NEW HAMPSHIRE INDIVIDUAL HEALTH PLAN BENEFIT ASSOCIATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- NEW HAMPSHIRE INDIVIDUAL HEALTH PLAN BENEFIT ASSOCIATION (EIN 02-0499340)
- Tax period
- 2020-08-01 to 2020-12-31
- Filed
- 2021-08-16
- IRS object ID
- 202112289349301116
- Schema version
- 2020v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-16T08:05:16-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 020365196 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MASON & RICH PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 BICENTENNIAL SQ | AddressLine1Txt |
| City | CONCORD | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 033014058 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-08-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020499340 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEW HAMPSHIRE INDIVIDUAL HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | PLAN BENEFIT ASSOCIATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NEWH | BusinessNameControlTxt |
| Phone | 6032256633 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 PILLSBURY ST RM/STE 200 | AddressLine1Txt |
| City | CONCORD | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID ELLIS | PersonNm |
| Person Title | CHAIR | PersonTitleTxt |
| Phone | 6032256633 | PhoneNum |
| Signature | 2021-08-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAVID | PersonFirstNm |
| Person Last | ELLIS | PersonLastNm |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANDREW J LUCE CPA | PreparerPersonNm |
| PTIN | P01069925 | PTIN |
| Phone | 6032242000 | PhoneNum |
| Preparation | 2021-08-16 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | Yes (X) | InitialReturnInd |
| Application Pending | Yes (X) | ApplicationPendingInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BENEFIT ASSOC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID ELLIS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 PILLSBURY STREET SUITE 200 | AddressLine1Txt |
| City | CONCORD | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,282,373 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.NHHP.ORG | WebsiteAddressTxt |
| Type Of Organization Assoc | Yes (X) | TypeOfOrganizationAssocInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | THE ASSOCIATION WAS CREATED PURSUANT TO THE ORDER OF THE NEW HAMPSHIRE INSURANCE COMMISSIONER WITH THE PURPOSE OF SUPPORTING THE STATE'S INDIVIDUAL HEALTH PLAN PROGRAMS. THE PURPOSE OF THE ASSOCIATION IS TO PROTECT THE RESIDENTS OF NEW HAMPSHIRE WHO PARTICIPATE IN THE INDIVIDUAL HEALTH INSURANCE MARKET BY PROVIDING A MECHANISM TO EQUITABLY DISTRIBUTE THE EXCESS RISK ASSOCIATED WITH THIS MARKET. THE ASSOCIATION'S MEMBERSHIP CONSISTS, BY STATUTE, OF ALL INSURERS LICENSED TO TRANSACT HEALTH INSURANCE IN THE STATE OF NEW HAMPSHIRE THAT OFFER POLICIES FOR MAJOR MEDICAL COVERAGE ON AN EXPENSE-INCURRED BASIS AND ALL LICENSED HOSPITALS, MEDICAL SERVICE CORPORATIONS, OR OTHER ORGANIZERS, IF ANY, IN THE STATE THAT OFFER SUBSCRIBER CONTRACTS FOR MAJOR MEDICAL COVERAGE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $10,271,391 | CYProgramServiceRevenueAmt |
| CY Investment Income | $10,982 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| CY Total Revenue | $10,282,373 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| CY Other Expenses | $10,282,373 | CYOtherExpensesAmt |
| CY Total Expenses | $10,282,373 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets EOY | $9,962,660 | TotalAssetsEOYAmt |
