2021-11-11T11:33:34-07:00 2020-12-31 990 2020-01-01 742615873 TEXAS MUTUAL INSURANCE COMPANY TEXA 8008595995 2200 Aldrich Street Austin TX 78723 Erica Sanchez VP Financial Services & Controller 5122247972 2021-11-11 1 11 0 AAL2 X 2020 2022-09-23 18:48:47Z Bill Potter 2200 Aldrich Street Austin TX 78723 5615715807 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 1042 0 -2740010 0 0 0 1093530380 976390625 299916511 329024141 1141219 1134756 1394588110 1306549522 4435945 6791830 0 0 126787656 130351183 0 0 0 1045540526 958633882 1176764127 1095776895 217823983 210772627 7631590732 7829763414 3631588995 3551793759 4000001737 4277969655 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 1306549522 The Company wrote over 77,500 workers' compensation policies in 2020 covering approximately 1.5 million Texas employees. During the year, over 40,000 claims were processed and approximately $400 million in medical and income benefits were paid out to injured workers. $330 million was distributed to over 60,000 policyholders and an additional $18.6 million was distributed to over 30 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 6096 0 1 1042 1 0 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 0 X 1543454 0 146886 Lynette Caldwell SVP Human Resources 40 0 X 654197 0 98716 Brenda Ward Chief Operating Officer 40 0 X 629749 0 101672 Leonard Johnson SVP Investments 40 0 X 573113 0 98894 Perry Barron SVP & CFO 40 0 X 552777 0 56040 Mary Nichols SVP & General Counsel 40 0 X 555329 0 45584 Michael Hernandez Chief Data Officer 40 0 X 459956 0 78949 Kim Haugaard SVP Policyholder Services 40 0 X 421969 0 88378 Jeffrey Lentz SVP Underwriting 40 0 X 376431 0 96919 Jo Betsy Norton SVP Public Affairs 40 0 X 386787 0 78655 David John VP IT Infrastructure 40 0 X 350191 0 100785 Phoebe Murphy VP & Chief Actuary 40 0 X 339346 0 93568 Michael Stubblefield SVP & Chief Information Officer 40 0 X 377187 0 54423 James Kohloff VP Regional Operations 40 0 X 331046 0 86293 Elise Teeter SVP & General Auditor 40 0 X 326156 0 72564 Erica Sanchez VP & Controller 40 0 X 305834 0 77684 Jeannette Sprague VP Applications 40 0 X 310182 0 64174 Paul Schlaud SVP & Special Counsel 40 0 X 307535 0 62665 Nicholas Tsourmas VP & Medical Director 40 0 X 316724 0 53336 Edward Coates VP HR Employee Services 40 0 X 275120 0 90551 Billy Jackson VP Regional Operations 40 0 X 305301 0 53969 Amy Green-Hinojosa VP Project Management Office 40 0 X 280828 0 78168 Shannon Pounds VP Claims Litigation 40 0 X 287196 0 66256 Lisa Evans VP Distribution & Customer Engagement 40 0 X 304212 0 49021 Benjamin Siddons VP Business Development 40 0 X 283947 0 67645 Willard Potter VP Premium Audit 40 0 X 276165 0 74356 Peppia Gates VP Regional Operations 40 0 X 283687 0 66634 Nathan Scott VP Investments 40 0 X 271423 0 77773 Roger Humecky VP Data Analytics & Business Intelligence 40 0 X 278951 0 69025 Paschal Strong VP Underwriting Operations 40 0 X 311025 0 34676 Jeremiah Bentley VP Marketing & Community Affairs 40 0 X 262990 0 81451 Beverly Harris VP Strategic Planning & Analysis 40 0 X 270963 0 68694 Curtis Johnson VP Claim Operations 40 0 X 276435 0 60111 Eric Bourquin VP Safety Services 40 