2021-11-13T11:35:45-06:00 2020-12-31 135565207 KPMG LLP 4200 WELLS FARGO CTR 90 S 7TH MINNEAPOLIS MN 55402 990 2020-01-01 411242261 MEDICA HEALTH PLANS MEDI 9529922058 401 CARLSON PARKWAY CP 330 MINNETONKA MN 55305 MARK BAIRD SVP & CFO, TREASURER 9529922058 2021-11-11 1 MARK BAIRD 999009999 HOLLY MOEN P01413237 6123055000 2021-11-11 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z MARK BAIRD 401 CARLSON PARKWAY CP 330 MINNETONKA MN 55305 3381482586 0 X WWW.MEDICA.COM X 1973 MN TO BE THE TRUSTED HEALTH PLAN OF CHOICE FOR CUSTOMERS, MEMBERS, PARTNERS AND OUR EMPLOYEES. 6 5 1918 0 0 0 0 0 1368689814 1141618194 13427894 15720444 1031333 752250 1383149041 1158090888 5204141 9204000 978161317 1004963583 210210913 32175188 0 0 0 139731248 41066488 1333307619 1087409259 49841422 70681629 587940014 702929390 241326859 278107701 346613155 424821689 X TO BE THE TRUSTED HEALTH PLAN OF CHOICE FOR CUSTOMERS, MEMBERS, PARTNERS AND OUR EMPLOYEES. 0 0 675420816 0 764088996 SEE SCHEDULE O.MEDICA HEALTH PLANS (MHP) IN 2020 PROVIDED HMO COVERAGE TO ENROLLEES IN THE STATE OF MINNESOTA'S SENIOR CARE PLUS (MSC+) AND SPECIAL NEEDS BASIC CARE PROGRAMS (SNBC).MSC+ PROVIDES MANAGED CARE FOR LOW-INCOME PEOPLE IN MINNESOTA WHO ARE AGES 65 OR OLDER ON MEDICAL ASSISTANCE. SNBC PROVIDES MANAGED CARE FOR INDIVIDUALS AGES 18-64 ON MEDICAL ASSISTANCE AND ARE CERTIFIED WITH PHYSICAL, DEVELOPMENTAL OR MENTAL DISABILITIES.A TOTAL OF 16,209 MEDICA MEMBERS - 22.7% OF MHP'S TOTAL ENROLLMENT - WERE IN MINNESOTA STATE PROGRAMS AS OF 12/31/2020. THERE WERE 4,195 MINNESOTA SENIOR CARE PLUS MEMBERS AND 12,014 SPECIAL NEEDS BASIC CARE MEMBERS.STATE OF MINNESOTA HEALTH CARE PROGRAMSMINNESOTA REQUIRES A HEALTH PLAN THAT CONTRACTS WITH THE MINNESOTA DEPARTMENT OF HUMAN SERVICES (DHS) TO PROVIDE MANAGED CARE BE LICENSED BY THE MINNESOTA DEPARTMENT OF HEALTH (MDH) AS AN HMO. MINNESOTA HEALTH CARE PROGRAMS COVER PEOPLE WHO CANNOT GET OR AFFORD HEALTH INSURANCE ELSEWHERE AND HELPS THEM PAY SOME OR ALL MEDICAL BILLS. DHS MANAGES THE ENROLLMENT OF ENROLLEES AND ENFORCES ELIGIBILITY RULES THAT PERTAIN TO INCOME, ASSETS AND OTHER FACTORS.MEDICA'S MANAGED CARE PRODUCTS SERVE ADULTS WITH DISABILITIES, SOME CHILDREN WITH DISABILITIES, AND LOW-INCOME PEOPLE 65 OR OLDER. MANAGED CARE IS AVAILABLE FOR LOW-INCOME PEOPLE 65 OR OLDER WHO ARE ASSESSED TO REQUIRE AN INSTITUTIONAL LEVEL OF CARE.MINNESOTA DHS DETERMINES CAPITATED RATES AS A COMPONENT OF THE ANNUAL CONTRACT NEGOTIATION PROCESS WITH MHP AND PAYS MHP A FIXED RATE PER ENROLLEE PER MONTH. MHP BEARS THE RISK FOR THE TOTAL COST OF CARE FOR THESE ENROLLEES.-IN 2020 MEDICA HEALTH PLANS MEDICAL LOSS RATIO FOR STATE OF MINNESOTA HEALTH PROGRAMS WAS 88.4%.-THE ADMINISTRATIVE COST RATIO WAS APPROXIMATELY 5.6% INCLUDING PREMIUM TAXES. 