2022-11-11T11:53:23-07:00 2021-12-31 990 2021-01-01 742615873 TEXAS MUTUAL INSURANCE COMPANY TEXA 8008595995 2200 Aldrich Street Austin TX 78723 Erica Sanchez VP Financial Services & Controller 5122247972 2022-11-11 1 11 1 AAL2 X 2021 2022-09-23 18:48:47Z Bill Potter 2200 Aldrich Street Austin TX 78723 6245459090 0 X www.texasmutual.com X Mutual 1991 TX Established by Texas statute to provide a stable, competitive source of workers' compensation insurance for Texas employers, acts as an insurer of last resort, and helps to prevent on-the-job injuries and illnesses and minimize their consequences. 9 9 1069 0 4722018 341426 0 0 976390625 982217298 329024141 389831033 1134756 1373970 1306549522 1373422301 6791830 9252933 0 0 130351183 135807703 0 0 0 958633882 971493407 1095776895 1116554043 210772627 256868258 7829763414 8249270527 3551793759 3438067021 4277969655 4811203506 Established by Texas statute to provide a stable, competitive source of workers' compensation insurance for Texas employers, acts as an insurer of last resort, and helps to prevent on-the-job injuries and illnesses and minimize their consequences. 0 0 1373422301 The Company wrote over 79,000 workers' compensation policies in 2021 covering over 1.5 million Texas employees. During the year, over 44,000 claims were processed and approximately $392 million in medical and income benefits were paid out to injured workers. $330 million in dividends was distributed to approximately 60,000 policyholders and an additional $21 million in dividends was distributed to 28 safety groups. 0 0 0 0 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 0 0 0 0 0 0 0 0 1 5842 0 1 1069 1 1 1 0 0 0 0 0 1 0 X 9 9 0 0 0 0 0 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 0 X Bill Potter 5122247972 2200 Aldrich Street Austin TX 78723 Richard Gergasko President & CEO 40 X 1657145 0 54796 Leonard Johnson SVP Investments 40 X 933171 0 106093 Brenda Ward Chief Operating Officer 40 X 771524 0 111421 Mary Nichols SVP & General Counsel 40 X 635502 0 45880 Perry Barron SVP & CFO 40 X 638380 0 18701 Michael Hernandez Chief Data Officer 40 X 510822 0 83915 Michael Stubblefield SVP & Chief Information Officer 40 X 509643 0 78102 Kim Haugaard SVP Policyholder Services 40 X 470841 0 92660 Paul Schlaud SVP & Special Counsel 40 X 467596 0 80217 Jeffrey Lentz SVP Underwriting 40 X 440882 0 106136 Jo Betsy Norton SVP Public Affairs 40 X 436902 0 80789 Willard Potter SVP & CFO 40 X 416252 0 79592 David John VP IT Infrastructure 40 X 368617 0 102371 James Kohloff VP Regional Operations 40 X 374647 0 94065 Elise Teeter SVP & General Auditor 40 X 378538 0 77021 Phoebe Murphy VP & Chief Actuary 40 X 355423 0 76414 Lawrence Martin SVP Human Resources 40 X 357002 0 69484 Erica Sanchez VP & Controller 40 X 332874 0 82200 Jeannette Sprague VP Applications 40 X 347989 0 65497 Edward Coates VP HR Employee Services 40 X 310221 0 95384 Billy Jackson VP Regional Operations 40 X 342818 0 55276 Nathan Scott VP Investments 40 X 311000 0 84973 Lisa Evans VP Distribution & Customer Engagement 40 X 339172 0 53810 Peppia Gates VP Regional Operations 40 X 318098 0 74084 Shannon Pounds VP Claims Litigation 40 X 312483 0 71517 Amy Green-Hinojosa VP Project Management Office 40 X 297424 0 84370 Jeremiah Bentley VP Marketing & Community Affairs 40 X 292815 0 88926 Lynette Caldwell SVP Human Resources 40 X 341188 0 40311 Benjamin Siddons VP Business Development 40 X 298776 0 80423 Nicholas Tsourmas VP & Medical Director 40 X 324560 0 53806 Roger Humecky VP Data Analytics & Business Intelligence 40 X 310715 0 67471 Beverly Harris VP Strategic Planning & Analysis 40 X 302519 0 73437 Anthony Seraphim VP Data Governance 40 X 291160 0 79101 Eric Bourquin VP Safety Services 40 X 282612 0 83303 Curtis Johnson VP Claim Operations 40 X 301526 0 58719 Catherine Brown VP Facility Services 40 X 314280 0 45169 