2023-07-18T10:32:40-05:00 2022-12-31 FORVIS LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2022-01-01 526048633 COMPASS ROSE BENEFITS GROUP % WILLIAM J SIMMONS COMP 5714021344 11490 COMMERCE PARK DRIVE Suite 220 RESTON VA 20191 WILLIAM SIMMONS TREASURER/CFO 5714021344 2023-11-15 true WILLIAM SIMMONS 999009999 Michael J Engle P00482834 8162216300 2023-11-15 3 2022 2023-04-26 12:10:37Z WILLIAM SIMMONS 11490 COMMERCE PARK DRsuite 2 RESTON VA 20191 225826548 false X WWW.COMPASSROSEBENEFITS.COM X 1948 DC PROVIDE HEALTH AND OTHER INSURANCE COVERAGE TO U.S. GOVERNMENT EMPLOYEES AS WELL AS CIVILIAN AND RETIRED EMPLOYEES OF THE DEPT. OF DEFENSE AND EMPLOYEES OF HOMELAND SECURITY 9 9 35 9 0 0 0 232039458 216099266 1707490 1303625 0 0 233746948 217402891 36003 65339 221193570 215509395 3746640 4511916 0 0 0 11269704 10949577 236245917 231036227 -2498969 -13633336 127142865 105793925 97473687 78767213 29669178 27026712 PROVIDE HEALTH AND OTHER INSURANCE COVERAGE TO UNITED STATES GOVERNMENT EMPLOYEES false false COMPASS ROSE BENEFITS GROUP PROVIDES HEALTH AND OTHER SPECIALTY INSURANCE PRODUCTS AND SERVICES THAT ARE ONLY AVAILABLE TO CIVILIAN EMPLOYEES AND RETIREES OF THE DEPARTMENT OF DEFENSE, EMPLOYEES OF THE DEPARTMENT OF STATE, EMPLOYEES OF HOMELAND SECURITY AND THE INTELLIGENCE COMMUNITY. SPONSORSHIP OF A FEDERAL EMPLOYEE HEALTH BENEFIT PLAN ("FEHBP") AS AN EMPLOYEE ORGANIZATION PLAN UNDER THE FEHBP COVERING CERTAIN FEDERAL GOVERNMENAL EMPLOYEES AND ANNUITANTS. false false false false false false false false false true false false false true false true false false false false false false false false false false true false true false false false false false false false false false false false true true false false true 396 0 true 35 true false false false false false false false false X 9 9 false false false false true true false true true false false true true true true true true true false false X WILLIAM J SIMMONS 5714021344 11490 COMMERCE PARK DRIVE SUITE 220 RESTON VA 20191 X RANDY STOUGHTON PRESIDENT 40.0 1.0 X 327800 0 15265 SHERRI HERBERT VICE PRESIDENT 40.0 1.0 X 286232 0 23905 PAUL GOVATOS CHIEF INNOVATION OFFICER 40.0 0.0 X 259839 0 22733 WILLIAM SIMMONS TREASURER/CFO 40.0 1.0 X 223804 0 30782 KEVIN LANNING DIR, PHARMACY BENEFITS/MGR HPA 40.0 0.0 X 179200 0 29468 JONI HUBER DIRECTOR, HEALTH PLAN ADMIN 40.0 0.0 X 176608 0 26472 DHARTI DESAI CONTROLLER 40.0 1.0 X 161261 0 28479 PETER CHAN SYSTEM ARCHITECT 40.0 0.0 X 155525 0 27730 ZACHARY RAWN MANAGER, PHARMACY BENEFITS 40.0 0.0 X 116473 0 16236 KEVIN SMITH DIRECTOR/CHAIRMAN 1.0 0.0 X 0 0 0 BARBARA BLUFER DIRECTOR 1.0 0.0 X 0 0 0 BEVERLY CHRISTIANA DIRECTOR 1.0 0.0 X 0 0 0 ANN CROUCH DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL FORDE DIRECTOR 1.0 0.0 X 0 0 0 GWEN GASKINS DIRECTOR 1.0 0.0 X 0 0 0 JOEL SELTZER DIRECTOR 1.0 0.0 X 0 0 0 TRACY GRIGGS DIRECTOR 1.0 0.0 X 0 0 0 MIKE MICHAELS DIRECTOR 1.0 0.0 X 0 0 0 1886742 0 221070 13 false true false UNITED HEALTHCARE 11 