1685580 0 4001359 SEE SCHEDULE O.IN 2020 MHP PROVIDED FULLY INSURED COMMERCIAL HMO HEALTH INSURANCE COVERAGE TO GROUPS AND INDIVIDUALS IN MINNESOTA. AS OF 12/31/2020 THE ENROLLMENT IN MHP FULLY INSURED MINNESOTA GROUP WAS 648 WHICH WAS APPROXIMATELY .9% OF MHP'S TOTAL 2020 ENROLLMENT. 327857187 0 373527839 SEE SCHEDULE O.IN 2020, MHP PARTICIPATED IN MINNESOTA SENIOR HEALTH OPTIONS (MSHO), A MEDICARE-RELATED PRODUCT, IN MINNESOTA. ENROLLMENT IN THAT PRODUCT WAS 10,661 OR 15.0% OF MHP'S TOTAL ENROLLMENT. MSHO IS A PRODUCT FOR PEOPLE AGE 65 AND OLDER AND ELIGIBLE IN 2020, MEDICA OFFERED MEDICARE ADVANTAGE AND MEDICARE SUPPLEMENT PLANS. MEDICARE ADVANTAGE HAD ENROLLMENT OF 28,348 MEMBERS OR 39.8% OF MHP'S TOTAL ENROLLMENT. MEDICARE ADVANTAGE IS A HEALTH PLAN THAT PROVIDES ALL ENROLLEES PART A AND PART B BENEFITS. MEDICARE SUPPLEMENT HAD ENROLLMENT OF 15,415 MEMBERS OR 21.6% OF MHP'S TOTAL ENROLLMENT. MEDICARE SUPPLEMENT IS A PLAN THAT HELPS PAY SOME HEALTH CARE COSTS THAT MEDICARE DOES NOT COVER, SUCH AS COPAYMENTS, COINSURANCE, AND DEDUCTIBLES.IN 2020, MEDICA BEGAN OFFERING I-SNP PLANS. I-SNP'S RESTRICT ENROLLMENT TO MA ELIGIBLE INDIVIDUALS WHO, FOR 90 DAYS OR MORE, HAVE HAD OR ARE EXPECTED TO NEED THE LEVEL OF SERVICES PROVIDED IN A LONG-TERM CARE(LTC) SNF, A LTC NURSING FACILITY, A SNF/NF, AN INTERMEDIATE CARE FACILITY FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES, OR AN INPATIENT PSYCHIATRIC FACILITY. I-SNP HAD ENROLLMENT OF 15 MEMBERS. 9204000 9204000 0 CONTRIBUTIONS BY MEDICA ON BEHALF OF MEMBERS BEYOND CONTRACTED SERVICES IN 2020 MHP SPENT APPROXIMATELY $3.3 MILLION TO PROVIDE ADDITIONAL, NON-STATE PLAN SERVICES ON BEHALF OF THE FOLLOWING CATEGORIES OF MINNESOTA HEALTH CARE PROGRAMS: MSC+; MSHO; AND SNBC.NON-STATE PLAN SERVICES INCLUDED: VALUE OF WAIVED FAMILY DEDUCTIBLES; MSC+/MSHO ELDERLY WAIVER FOR NON-ELIGIBLE MEMBERS; NON-MEDICARE PART D PHARMACY COPAYMENTS; DRUGS NOT ELIGIBLE FOR REBATES; AND NON-MEDICARE VALUE OF COST-SHARING WAIVED COPAYS.MHP PROVIDED OTHER COMMUNITY BENEFITS WITH A WIDE RANGE OF PROGRAMS AND INITIATIVES TO PROMOTE PUBLIC AND INDIVIDUAL HEALTH, REDUCE DISPARITIESIN ACCESS TO CARE, IMPROVE HEALTH CARE SYSTEM PERFORMANCE, AND HELP PROVIDE FINANCIAL ASSISTANCE TO ACCESS CARE.COLLABORATIVE EFFORTS MHP DONATES FUNDING, EMPLOYEE TIME AND OTHER RESOURCES IN SUPPORT OF MORE THAN TWO DOZEN COLLABORATIVE EFFORTS WITH LOCAL, STATE, REGIONAL AND NATIONAL ORGANIZATIONS. EXAMPLES INCLUDE: MINNESOTA COMMUNITY MEASUREMENT, WHICH PROMOTES COMMUNITY-BASED, EVIDENCE-BASED CARE, AND QUALITY COMPARISONS OF PROVIDER GROUPS AND CLINICS; INSTITUTE FOR CLINICAL SYSTEMS IMPROVEMENT, WHICH PROVIDES EVIDENCE-GRADED GUIDELINES AND ASSESSMENTS.HEALTH AND WELLNESS PROGRAMS PROVIDING COMMUNITY BENEFITMEDICA UNDERTAKES A VARIETY OF INITIATIVES TO MAKE HEALTH CARE MORE AFFORDABLE, AVAILABLE AND EFFECTIVE. EXAMPLES INCLUDE:-IMPROVEMENTS IN RATES OF ANNUAL SCREENINGS AMONG MEMBERS FOR DISEASES SUCH AS CANCERS, HEART DISEASE AND DIABETES, PRE AND POST-BIRTH MATERNITY CARE, IMMUNIZATIONS, AND ANNUAL DENTAL VISITS.