Greta Gonzales VP & Chief Risk Officer 40 X 289018 0 67534 Leila Williams VP & Medical Director 40 X 294704 0 48060 Paschal Strong VP Underwriting Operations 40 X 289851 0 50195 Svetlana Bronshteyn VP Enterprise Product Management 40 X 276415 0 33337 Ronald Ellis Simmons Director 4 X 147375 0 0 John Dayton Swanson Director 4 X 95500 0 0 Tommy Dan Phillips Director 4 X 95500 0 0 Linda Stuckey Foster-Smith Director 4 X 88000 0 0 Kristina Rose Koncaba Director 4 X 87750 0 0 Brett Baker Flagg Director 4 X 82500 0 0 Steven Dudley Oldham Director 4 X 79500 0 0 Eric Lee Oliver Director 4 X 42250 0 0 Bernard Chevalier Francis Director 4 X 41625 0 0 William Francis Quinn Director 4 X 40000 0 0 Alexia Selene Elliott Director 4 X 37000 0 0 17682105 0 2894560 345 0 1 0 OCCUPATIONAL HEALTH CENTERS OF PO BOX 75388 OKLAHOMA CITY OK 73147 Medical and Healthcare 14794516 MEMORIAL HERMANN HOSPITAL HEAL PO BOX 301208 DALLAS TX 75303 Medical and Healthcare 9804217 TECHHEALTH INC PO BOX 206774 DALLAS TX 75320 Medical and Healthcare 7825896 ALIGN NETWORKS INC PO BOX 105159 ATLANTA GA 30348 Medical and Healthcare 6341626 AMY WICK MARKETING COMMUNICATIONS 1524 IH-35 S STE 224 AUSTIN TX 78704 Professional Services 4633349 351 0 Premiums Earned 524126 982217298 982217298 0 0 0 0 0 0 982217298 228539508 0 -3188842 231728350 0 0 0 0 0 0 0 0 737858 0 0 0 737858 0 737858 0 0 737858 5025319777 8008537 4863527501 8509288 161792276 -500751 161291525 0 7910860 153380665 Finance and Service Charges 524126 581692 581692 0 0 Retroactive Reinsurance 524126 54420 54420 0 0 0 0 0 0 636112 1373422301 982853410 4722018 385846873 8920606 332327 18834135 88993430 9762797 10830452 7386889 160897 516862 469147 46130542 26680336 7542740 4176586 23695893 18964935 1065230 394923 32643 5109205 1089825 Losses Incurred & Loss adjustment expense 333802767 Dividends to Policyholders 350591893 Net Commission and brokerage 121776072 Total taxes, licenses and fees 21231119 8061792 1116554043 0 0 0 -30607358 -25990512 176814973 127031677 445687817 413891642 119466931 16545409 106877920 102921522 5851716847 6046080607 1243570461 1536974635 35702754 48360956 7829763414 8249270527 107562184 118300834 507612317 482717520 20000890 0 2916618368 2837048667 3551793759 3438067021 X 0 0 0 0 4277969655 4811203506 4277969655 4811203506 7829763414 8249270527 X 256868258 273142255 0 0 0 3223338 X 0 1 X 1 0 8173406 0 8173406 99978265 0 9808662 90169603 0 0 0 0 11315260 0 6736747 4578513 0 0 0 0 102921522 0 0 ARES GLOBAL MULTI-ASSET CREDIT FD 40115094 F CHURCHILL MID MKT SR LN FUND IV LP 27073158 F GOLUB CAPITAL PEARLS DLP LP 34482101 F SHENKMAN MULTI-ASSET CREDIT FUND 59808556 F WA EMERGING MARKETS LOCAL DEBT 20199647 F WA FLOATING RATE HIGH INCOME FUND 50778165 F WA OPPORTUNISTIC US$ HIGH YIELD 23037182 F WA STRUCTURED PROD OPPORTUNITIES 27056836 F PARAMETRIC DEFENSIVE EQTY FUND LLC 134654818 F SILCHESTER INTL INVESTORS 146184044 F SPRUCEGROVE ACW EX US FUND 178070402 F CLARION LION PROPERTIES FUND 149576524 F HEITMAN CORE RE DEBT INCOME TR LP 60173517 F PRINCIPAL RE DEBT FUND II LP 44328225 F PRINCIPAL RE DEBT FUND III LP 43558756 F USAA EAGLE REAL ESTATE LP 139156328 F AMFAM VC FUND III LP 7293970 F ARES PATHFINDER FUND LP 42006980 F CARLYLE CREDIT OPPORTUNITIES FUND II LP 22156644 F CL CHOWDER CO-INVEST LP 421000 F CL GAS CO-INVEST LP 1496000 F CL PRAETER CO-INVEST LP 2126600 F CL SUMUP CO-INVEST LP - MOJITO II 978860 F CRESTLINE OPPORTUNITY FUND III LTD 39550000 F CRESTLINE OPPORTUNITY FUND IV LTD 43900000 F ELLIOTT ASSOCIATES LP 46352116 F GSO CREDIT ALPHA FUND II LP 18221783 F PARTNERS FUND 69875355 F PARTNERS GROUP RE SECOND 2013A LP 40280787 F SSP ADJACENT OPPTY PARTNERS E LP 24061187 F 1536974635 Reserves for losses and loss adjustment expense 2824646939 Advanced premiums 7986298 Amounts withheld/retained by company 4103004 Retroactive reinsurance reserve 268000 