2022-09-23T14:04:36-05:00 2021-12-31 390859910 BAKER TILLY US LLP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2021-01-01 550585592 THE HEALTH PLAN OF WEST VIRGINIA INC HEAL 8006246961 1110 MAIN STREET WHEELING WV 26003 RYAN RALSTON CHIEF FINANCIAL OFFICER 8006246961 2022-09-23 1 RYAN RALSTON XXX-XX-XXXX LAWRENCE H MOHR CPA P00447603 6128764500 2022-09-09 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z THE HEALTH PLAN JEFFREY M KNIGHT 1110 MAIN STREET WHEELING WV 26003 990434949 0 X WWW.HEALTHPLAN.ORG X 1979 WV ESTABLISHED AS A COMMUNITY HEALTH ORGANIZATION, THE HEALTH PLAN DELIVERS A CLINICALLY-DRIVEN, TECHNOLOGY-ENHANCED, CUSTOMER-FOCUSED PLATFORM BY DEVELOPING AND IMPLEMENTING PRODUCTS AND SERVICES THAT MANAGE AND IMPROVE THE HEALTH AND WELL-BEING OF OUR MEMBERS. WE ACHIEVE THESE RESULTS THROUGH A TEAM OF HEALTHCARE PROFESSIONALS AND PARTNERS ACROSS OUR COMMUNITY. 8 7 721 0 0 0 0 0 699149783 781679902 4392134 7477861 105497 57893 703647414 789215656 637917 834537 613236624 656328334 30577258 33551550 0 0 0 23242508 32102672 667694307 722817093 35953107 66398563 336962051 406104117 147810637 128757432 189151414 277346685 X ESTABLISHED AS A COMMUNITY HEALTH ORGANIZATION, THE HEALTH PLAN DELIVERS A CLINICALLY-DRIVEN, TECHNOLOGY-ENHANCED, CUSTOMER-FOCUSED PLATFORM BY DEVELOPING AND IMPLEMENTING PRODUCTS AND SERVICES THAT MANAGE AND IMPROVE THE HEALTH AND WELL-BEING OF OUR MEMBERS. WE ACHIEVE THESE RESULTS THROUGH A TEAM OF HEALTHCARE PROFESSIONALS AND PARTNERS ACROSS OUR COMMUNITY. 0 0 109925004 834537 121573322 THE PRIMARY EXEMPT PURPOSE OF THE HEALTH PLAN OF WEST VIRGINIA, INC. (THE HEALTH PLAN) IS TO OPERATE A STATE CERTIFIED, FEDERALLY QUALIFIED HEALTH MAINTENANCE ORGANIZATION (HMO) WHICH PROVIDES COMPREHENSIVE HEALTH CARE SERVICES ON A PREPAID BASIS. THE NUMBER OF COMMERCIAL HMO MEMBERS AT DECEMBER 31, 2021 WAS 22,216. 461204056 510076032 THE HEALTH PLAN OFFERS A MANAGED CARE PROGRAM FOR MOUNTAIN HEALTH TRUST (MHT), WEST VIRGINIA'S MEDICAID PROGRAM. AT DECEMBER 31, 2021, THE HEALTH PLAN'S MHT PLAN SERVICED 125,121 MEMBERS WITH 55,966 MEMBERS ENROLLED FROM THE EXPANSION POPULATION, 52,979 MEMBERS ENROLLED FOR THE TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) POPULATION, 11,396 MEMBERS ENROLLED FROM THE SUPPLEMENTAL SECURITY INCOME (SSI) POPULATION, AND 4,780 MEMBERS ENROLLED FROM THE WV CHILDREN'S HEALTH INSURANCE PROGRAM (WVCHIP). 135542271 149905152 THE HEALTH PLAN OFFERS A MEDICARE ADVANTAGE PROGRAM KNOWN AS SECURE CARE AND A PROGRAM FOR MEMBERS ELIGIBLE FOR BOTH MEDICARE AND MEDICAID KNOWN AS A MEDICARE DUAL SPECIAL NEEDS PLAN (DSNP). SECURE CARE ENABLES THE MEDICARE ELIGIBLE POPULATION TO SELECT MEDICARE COVERAGE AT A MUCH LOWER COST DUE TO THEIR AGREEMENT TO UTILIZE THE HEALTH PLAN NETWORK AND WITH PLAN OPTIONS FOR EXPANDED BENEFITS SUCH AS DENTAL, VISION, HEARING, TELEHEALTH, GYM MEMBERSHIPS, COVERAGE FOR "OVER-THE-COUNTER" ITEMS, IN-HOME MEAL DELIVERY AFTER HOSPITAL STAYS, AND ROUTINE TRANSPORTATION TO HEALTH-RELATED LOCATIONS. ENROLLMENT AT DECEMBER 31, 2021 FOR THESE PROGRAMS INCLUDED 10,408 MEMBERS. 