2023-11-10T09:08:47-06:00 2022-12-31 363168081 SIKICH LLP 8555 N RIVER RD 300 INDIANAPOLIS IN 46240 990 2022-01-01 920144231 COMPREHENSIVE HEALTH INSURANCE ASSOCIATION COMP 4025018701 2015 16TH STREET GREAT BEND KS 67530 DEBBIE MCCORMICK DEPUTY EXECUTIVE DIRECTOR 4025018701 2023-11-09 1 DEBBIE MCCORMICK 999009999 0 BRIDGETTE MUGGE P00671418 3178424466 2023-11-08 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z DEBBIE MCCORMICK 2015 16TH STREET GREAT BEND KS 67530 121394324 0 X WWW.ACHIA.COM X 1992 AK PROVIDE HEALTH INSURANCE TO ALASKA RESIDENTS WHO ARE UNABLE TO OBTAIN ADEQUATE INSURANCE. 8 8 0 8 0 0 80000000 100000000 19935351 21331259 1135 63065 0 0 99936486 121394324 0 0 83497762 102049669 0 205574 0 0 0 14674911 1050102 98172673 103305345 1763813 18088979 122969212 181064763 118912371 94305466 4056841 86759297 PROVIDE HEALTH INSURANCE TO ALASKA RESIDENTS WHO ARE CONSIDERED HIGH HEALTH RISK AND OTHERWISE UNABLE TO OBTAIN ADEQUATE INSURANCE. 0 0 THE ASSOCIATION PROVIDES HEALTH INSURANCE COVERAGE AND CASE MANAGEMENT SERVICES TO OTHERWISE UNINSURED INDIVIDUALS. THE ALASKA REINSURANCE PROGRAM WAS FORMED TO ADD STABILITY TO THE INDIVIDUAL HEALTH INSURANCE MARKET IN ALASKA AND ENCOURAGE PARTICIPATION BY INSURERS IN THE INDIVIDUAL INSURANCE MARKET IN ALASKA BY PROVIDING A MECHANISM TO INSURERS ISSUING POLICIES IN THE INDIVIDUAL MARKET IN ALASKA THAT COVER HIGH RISK INDIVIDUALS. 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X BENEFIT MANAGEMENT LLC 8002901368 2015 16TH STREET GREAT BEND KS 67530 SHAWN POLLOCK CHAIRMAN 2.00 X X 0 0 0 J BRIAN ANGEL VICE CHAIR 2.00 X X 0 0 0 MONA MCALEESE SECRETARY/TREASURER 2.00 X X 0 0 0 SHANNON BUTLER DIRECTOR 2.00 X 0 0 0 KATY SHERIDAN MD DIRECTOR 2.00 X 0 0 0 JASON R GOOTEE DIRECTOR 2.00 X 0 0 0 JIM GRAZKO DIRECTOR 2.00 X 0 0 0 SARAH BAILEY EX-OFF. DIV OF INS 2.00 X 0 0 0 CECIL BYKERK EXECUTIVE DIRECTOR 15.00 X 106242 0 0 DEBBIE MCCORMICK DEPUTY EX. DIRECTOR 15.00 X 99332 0 0 205574 0 0 1 0 0 0 BENEFIT MANAGEMENT LLC 2015 16TH STREET GREAT BEND KS 67530 ADMIN 715177 EXPRESS SCRIPTS 1 EXPRESS WAY ST LOUIS MO 63121 PRESCRIPTION BENEFIT MANAGEMENT 326424 AXENE HEALTH PARTNERS 41923 2ND ST 204 TEMECULA CA 92590 ACTUARIAL 133086 3 100000000 100000000 PREMIUMS EARNED 900099 20331259 20331259 MEMBER ASSESSMENTS 900099 1000000 1000000 21331259 63065 63065 121394324 21331259 0 63065 102049669 102049669 205574 205574 215471 215471 4000 4000 33223 33223 PLAN ADMINISTRATION FEE 507861 157313 350548 PLAN CONSULTANTS 228744 228744 MISCELLANEOUS EXPENSE 47406 47406 CASE MANAGEMENT FEES 8525 8525 4872 4872 103305345 102206982 1098363 0 67896548 76101798 45277896 87572837 22355 24000 9772413 17366128 122969212 181064763 53361010 92977508 53884 87717 65497477 1240241 118912371 94305466 X 0 0 0 0 4056841 86759297 4056841 86759297 122969212 181064763 X 18088979 64613477 0 X 0 1 X 1 1 1 0 PREMIUMS RECEIVABLE 17308504 ASSESSMENTS RECEIVABLE 57624 17366128 UNPAID CLAIMS AND CLAIMS EXPENSE 1222000 OTHER LIABILITIES 18241 1240241 X 121394324 0 121394324 0 121394324 103305345 0 103305345 0 103305345 PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT ACHIA QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(26) OF THE INTERNAL REVENUE CODE ("IRC") AND IS, THEREFORE, NOT SUBJECT TO TAX UNDER PRESENT INCOME TAX LAW. ACHIA IS REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN ITS QUALIFICATION. ACHIA IS ALSO EXEMPT FROM ALASKA STATE INCOME TAXES. FORM 990, PART VI, SECTION B, LINE 11B DRAFT OF THE FORM 990 IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS AND EXECUTIVE DIRECTOR BEFORE FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ANNUALLY CONFIRM IN WRITING THEIR INDEPENDENCE; DISCLOSURESARE REVIEWED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15A EXECUTIVE DIRECTOR'S CONTRACT REVIEWED AND APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 FORM 990 AVAILABLE UPON REQUEST; SUMMARIES OF BENEFITS AVAILABLE ON WEBSITE. FORM 990, PART XI, LINE 8: PRIOR PERIOD ADJUSTMENTS DURING 2022, A PRIOR PERIOD ADJUSTMENT WAS MADE TO RESTATE NET ASSETS WITHOUT DONOR RESTRICTIONS (BOARD DESIGNATED SPECIFICALLY) FOR THE YEAR ENDED DECEMBER 31, 2021. MANAGEMENT DETERMINED THAT THE PRIOR ACCOUNTING TREATMENT TO ZERO OUT NET INCOME WITH THE LIABILITY FOR FUTURE CLAIMS EXPENSE WAS INNAPROPRIATE AND DID NOT CONFORM WITH USGAAP. ALTERNATIVELY, MANAGEMENT HAS DETERMINED THAT THIS LIABILITY ACCOUNT SHOULD IN FACT BE CONSIDERED A BOARD DESIGNATED FUND. ACCORDINGLY, THE 2021 BALANCES HAVE BEEN RESTATED AS SHOWN ON PART XI, LINE 8.