Provisions for reinsurance 200 Advanced rental income 44226 2837048667 1315631250 0 0 0 0 0 1315631250 57791051 0 57791051 1373422301 1058762992 0 0 0 0 0 1058762992 57791051 0 57791051 1116554043 Europe (including Iceland and Greenland) Investments 256340186 0 0 256340186 1 0 1 1 1 0 1 ALLIANCE FOR CHILDREN INC 908 Southland Avenue Fort Worth TX 76104 752363035 501(c)(3) 37500 Generational Learning AMARILLO JUNIOR COLLEGE DISTRICT P O BOX 447 AMARILLO TX 79178 751244347 100000 College Safety Grants AMERICA CAN 325 W 12TH ST DALLAS TX 75208 752251099 501(c)(3) 38750 Workforce Development & Safety Training AMERICAN HEART ASSOCIATION 12345 N LAMAR BLVD STE 200 AUSTIN TX 78753 135613797 501(c)(3) 62500 Workforce Development & Safety Training ANGELINA COUNTY JUNIOR COLLEGE PO BOX 1768 LUFKIN TX 75902 756000031 100000 College Safety Grants APM OUTREACH INC DBA ANCHOR POINT 103 Davis Rd Ste B League City TX 77573 273828680 501(c)(3) 50000 Generational Learning ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS 6001 Gulf Freeway Houston TX 77023 741696961 501(c)(3) 25000 Generational Learning AUSTIN AREA URBAN LEAGUE INC 8011 CAMERON ROAD SUITE A-100 AUSTIN TX 78754 741890518 501(c)(3) 15000 Disaster Relief Funds AUSTIN CHILDRENS MUSEUM 1830 Simond Ave Austin TX 78723 742288789 501(c)(3) 30000 Generational Learning AUSTIN DISASTER RELIEF NETWORK 1122 E 51ST STREET AUSTIN TX 78723 264789907 501(c)(3) 15000 Disaster Relief Funds AUSTIN PUBLIC EDUCATION FOUNDATION 4000 S IH35 Frontage Rd 9TH FLOOR Austin TX 78704 742654168 56355 Generational Learning AVANCE INC 118 North Medina Street San Antonio TX 78207 741769114 501(c)(3) 75000 Generational Learning AVANCE INC 118 North Medina Street San Antonio TX 78207 741769114 501(c)(3) 50000 COVID Grant BACK ON MY FEET 100 S Broad Street Ste 2136 Philadelphia PA 19110 262109809 501(c)(3) 25000 Generational Learning BAKERRIPLEY PO BOX 231808 HOUSTON TX 772231808 237062976 501(c)(3) 62500 Workforce Development & Safety Training BEST BUDDIES INTERNATIONAL INC 1341 W MOCKINGBIRD 241E DALLAS TX 75247 521614576 501(c)(3) 25000 Workforce Development & Safety Training BLACK DOULAS FOR BLACK MAMAS 2900 W ANDERSON LANE STE C200-310 AUSTIN TX 78757 825265336 501(c)(3) 73000 Workforce Development & Safety Training BOYS & GIRLS CLUB OF HILL COUNTRY TEXAS INC PO Box 554 Hillsboro TX 76645 742801002 501(c)(3) 100000 Generational Learning BOYS & GIRLS CLUBS OF GREATER HOUSTON INC PO BOX 4958 MSC 225 Houston TX 772104958 760270942 501(c)(3) 62500 Generational Learning CAFE MOMENTUM 1510 PACIFIC AVE DALLAS TX 75201 320384561 501(c)(3) 50000 Workforce Development & Safety Training CAMP FIRE FIRST TEXAS 2700 MEACHAM BOULEVARD FORT WORTH TX 761374699 750851201 501(c)(3) 37500 Workforce Development & Safety Training CAPITAL INVESTING IN DEVELOPMENT AND EMPLOYMENT OF ADULTS PO BOX 1784 AUSTIN TX 78767 742893041 501(c)(3) 62500 Workforce Development & Safety Training CAPITAL OF TEXAS PUBLIC TELECOMMUNICATIONS COUNCIL PO Box 7158 Austin TX 787137158 757126012 501(c)(3) 87500 Generational Learning CATHOLIC CHARITIES DIOCESE OF FORT WORTH INC PO BOX 15610 FORT WORTH TX 76119 750808769 501(c)(3) 80000 Workforce Development & Safety Training CENTRAL TEXAS ALLIED HEALTH INSTITUTE 13203 VIENTO DEL SUR MANCHACA TX 78652 831515596 501(c)(3) 62500 Workforce Development & Safety Training CHILD AND FAMILY GUIDANCE CENTER OF TEXOMA 808 E Pecan Grove Rd Sherman TX 75090 756067812 501(c)(3) 50000 Generational Learning CHILD CARE ASSOCIATES 3000 E Belknap Ft Worth TX 76111 840587601 501(c)(3) 100000 Generational Learning COALITION FOR THE HOMELESS HOUSTON HARRIS COUNTY 2000 CRAWFORD SUITE 700 HOUSTON TX 77002 760257018 501(c)(3) 20000 Disaster Relief Funds COALITION OF HEALTH SERVICES INC 301 S POLK STE 740 AMARILLO TX 79101 752009162 501(c)(3) 50000 Workforce Development & Safety Training COLLEGE OF THE MAINLAND 