706671331 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 1 4212 0 1 721 1 0 0 0 0 0 0 0 0 X 8 7 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X RYAN RALSTON CFO 7406996236 1110 MAIN STREET WHEELING WV 26003 JOHN WRIGHT IV CHAIRMAN OF THE BOARD/INTERIM CEO 3.00 1.00 X X 220004 0 0 JOHN GIANOLA VICE CHAIRMAN OF THE BOARD (THROUGH 05/2022) 1.00 1.00 X X 17500 0 0 E PHILLIPS POLACK MD MEMBER (THROUGH 11/2021) 1.00 1.00 X 15000 0 0 MARK LANCELLOTTI MEMBER 1.00 1.00 X 15000 0 0 WESLEY NICKELL MEMBER 1.00 1.00 X 15000 0 0 SUSAN BUCHANAN CPA MEMBER 1.00 1.00 X 15000 0 0 JOHN HOLLOWAY MEMBER 1.00 1.00 X 14750 0 0 DENISE D PENTINO SECRETARY 1.00 1.00 X X 12750 0 0 JEFFREY KNIGHT PRESIDENT & COO 40.00 1.00 X 515646 0 36341 RYAN RALSTON CHIEF FINANCIAL OFFICER 40.00 1.00 X 297272 0 49037 ED KAIRIS MD MMM CHIEF MEDICAL OFFICER 40.00 1.00 X 443878 0 38050 RICHARD LEGG SVP - SALES & ACCOUNT MANAGEMENT 40.00 1.00 X 331644 0 29349 E DAVID MATHIEU SVP - UNDERWRITING & REGULATORY SERVICES 40.00 1.00 X 255959 0 45254 ANTOINETTE GEYER SVP PROVIDER DELIVERY SERVICES 40.00 1.00 X 257573 0 29362 JASON LANDERS SVP-MEDICAID 40.00 1.00 X 244617 0 39255 KENNETH BRYAN CHIEF INFORMATION OFFICER 40.00 1.00 X 231431 0 24357 DAVID THOMAS DIRECTOR - SALES NATIONAL 40.00 1.00 X 636922 0 53734 ROBERT J ROSET SVP - IT OPERATIONS & QUALITY 40.00 1.00 X 244584 0 28158 KENTON ROEPKE DIRECTOR - ACTUARIAL SERVICES (OUTGOING) 40.00 1.00 X 259481 0 10779 ROBERT CROSS MEDICAL DIRECTOR 40.00 1.00 X 232086 0 37604 RYAN JEWELL VP - SALES & ACCOUNT MANAGEMENT 40.00 1.00 X 187472 0 43293 JAMES PENNINGTON PRESIDENT/CEO (FORMER) 0.00 0.00 X 498625 0 1376 4962194 0 465949 60 1 1 0 SCION DENTAL LLC 10201 NORTH PORT WASHINGTON RD MEQUON WI 53092 DENTAL CLAIMS PROCESSING AND ADMINISTRAT 20154833 EVICORE HEALTHCARE MSI LLC 400 BUCKWALTER PLACE BLVD BLUFFTON SC 29910 MEDICAL BENEFIT MANAGEMENT SERVICES 4762728 BEECHER EVERGREEN MANAGED CARE PO BOX 116531 ATLANTA GA 303686531 REINSURANCE BROKER 2007268 MILLIMAN INC 8500 NORMANDALE LAKE BLVD MINNEAPOLIS MN 554373830 ACTUARIAL CONSULTANT 1627315 LIBERTY DENTAL PLAN CORPORATION 340 COMMERCE SUITE 100 IRVINE CA 92602 DENTAL PLAN BENEFITS FOR MEDICARE AND DS 1540393 66 MEDICAID 524114 510076032 510076032 MEDICARE 524114 149905152 149905152 COMMERCIAL HMO 524114 121573322 121573322 CLAIM PROCESSING 524292 125396 125396 781679902 4511420 4511420 42552 0 42552 42552 42552 204185734 201219293 2966441 2966441 2966441 MISCELLANEOUS REVENUE 900099 15341 15341 