-REDUCTIONS IN MEDICALLY UNNECESSARY ER VISITS AND IN-PATIENT HOSPITAL ADMISSIONS-TYING PROVIDER REIMBURSEMENT TO IMPROVEMENTS IN CARE OUTCOMES, QUALITY AND EFFICIENCY-INCREASED PARTICIPATION IN EXERCISE.MY HEALTH REWARDS FROM MEDICA INCLUDES AN ARRAY OF ONLINE TOOLS AND RESOURCES THAT MAKE IT EASY FOR MEDICA MEMBERS TO ASSESS THEIR HEALTH STATUS, AND TO CUSTOMIZE AND FOLLOW PERSONALIZED PROGRAMS FOR A HEALTHIER LIFESTYLE AND DIET. IN 2020, THE CORE MY HEALTH REWARDS FROM MEDICA PROGRAM WAS PROVIDED AT NO ADDITIONAL CHARGE TO FULLY INSURED GROUPS. FIT CHOICES BY MEDICA PROVIDED MEDICA MEMBERS WITH (A) A $20 MONTHLY MEMBERSHIP CREDIT FOR EXERCISING AT A PARTICIPATING HEALTH CLUB TWELVE OR MORE DAYS PER MONTH AND (B) THE OPPORTUNITY FOR PERSONAL COACHING AND A PERSONALIZED NUTRITION AND FITNESS PLAN.TOBACCO CESSATION COACHINGMEDICA'S TOBACCO CESSATION COACHING PROGRAM IS A SELF-DIRECTED PROGRAM OFFERING A WIDE VARIETY OF TOOLS AND RESOURCES TO HELP MEMBERS QUIT TOBACCO USE. COACHING SUPPORT INCLUDES PRIVATE, CONFIDENTIAL ACCESS TO TRAINED HEALTH COACHES. THERE WAS NO COST TO MEDICA MEMBERS TO PARTICIPATE IN THE TOBACCO CESSATION COACHING PROGRAM.IN 2020 OFFERED A PORTFOLIO OF DISEASE MANAGEMENT PROGRAMS FOR PHYSICAL AND MENTAL HEALTH, TOBACCO CESSATION, HEALTHY PREGNANCY, COMMON CHRONIC MEDICAL DISEASES, AND RARE AND COMPLEX DISEASES.THESE PROGRAMS PROVIDE EDUCATION AND RESOURCES THAT HELP SUPPORT THE MEMBERS' ABILITY TO MANAGE CHRONIC CONDITIONS. THE GOALS ARE TO IMPROVE HEALTH AND QUALITY OF LIFE, REDUCE COMPLICATIONS THROUGH EARLYINTERVENTION AND MONITORING, PROMOTE MEDICAL CARE AND COMPLIANCE WITH THE PATIENT'S PHYSICIAN-RECOMMENDED MEDICAL TREATMENT REGIMEN, AND TO IMPROVE SATISFACTION WITH HEALTH CARE SERVICES.MEDICA'S DISEASE MANAGEMENT PROGRAMS WERE PROVIDED AT NO ADDITIONAL CHARGE TO FULLY INSURED GROUPS, AND TO MINNESOTA STATE HEALTH CARE PROGRAM ENROLLEES SERVED BY MEDICA. THERE IS NO COST TO ELIGIBLE MEDICA MEMBERS. 