| Total Liabilities EOY | $9,962,660 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ASSOCIATION WAS CREATED PURSUANT TO THE ORDER OF THE NEW HAMPSHIRE INSURANCE COMMISSIONER WITH THE PURPOSE OF SUPPORTING THE STATE'S INDIVIDUAL HEALTH PLAN PROGRAMS. THE PURPOSE OF THE ASSOCIATION IS TO PROTECT THE RESIDENTS OF NEW HAMPSHIRE WHO PARTICIPATE IN THE INDIVIDUAL HEALTH INSURANCE MARKET BY PROVIDING A MECHANISM TO EQUITABLY DISTRIBUTE THE EXCESS RISK ASSOCIATED WITH THIS MARKET. THE ASSOCIATION'S MEMBERSHIP CONSISTS, BY STATUTE, OF ALL INSURERS LICENSED TO TRANSACT HEALTH INSURANCE IN THE STATE OF NEW HAMPSHIRE THAT OFFER POLICIES FOR MAJOR MEDICAL COVERAGE ON AN EXPENSE-INCURRED BASIS AND ALL LICENSED HOSPITALS, MEDICAL SERVICE CORPORATIONS, OR OTHER ORGANIZERS, IF ANY, IN THE STATE THAT OFFER SUBSCRIBER CONTRACTS FOR MAJOR MEDICAL COVERAGE. | MissionDesc |
| Significant New Program Srvc | Yes (true) | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $10,068,263 | ExpenseAmt |
| Revenue | $10,271,391 | RevenueAmt |
| Desc | THE ASSOCIATION COLLECTS ASSESSMENTS FROM ITS MEMBERS ON BEHALF OF THE STATE OF NEW HAMPSHIRE TO SUPPORTS ITS CURRENT MEDICAID EXPANSION PROGRAM, NOW KNOWN AS THE GRANITE ADVANTAGE HEALTH CARE PROGRAM. THE FUNDS ARE THEN USED BY THE STATE AS REQUIRED BY STATUTE TO SUPPORT THE STATE'S EXPANSION OF MEDICAID SERVICES TO A BROADER SEGMENT OF THE UNDERSERVED POPULATION IN NEW HAMPSHIRE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $158,191 | ExpenseAmt |
| Desc | THE ASSOCIATION ESTABLISHED AS OF AUGUST 1, 2020 AND BEGAN OPERATING EFFECTIVE JANUARY 1, 2021 THE NEW HAMPSHIRE REINSURANCE PROGRAM, WHICH WAS ESTABLISHED AS A MECHANISM TO EQUITABLY DISTRIBUTE THE EXCESS RISK ASSOCIATED WITH THE INDIVIDUAL HEALTH INSURANCE MARKET AND TO SUPPORT THE AFFORDABILITY AND ACCESSIBILITY OF HEALTH INSURANCE IN NEW HAMPSHIRE'S INDIVIDUAL HEALTH INSURANCE MARKET. THE REINSURANCE PROGRAM REIMBURSES HEALTH PLAN ISSUERS WHO OFFER COMPREHENSIVE, MAJOR MEDICAL PLANS IN NEW HAMPSHIRE'S INDIVIDUAL MARKET THAT ARE PART OF A SINGLE-RISK POOL BASED ON A PERCENTAGE OF ANNUAL CLAIMS THAT ISSUERS INCUR FOR COVERAGE UNDER SUCH PLANS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $10,226,454 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HELMS & COMPANY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6032256633 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 PILLSBURY STREET SUITE 200 | AddressLine1Txt |
| City | CONCORD | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| WILLIAM BREWSTER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID ELLIS | ||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| LISA GUERTIN | ||||||
| VICE-CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CHRISTOPHER KENNEDY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BRUCE KING | ||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| MARTHA MCLEOD | ||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DOMENIC PALMIERI | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID SKY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID TRUDO | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| GERRI VAUGHAN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARK MCCUE | ||||||
| ASSISTANT SE | 1.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HELMS & COMPANY | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 PILLSBURY STREET SUITE 200 | AddressLine1Txt |
| City | CONCORD | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | MANAGEMENT SERV | ServicesDesc |
| Compensation | $157,122 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| MEMBER ASSESSMENTS | $10,270,888 | $10,270,888 |