15341 789215656 781679902 0 7535754 587486 587486 247051 247051 656328334 656328334 3194026 1597013 1597013 14467434 9236433 5231001 1953880 1599921 353959 11096687 7732265 3364422 2839523 2348271 491252 298373 280030 18343 1903419 1659879 243540 48100 48100 618740 618740 10121377 9396212 725165 1824778 1823403 1375 1979737 1636892 342845 4354764 3587043 767721 1229569 786919 442650 228875 184446 44429 211190 124646 86544 324781 243586 81195 1464095 1098071 366024 1142984 585511 557473 BROKER EXPENSE 2534247 2534247 NET REINSURANCE EXPENSE 2064816 2064816 MISCELLANEOUS EXPENSES 1577766 765695 812071 PREMIUM TAX EXPENSE 175061 175061 722817093 706671331 16145762 0 24292265 17403641 27875447 30707607 13046993 5421166 7256485 7625827 227723350 294014165 45286712 53578743 4527792 2774134 336962051 406104117 129512064 109793148 2483571 1451951 15815002 17512333 147810637 128757432 X 188651414 276846685 0 0 500000 500000 189151414 277346685 336962051 406104117 X 66398563 21410120 386588 X X 0 1 X 1 0 600000 600000 9754717 3418554 6336163 2692276 2002612 689664 7625827 INVESTMENT IN SUBSIDIARIES 53578743 C 53578743 POST RETIREMENT BENEFIT OBLIGATION 1473136 DUE TO THP INSURANCE COMPANY 9854322 OTHER LIABILITIES 2193107 PAYABLE FOR SECURITY SETTLMENT 3991768 17512333 786181955 -2414961 -2414961 788596916 618740 618740 789215656 719908588 0 719908588 618740 2289765 2908505 722817093 PART XI, LINE 2D - OTHER ADJUSTMENTS: REINSURANCE EXPENSE -1,911,269. DEPRECIATION -503,692. PART XII, LINE 4B - OTHER ADJUSTMENTS: REINSURANCE EXPENSE 1,911,269. CHANGE IN PREMIUM DEFICIENCY RESERVE -125,196. DEPRECIATION 503,692. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 EQUITY AND BOND INVESTMENTS 17099965 EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, 0 0 EQUITY AND BOND INVESTMENTS 4029915 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 EQUITY AND BOND INVESTMENTS 9496024 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 EQUITY AND BOND INVESTMENTS 3029155 0 0 0 0 0 0 33655059 0 33655059 0 0 0 0 0 0 PART III ACCOUNTING METHOD: 1 YWCA 1100 CHAPLINE STREET WHEELING WV 26003 550357063 501C(3) 50000 0 PROVIDE ASSISTANCE TO VICTIMS OF DOMESTIC VIOLENCE UNIVERSITY PHYSICIANS AND SURGEONS INC 1600 MEDICAL CENTER DR STE 3500 HUNTINGTON WV 25701 550564945 501C(3) 50000 0 MARSHALL PROJECT HOPE PLAYGROUND WVU FOUNDATION P O BOX 9800 MORGANTOWN WV 26506 556017181 501C(3) 35000 0 SUPPORT MENTAL HEALTH PROGRAMMING WITHIN THE WVU DEPARTMENT OF INTERCOLLEGIATE ATHLETICS BY PROVIDING FOR THE ENHANCEMENT OF PSYCHOLOGICAL SERVICES FOR WVU STUDENT-ATHLETES. ST MATTHEWS EPISCOPAL CHURCH P O BOX 508 WHEELING WV 26003 550397070 501C(3) 30000 0 FOOD PANTRY ST JAMES EVANGELICAL LUTHERAN CHURCH 1409 CHAPLINE STREET WHEELING WV 26003 550361021 501C(3) 30000 0 FOOD PANTRY