0 X 255163 0 77278 Catherine Brown VP Facility Services 40 0 X 284828 0 40964 Lawrence Martin VP HR Consulting Services 40 0 X 261367 0 61444 Greta Gonzales VP & Chief Risk Officer 40 0 X 259263 0 61408 Anthony Seraphim VP Data Governance 40 0 X 248774 0 65946 Ronald Ellis Simmons Director 4 0 X 146750 0 0 Tommy Dan Philips Director 4 0 X 105500 0 0 John Dayton Swanson Director 4 0 X 100500 0 0 Eric Lee Oliver Director 4 0 X 95500 0 0 Linda Foster-Smith Director 4 0 X 95500 0 0 Kristina Koncaba Director 4 0 X 84000 0 0 Steven Dudley Oldham Director 4 0 X 80000 0 0 Bernard Chevalier Francis Director 4 0 X 79000 0 0 Brett Flagg Director 4 0 X 78000 0 0 15260351 0 2801555 340 0 1 0 AMY WICK MARKETING COMMUNICATIONS 1524 IH35 S STE 224 Austin TX 78704 Professional Services 3985163 DELL FINANCIAL SERVICES LP PO BOX 6549 Carol Stream IL 60197 Professional Services 3846751 COVENTRY HEALTHCARE WORKERS CO PO BOX 660776 Dallas TX 75266 Professional Services 2573888 ACRISURE LLC 777 TERRACE AVE Hasbrouck Heights NJ 07604 Independent Agency 2438686 COMBINED AGENTS OF AMERICA 6805 N CAPITAL OF TEXAS HW STE 320 Austin TX 78731 Independent Agency 1919451 115 0 Premiums Earned 524126 976390625 976390625 0 0 0 0 0 0 976390625 227046734 0 -4752295 231799029 0 0 0 0 0 0 0 0 581698 0 0 0 581698 0 581698 0 0 581698 4406402586 4741106 4302132489 7033796 104270097 -2292690 101977407 0 2012285 99965122 Finance and Service Charges 524126 282378 282378 0 0 Retroactive Reinsurance 524126 270680 270680 0 0 0 0 0 0 553058 1306549522 976943683 -2740010 332345849 6556097 235733 16426822 88417241 8022824 10518810 6965486 242153 545433 442555 22353307 25438354 6477273 4279320 20019544 17651937 1011706 452181 547712 9431075 1033576 Losses Incurred & Loss adjustment expense 348679221 Dividends to Policyholders 348572145 Net Commission and brokerage 124716717 Total taxes, licenses and fees 21404168 5335505 1095776895 0 0 0 -35591508 -30607358 118704026 176814973 454478624 445687817 120471353 13593433 111216530 106877920 5899934951 5851716847 1045399774 1243570461 37448335 35702754 7631590732 7829763414 109070866 107562184 0 524872092 507612317 0 0 0 50081572 20000890 0 2947564465 2916618368 3631588995 3551793759 X 0 0 0 0 4000001737 4277969655 4000001737 4277969655 7631590732 7829763414 X 210772627 63463437 0 0 0 3731854 X 0 1 X 1 0 0 8173406 8173406 0 99978265 7032279 92945986 0 0 0 0 0 12319682 6561154 5758528 0 0 0 0 106877920 0 0 GOLUB CAPITAL PEARLS DLP LP 81763780 F MARANON SENIOR CREDIT FUND II-A LP 670000 F WA EMERGING MARKETS LOCAL DEBT 22869947 F WA FLOATING RATE HIGH INCOME FUND 36737092 F WA OPPORTUNISTIC US$ HIGH YIELD 24253506 F WA STRUCTURED PROD OPPORTUNITIES 26073654 F SPRUCEGROVE ACW EX US FUND 165180412 F PARAMETRIC DEFENSIVE EQTY FUND LLC 137019710 F SILCHESTER INTL INVESTORS 130787642 F CLARION LION PROPERTIES FUND 127927605 F HEITMAN CORE RE DEBT INCOME TR LP 56560226 F PRINCIPAL RE DEBT FUND I LP 699980 F PRINCIPAL RE DEBT FUND II LP 72947124 F PRINCIPAL RE DEBT FUND III LP 20890988 F USAA EAGLE REAL ESTATE LP 115663176 F AMFAM VC FUND III LP 3249804 F CL CHOWDER CO-INVEST LP 464000 F CL GAS CO-INVEST LP 1355000 F CRESTLINE OPPORTUNITY FUND III