101 BALDWIN BOULEVARD CORPUS CHRISTI TX 78404 237181343 100000 College Safety Grants COMMUNITIES FOUNDATION OF TEXAS 5500 CARUTH HAVEN LANE DALLAS TX 75225 750964565 501(c)(3) 267500 Workforce Development & Safety Training COMMUNITY FAMILY CENTERS 7524 AVENUE E HOUSTON TX 77012 741691632 501(c)(3) 35000 Workforce Development & Safety Training CRISTO REY DALLAS CORPORATE WORK STUDY PROGRAM INC 9701 SAN LEON AVE DALLAS TX 75217 471851947 501(c)(3) 40000 Workforce Development & Safety Training DALLAS FOUNDATION A TX NONPROFIT CORPORATION 300 PEGASUS PARK 930 DALLAS TX 75247 752890371 501(c)(3) 150000 Workforce Development & Safety Training DAY NURSERY OF ABILENE INC 702 Cedar Street Abilene TX 79601 751399992 501(c)(3) 46000 Generational Learning DEL MAR COLLEGE FOUNDATION 1200 AMBURN ROAD TEXAS CITY TX 775912499 742286234 501(c)(3) 100000 College Safety Grants DOWN HOME RANCH INC 20250 FM 619 ELGIN TX 78621 742536461 501(c)(3) 25000 Workforce Development & Safety Training EASTER SEALS CENTRAL TEXAS INC 2324 RIDGEPOINT DR STE F1 AUSTIN TX 78754 750808811 501(c)(3) 100000 Workforce Development & Safety Training EL BUEN SAMARITANO EPISCOPAL MISSION 7000 Woodhue Drive Austin TX 78745 742488682 501(c)(3) 37500 Generational Learning EL PASO COMMUNITY COLLEGE DIST 201 W UNIVERSITY ODESSA TX 79764 741690850 100000 College Safety Grants EL PASO COMMUNITY FOUNDATION 333 N Oregon Street El Paso TX 79901 741839536 501(c)(3) 87500 Generational Learning FRIENDSWOOD ISD EDUCATION FOUNDATION 302 LAUREL DRIVE FRIENDSWOOD TX 77546 760606614 501(c)(3) 71846 Workforce Development & Safety Training GATEWAY COMMUNITY PARTNERS INC 417 SE LOOP 456 JACKSONVILLE TX 75766 751644622 501(c)(3) 11250 Workforce Development & Safety Training GOODWILL INDUSTRIES OF CENTRAL TEXAS 1015 NORWOOD PARK BLVD AUSTIN TX 78753 741322808 501(c)(3) 75000 Workforce Development & Safety Training GREATER HOUSTON PARTNERSHIP FOUNDATION 701 AVENIDA DE LAS AMERICAS STE 900 HOUSTON TX 77010 208179135 501(c)(3) 35000 Workforce Development & Safety Training GREATER WACO COLLECTIVE IMPACT INITIATIVE 5002 LAKELAND CIRCLE STE B WACO TX 76710 465714986 501(c)(3) 64000 Workforce Development & Safety Training HAVEN FOR HOPE OF BEXAR COUNTY 1 HAVEN FOR HOPE WAY SAN ANTONIO TX 78207 208075412 501(c)(3) 20000 Disaster Relief Funds HISPANIC CONTRACTORS ASSOCIATION DE SAN ANTONIO 2391 NE LOOP 410 STE 206 SAN ANTONIO TX 78217 742950044 501(c)(3) 12500 Workforce Development & Safety Training IMAGINE A WAY PO Box 1027 Leander TX 78646 272898257 501(c)(3) 37500 Generational Learning INSURANCE INDUSTRY CHARITABLE FOUNDATION 1999 AVENUE OF THE STARS SUITE 1100 LOS ANGELES CA 90067 201240972 501(c)(3) 5269 Disaster Relief Funds JEWISH FAMILY SERVICE OF GREATER DALLAS INC 5402 Arapaho Rd Dallas TX 75248 751992728 501(c)(3) 100000 Generational Learning KILGORE COLLEGE 1100 BROADWAY KILGORE TX 75662 756004413 100000 College Safety Grants LAMAR INSTITUTE OF TECHNOLOGY 855 E LAVACA BEAUMONT TX 77705 751403958 100000 College Safety Grants LEE COLLEGE FOUNDATION PAM WARFORD EXECUTIVE DIRECTOR BAYTOWN TX 775220818 746025566 100000 College Safety Grants LONE STAR CIRCLE OF CARE 205 East University Avenue Ste 200 Georgetown TX 78626 743001674 501(c)(3) 25000 Generational Learning LONGVIEW INDEPENDENT SCHOOL DISTRICT 1301 East Young Street Longview TX 75606 756001977 37500 Generational Learning LUBBOCK CHAMBER OF COMMERCE FOUNDATION 1500 BROADWAY STE 101 LUBBOCK TX 79401 752081274 501(c)(3) 100000 Workforce Development & Safety Training LUTHERAN SOCIAL SERVICES OF THE SOUTH INC 8305 Cross Park Drive Austin TX 78754 741109745 501(c)(3) 40000 Generational Learning LVTRISE 8201 Calmont Ave Fort Worth TX 76116 832573725 501(c)(3) 50000 Generational Learning MAVERICK BOYS & GIRLS CLUB 1923 S Lincoln Street Amarillo TX 79109 750808760 501(c)(3) 50000 Generational Learning MEADOWS MENTAL HEALTH