CATHOLIC CHARITIES WEST VIRGINIA INC 2000 MAIN STREET WHEELING WV 26003 550391262 501C(3) 30000 0 FOOD PANTRY HOUSE OF THE CARPENTER LLC 200 SOUTH FRONT STREET WHEELING WV 26003 550751892 501C(3) 30000 0 FOOD PANTRY ST LUKES EPISCOPAL CHURCH 200 SOUTH PENN STREET WHEELING WV 26003 556000712 501C(3) 30000 0 FOOD PANTRY UNION MISSION MINISTRIES INC P O BOX 112 CHARLESTON WV 25321 556000896 501C(3) 30000 0 FOOD PANTRY CHRISTIAN HELP INC 219 WALNUT STREET MORGANTOWN WV 26505 550568989 501C(3) 30000 0 FOOD PANTRY CAMPBELLS CREEK CHURCH 543 CAMPBELLS CREEK DRIVE CHARLESTON WV 25306 556066229 501C(3) 30000 0 FOOD PANTRY HUNTINGTON CITY MISSION 624 10TH ST P O BOX 3 HUNTINGTON WV 25701 550356991 501C(3) 30000 0 FOOD PANTRY OLD MAN RIVERS MISSION 703 PIKE STREET PARKERSBURG WV 26101 550727794 501C(3) 30000 0 FOOD PANTRY SOUP KITCHEN OF GREATER WHEELING INC P O BOX 546 WHEELING WV 26003 550639285 501C(3) 30000 0 FOOD PANTRY MARSHALL HEALTH 1600 MEDICAL CENTER DR HUNTINGTON WV 25701 752580686 501C(3) 25000 0 TO PROVIDE ONSITE PEER AND RESIDENTIAL SUPPORT, LIFE SKILLS TRAINING AND MENTAL HEALTH SERVICES. RURAL EMERGENCY TRAUMA INSTITUTE 2265 MARKET STREET WHEELING WV 26003 743071038 501C(3) 22486 0 TO SUPPORT PRE-HOSPITAL AND HEALTHCARE ETHICS ECHO PROGRAMS WHEELING HEALTH RIGHT INC 61 29TH STREET WHEELING WV 260034161 311149085 501C(3) 20000 0 TO PROVIDE PRIMARY HEALTH CARE, SUPPORT, EDUCATION AND RESOURCES TO THOSE UNABLE TO OBTAIN CARE THROUGH EXISTING SOCIAL/WELFARE PROGRAMS INCLUDING QUALITY MEDICAL AND NURSING CARE INCLUDING MEDICATIONS NECESSARY FOR TREATMENT. AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVENUE DALLAS TX 752315129 135613797 501C(3) 15000 0 2021 SIGNATURE SPONSOR FOR THE 2021 HEART WALK MOUNTAINEER FOOD BANK INC 484 ENTERPRISE DRIVE GASSAWAY WV 26624 550611100 501C(3) 10000 0 FOOD PANTRY THE UNDERPRIVILEGED CHILDREN FOUNDATION INC 716 LEE ST EAST SUITE 201 CHARLESTON WV 25301 814436479 501C(3) 10000 0 2021 TITLE SPONSORSHIP FOOD S.H.A.C.K. 20 0 MEDICAL AND NURSING STUDENT SCHOLARSHIPS 12 247051 PART I, LINE 2: THE HPWV MEDICAL STUDENT (DOCTORS/NURSES) SCHOLARSHIP PROGRAM BEGAN IN THE FALL OF 2009. MEDICAL STUDENTS SUBMIT SCHOLARSHIP APPLICATION TO A SUB-COMMITTEE OF THE BOARD. THESE APPLICATIONS ARE REVIEWED BY THE SUB-COMMITTEE BASED ON THE STUDENT'S FINANCIAL NEED. THE TUITION PAYMENTS ARE MADE DIRECTLY TO THE SCHOOL AND BOOK EXPENSES ARE REIMBURSED DIRECTLY TO THE STUDENTS. THE GRANT TERM IS OPEN UNTIL THE STUDENT GRADUATES. X 1 1 X X 1 0 0 1 1 1 1 1 0 DAVID THOMAS DIRECTOR - SALES NATIONAL 192311 0 443981 0 630 0 22742 0 30992 0 690656 0 0 0 JEFFREY KNIGHT PRESIDENT & COO 445442 0 69394 0 810 0 17648 0 18693 0 551987 0 0 0 JAMES PENNINGTON PRESIDENT/CEO (FORMER) 498625 0 0 0 0 0 0 0 1376 0 500001 0 0 0 ED KAIRIS MD MMM