9204000 9204000 0 1014167583 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 931 0 1 1918 1 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MN X MARY QUIST 9529922058 401 CARLSON PARKWAY CP 330 MINNETONKA MN 55305 X JOHN W NAYLOR PRESIDENT & CEO 40.00 0.00 X X 2691811 0 41659 JOHN BUCK DIRECTOR, CHAIR 15.00 0.00 X X 126625 0 0 PETER KELLY DIRECTOR 10.00 0.00 X 81250 0 0 JOHN STANOCH DIRECOT, VICE CHAIR 10.00 0.00 X X 87875 0 0 ESTHER TOMLJANOVICH DIRECTOR 6.00 0.00 X 74125 0 0 MARY TWINEM DIRECTOR 10.00 0.00 X 87250 0 0 MARK L BAIRD SVP & CFO, TREASURER 40.00 0.00 X 1252275 0 51449 JAMES P JACOBSON SVP & GEN. COUNSEL, SECRETARY 40.00 0.00 X 847800 0 54490 DAVID H ELLENBOGEN SVP & GEN. COUNSEL, SECRETARY 40.00 0.00 X 55108 0 688 LORI L NELSON SVP PROV STRAT & NET MGT 40.00 0.00 X 712425 0 42838 SCOTT R REID VP GROWTH INITIATIVES 40.00 0.00 X 651324 0 52290 LYNN ALTMANN SVP HUMAN RESOURCES 40.00 0.00 X 705504 0 53236 GEOFFREY J BARTSH SVP & GM IFB 40.00 0.00 X 772288 0 74418 PAUL R CROWLEY SVP & GM CMD 40.00 0.00 X 733557 0 73530 NICHOLE L WHITE SVP HEALTH SERVICES 40.00 0.00 X 702581 0 83077 THOMAS H LINDQUIST SVP & GM GOVT PROGRAMS 40.00 0.00 X 729894 0 81026 JOHN R MACH JR CHIEF MED OFFICER & SVP 40.00 0.00 X 523922 0 64982 ROBERT W GEYER SVP & CHIEF OPS OFFICER 40.00 0.00 X 900708 0 100566 KELLY J LINDBERG SVP & CHIEF MKTG & EXPERIENCE 40.00 0.00 X 441713 0 45421 MARY P QUIST SVP FIN & CORP CONTROLLER 40.00 0.00 X 675807 0 50108 KIMBERLY A BRANSON VP BUSINESS TRANSFORMATION 40.00 0.00 X 661305 0 45359 TIMOTHY D THULL SVP & CIO 40.00 0.00 X 927817 0 14159 JAY C MCLAREN VP PUB POLICY & GOVT RELATIONS 40.00 0.00 X 508079 0 54953 STEPHEN T CUSTIS VP CHIEF ACTUARY 40.00 0.00 X 640405 0 65293 ROBERT LONGENDYKE SVP & CHIEF MKTG OFFICER 40.00 0.00 X 309677 0 0 15901125 0 1049542 556 1 1 0 UNITED HEALTH CARE SERVICES INC 9900 BREN DR E MN008-T380 MINNETONKA MN 55343 CLAIMS PROCESSING 54366124 DOHERTY CONSULTING INC 418 COUNTY ROAD D E ST PAUL MN 55117 TEMP SERVICES 9260179 CAPEGEMINI 28309 NETWORK PLACE CHICAGO IL 606731283 TEMP SERVICES 6081558 INSTANT WEB PO BOX 856616 MINNEAPOLIS MN 554856616 PRINT SERVICES 5729600 CHANGE HEALTHCARE SOLUTIONS LLC 3055 LEBANON PIKE STE 1000 NASHVILLE TN 37214 ISSUES CLAIM PAYMENTS 5313491 243 MEDICAID REVENUE 524114 764088996 764088996 MEDICARE REVENUE 524114 373790183 373790183 GROUP & INDIVIDUAL PRE 524114 3739015 3739015 1141618194 8884888 8884888 4972798 4220548 752250 752250 752250 2226006706 2219171150 6835556 6835556 6835556 1158090888 1141618194 0 16472694 9204000 9204000 1004963583 1004963583 791000 791000 24999222 24999222 2203911 2203911 2556506 2556506 1624549 1624549 533589 533589 85377 85377 51245 51245 829690 829690 12766362 12766362 1253393 1253393 636165 636165 3096807 3096807 750724 750724 34040 34040 32313 32313 66441 66441 2835046 2835046 239009 239009 PREMIUM TAXES 8802098 8802098 OTHER 8066754 8066754 PRINTING & PUBLICATION 987435 987435 1087409259 1014167583 73241676 0 33860190 12833160 38097064 39067714 0 0 57258266 60984502 0 0 0 0 0 0 0 0 0 0 113118755 32632085 79021271 80486670 352174196 475504655 0 0 0 0 0 0 27529027 