POLICY INSTITUTE 2800 SWISS AVE Dallas TX 75204 463992618 501(c)(3) 90000 Generational Learning MIDLAND COLLEGE DISTRICT 3600 N GARFIELD STREET MIDLAND TX 79705 760694136 100000 College Safety Grants MISSION OF MERCY INC 2421 Ayers St Corpus Christi TX 78404 860704883 501(c)(3) 50000 Generational Learning MISSION ROAD DEVELOPMENT CENTER 8706 MISSION ROAD SAN ANTONIO TX 78214 746024405 501(c)(3) 25000 Workforce Development & Safety Training MOBILE LOAVES & FISHES INC 9301 HOG EYE RD STE 950 AUSTIN TX 78724 742956081 501(c)(3) 10750 Workforce Development & Safety Training NPOWER INC 55 WASHINGTON ST STE 560 BROOKLYN NY 11201 134145441 501(c)(3) 50000 Workforce Development & Safety Training ODESSA COLLEGE 2500 N ROBISON RD TEXARKANA TX 75501 756001909 100000 College Safety Grants OPPORTUNITY SCHOOL INC 1100 S Harrison Street Amarillo TX 79101 751360968 501(c)(3) 75000 Generational Learning PROJECT VIDA 3607 Rivera Ave El Paso TX 79905 742481679 501(c)(3) 25000 Generational Learning QUALITY OF LIFE FOUNDATION OF AUSTIN INC 535 EAST 5TH ST AUSTIN TX 78701 742394827 501(c)(3) 100000 Workforce Development & Safety Training RBCA COMMUNITY DEVELOPMENT CORPORATION 2627 MARTIN LUTHER KING JR BLVD DALLAS TX 75215 832391035 501(c)(3) 60000 Workforce Development & Safety Training REDEMPTION BRIDGE 1506 W PIONEER PKWY STE 120 ARLINGTON TX 76013 273500079 501(c)(3) 75000 Workforce Development & Safety Training RESTORE EDUCATION 4205 SAN PEDRO AVE SAN ANTONIO TX 78212 262966263 501(c)(3) 100000 Workforce Development & Safety Training RONALD MCDONALD HOUSE CHARITIES OF CENTRAL TEXAS INC 1315 BARBARA JORDAN BOULEVARD AUSTIN TX 78723 742277664 501(c)(3) 100000 A Place Like Home expansion, 3 year commitment SAN ANTONIO PUBLIC LIBRARY FOUNDATION 625 SHOOK AVE SAN ANTONIO TX 782125343 742283582 501(c)(3) 50000 COVID Grant SANTA MARIA HOSTEL 2605 Parker Rd Houston TX 77093 741669131 501(c)(3) 100000 Generational Learning SER-JOBS FOR PROGRESS OF THE TEXAS GULF COAST INC 1710 TELEPHONE RD HOUSTON TX 77023 741590387 501(c)(3) 100000 Workforce Development & Safety Training STAR OF HOPE MISSION 4848 LOOP CENTRAL DR STE 500 HOUSTON TX 77081 741152599 501(c)(3) 30000 Workforce Development & Safety Training STATE FIREMENS AND FIRE MARSHALS ASSOCIATION OF TEXAS PO BOX 1709 MANCHACA TX 78652 741707516 501(c)(6) 200000 Workforce Development & Safety Training SU CASA DE ESPERANZA INC PO BOX 1333 Pharr TX 78577 742610449 501(c)(3) 25000 Generational Learning TARRANT COUNTY ASSOCIATION FOR THE BLIND 912 W BROADWAY FORT WORTH TX 76104 751228722 501(c)(3) 25000 Workforce Development & Safety Training TEXARKANA COLLEGE PO BOX 20500 EL PASO TX 799980500 756002907 100000 College Safety Grants TEXAS 2036 3963 Maple Avenue Ste 290 Dallas TX 752193209 813063099 501(c)(3) 100000 Generational Learning TEXAS CASA 1501 West Anderson Lane Suite B-2 Austin TX 78757 752252358 501(c)(3) 75000 Generational Learning TEXAS ORGANIZATION OF RURAL AND COMMUNITY HOSPITALS 3309 Forest Creek 305 Round Rock TX 78664 208911377 501(c)(3) 49056 Generational Learning TEXAS RESTAURANT ASSOCIATION PO BOX 1429 AUSTIN TX 78767 740921350 501(c)(6) 30000 Workforce Development & Safety Training TEXSAR PO BOX 171258 AUSTIN TX 78717 841644603 501(c)(3) 300000 Disaster Relief Funds THE AUSTIN CENTER FOR GRIEF & LOSS 2413 Greenlawn Pkwy Austin TX 78757 260300371 501(c)(3) 50000 Generational Learning THE GEORGETOWN PROJECT PO BOX 957 GEORGETOWN TX 78627 742807713 501(c)(3) 25000 Workforce Development & Safety Training THE SALVATION ARMY PO BOX 2785 LUBBOCK TX 79408 580660607 501(c)(3) 10000 Disaster Relief Funds THE SALVATION ARMY NORTH TEXAS AREA COMMAND PO BOX 36006 DALLAS TX 75235 580660607 20000 Disaster Relief Funds THE TSTC FOUNDATION 3801 CAMPUS DR WACO TX 76705 752892470 501(c)(3) 75000 Workforce Development & Safety Training THE UNIVERSITY OF TEXAS FOUNDATION 9011 MOUNTAIN