CHIEF MEDICAL OFFICER 395367 0 46189 0 2322 0 19505 0 18545 0 481928 0 0 0 RICHARD LEGG SVP - SALES & ACCOUNT MANAGEMENT 273893 0 53560 0 4191 0 18915 0 10434 0 360993 0 0 0 RYAN RALSTON CHIEF FINANCIAL OFFICER 253526 0 43260 0 486 0 19739 0 29298 0 346309 0 0 0 E DAVID MATHIEU SVP - UNDERWRITING & REGULATORY SERVICES 229735 0 22660 0 3564 0 18568 0 26686 0 301213 0 0 0 ANTOINETTE GEYER SVP PROVIDER DELIVERY SERVICES 234023 0 22308 0 1242 0 18754 0 10608 0 286935 0 0 0 JASON LANDERS SVP-MEDICAID 220665 0 21630 0 2322 0 17688 0 21567 0 283872 0 0 0 ROBERT J ROSET SVP - IT OPERATIONS & QUALITY 221148 0 21630 0 1806 0 17724 0 10434 0 272742 0 0 0 KENTON ROEPKE DIRECTOR - ACTUARIAL SERVICES (OUTGOING) 99258 0 160000 0 223 0 4665 0 6114 0 270260 0 0 0 ROBERT CROSS MEDICAL DIRECTOR 221878 0 6500 0 3708 0 16644 0 20960 0 269690 0 0 0 KENNETH BRYAN CHIEF INFORMATION OFFICER 224455 0 4654 0 2322 0 11156 0 13201 0 255788 0 0 0 RYAN JEWELL VP - SALES & ACCOUNT MANAGEMENT 178004 0 9090 0 378 0 14339 0 28954 0 230765 0 0 0 JOHN WRIGHT IV CHAIRMAN OF THE BOARD/INTERIM CEO 220004 0 0 0 0 0 0 0 0 0 220004 0 0 0 PART I, LINE 1A DR. KAIRIS HAS A MONTHLY RELOCATION STIPEND PAID THROUGH THE NORMAL PAYROLL PROCESS. PART I, LINE 4A JAMES PENNINGTON RECEIVED SEVERANCE OF $498,625.00 IN 2021 WHICH INCLUDES ALL RELATED BENEFIT AMOUNTS. KENTON ROEPKE RECEVIED SEVERANCE OF $32,933.10 IN 2021. PART I, LINE 5 SALES TEAM MEMBERS RECEIVE SALES COMMISSIONS BASED ON NEW BUSINESS SALES AND CLIENT RETENTION. PART I, LINE 6 BONUS PAYMENTS ARE BASED ON THE ACHIEVEMENT OF INDIVIDUAL AND STRATEGIC PLAN GOALS AND THE COMPANY'S (CONSOLIDATED) OVERALL FINANCIAL GOALS. THE AMOUNTS ARE DISCRETIONARY AND ARE NOT FIXED. PART I, LINE 7 BONUS PAYMENTS ARE BASED ON THE ACHIEVEMENT OF INDIVIDUAL AND STRATEGIC PLAN GOALS AND THE COMPANY'S (CONSOLIDATED) OVERALL FINANCIAL GOALS. THE AMOUNTS ARE DISCRETIONARY AND ARE NOT FIXED. JESSICA LEGG DAUGHTER OF RICHARD LEGG, SVP SALES AND ACCOUNT MANAGEMENT 48059 EMPLOYED BY ORGANIZATION 0 PATRICK BUCHANAN SON OF SUSAN BUCHANAN, BOARD MEMBER 19283 EMPLOYED BY ORGANIZATION 0 FORM 990, PART VI, SECTION A, LINE 1A THE FINANCE AND INVESTMENT COMMITTEE IS COMPRISED OF THREE OR MORE DIRECTORS AS DETERMINED BY THE BOARD OF DIRECTORS BASED ON NOMINATIONS BY THE BOARD CHAIRPERSON, A MAJORITY OF WHOM CANNOT BE EMPLOYEES OF THE COMPANY. THE CEO AND CFO ARE NON-VOTING MEMBERS OF THE COMMITTEE. THE OPERATION OF THE COMMITTEE IS SUBJECT TO THE BYLAWS OF THE COMPANY. THE PRIMARY PURPOSE OF THE COMMITTEE IS TO ASSIST THE BOARD OF DIRECTORS IN FULFILLING ITS OVERSIGHT RESPONSIBILITIES FOR BUDGETING, CAPITAL EXPENDITURES, THE INVESTMENT PORTFOLIO, AND SIGNIFICANT DEBT AND CAPITAL TRANSACTIONS. THE COMMITTEE HAS THE POWER TO RETAIN, COMPENSATE, DIRECT, AND OVERSEE AND TERMINATE