34052689 587940014 702929390 239302390 276252510 0 0 2024469 1855191 0 0 0 0 0 0 0 0 0 0 241326859 278107701 X 346613155 424821689 0 0 346613155 424821689 587940014 702929390 X 70681629 19210092 -11683187 X 0 1 X 1 0 0 18775799 18775799 67824201 13898233 53925968 10116159 6635825 3480334 16402596 12098027 4304569 80486670 X 1160572715 5676467 5676467 1154896248 829690 2364950 3194640 1158090888 1083007389 5676467 5676467 1077330922 829690 9248647 10078337 1087409259 PART X, LINE 2: THE COMPANY IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(4) OF THE IRC, WITH THE EXCEPTION OF TAXES ON UNRELATED BUSINESS ACTIVITIES. THE FEDERAL UNRELATED BUSINESS INCOME TAX BENEFIT IS INCLUDED IN FEDERAL INCOME TAX BENEFIT IN THE STATUTORY STATEMENTS OF REVENUE AND EXPENSES. PART XI, LINE 2D - OTHER ADJUSTMENTS: STATUTORY GROSS UP FROM RENTAL INCOME 5,676,467. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST EXPENSE RECLASSED AS EXPENSE 66,441. DEPRECIATION RECLASSED TO INVESTMENT INCOME 2,298,509. PART XII, LINE 2D - OTHER ADJUSTMENTS: STAT GROSS UP FOR RENTAL INCOME 5,676,467. PART XII, LINE 4B - OTHER ADJUSTMENTS: STAT GROSS UP FOR DEPRECIATION EXPENSE 6,883,697. INTEREST EXPENSE RECLASSED AS EXPENSE 66,441. DEPRECIATION RECLASSED TO INVESTMENT INCOME 2,298,509. 1 INSTITUTE FOR CLINICAL SYSTEMS IMPROVEMENT 8009 34TH AVE S BLOOMINGTON MN 55425 411782168 501(C)(3) 204000 FMV 0 SUPPORT BEST PRACTICES IN MEDICAL WORLD MEDICA FOUNDATION 401 CARLSON PARKWAY MINNETONKA MN 55305 411812461 501(C)(3) 9000000 FMV PROGRAM SUPPORT 2 0 PART I, LINE 2: MEDICA HEALTH PLANS (MHP) DONATES TO 501(C)(3) ORGANIZATIONS. MHP HAS MEETINGS TO MONITOR THE WORK BEING DONE TO SUPPORT THE MISSION OF THE GRANT RECIPIENTS. X X X X X 1 1 0 0 0 1 1 0 0 JOHN W NAYLOR PRESIDENT & CEO 932685 0 1541855 0 217271 0 18378 0 23281 0 2733470 0 188737 0 MARK L BAIRD SVP & CFO, TREASURER 466139 0 673136 0 113000 0 22088 0 29361 0 1303724 0 84595 0 ROBERT W GEYER SVP & CHIEF OPS OFFICER 418301 0 455872 0 26535 0 72733 0 27833 0 1001274 0 0 0 TIMOTHY D THULL SVP & CIO 41564 0 401695 0 484558 0 3771 0 10388 0 941976 0 105153 0 JAMES P JACOBSON SVP & GEN. COUNSEL, SECRETARY 373654 0 390196 0 83950 0 22088 0 32402 0 902290 0 53911 0 GEOFFREY J BARTSH SVP & GM IFB 329094 0 310762 0 132432 0 46472 0 27946 0 846706 0 109193 0 THOMAS H LINDQUIST SVP & GM GOVT PROGRAMS 352042 0 352303 0 25549 0 53442 0 27584 0 810920 0 0 0 PAUL R CROWLEY SVP & GM CMD 333593 0 343306 0 56658 0 44558 0 28972 0 807087 0 33957 0 NICHOLE L WHITE SVP HEALTH SERVICES 340488 0 332619 0 29474 0 52705 0 30372 0 785658 0 0 0 LYNN ALTMANN SVP HUMAN RESOURCES 347479 0 293937 0 64088 0 22088 0 31148 0 758740 0 40740 0 LORI L NELSON SVP PROV STRAT & NET MGT 335453 0 