RIDGE STE 150 AUSTIN TX 78759 741587488 501(c)(3) 50000 Workforce Development & Safety Training THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER 1200 PRESSLER ST RAS-W1004 HOUSTON TX 77030 741761309 75000 Generational Learning TODOS JUNTOS LEARNING CENTER PO Box 41213 Austin TX 78704 463028927 501(c)(3) 50000 Generational Learning TRIO EDUCATION LLC 11413 TODD ST HOUSTON TX 77055 843902797 100000 Workforce Development & Safety Training TRIO EDUCATION LLC 11413 TODD ST HOUSTON TX 77055 843902797 100000 COVID Grant UNITED WAY OF GREATER AUSTIN 2000 E MLK Jr Blvd Austin TX 78702 741193439 501(c)(3) 87500 Generational Learning UNITED WAY OF GREATER HOUSTON 50 Waugh Drive Houston TX 77007 741167964 501(c)(3) 100000 Generational Learning UNITED WAY OF GREATER HOUSTON 50 Waugh Drive Houston TX 77007 741167964 501(c)(3) 100000 COVID Grant UNIVERSITY OF TEXAS HEALTH AND SCIENCE CENTER AT TYLER 11937 US HIGHWAY 271 TYLER TX 757083154 756001354 75000 Generational Learning VALLEY INITIATIVE FOR DEVELOPMENT AND ADVANCEMENT 417 S OHIO AVE MERCEDES TX 78570 742768931 501(c)(3) 41667 Workforce Development & Safety Training WICHITA FALLS AREA FOOD BANK 1230 Midwestern Parkway Wichita Falls TX 76302 751812865 501(c)(3) 20000 Generational Learning WILKINSON CENTER PO BOX 720248 DALLAS TX 75372 752712117 501(c)(3) 75000 Workforce Development & Safety Training WORKSOURCE GREATER AUSTIN AREA WORKFORCE BOARD 9001 N IH 35 STE 110E AUSTIN TX 78753 742327454 501(c)(3) 100000 Workforce Development & Safety Training YEAR UP INC PO BOX 412812 BOSTON MA 022412812 043534407 501(c)(3) 100000 Workforce Development & Safety Training YOUNG MENS CHRISTIAN ASSOCIATION OF AUSTIN 55 N IH 35 Austin TX 78702 741193464 501(c)(3) 50000 Generational Learning YOUNG WOMENS CHRISTIAN ASSOCIATION OF LUBBOCK TX INC 6204 Elgin Lubbock TX 79413 750939427 501(c)(3) 35000 Generational Learning DELL CHILDRENS MEDICAL CENTER FOUNDATION 4900 MUELLER BOULEVARD AUSTIN TX 78723 200468031 501(c)(3) 100000 Texas Center for Pediatric and Congenital Heart Disease DELL CHILDRENS MEDICAL CENTER FOUNDATION 4900 MUELLER BOULEVARD AUSTIN TX 78723 200468031 501(c)(3) 100000 Texas Mutual Insurance Company Endowed Education Fellowship AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 11625 gross proceeds from sale vehicle donation AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 6775 gross proceeds from sale vehicle donation AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 7750 gross proceeds from sale vehicle donation AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 9275 gross proceeds from sale vehicle donation 88 105 Scholarships for students attending BLINN COLLEGE 1 6600 Scholarships for students attending CLOVIS COMMUNITY COLLEGE 1 6600 Scholarships for students attending COLLEGE OF SOUTHERN NEVADA 1 10259 Scholarships for students attending COLLIN COLLEGE 1 6600 Scholarships for students attending HARDIN-SIMMONS UNIVERSITY 1 6356 Scholarships for students attending HILLSBOROUGH COMMUNITY COLLEGE 1 12009 Scholarships for students attending Huntington University 1 6600 Scholarships for students attending INSTITUTO DE BELLEZA Y ARTE COSMETOLOGY 1 3200 Scholarships for students attending LAMAR UNIVERSITY 2 19800 Scholarships for students attending MCLENNAN COMMUNITY COLLEGE 1 6600 Scholarships for students attending MIDWESTERN STATE UNIVERSITY 1 13200 Scholarships for students attending Remington College 1 4595 Scholarships for students attending SAM HOUSTON STATE UNIVERSITY 2 19800 Scholarships for students attending SOUTH TEXAS VOCATIONAL TECHNICAL INSTITUTE 1 6600 Scholarships for students attending TARLETON STATE UNIVERSITY 3 41039 Scholarships for students attending TARRANT COUNTY COLLEGE 2 19718 Scholarships for students attending Texas A&M Kingsville 1 13200 Scholarships for students attending TEXAS A&M UNIVERSITY 3 20311 Scholarships