LTD 47670000 F ELLIOTT ASSOCAITES LP 7756274 F GSO CREDIT ALPHA FUND II LP 26036873 F PARTNERS FUND 84215220 F PARTNERS GROUP RE SECOND 2013A LP 39405422 F SSP ADJACENT OPPTY PARTNERS E LP 13373026 F 1243570461 Reserves for losses and loss adjustment expense 2869211755 Payable for securities 33829521 Advanced Premiums 8565980 Amounts withheld/retained by company 4398286 Retroactive reinsurance reserve 323000 Provisions for reinsurance 245600 Advanced rental income 44226 2916618368 1273175856 0 0 0 0 0 1273175856 33373666 0 33373666 1306549522 1062403229 0 0 0 0 0 1062403229 33373666 0 33373666 1095776895 Europe (including Iceland and Greenland) Investments 254408284 0 0 254408284 1 0 1 1 1 0 1 Houston Industrial Tradesman LLC PO BOX 263482 HOUSTON TX 77207 463698957 10000 2019 Tropical Storm Imelda Relief Grant J Small Investments LC PO BOX 35828 DALLAS TX 75235 752732168 10000 2019 Tropical Storm Imelda Relief Grant AMARILLO JUNIOR COLLEGE DISTRICT P O BOX 447 AMARILLO TX 79178 756000031 100000 Grants to Texas community colleges to fund safety programs ANGELINA COUNTY JUNIOR COLLEGE PO BOX 1768 LUFKIN TX 75902 751244347 100000 Grants to Texas community colleges to fund safety programs COLLEGE OF THE MAINLAND 1200 AMBURN ROAD TEXAS CITY TX 77591 237181343 501(c)(3) 100000 Grants to Texas community colleges to fund safety programs DEL MAR COLLEGE FOUNDATION 101 BALDWIN BOULEVARD CORPUS CHRISTI TX 78404 742286234 501(c)(3) 100000 Grants to Texas community colleges to fund safety programs EL PASO COMMUNITY COLLEGE DIST PO BOX 20500 EL PASO TX 79998 741690850 100000 Grants to Texas community colleges to fund safety programs KILGORE COLLEGE 1100 BROADWAY KILGORE COLLEGE TX 75662 756001909 100000 Grants to Texas community colleges to fund safety programs LAMAR INSTITUTE OF TECHNOLOGY 855 E LAVACA BEAUMONT TX 77705 760694136 100000 Grants to Texas community colleges to fund safety programs LEE COLLEGE FOUNDATION PAM WARFORD EXECUTIVE DIRECTOR BAYTOWN TX 77522 746025566 100000 Grants to Texas community colleges to fund safety programs MIDLAND COLLEGE DISTRICT 3600 N GARFIELD STREET MIDLAND TX 79705 751403958 100000 Grants to Texas community colleges to fund safety programs ODESSA COLLEGE 201 W UNIVERSITY ODESSA TX 79764 756002907 100000 Grants to Texas community colleges to fund safety programs TEXARKANA COLLEGE 2500 N ROBISON RD TEXASKANA TX 75501 756004413 100000 Grants to Texas community colleges to fund safety programs ALAMO WORKFORCE DEVELOPMENT 100 N SANTA ROSA S-120 SAN ANTONIO TX 78207 742709309 501(c)(3) 75000 COVID-19 Relief Grants ALLIANCE OF COMMUNITY ASSISTANCE MINISTRIES 710 NORTH POST OAK ROAD SUITE 210 HOUSTON TX 77024 275410988 501(c)(3) 75000 COVID-19 Relief Grants Angelina Alliance for Children Inc 109 Temple Blvd LUFKIN TX 75901 331010168 501(c)(3) 10000 COVID-19 Relief Grants AUSTIN PUBLIC EDUCATION FOUNDATION 4000 S IH FRONTAGE RD AUSTIN TX 78704 742654168 25000 COVID-19 Relief Grants BAKERRIPLEY 4450 HARRISBURG BLVD STE 200 HOUSTON TX 77011 237062976 501(c)(3) 75000 COVID-19 Relief Grants BETHANY HOUSE OF LAREDO INC 819 HIDALGO ST LADERO TX 78040 742317098 501(c)(3) 25000 COVID-19 Relief Grants Boys & Girls Clubs of Greater