316057 0 60915 0 14963 0 27875 0 755263 0 34468 0 MARY P QUIST SVP FIN & CORP CONTROLLER 319568 0 292887 0 63352 0 22088 0 28020 0 725915 0 37144 0 KIMBERLY A BRANSON VP BUSINESS TRANSFORMATION 313358 0 289346 0 58601 0 22088 0 23271 0 706664 0 34596 0 STEPHEN T CUSTIS VP CHIEF ACTUARY 285598 0 277264 0 77543 0 34159 0 31134 0 705698 0 54514 0 SCOTT R REID VP GROWTH INITIATIVES 297886 0 294103 0 59335 0 22088 0 30202 0 703614 0 35437 0 JOHN R MACH JR CHIEF MED OFFICER & SVP 288986 0 201049 0 33887 0 41349 0 23633 0 588904 0 0 0 JAY C MCLAREN VP PUB POLICY & GOVT RELATIONS 252398 0 209606 0 46075 0 25117 0 29836 0 563032 0 23654 0 KELLY J LINDBERG SVP & CHIEF MKTG & EXPERIENCE 330299 0 89352 0 22062 0 36193 0 9228 0 487134 0 0 0 ROBERT LONGENDYKE SVP & CHIEF MKTG OFFICER 0 0 166500 0 143177 0 0 0 0 0 309677 0 15666 0 PART I, LINES 4A-B 2020 SEVERANCE: TIMOTHY D. THULL - $314,216 THE FOLLOWING RECEIVED PAYMENTS FROM A NON-QUALIFIED RETIREMENT PLAN: LORI L. NELSON - $34,468 SCOTT R. REID, - $35,437 LYNN ALTMANN - $40,740 MARY P. QUIST, - $37,144 ROBERT LONGENDYKE - $15,666 KIMBERLY A. BRANSON - $34,596 MARK L. BAIRD - $84,595 TIMOTHY D. THULL - $105,153 JAMES P. JACOBSON - $53,911 JAY C. MCLAREN - $23,654 JOHN W. NAYLOR - $188,737 GEOFFREY J. BARTSH - $109,193 STEPHEN T. CUSTIS - $54,514 PAUL R. CROWLEY - $33,957 PART I, LINE 6 MANAGEMENT INCENTIVE COMPENSATION INCLUDES COMPONENTS RELATED TO THE ORGANIZATIONS OPERATING EARNINGS. PART II: SCHEDULE J, PART II, COLUMN (F), COMPENSATION IN COLUMN (B) REPORTED AS DEFERRED IN PRIOR FORM 990: COLUMN (F) INCLUDES AMOUNTS VESTED IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEARS' 990'S, AS RETIREMENT AND DEFERRED COMPENSATION. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS EXIST WITHIN MEDICA HEALTH PLANS AS MEMBERS COVERED UNDER REGULATED INSURANCE PLANS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERSHIP OF MEDICA HEALTH PLANS ELECTS THE CONSUMER BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B MEDICA'S TAX ADVISORS COMPLETE THE RETURN, MEDICA'S FINANCE STAFF REVIEWS THE RETURN BEFORE IT IS SIGNED BY THE CFO. A COPY WILL BE PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY ALL EMPLOYEES OF MEDICA HEALTH PLANS AND DIRECTORS OF ALL MEDICA ENTITIES COMPLETE A CONFLICT OF INTEREST DISCLOSURE AND ARE REQUIRED TO REVIEW THE CONFLICT POLICY. ALL POTENTIAL CONFLICTS ARE REVIEWED BY LEGAL/COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD'S PERSONNEL AND COMPENSATION COMMITTEE REVIEWS AND OBTAINS THE BOARD'S APPROVAL OF THE TOTAL COMPENSATION FOR THE PRESIDENT/CEO AND REVIEWS AND APPROVES THE TOTAL COMPENSATION RECOMMENDATIONS MADE BY THE CFO FOR THE EXECUTIVE AND SENIOR VICE PRESIDENTS; REVIEWS ALL OFFICER COMPENSATION