for students attending TEXAS TECH UNIVERSITY 1 6600 Scholarships for students attending TEXAS WOMAN'S UNIVERSITY 1 2091 Scholarships for students attending THE UNIVERSITY OF TEXAS AT ARLINGTON 2 33000 Scholarships for students attending THE UNIVERSITY OF TEXAS RIO GRANDE VALLEY 1 3053 Scholarships for students attending UNIVERSITY OF NORTH TEXAS 1 6600 Scholarships for students attending UNIVERSITY OF SOUTH FLORIDA 1 13200 Scholarships for students attending UNIVERSITY OF ST THOMAS 1 13200 Scholarships for students attending UNIVERSITY OF TEXAS AT EL PASO 1 16500 Scholarships for students attending UNIVERSITY OF TEXAS AT TYLER 1 13200 Scholarships for students attending WEST TEXAS A&M 1 2885 Schedule I, Part I, Line 2 Students qualify for the scholarship if they are a dependent of an individual that has had a death or lifetime benefits claim with Texas Mutual. The number of applicants is driven by the number of those types of workers compensation claims with dependents and is not preset. X 1 1 X X 1 1 0 Richard Gergasko President & CEO 723170 0 766422 0 167553 0 34888 0 19908 0 1711941 0 0 0 Leonard Johnson SVP Investments 406528 0 185952 0 340690 0 96901 0 9192 0 1039263 0 255513 0 Brenda Ward Chief Operating Officer 420821 0 286748 0 63955 0 102229 0 9192 0 882945 0 53757 0 Mary Nichols SVP & General Counsel 374674 0 172554 0 88274 0 34888 0 10992 0 681382 0 0 0 Perry Barron SVP & CFO 138604 0 0 0 499776 0 13964 0 4737 0 657081 0 0 0 Michael Hernandez Chief Data Officer 337575 0 160547 0 12700 0 62217 0 21698 0 594737 0 0 0 Michael Stubblefield SVP & Chief Information Officer 337302 0 160939 0 11402 0 57154 0 20948 0 587745 0 0 0 Kim Haugaard SVP Policyholder Services 294860 0 138762 0 37218 0 81450 0 11210 0 563500 0 26537 0 Paul Schlaud SVP & Special Counsel 309910 0 147657 0 10029 0 53193 0 27024 0 547813 0 0 0 Jeffrey Lentz SVP Underwriting 267527 0 125804 0 47550 0 75527 0 30609 0 547017 0 37962 0 Jo Betsy Norton SVP Public Affairs 264434 0 124583 0 47885 0 69677 0 11112 0 517691 0 35876 0 Willard Potter SVP & CFO 327134 0 79241 0 9877 0 51254 0 28338 0 495844 0 0 0 David John VP IT Infrastructure 234801 0 87073 0 46742 0 71949 0 30422 0 470987 0 37244 0 James Kohloff VP Regional Operations 249839 0 79638 0 45170 0 64291 0 29774 0 468712 0 33864 0 Elise Teeter SVP & General Auditor 245832 0 114551 0 18155 0 59825 0 17196 0 455559 0 8260 0 Phoebe Murphy VP & Chief Actuary 236578 0 72879 0 45966 0 62686 0 13728 0 431837 0 36271 0 Lawrence Martin SVP Human Resources 263163 0 69303 0 24535 0 59308 0 10176 0 426485 0 14042 0 Erica Sanchez VP & Controller 217537 0 76776 0 38562 0 62254 0 19946 0 415075 0 29047 0 Jeannette Sprague VP Applications 216214 0 79054 0 52721 0 34888 0 30609 0 413486 0 0 0 Edward Coates VP HR Employee Services 201573 0 73512 0 35136 0 65610 0 29774 0 405605 0 24429 0 Billy Jackson VP Regional Operations 219751 0 78349 0 44718 0 34888 0 20388 0 398094 0 0 0 Nathan Scott VP Investments 215707 0 77779 0 17515 0 55949 0 29024 0 395974 0 7344 0 Lisa Evans VP Distribution & Customer Engagement 244616 0 84677 0 9880 0 52610 0 1200 0 392983 0 0 0 Peppia Gates VP Regional Operations 221435 0 77193 0 19470 0 56388 0 17696 0 392182 0 8023 0 Shannon Pounds VP Claims Litigation 203874 0 73932 0 34678 0 54321 0 17196 0 384001 0 25291 0 Amy Green-Hinojosa VP Project Management Office 203784 0 71834 0 21806 0 65536 0 18834 0 381794 0 12481 0 Jeremiah Bentley VP Marketing & Community Affairs 200794 0 72151 0 19869 0 59152 0 29774 0 381740 0 10654 0 Lynette Caldwell SVP Human Resources 123173 0 138703 0 79312 0 32376 0 7935 0 381499 0 0 0 Benjamin Siddons VP Business Development 215828 0 73434 0 9514 0 51649 0 28774 0 379199 0 0 0 Nicholas Tsourmas VP & Medical Director 213419 0 72133 0 39009 0 34858 0 18948 0 378367 0 0 0 Roger Humecky VP Data Analytics & Business Intelligence 223268 0 77925 0 