Houston 815 Crosby Street HOUSTON TX 77019 760270942 501(c)(3) 10000 COVID-19 Relief Grants Boys & Girls Clubs of the Austin Area 6648 Ed Bluestein Blvd AUSTIN TX 78723 746087356 501(c)(3) 10000 COVID-19 Relief Grants Buckner Children and Family Services Inc 1510 S Loop 289 LUBBOCK TX 79412 752571395 501(c)(3) 10000 COVID-19 Relief Grants Cafe Momentum 1510 Pacific Avenue DALLAS TX 75201 320384561 501(c)(3) 10000 COVID-19 Relief Grants Cal Farleys Boys Ranch 600 SW 11th AMARILLO TX 79101 750808768 501(c)(3) 10000 COVID-19 Relief Grants CATHOLIC CHARITIES ARCHDIOCESE OF SAN ANTONIO INC 202 W FRENCH PLACE SAN ANTONIO TX 78212 741109743 50000 COVID-19 Relief Grants CATHOLIC CHARITIES OF CORPUS CHRISTI INC 615 OLIVER COURT CORPUS CHRISTI TX 78408 742330464 501(c)(3) 25000 COVID-19 Relief Grants CATHOLIC CHARITIES OF DALLAS 1421 W MOCKINGBIRD LANE DALLAS TX 75247 752745221 501(c)(3) 50000 COVID-19 Relief Grants CENTRAL TEXAS COMMUNITY HEALTH CENTERS 2115 KRAMER LN STE 100 AUSTIN TX 78758 550853118 501(c)(3) 50000 COVID-19 Relief Grants CENTRAL TEXAS FOOD BANK INC 6500 METROPOLIS DRIVE AUSTIN TX 78744 742217350 501(c)(3) 50000 COVID-19 Relief Grants CHILD CARE ASSOCIATES 3000 E BELKNAP ST FL 3 FORT WORTH TX 76111 840587601 501(c)(3) 100000 COVID-19 Relief Grants Child Inc 818 E 53rd Street AUSTIN TX 78751 741722420 501(c)(3) 10000 COVID-19 Relief Grants CITYSQUARE PO BOX 140024 DALLAS TX 75214 752332948 501(c)(3) 25000 COVID-19 Relief Grants COASTAL BEND FOOD BANK 826 KRILL ST CORPUS CHRISTI TX 78408 742234089 501(c)(3) 25000 COVID-19 Relief Grants COMMUNITIES FOUNDATION OF TEXAS 550 CARUTH HAVEN LANE DALLAS TX 75225 750964565 501(c)(3) 50000 COVID-19 Relief Grants COMMUNITIES IN SCHOOLS OF CENTRAL TEXAS 3000 S IH 35 STE 200 AUSTIN TX 78704 742369020 501(c)(3) 10000 COVID-19 Relief Grants Communities in Schools of Laredo Inc 2114 E Saunders St LAREDO TX 78041 742586218 501(c)(3) 20000 COVID-19 Relief Grants Communities in Schools of the Permian Basin Inc PO BOX 10532 MIDLAND TX 79702 752821486 501(c)(3) 50000 COVID-19 Relief Grants CONCHO VALLEY REGIONAL FOOD BANK PO BOX 1207 SAN ANGELO TX 76902 751897032 501(c)(3) 25000 COVID-19 Relief Grants COUNCIL ON REGIONAL ECONOMIC EXPANSION AND EDUCATIONAL DEVELOPMENT 4110 RIO BRAVO ST SUITE 103 EL PASO TX 79902 814516730 501(c)(3) 15000 COVID-19 Relief Grants Covenant Health Foundation 3623 22nd Place LUBBOCK TX 79410 752897026 501(c)(3) 10000 COVID-19 Relief Grants EDUCATIONAL LEADERSHIP 3333 BERING DRIVE HOUSTON TX 77057 760577751 501(c)(3) 10000 COVID-19 Relief Grants EL PASO COMMUNITY FOUNDATION PO BOX 272 EL PASO TX 79943 741839536 501(c)(3) 25000 COVID-19 Relief Grants FOOD BANK OF ABILENE INC 5505 N 1ST ST ABILENE TX 79603 751888192 501(c)(3) 25000 COVID-19 Relief Grants FOOD BANK OF THE RIO GRANDE VALLEY INC PO BOX 6251 MCALLEN TX 78502 742421560 501(c)(3) 50000 COVID-19 Relief Grants Garth House Mickey Mehaffy Childrens Advocacy Program Inc 1895 McFaddin Avenue BEAUMONT TX 77701 760660968 501(c)(3) 10000 COVID-19 Relief Grants HAVEN FOR HOPE OF BEXAR COUNTY 1 HAVEN FOR HOPE WAY SAN ANTONIO TX 78207 208075412 501(c)(3) 50000 COVID-19 Relief Grants HAYS COUNTY FOOD BANK INC 220 HERNDON ST