AND PERFORMANCE GOALS APPROVED BY THE CEO ANNUALLY. THE PERSONNEL AND COMPENSATION COMMITTEE ALSO REVIEWS AND RECOMMENDS TO THE BOARD, OFFICER AND NON-OFFICER COMPENSATION GUIDELINES FOR THE COMPANY AND ITS SUBSIDIARIES PERIODICALLY REVIEWING MARKET DATA TO ASSESS THE COMPANY'S COMPETITIVE POSITION. PROCESS OUTSIDE THE CHARTER: THE PERSONNEL AND COMPENSATION COMMITTEE WORKS WITH AN OUTSIDE CONSULTANT IN REVIEWING MARKET COMPETITIVE DATA THAT AIDS IN SETTING THE COMPENSATION FOR THE OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 MEDICA DOES NOT CONSIDER ITS CONFLICT OF INTEREST POLICY TO BE A CONFIDENTIAL OR PROPRIETARY DOCUMENT. THEREFORE, MEDICA WOULD MAKE THIS POLICY AVAILABLE TO ANYONE WHO REQUESTS IT. CERTAIN MEDICA ENTITIES ARE REQUIRED TO FILE ANNUAL FINANCIAL STATEMENTS WITH THE REGULATORS. MEDICA CONSIDERS FINANCIAL STATEMENTS THAT ARE FILED WITH THE REGULATORS TO BE PUBLIC DOCUMENTS. ARTICLES AND BYLAWS, CONFLICT OF INTEREST POLICY, AND FORM 990S ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION B, LINE 1: CERTAIN INDIVIDUALS REPORTED ON FORM 990, PART VII SPLIT THEIR TIME BETWEEN SEVERAL OF THE MEDICA ENTITIES (MEDICA HEALTH PLANS, MEDICA COMMUNITY HEALTH PLAN, MEDICA HOLDING COMPANY, MEDICA FOUNDATION, MEDICA SELF-INSURED, MEDICA AFFILIATED SERVICES, MEDICA HEALTH MANAGEMENT, MMSI, INC, MEDICA SERVICES COMPANY, MEDICA REGIONAL INSURANCE COMPANY, AND MEDICA INSURANCE COMPANY). THE AVERAGE HOURS PER WEEK REPORTED IN PART VII ARE THE TOTAL HOURS PER WEEK FOR ALL MEDICA ORGANIZATIONS. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF NONADMITTED ASSETS -18,566,884. STAT GROSS UP FOR DEPRECIATION 6,883,697. MEDICA FOUNDATION 401 CARLSON PARKWAY MINNETONKA MN 55305 411812461 FOUNDATION MN 501(C)(3) LINE 12B MH COMPANY 0 MEDICA COMMUNITY HEALTH PLAN 401 CARLSON PARKWAY MINNETONKA MN 55305 411843804 HEALTH COVERAGE MN 501(C)(4) N/A MH COMPANY 0 MEDICA HOLDING COMPANY 401 CARLSON PARKWAY MINNETONKA MN 55305 010571840 HOLDING COMPANY MN 501(C)(4) N/A N/A 0 MEDICA INSURANCE COMPANY 401 CARLSON PARKWAY MINNETONKA MN 55305 411490988 HEALTH INSURANCE MN MEDICA AFF C 0 MEDICA SELF-INSURED 401 CARLSON PARKWAY MINNETONKA MN 55305 411479417 THIRD PARTY ADMIN MN MEDICA AFF C 0 MEDICA AFFILIATED SERVICES 401 CARLSON PARKWAY MINNETONKA MN 55305 411716415 HOLDING COMPANY MN MH COMPANY C 0 MEDICA HEALTH MANAGEMENT 401 CARLSON PARKWAY MINNETONKA MN 55305 208005519 HEALTH MGMT MN MEDICA AFF C 0 MMSI INC 401 CARLSON PARKWAY MINNETONKA MN 55305 411547003 THIRD PARTY ADMIN MN MEDICA AFF C 0 MEDICA SERVICES COMPANY LLC 401 CARLSON PARKWAY MINNETONKA MN 55305 852902940 ADMIN SERVICES MN MEDICA AFF C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 MEDICA FOUNDATION B 9000000 BOOK