9523 0 50275 0 17196 0 378187 0 0 0 Beverly Harris VP Strategic Planning & Analysis 205016 0 70691 0 26812 0 54489 0 18948 0 375956 0 17282 0 Anthony Seraphim VP Data Governance 207561 0 74104 0 9494 0 49677 0 29424 0 370260 0 0 0 Eric Bourquin VP Safety Services 195314 0 70629 0 16670 0 52722 0 30581 0 365916 0 7369 0 Curtis Johnson VP Claim Operations 196120 0 69371 0 36034 0 28945 0 29774 0 360244 0 0 0 Catherine Brown VP Facility Services 201740 0 68389 0 44151 0 32819 0 12350 0 359449 0 0 0 Greta Gonzales VP & Chief Risk Officer 206439 0 72201 0 10377 0 49378 0 18156 0 356551 0 0 0 Leila Williams VP & Medical Director 212655 0 71982 0 10067 0 48060 0 0 0 342764 0 0 0 Paschal Strong VP Underwriting Operations 210382 0 56066 0 23404 0 50195 0 0 0 340047 0 14234 0 Svetlana Bronshteyn VP Enterprise Product Management 198568 0 0 0 77847 0 22077 0 11260 0 309752 0 0 0 Schedule J, Part I, Line 1a Social club memberships were paid for Jeff Lentz, Jo Betsy Norton, Richard Gergasko, Mike Barron, and Jim Kohloff. The memberships are used for business purposes such as hosting employee meetings, hosting events, and meetings with legislative stakeholders. Schedule J, Part I, Line 4 a) Perry Barron $495,716; Lynette Caldwell $76,285 b) Richard Gergasko $149,469; Leonard Johnson $388,714; Brenda Ward $121,098; Mary Nichols $65,974; Michael Hernandez $27,329; Michael Stubblefield $22,266; Kim Haugaard $73,099; Paul Schlaud $18,305; Jeffrey Lentz $78,601; Jo Betsy Norton $70,665; Willard Potter $16,366; David John $74,304; James Kohloff $63,267; Elise Teeter $33,197; Phoebe Murphy $64,070; Lawrence Martin $38,462; Erica Sanchez $56,413; Jeannette Sprague $36,579; Edward Coates $55,798; Billy Jackson $30,368; Nathan Scott $28,405; Lisa Evans $17,722; Peppia Gates $29,523; Shannon Pounds $45,704; Amy Green-Hinojosa $43,924; Jeremiah Bentley $35,806; Benjamin Siddons $16,761; Nicholas Tsourmas $23,175; Roger Humecky $16,619; Beverly Harris $37,967; Anthony Seraphim $14,789; Eric Bourquin $27,156; Curtis Johnson $21,937; Catherine Brown $32,885; Greta Gonzales $15,203; Leila Williams $13,708; Paschal Strong $32,575 Form 990, Part VI, Section A, Line 7a The company was established by Texas statute. The company has a nine-member Board of Directors consisting of Texas business employers. Five members, including the chair, are appointed by the Governor of Texas and confirmed by the Senate. The remaining four board members are elected by the policyholders. Form 990, Part VI, Section A, Line 7b Legislation prohibits the appointment or election of any person who has a potential conflict of interest because of other involvement in the insurance industry. Form 990, Part VI, Section B, Line 11b The 990 Tax Return is completed by an accountant in the Financial Reporting department using work papers and verification to the Company's Annual Statement and Audited Statutory Annual Report. The return is reviewed by management prior to filling the return. Form 990, Part VI, Section B, Line 12c The company's Conflict of Interest Policy is reviewed annually. The policy is distributed to all employees annually and all employees are required to acknowledge receipt. Form 990, Part VI, Section B, Line 15 An annual compensation review is performed by the company's Human Resources Department for all benchmark positions, including executive positions. The Board of Directors reviews and approves the compensation package for the President and General Auditor. The President or his designee approves the pay for all other employees. Form 990, Part VI, Section C, Line 19 All external requests for organizational information can be obtained through written requests. Additionally, certain financial information is available on the Company's website. Form 990, Part XI, Line 9 Change in Nonadmitted Assets $2,977,938; Change in Provision for Reinsurance $245,400