SAN MARCOS TX 78666 742331781 501(c)(3) 25000 COVID-19 Relief Grants HEAL THE CITY FREE CLINIC 609 S CAROLINA AMARILLO TX 79118 465694050 501(c)(3) 25000 COVID-19 Relief Grants HEART OF TEXAS COMMUNITY HEALTH CENTER INC 1600 PROVIDENCE DR WACO TX 76707 742867580 501(c)(3) 25000 COVID-19 Relief Grants HIGH PLAINS FOOD BANK 815 ROSS ST AMARILLO TX 79102 751838348 501(c)(3) 25000 COVID-19 Relief Grants Houston Area Urban League 1301 TEXAS ST HOUSTON TX 77002 741611455 501(c)(3) 10000 COVID-19 Relief Grants INTERFAITH MINISTRIES FOR GREATER HOUSTO 3303 MAIN ST HOUSTON TX 77002 741488102 501(c)(3) 50000 COVID-19 Relief Grants Irving Schools Foundation 2621 West Airport Freeway IRVING TX 75062 752072755 501(c)(3) 10000 COVID-19 Relief Grants Kalin's Center Houston and Trinity Counties 201 Renaissance Way CROCKETT TX 75835 752937133 501(c)(3) 10000 COVID-19 Relief Grants Laredo College West End LAREDO TX 78040 746001582 15000 COVID-19 Relief Grants Laredo ISD 904 Juarez LAREDO TX 78040 746001580 15000 COVID-19 Relief Grants Latino HealthCare Forum 5309 presidio rd AUSTIN TX 78745 461170748 501(c)(3) 10000 COVID-19 Relief Grants LEGACY COMMUNITY HEALTH SERVICES INC PO BOX 66308 HOUSTON TX 77266 760009637 501(c)(3) 50000 COVID-19 Relief Grants LIFTFUND INC 007 W MARTIN SAN ANTONIO TX 78207 742712770 501(c)(3) 50000 COVID-19 Relief Grants Lubbock Childrens Health Clinic 1307 Martin Luther King LUBBOCK TX 79424 750968315 501(c)(3) 10000 COVID-19 Relief Grants LYDIA PATTERSON INSTITUTE 517 S FLORENCE ST EL PASO TX 79901 741142840 501(c)(3) 10000 COVID-19 Relief Grants MEADOWS MENTAL HEALTH POLICY INSTITUTE FOR TEXAS 2800 SWISS AVE DALLAS TX 75204 463992618 501(c)(3) 150000 COVID-19 Relief Grants MEALS ON WHEELS & MORE INC 3227 E 5TH ST AUSTIN TX 78702 237202594 501(c)(3) 50000 COVID-19 Relief Grants MEALS ON WHEELS INC OF TARRANT COUNTY 5740 AIRPORT FWY FORT WORTH TX 76117 751568798 501(c)(3) 25000 COVID-19 Relief Grants MEALS ON WHEELS SAN ANTONIO 4306 NW LOOP 410 SAN ANTONIO TX 78229 741948646 501(c)(3) 50000 COVID-19 Relief Grants MFES FOOD IS LOVE INC 5757 SOUTH LOOP EAST HOUSTON TX 77033 824791171 501(c)(3) 25000 COVID-19 Relief Grants Mobile Loaves & Fishes 9301 Hog Eye Road Ste 950 AUSITN TX 78724 742956081 501(c)(3) 10000 COVID-19 Relief Grants NORTH TEXAS FOOD BANK 3677 MAPLESHADE LANE PLANO TX 75075 751785357 501(c)(3) 50000 COVID-19 Relief Grants Northeast Texas Casa Inc PO Box 1046 TEXARKANA TX 75504 752352271 501(c)(3) 10000 COVID-19 Relief Grants Notley 1023 Springdale Rd Suite 1J AUSTIN TX 78721 475295639 501(c)(3) 10000 COVID-19 Relief Grants Parenting Cottage Inc 3818 50th Street LUBBOCK TX 79413 751806027 501(c)(3) 10000 COVID-19 Relief Grants PASO DEL NORTE COMMUNITY FOUNDATION 221 N KANSAS ST STE 1900 EL PASO TX 79901 461997449 501(c)(3) 75000 COVID-19 Relief Grants PERMIAN BASIN AREA FOUNDATION 3312 ANDREWS HWY MIDLAND TX 79703 752295008 501(c)(3) 50000 COVID-19 Relief Grants PTSD Foundation of America 9724 Derrington Dr HOUSTON TX 77064 203864341 501(c)(3) 10000 COVID-19 Relief Grants Rainbow Days Inc 8150 N Central Expressway Ste M1003 DALLAS TX 75206 751844908 501(c)(3) 10000 COVID-19 Relief Grants Recovery Resource Council 