| CLAIMS REFUNDS | $503 | $503 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,271,391 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,982 | TotalRevenueColumnAmt |
| Exclusion | $10,982 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,282,373 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,271,391 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $10,982 | ExclusionAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,220 | TotalAmt |
| Program Services | $153,809 | ProgramServicesAmt |
| Management And General | $33,411 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,309 | TotalAmt |
| Program Services | $17,206 | ProgramServicesAmt |
| Management And General | $6,103 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,072 | TotalAmt |
| Management And General | $12,072 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,343 | TotalAmt |
| Program Services | $20,343 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $518 | TotalAmt |
| Program Services | $244 | ProgramServicesAmt |
| Management And General | $274 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,750 | TotalAmt |
| Management And General | $3,750 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| STATE OF NH ASSESSMENT | $10,034,852 | $10,034,852 | |
| BANK FEES | $238 | $238 | |
| PRINTING EXPENSE | $71 | $71 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,282,373 | TotalAmt |
| Program Services | $10,226,454 | ProgramServicesAmt |
| Management And General | $55,919 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $672,440 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $5,020,412 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,262,400 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $7,408 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $9,962,660 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $9,259 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $9,878,596 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $74,805 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $9,962,660 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $9,962,660 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $0 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ACCRUED EXPENSES | Desc |
| Amt | $74,805 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $74,805 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $18,004,648 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $7,722,275 | OtherRevenueAmt |
| Revenue Not Reported | $7,722,275 | RevenueNotReportedAmt |
| Revenue Subtotal | $10,282,373 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $10,282,373 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $18,004,648 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $7,722,275 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $7,722,275 | ExpensesNotReportedAmt |
| Expenses Subtotal | $10,282,373 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $10,282,373 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | SUPPORT PRIOR TO 8/1/2020 EXEMPT UNDER SECTION 115 7,722,275 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | EXPENSES INCURRED PRIOR TO 8/1/2020 EXEMPT UNDER SEC. 115 7,722,275 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SEE SUPPLEMENTAL INFORMATION BELOW | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS BY STATUTE DESIGNED TO HAVE REPRESENTATIVES OF INSURANCE COMPANIES AND OTHER RELATED PARTIES, THEREFORE, THERE ARE TRANSACTIONS AMONG THE COMPANIES FOR WHICH THE BOARD MEMBERS WORK. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE ASSOCIATION WAS CREATED PURSUANT TO THE ORDER OF THE NEW HAMPSHIRE INSURANCE COMMISSIONER WITH THE PURPOSE OF SUPPORTING THE STATE'S INDIVIDUAL HEALTH PLAN PROGRAMS. THE PURPOSE OF THE ASSOCIATION IS TO PROTECT THE RESIDENTS OF NEW HAMPSHIRE WHO PARTICIPATE IN THE INDIVIDUAL HEALTH INSURANCE MARKET BY PROVIDING A MECHANISM TO EQUITABLY DISTRIBUTE THE EXCESS RISK ASSOCIATED WITH THIS MARKET. THE ASSOCIATION'S MEMBERSHIP CONSISTS, BY STATUTE, OF ALL INSURERS LICENSED TO TRANSACT HEALTH INSURANCE IN THE STATE OF NEW HAMPSHIRE THAT OFFER POLICIES FOR MAJOR MEDICAL COVERAGE ON AN EXPENSE-INCURRED BASIS AND ALL LICENSED HOSPITALS, MEDICAL SERVICE CORPORATIONS, OR OTHER ORGANIZERS, IF ANY, IN THE STATE THAT OFFER SUBSCRIBER CONTRACTS FOR MAJOR MEDICAL COVERAGE. |
| FORM 990 | IN ITS 2019 SESSION, THE NEW HAMPSHIRE LEGISLATURE AMENDED SECTION 12 OF THE NEW HAMPSHIRE REVISED STATUTES ANNOTATED TO PERMIT THE INSURANCE COMMISSIONER, IF SUPPORTED BY THE RECOMMENDATION OF ACTUARIAL EXPERTS, TO REQUEST THAT THE ASSOCIATION PROPOSE A PLAN OF OPERATION FOR A RISK SHARING PROGRAM, REINSURANCE PROGRAM OR OTHER PROGRAM THAT WILL BEST SUPPORT THE AVAILABILITY AND AFFORDABILITY OF THE INDIVIDUAL INSURANCE MARKET IN THE STATE. PURSUANT TO THE 2019 STATUTORY AMENDMENTS AND BASED ON THE REPORT OF HIS ACTUARIAL EXPERTS, THE INSURANCE COMMISSIONER ISSUED AN ORDER ON FEBRUARY 25, 2020 REQUIRING THE ASSOCIATION TO ASSESS AND DEVELOP A PROPOSAL FOR A REINSURANCE PROGRAM WITH SUPPORT OF FEDERAL FUNDING IN THE FORM OF SHARED SAVINGS UNDER A STATE INNOVATION WAIVER UNDER SECTION 1332 OF THE AFFORDABLE CARE ACT. IN RESPONSE TO THE INSURANCE COMMISSIONER'S ORDER, THE ASSOCIATION ENGAGED ITS MANAGEMENT TEAM, IN CONSULTATION WITH EXPERTS AND LEGAL COUNSEL AND THE INSURANCE COMMISSIONER, TO REVIEW THE ACTUARIAL ANALYSIS AND DETERMINE THE COMPONENTS OF A PROPOSED STATE MARKET STABILIZATION PROGRAM AND ITS ANTICIPATED COSTS AND OPERATIONAL PROCEDURES AND TO DEVELOP A RELATED SECTION 1332 WAIVER APPLICATION. TO DOCUMENT ITS PROPOSED PROGRAM PURSUANT TO SECTION 12 OF THE STATUTE, THE ASSOCIATION ADOPTED A SECOND AMENDMENT TO ITS RESTATED PLAN ON MARCH 11, 2020. DURING 2020, ALL OF THE CONDITIONS TO THE IMPLEMENTATION OF THE PROPOSED PROGRAM -- KNOWN AS THE "NEW HAMPSHIRE REINSURANCE PROGRAM" (THE "REINSURANCE PROGRAM") -- WERE MET, INCLUDING APPROVAL BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AND THE U.S. DEPARTMENT OF THE TREASURY OF THE STATE'S SECTION 1332 WAIVER APPLICATION AND ITS PROJECTED "PASS-THROUGH SAVINGS." ON SEPTEMBER 30, 2020 THE INSURANCE COMMISSIONER ISSUED A SUPPLEMENTAL ORDER DIRECTING THAT THE ASSOCIATION, AS ADMINISTRATOR OF THE REINSURANCE PROGRAM, RECEIVE THE FEDERAL GRANT MONIES UNDER THE SECTION 1332 WAIVER. THE ASSOCIATION ADOPTED A THIRD AMENDMENT TO ITS RESTATED PLAN ON OCTOBER 20, 2020 WHICH ALLOWS AND DIRECTS THE ASSOCIATION TO BECOME THE GRANTEE OF RECORD UNDER THE SECTION 1332 WAIVER, AND TO ACCEPT AND RECEIVE DIRECTLY FEDERAL FUNDING UNDER THE SECTION 1332 WAIVER. THE REINSURANCE PROGRAM COMMENCES OPERATION ON JANUARY 1, 2021 AND IS TO BE ADMINISTERED BY THE ASSOCIATION ON BEHALF OF THE NEW HAMPSHIRE DEPARTMENT OF INSURANCE. THE REINSURANCE PROGRAM WILL REIMBURSE ISSUERS WHO OFFER COMPREHENSIVE, MAJOR MEDICAL PLANS IN NEW HAMPSHIRE'S INDIVIDUAL MARKET THAT ARE PART OF THE SINGLE-RISK POOL. PAYMENTS TO CARRIERS ARE TO BE CALCULATED BASED ON A PERCENTAGE (COINSURANCE PERCENTAGE) OF THE ANNUAL CLAIMS THAT ISSUERS INCUR FOR COVERAGE UNDER SUCH PLANS BETWEEN A SPECIFIED LOWER THRESHOLD (ATTACHMENT POINT) AND UPPER THRESHOLD (REINSURANCE