THE WORK OF ANY OUTSIDE FINANCIAL ADVISOR TO CARRY OUT ITS DUTIES AND TO MEET WITH COMPANY OFFICERS, EMPLOYEES, INDEPENDENT AUDITORS, EXTERNAL FINANCIAL ADVISORS, OR OUTSIDE COUNSEL. THE COMMITTEE'S ROLE IS TO OVERSEE FINANCING AND INVESTMENT POLICIES AND TO OVERSEE THE INVESTMENT PORTFOLIO AND TRANSACTIONAL ACTIVITY AS MORE FULLY DESCRIBED IN ITS CHARTER. FORM 990, PART VI, SECTION A, LINE 2 FAMILY MEMBER: JESSICA LEGG RELATED FAMILY MEMBER: RICHARD LEGG, SVP SALES AND ACCOUNT MANAGEMENT TITLE: PRACTICE MANAGEMENT CONSULTANT COMPENSATION INCLUDING ALL RELATED BENEFITS: $48,059 FAMLY MEMBER: PATRICK BUCHANAN RELATED FAMILY MEMBER: SUSAN BUCHANAN, BOARD MEMBER TITLE: CLINICAL DATA ANALYST COMPENSATION INCLUDING ALL RELATED BENEFITS: $19,283 FORM 990, PART VI, SECTION B, LINE 11B THE CFO AND CONTROLLER REVIEW THE FORM 990 FOR REASONABLENESS COMPARED TO THE INTERNAL FINANCIAL STATEMENTS. THE CFO PROVIDES COPIES TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES ARE DISTRIBUTED COMPANYWIDE AND TO THE BOARD OF DIRECTORS BY THE COMPLIANCE DEPARTMENT. ANY POTENTIAL CONFLICT WITH A BOARD MEMBER MIGHT RESULT IN THE BOARD MEMBER RECUSING IF THE CONFLICT IS RELATED TO A VOTING MATTER. IF THE CONFLICT ARISES AMONG EMPLOYEE(S), THE MATTER IS REVIEWED WITH HR AND THE EMPLOYEE COULD BE REASSIGNED OR OTHER CORRECTIVE ACTION MAY BE REQUIRED TO RESOLVE THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS AND/OR IMMEDIATE SUPERVISOR REVIEWS PERFORMANCE. THE BOARD APPROVES COMPENSATION FOR THE CEO AND EXECUTIVE MANAGEMENT, AND THE CEO APPROVES ALL OTHERS' COMPENSATION. OUTSIDE COMPENSATION SURVEY TOOLS AND CONSULTATION WITH OUTSIDE COUNSEL (WHERE NEEDED) ARE USED TO ESTABLISH APPROPRIATE COMPENSATION LEVELS WITHIN THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE FILED WITH THE DEPARTMENT OF INSURANCE AND ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN NONADMITTED ASSETS 511,784. CHANGE IN RESERVES -125,196. FORM 990, PART XII, LINE 2C: NO CHANGE TO THE OVERSIGHT PROCESS. PART IX, LINE 11D: $48,100 WAS PAID TO LARRY SWANN FOR PROFESSIONAL SERVICES RELATED TO GOVERNMENT RELATIONS AND LOBBYING DURING 2021. THE FILING ORGANIZATION REPORTED THIS AMOUNT ON FORM 990, PART IX, LINE 11D. THP INSURANCE COMPANY 1110 MAIN STREET WHEELING WV 26003 550765726 INSURANCE WV THE HEALTH PLAN OF WEST VIRGINIA INC C 48088478 74139069 1.00000 1 HOMETOWN HHP SERVICES CORPORATION 1110 MAIN STREET WHEELING WV 26003 341588625 THIRD-PARTY ADMINISTRATOR OH THE HEALTH PLAN OF WEST VIRGINIA INC C 833124 3441778 1.00000 1 0 0 0 1 1 0 0 0 0 0 0 1 0 1 1 1 1 0 0 THP INSURANCE COMPANY L 18186594 ACTUAL ALLOC. - ADMIN. AGREEMENT THP INSURANCE COMPANY E 9854322 ACTUAL AMOUNT THP INSURANCE COMPANY D 2774134 ACTUAL AMOUNT HOMETOWN HHP SERVICES CORPORATION E 5515642 ACTUAL AMOUNT