2700 Airport Freeway FORT WORTH TX 76111 756005093 501(c)(3) 10000 COVID-19 Relief Grants REGIONAL EAST TEXAS FOOD BANK 3201 ROBERTSON RD TYLER TX 75701 752222686 501(c)(3) 50000 COVID-19 Relief Grants Ronald McDonald House of Dallas 4707 Bengal Street DALLAS TX 75235 751609401 501(c)(3) 10000 COVID-19 Relief Grants San Antionio Area Foundation 625 SHOOK AVE SAN ANTONIO TX 78212 742283582 501(c)(3) 50000 COVID-19 Relief Grants SAN ANTONIO FOOD BANK 5200 ENRIQUE M BARRERA PKWY SAN ANTONIO TX 78227 742122979 501(c)(3) 50000 COVID-19 Relief Grants Shelby County Childrens Advocacy Center PO BOX 2072 CENTER TX 75935 300086414 501(c)(3) 10000 COVID-19 Relief Grants South Plains Food Bank 5605 MLK Blvd LUBBOCK TX 79404 751904829 501(c)(3) 10000 COVID-19 Relief Grants SOUTH TEXAS FOOD BANK PO BOX 2007 LAREDO TX 78044 742574983 501(c)(3) 25000 COVID-19 Relief Grants Southeast Texas Food Bank PO Box 21012 BEAUMONT TX 77720 760338721 501(c)(3) 25000 COVID-19 Relief Grants Star of Hope Mission 4848 Loop Central Drive Suite 500 HOUSTON TX 77081 741152599 501(c)(3) 10000 COVID-19 Relief Grants TARRANT AREA FOOD BANK 2600 CULLEN ST FORT WORTH TX 76107 751822473 501(c)(3) 25000 COVID-19 Relief Grants TEXAS RESTAURANT ASSOCIATION EDUCATION FOUNDATION PO BOX 1429 AUSTIN TX 78767 742732907 501(c)(3) 50000 COVID-19 Relief Grants The Bridge Over Troubled Waters Inc 3811 Allen Genoa Road PASADENA TX 77504 741989590 501(c)(3) 10000 COVID-19 Relief Grants The Christian School at Castle Hills 2216 NW Military Hwy SAN ANTONIO TX 78213 811533528 501(c)(3) 10000 COVID-19 Relief Grants THE COMMUNITY FOUNDATION OF WEST TEXAS 6102 82ND STREET 8B LUBBOCK TX 79424 751709180 501(c)(3) 50000 COVID-19 Relief Grants THE HOUSTON FOOD BANK 535 PORTWALL HOUSTON TX 77029 742181456 501(c)(3) 75000 COVID-19 Relief Grants THE SAFE ALLIANCE PO BOX 19454 AUSTIN TX 78760 742320657 501(c)(3) 50000 COVID-19 Relief Grants THE SALVATION ARMY - TEMPLE 419 W AVE G TEMPLE TX 76504 580660607 501(c)(3) 25000 COVID-19 Relief Grants THE UNIVERSITY OF TEXAS AT AUSTIN PO BOX 7458 CAMPUS CODE A3000 AUSTIN TX 78713 746000203 150000 COVID-19 Relief Grants THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER 11937 US HWY 271 TYLER TX 75708 756001354 100000 COVID-19 Relief Grants Trio Education LLC 11413 TODD ST HOUSTON TX 77055 843902797 50000 COVID-19 Relief Grants TSTC FOUNDATION 3801 CAMPUS DR WACO TX 76705 752892470 501(c)(3) 50000 COVID-19 Relief Grants UMC FOUNDATION PO BOX 5980 LUBBOCK TX 79408 751639312 501(c)(3) 40000 COVID-19 Relief Grants UNITED WAY OF GALVESTON INC PO BOX 2250 GALVESTON TX 77553 741198299 501(c)(3) 50000 COVID-19 Relief Grants UNITED WAY OF GREATER AUSTIN 2000 E MLK JR BLVD AUSTIN TX 78702 741193439 501(c)(3) 125000 COVID-19 Relief Grants UNITED WAY OF GREATER HOUSTON 50 WAUGH DRIVE HOUSTON TX 77007 741167964 501(c)(3) 175000 COVID-19 Relief Grants UNITED WAY OF METROPOLITAN DALLAS 1800 N LAMAR ST DALLAS TX 75202 756005352 501(c)(3) 300000 COVID-19 Relief Grants UNITED WAY OF SAN ANTONIO & BEXAR COUNTY PO BOX 898 SAN ANTONIO TX 78293 741272381 501(c)(3) 125000 COVID-19 Relief Grants UNITED WAY OF THE BRAZOS VALLEY 1716 BRIARCREST DR SUITE 155 BRYAN TX 77802 742050241 