in fund balance;

(3)  A statement of changes in financial position;

(4)  A statement of receipts and disbursements duringthe preceding twelve-month period;

(5)  A schedule of all assets held for investmentpurposes;

(6)  A schedule of each transaction involving a personknown to be a party in interest;

(7)  A schedule of all loans or fixed incomeobligations which were in default as of the close of the plan's fiscal year orwere classified during the year as uncollectible;

(8)  A list of all leases that were in default or wereclassified during the year as uncollectible;

(9)  If some or all of the assets of the plan or plansare held in a common or collective trust maintained by a bank or similarinstitution or in a separate account maintained by an insurance carrier or aseparate trust maintained by an insurance carrier or a separate trustmaintained by a bank as trustee, the most recent annual statement of assets andliabilities of such common or collective trust, and in the case of a separateaccount or a separate trust, such other information as is required by theadministrator in order to comply with this chapter; and

(10)  A schedule of each reportable transaction.

The financial statement shall contain any otherinformation required under Title 29 United States Code sections 1001-1191, asamended, and [related] regulations. [L 2005, c 245, pt of §2]