2022-09-28T09:47:07-05:00 2021-12-31 521446779 JOHNSON LAMBERT LLP 4242 SIX FORKS RD STE 1500 RALEIGH NC 27609 990 2021-01-01 020630294 COLLEGE INSURANCE COMPANY COLL 8028645599 463 MOUNTAIN VIEW DRIVE 301 COLCHESTER VT 05446 STEPHEN L GARWOOD TREASURER 3126480914 2022-09-28 1 STEPHEN GARWOOD 999009999 J CALVIN MARKS P01226973 9197196400 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z STEPHEN L GARWOOD 200 S WACKER DR STE 1000 CHICAGO IL 606063800 36890721 0 X N/A X 2002 VT PROVIDES PROPERTY AND CASUALTY, STUDENT, AND EMPLOYEE BENEFIT COVERAGES TO FAITH INSPIRED HIGHER EDUCATION INSTITUTIONS 22 21 0 21 1358000 50888 0 0 19602027 19458062 1834683 1388521 0 0 21436710 20846583 0 0 16436743 13909273 0 0 0 0 0 4875465 4793830 21312208 18703103 124502 2143480 74904314 80437108 40259289 42345780 34645025 38091328 COLLEGE PROVIDES VARIOUS INSURANCE COVERAGE TO EDUCATIONAL & INSTITUTIONAL INSURANCE ADMINISTRATORS, INC. (EIIA), AND ITS PARTICIPATING HIGHER EDUCATION INSTITUTIONS, THAT ARE FAITH INSPIRED. 0 0 16379589 18100062 PROPERTY & CASUALTY INSURANCE, STUDENT INSURANCE AND EMPLOYEE BENEFITS INSURANCE. 16379589 1 0 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 8 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 22 21 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X MARSH MANAGEMENT SERVICES INC 8028645599 463 MOUNTAIN VIEW DRIVE SUITE 301 COLCHESTER VT 05446 MR JEFFERY WOLF PRESIDENT/CHAIR (TO JUN '21) 2.00 35.50 X X 0 358415 68717 MR STEPHEN L GARWOOD TREASURER 2.00 35.50 X 0 350379 94404 MS MARY ELLEN MORIARTY VP/ASSISTANT SECRETARY 2.00 35.50 X 0 330356 64440 MR GREGORY LOGAN ASSISTANT SECRETARY 2.00 35.50 X 0 248452 79746 MR DONALD J CENCULA JR ASSISTANT TREASURER 2.00 35.50 X 0 179673 69427 MR ED PRECOURT SECRETARY 0.50 0.50 X X 0 0 0 MR JEFF ARNOLD DIRECTOR 0.50 1.00 X 0 0 0 DR MARK BENEDETTO DIRECTOR 0.50 1.00 X 0 0 0 DR COLETTE PIERCE BURNETTE DIRECTOR 0.50 1.00 X 0 0 0 DR DANIEL DIBIASIO DIRECTOR 0.50 1.00 X 0 0 0 DR MARCHETA EVANS DIRECTOR 0.50 1.00 X 0 0 0 MR JOHN FLYNN DIRECTOR 0.50 1.00 X 0 0 0 MS DEBORAH HALL DIRECTOR 0.50 1.00 X 0 0 0 DR TROY HAMMOND DIRECTOR 0.50 1.00 X 0 0 0 MS JANET HANSON DIRECTOR 0.50 1.00 X 0 0 0 DR SANDRA HARPER DIRECTOR 0.50 1.00 X 0 0 0 MS TIJUANA HUDSON DIRECTOR 0.50 1.00 X 0 0 0 MR MICHAEL MAXEY DIRECTOR 0.50 1.00 X 0 0 0 MR BILL MUSE DIRECTOR 0.50 1.00 X 0 0 0 REV DR JAY RUNDELL DIRECTOR 0.50 1.00 X 0 0 0 MR BOB SCHMOLL DIRECTOR 0.50 1.00 X 0 0 0 MR JEFFREY STRAITS DIRECTOR 0.50 1.00 X 0 0 0 DR TROY VANAKEN DIRECTOR 0.50 1.00 X 0 0 0 MS KAREN WARD DIRECTOR 0.50 1.00 X 0 0 0 DR HAROLD WILDE DIRECTOR 0.50 1.00 X 0 0 0 DR MARK WILHELM DIRECTOR 0.50 1.00 X 0 0 0 0 1467275 376734 0 0 1 0 EDUCATIONAL & INSTITUTIONAL INSURANCE AD 200 S WACKER DRSTE 1000 CHICAGO IL 60606 ADMINISTRATOR 1725000 MARSH MANAGEMENT SERVICES INC 463 MOUNTAIN VIEW DR STE 301 COLCHESTER VT 05446 CAPTIVE MANAGEMENT & ACTUARY 163625 QBE NORTH AMERICA 1 QBE WAY SUN PRAIRIE WI 53596 REINSURANCE BROKERAGE 157224 ASSET ALLOCATION & MANAGEMENT COMPANY L 30 N LASALLE STSTE 3500 CHICAGO IL 606022508 INVESTMENT MANAGER 118403 4 PREMIUMS EARNED 524298 19458062 18100062 1358000 19458062 1225780 1225780 16206879 16044138 162741 162741 162741 20846583 18100062 1358000 1388521 13909273 13909273 1888625 1888625 928 