501(c)(3) 25000 COVID-19 Relief Grants UNITED WAY OF WACO-MCLENNAN COUNTY PO BOX 7634 WACO TX 76714 741189027 501(c)(3) 25000 COVID-19 Relief Grants WEST TEXAS FOOD BANK INC 411 SOUTH PAGEWOOD AVE ODESSA TX 79761 752057692 501(c)(3) 50000 COVID-19 Relief Grants WICHITA FALLS AREA FOOD BANK INC PO BOX 623 WICHITA FALLS TX 76307 751812865 501(c)(3) 25000 COVID-19 Relief Grants WILKINSON CENTER PO BOX 720248 DALLAS TX 75372 752712117 501(c)(3) 75000 COVID-19 Relief Grants WILLIAMSON BURNET COUNTY OPPORTUNITIES 604 HIGH TECH DR GEROGETOWN TX 78626 746075213 501(c)(3) 50000 COVID-19 Relief Grants Young Womens Christian Association Of Lubbock 6204 Elgin LUBBOCK TX 79413 750939427 501(c)(3) 25000 COVID-19 Relief Grants CITIZENS FOR EDUCATIONAL EXCELLENCE PO BOX 261125 CORPUS CHRISTI TX 78426 753137924 502(c)(3) 75000 Workforce Development & Safety Training to develop training and education in the phyical labor force COMMUNITIES FOUNDATION OF TEXAS 550 CARUTH HAVEN LANE DALLAS TX 75225 750964565 502(c)(3) 170000 Workforce Development & Safety Training to develop training and education in the phyical labor force DALLAS FOUNDATION A TX NONPROFIT CORPORATION 3963 MAPLE AVENUE DALLAS TX 75219 752890371 502(c)(3) 300000 Workforce Development & Safety Training to develop training and education in the phyical labor force GREATER HOUSTON PARTNERSHIP 2950 NORTH LOOP WEST SUITE 1000 HOUSTON TX 77092 760267896 502(c)(6) 75000 Workforce Development & Safety Training to develop training and education in the phyical labor force SA TALENT INC 112 PECAN ST SUITE 2635 SAN ANTONIO TX 78205 813677054 502(c)(3) 100000 Workforce Development & Safety Training to develop training and education in the phyical labor force TEXAS RESTAURANT ASSOCIATION EDUCATION FOUNDATION PO BOX 1429 AUSTIN TX 78767 742732907 502(c)(3) 30000 Workforce Development & Safety Training to develop training and education in the phyical labor force Trio Education LLC 11413 TODD HOUSTON TX 77055 843902797 50000 Workforce Development & Safety Training to develop training and education in the phyical labor force TSTC FOUNDATION 3801 CAMPUS DR WACO TX 76705 752892470 502(c)(3) 100000 Workforce Development & Safety Training to develop training and education in the phyical labor force WILKINSON CENTER PO BOX 720248 DALLAS TX 75372 752712117 502(c)(3) 75000 Workforce Development & Safety Training to develop training and education in the phyical labor force WORKFORCE SOLUTIONS BORDERFLEX 304 TEXAS AVENUE SUITE 1401 EL PASO TX 79901 742911834 502(c)(3) 25000 Workforce Development & Safety Training to develop training and education in the phyical labor force WORKSOURCE GREATER AUSTIN AREA WORKFORCE BOARD 9001 N IH 35 SUITE 110E AUSTIN TX 78753 742327454 502(c)(3) 100000 Workforce Development & Safety Training to develop training and education in the phyical labor force 101 116 Provision of books 13 5290 Scholarships for students attending Cameron University 1 2970 Scholarships for students attending Clovis Community College 1 2602 Scholarships for students attending College of Southern Nevada 1 3659 Scholarships for students attending Collin College 1 6600 Scholarships for students attending Hardin-Simmons