Scott Street WAUSAU WI 544034875 Medical Mgmt Service 5291709 EXPRESS SCRIPTS 100 PARSONS POND DRIVE FRANKLIN LAKES NJ 07417 PBM ADMIN FEES 3329594 Engaged Health Group LLC PO Box 592 MILLERSVILLE MD 21108 LIVING WELL PROGRAM 751447 HUBBARD RADIO WASHINGTON DC PO BOX 645431 LOCKBOX 005431 CINCINATTI OH 45264 MARKETING 393600 EVICORE 400 BUCKWALTER PLACE BLVD BUFFTON SC 29910 TESTIING/SLEEP STUDY 320753 13 0 Insurance Premiums 525100 210523427 210523427 Administrative Service Fees 561000 5575839 5575839 216099266 1420871 1420871 0 0 0 0 0 8306411 8423657 -117246 -117246 -117246 0 0 0 0 0 0 0 0 0 0 217402891 216099266 0 1303625 65339 0 0 215509395 1190361 0 2665293 102618 292878 260766 0 36915 180174 0 0 156679 6567319 408270 234993 708927 0 128843 90472 0 12469 0 0 206878 57023 Service Allowance 1998158 Taxes and Fees 119389 Subscriptions 39151 _ 0 3917 231036227 3993305 2635966 59865041 41282796 0 0 26350438 28291784 0 0 0 0 0 0 0 0 270561 254940 4075825 1516205 2589819 2559620 33388591 30205558 549094 334757 0 0 0 0 136016 228504 127142865 105793925 518915 815642 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96954772 77951571 97473687 78767213 X 29669178 27026712 0 0 29669178 27026712 127142865 105793925 X -13633336 -5553591 16544461 X false true true false 3171976 799655 2372321 181693 175030 6663 722156 541520 180636 2559620 0 Special Reserve - OPM 31914413 Health Claims 35315700 Claims Reserves 10464315 Premiums Payable 257143 77951571 228393761 -5553591 16544461 10990870 217402891 217402891 231036227 231036227 231036227 SCHEDULE D, PART X, LINE 2 Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. SCHEDULE D, PART XI, LINE 2D CHANGE IN SPECIAL RESERVE $ 20,541,609 RETURN OF EXCESS RESERVES $( 3,997,148) ------------- $ 16,554,461 true United HealthCare Children's Foundation MN017-W400 PO BOX 41 Minneapolis MN 554400041 522177891 501(c)(3) 40000 GENERAL SUPPORT COMPASS ROSE CHARITIES 11490 COMMERCE PARK DRIVE STE 220 RESTON VA 20191 273674047 501(C)(3) 20000 GENERAL SUPPORT 2 0 Schedule I, Part I, Line 2 THE ORGANIZATION'S GRANT FUNDS ARE ONLY SENT TO 501(C)(3) TAX EXEMPT ORGANIZATIONS THAT THE ORGANIZATION'S MANAGEMENT IS FAMILIAR WITH AND HAS A RELATIONSHIP WITH. X X X false false false RANDY STOUGHTON PRESIDENT 298800 0 29000 0 0 0 12200 0 3065 0 343065 0 0 0 SHERRI HERBERT VICE PRESIDENT 260865 0 25367 0 0 0 11468 0 12437 0 310137 0 0 0 WILLIAM SIMMONS TREASURER/CFO 203737 0 20067 0 0 0 9072 0 21710 0 254586 0 0 0 PAUL GOVATOS CHIEF INNOVATION OFFICER 236839 0 23000 0 0 0 10398 0 12335 0 282572 0 0 0 DHARTI DESAI CONTROLLER 152761 0 8500 0 0 0 6585 0 21894 0 189740 0 0 0 PETER CHAN SYSTEM ARCHITECT 147025 0 8500 0 0 0 6336 0 21394 0 183255 0 0 0 KEVIN LANNING DIR, PHARMACY BENEFITS/MGR HPA 170200 0 9000 0 0 0 7312 0 22156 0 208668 0 0 0 JONI HUBER DIRECTOR, HEALTH PLAN ADMIN 168108 0 8500 0 0 0 7060 0 19412 0 203080 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS IN INSURANCE PROGRAMS OFFERED BY COMPASS ROSE BENEFITS GROUP. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT THE BOARD OF DIRECTORS FROM PERSONS NOMINATED BY THE MEMBERS. THE NEW DIRECTOR'S FIRST MEETING IS THE ANNUAL MEETING IN JANUARY. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE FORM 990 IS THEN REVIEWED BY SENIOR MANAGEMENT. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S SENIOR MANAGEMENT HAVE ARE ADDRESSED. THE 990 IS THEN PROVIDED TO THE MEMBERS OF THE AUDIT AND FINANCE COMMITTEE. AFTER THEIR REVIEW AND APPROVAL, THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS PROVIDED TO THE FULL BOARD. THE AUDIT AND FINANCE COMMITTEE WILL MAKE A MOTION TO THE FULL BOARD TO APPROVE THE FORM 990 FOR SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C A COMMITTEE WITHIN THE BOARD OF DIRECTORS HAS BEEN ESTABLISHED TO OVERSEE AND ADDRESS CONFLICTS OF INTEREST (COI). ANNUALLY, BOARD MEMBERS AND KEY COMPASS ROSE EMPLOYEES SIGN ACKNOWLEDGEMENT THAT THEY HAVE RECEIVED, READ, AND WILL ADHERE TO COMPASS ROSE'S COI POLICY. THE VICE PRESIDENT, IN CONSULTATION WITH EXECUTIVE TEAM, WILL ADDRESS CONFLICTS OF INTEREST. A. BEFORE THE VICE PRESIDENT TAKES ACTION ON A CONTRACT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST, THE VICE PRESIDENT SHALL DISCLOSE ALL FACTS MATERIAL TO THE CONFLICT OF INTEREST. SUCH DISCLOSURE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. B. A PERSON WHO HAS A CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN OR BE PERMITTED TO HEAR THE VICE PRESIDENTS DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS. C. THE PERSON HAVING A CONFLICT OF INTEREST SHALL NOT BE PRESENT IN THE MEETING ROOM AND SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. D. IN THE EVENT IT IS NOT ENTIRELY CLEAR THAT A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE POTENTIAL CONFLICT SHALL DISCLOSE THE CIRCUMSTANCES TO THE VICE PRESIDENT, WHO SHALL DETERMINE WHETHER THERE EXISTS A CONFLICT OF INTEREST THAT IS SUBJECT TO THIS POLICY. FORM 990, PART VI, SECTION B, LINES 15A & 15B ANNUALLY THE COMPENSATION OF THE PRESIDENT IS VOTED UPON AND APPROVED BY A COMPENSATION COMMITTEE MADE UP OF BOARD MEMBERS. THE COMPENSATION COMMITTEE USES THE FORM 990 OF OTHER ORGANIZATIONS OF SIMILAR TYPE AND SIZE. OTHER EMPLOYEE COMPENSATION IS SET BY SENIOR MANAGEMENT (PRESIDENT, VICE PRESIDENT, TREASURER). FORM 990, PART VI, SECTION C, LINE 19 OTHER THAN FORM 990, ALL OTHER GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE ONLY MADE AVAILABLE TO THE PUBLIC UPON U.S. GOVERNMENT SECURITY APPROVAL. FORM 990, PART XI, LINE 9 CHANGE IN SPECIAL RESERVE $ 20,541,609 RETURN OF EXCESS RESERVES $( 3,997,148) ------------- $ 16,554,461 UNITED STATES GOVERNMENT 1900 E STREET NW WASHINGTON DC 20415 GOVERNMENT DC GOVERNMENT N/A NA false COMPASS ROSE CHARITIES 11490 COMMERCE PARK DRIVE RESTON VA 20191 273674047 GRANTMAKING DC 7 501(C)(3) CR BENEFITS true false true false false false false false false false false false true false false false false false false true