CAP). THE REINSURANCE PARAMETERS ARE TO BE DETERMINED EACH YEAR BY THE INSURANCE DEPARTMENT BY MARCH 31 OF THE PRIOR YEAR BASED ON RECOMMENDATIONS OF THE BOARD OF DIRECTORS OF THE ASSOCIATION AND THE COMMISSION OF THE STATUS OF HEALTH COVERAGE MARKETS FOR INDIVIDUAL AND SMALL EMPLOYERS. THE RESTATED PLAN, AS AMENDED, REQUIRES THAT ALL FUNDING COLLECTED FOR THE REINSURANCE PROGRAM WILL BE PAID OUT (FOR PAYMENTS TO ISSUERS AND FOR PROGRAM ADMINISTRATION) FOR THE YEAR FOR WHICH IT IS COLLECTED, BUT NO ADDITIONAL STATE FUNDS WILL BE PROVIDED FOR THE REINSURANCE PROGRAM. THE ASSOCIATION'S OBLIGATION TO MAKE PAYMENTS TO ISSUERS UNDER THE REINSURANCE PROGRAM IS LIMITED TO THE EXTENT OF FUNDING RECEIVED BY THE ASSOCIATION IN CONNECTION WITH THE REINSURANCE PROGRAM. THE ASSOCIATION IS CURRENTLY SEEKING RECOGNITION FROM THE INTERNAL REVENUE SERVICE TO BE RECOGNIZED AS A TAX-EXEMPT SOCIAL SERVICE ORGANIZATION DESCRIBED UNDER SECTION 501(C)(4) OF THE TAX CODE FOR THE PERIOD OF AUGUST 1 THROUGH DECEMBER 31, 2020, AND ANUALLY THEREAFTER. |
| FORM 990, PAGE 1, PART I, LINE 6 | VOLUNTEERS ARE ON THE BOARD OF DIRECTORS AND PERFORM EXECUTIVE DUTIES. |
| FORM 990, PAGE 2, PART III, LINE 2 | THE ASSOCIATION OPERATES THE NEW HAMPSHRIE REINSURANCE PROGRAM AS DESCRIBED IN PART III, LINE 4B. BECAUSE THE REINSURANCE PROGRAM HAS BEEN ADDED TO THE ASSOCIATION'S OPERATIONS, THE ASSOCIATION IS IN THE PROCESS OF COMPLETING AND FILING FORM 1024-A WITH THE INTERNAL REVENUE SERVICE TO SEEK RECOGNITION AS A SOCIAL SERVICES ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXATION UNDER SECTION 501(C)(4) OF THE TAX CODE. THE ASSOCIATION IS SEEKING SUCH RECOGNITION AS OF AUGUST 1, 2020, THE DATE BY WHICH ALL CONDITIONS TO THE OPERATION OF THE REINSURANCE PROGRAM WERE SATISFIED. FROM OCTOBER 1, 2016 THRU AUGUST 1, 2020, ASSOCIATION ASSERTED ITS EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 115 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (THE "TAX CODE"), AS AN AFFILIATE OF A GOVERNMENTAL UNIT IN SUPPORT OF THE NEW HAMPSHIRE MARKETPLACE PREMIUM ASSISTANCE PROGRAM. |
| FORM 990, PAGE 6, PART VI, LINE 3 | THE ORGANIZATION HIRES A MANAGEMENT COMPANY FOR EXECUTIVE DIRECTOR AND ASSESSMENT COLLECTION SERVICES. THE BOARD OF DIRECTORS OVERSEES THE OPERATIONS OF THE MANAGEMENT COMPANY. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE COMPOSITION OF THE BOARD OF DIRECTORS IS ESTABLISHED BY THE FOLLOWING: (I) 3 DIRECTORS ELECTED BY WRITERS OF GROUP HEALTH INSURANCE; (II) 2 DIRECTORS ELECTED BY WRITERS OF INDIVIDUAL HEALTH INSURANCE; (III) 2 ADDITIONAL DIRECTORS IF ELECTED BY BOTH THE GROUP HEALTH INSURANCE WRITERS AND INDIVIDUAL HEALTH INSURANE WRITERS; AND (IV) 4 DIRECTORS APPOINTED BY THE INSURANCE COMMISSIONER |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PRESENTED TO THE FINANCE COMMITTEE BEFORE IT IS FILED. THE FINANCE COMMITTEE REVIEWS THE RETURN FOR ACCURACY AND REPORTS ITS FINDINGS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS APPROVES THE 990 BEFORE IT IS FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE CONFLICT OF INTEREST POLICY IS PART OF THE ETHICS POLICY WHICH REQUIRES THE ORGANIZATION TO PERFORM AN ANNUAL UPDATE AND DISCLOSURE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE HELD IN CARE OF HELMS & COMPANY IN CONCORD, NH AND ARE AVAILABLE UPON REQUEST. FORM 990 IS AVAILABLE ON THE NHHP WEBSITE. |
| FORM 990, PART XI, LINE 9 | SUPPORT PRIOR TO 8/1/2020 EXEMPT UNDER SECTION 115 7,722,275 EXPENSES INCURRED PRIOR TO 8/1/2020 EXEMPT UNDER SEC. 115 -7,722,275 |
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