928 46663 46663 133078 133078 248833 248833 844 844 23407 23407 COMMISSION EXPENSE 2392649 2392649 PREMIUM TAX EXPENSE 87101 87101 UNDERWRITING EXPENSE -26210 -26210 FEDERAL INCOME TAX EXPE -34189 -34189 32101 16776 15325 18703103 16379589 2323514 0 13791891 17025164 233845 332356 34189 59942414 62121306 936164 924093 74904314 80437108 3483629 5614793 36775660 36730987 40259289 42345780 X 0 0 2750154 2750154 31894871 35341174 34645025 38091328 74904314 80437108 2143480 1302823 0 X 0 1 X 1 0 X X X 1 EDUCATIONAL & INSTITUTIONAL INSURANCE ADMINISTRATORS INC 391255714 1 1 1725000 16978103 1 1725000 16978103 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 LOSS AND LOSS EXPENSE RESERVES 23113325 UNEARNED PREMIUMS 8195683 FUNDS ON DEPOSIT 4568556 PREMIUM DEFICIENCY RESERVE 853423 36730987 X 20713505 0 20713505 133078 133078 20846583 18570025 0 18570025 133078 133078 18703103 PART X, LINE 2: MANAGEMENT HAS CONCLUDED THAT COLLEGE HAS PROPERLY MAINTAINED ITS EXEMPT STATUS AND HAS NOT TAKEN ANY UNCERTAIN TAX POSITIONS WHICH WOULD JEOPARDIZE ITS EXEMPT STATUS FOR ACTIVITIES NOT SUBJECT TO UNRELATED BUSINESS TAXES. 1 1 0 0 0 0 0 0 0 MR JEFFERY WOLF PRESIDENT/CHAIR (TO JUN '21) 0 308360 0 20147 0 29908 0 36337 0 32380 0 427132 0 0 MR STEPHEN L GARWOOD TREASURER 0 299996 0 37631 0 12752 0 51242 0 43162 0 444783 0 0 MS MARY ELLEN MORIARTY VP/ASSISTANT SECRETARY 0 285847 0 31757 0 12752 0 47770 0 16670 0 394796 0 0 MR GREGORY LOGAN ASSISTANT SECRETARY 0 217660 0 28076 0 2716 0 37230 0 42516 0 328198 0 0 MR DONALD J CENCULA JR ASSISTANT TREASURER 0 165804 0 10334 0 3535 0 27230 0 42197 0 249100 0 0 PART I, LINES 4A-B SEVERANCE: JEFFERY WOLF 114,637 RABBI TRUST CONTRIBUTIONS: STEPHEN L. GARWOOD 7,742 MARY ELLEN MORIARTY 4,270 FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES ARE DELEGATED TO MARSH MANAGEMENT SERVICES INC. FORM 990, PART VI, SECTION A, LINE 6 EIIA IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE BOARD ARE NOMINATED AND ELECTED BY EIIA. FORM 990, PART VI, SECTION A, LINE 7B ALL GOVERNING DOCUMENTS ARE REQUIRED TO BE APPROVED BY ALL MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE FEDERAL FORM 990 IS THOROUGHLY REVIEWED BY STEPHEN GARWOOD (TREASURER) AND THE AUDIT COMMITTEE, PRIOR TO FILING. ADDITIONALLY, THE AUDIT COMMITTEE CONSISTS OF NINE BOARD MEMBERS WHO THEN REPORT THEIR REVIEW TO ALL OF THE BOARD OF DIRECTORS TO ENSURE THAT THE FORM 990 IS COMPLETE AND ACCURATE. THE BOARD OF DIRECTORS ALSO REVIEWS THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND OFFICERS ARE REQUIRED TO ANNUALLY DISCLOSE RELATIONSHIPS THAT MIGHT GIVE RISE TO CONFLICTS OF INTEREST. CONFLICTED DIRECTORS AND OFFICERS ARE REQUIRED TO RECUSE THEMSELVES FROM VOTING ON PERTINENT MATTERS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. EDUCATIONAL & INSTITUTIONAL INSURANCE ADMINISTRATORS INC 200 S WACKER DR STE 1000 CHICAGO IL 60606 391255714 RELIGIOUS ORGANIZATION IL 501(C)(3) LINE 1 N/A 0 COLLEGE RISK RETENTION GROUP INC 463 MOUNTAIN VIEW DRIVE STE 301 COLCHESTER VT 05446 264676942 RELIGIOUS ORGANIZATION VT 501(C)(3) LINE 1 EIIA INC 0 COLLEGE RISK PURCHASING GROUP INC 200 S WACKER DR STE 1000 CHICAGO IL 60606 270756530 RELIGIOUS ORGANIZATION IL 501(C)(3) LINE 1 EIIA INC 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0