University 1 13200 Scholarships for students attending Hill College 1 8655 Scholarships for students attending Hillsborough Community College 2 13606 Scholarships for students attending Houston Baptist University 1 6600 Scholarships for students attending Huntington University 1 6600 Scholarships for students attending Instituto de Belleza y Arte Cosmetology 1 3200 Scholarhsips for students attending Jarvis Christian College 1 9275 Scholarships for students attending Laredo College 1 1650 Scholarships for students attending Midwestern State University 1 17103 Scholarships for students attending Sam Houston State University 2 17551 Scholarships for students attending South Plains College 1 6600 Scholarhsips for students attending Southeastern Oklahoma St University 1 6000 Scholarships for students attending Tarleton State University 1 12600 Scholarships for students attending Tarrant County College 1 7524 Scholarships for students attending Tarrant County College Northwest 1 1548 Scholarships for students attending Texas A&M Kingsville 1 6942 Scholarships for students attending Texas A&M University 2 14708 Scholarships for students attending Texas Tech University 5 37364 Scholarships for students attending The University of Texas at Arlington 1 6600 Scholarships for students attending University of St. Thomas 1 6600 Scholarships for students attending University of Texas at Tyler 1 6600 Scholarships for students attending Vernon College 1 2789 Scholarships for students attending Weatherford College 1 1299 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 life time 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. Schedule I, Part III Students qualify for the scholarship if they are a dependent of an individual that has had a death or life time benefit 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 a preset. X 1 1 X X 0 1 0 Richard Gergasko President & CEO 674894 0 366028 0 502532 0 127218 0 19668 0 1690340 0 380410 Lynette Caldwell SVP Human Resources 279080 0 97072 0 278045 0 76412 0 22305 0 752914 0 220873 Brenda Ward Chief Operating Officer 394214 0 166209 0 69326 0 92480 0 9192 0 731421 0 59225 Leonard Johnson SVP Investments 383443 0 132579 0 57090 0 89702 0 9192 0 672006 0 43918 Perry Barron SVP & CFO 349238 0 124856 0 78682 0 34392 0 21648 0 608816 0 0 Mary Nichols SVP & General Counsel 353760 0 123035 0 78533 0 34392 0 11192 0 600912 0 0 Michael Hernandez Chief Data Officer 324870 0 123774 0 11312 0 57301 0 21648 0 538905 0 0 Kim Haugaard SVP Policyholder Services 283411 0 101316 0 37242 0 77218 0 11160 0 510347 0 26310 Jeffrey Lentz SVP Underwriting 250416 0 78731 0 47284 0 66360 0 30559 0 473350 0 37755 Jo Betsy Norton SVP Public Affairs 253508 0 90488 0 42791 0 65429 0 13226 0 465442 0 30967 David John VP IT Infrastructure 230188 0 68969 0 51035 0 70053 0 30732 0 450977 0 41562 Phoebe Murphy VP & Chief Actuary 195516 0 70348 0 73482 0 62808 0 30760 0 432914 0 36879 Michael Stubblefield SVP & Chief Information Officer 327296 0 38574 0 11316 0 34392 0 20031 0 431609 0 0 James Kohloff VP Regional Operations 210712 0 66680 0 53654 0 56569 0 29724 0 417339 0 35429 Elise Teeter SVP & General Auditor 233281 0 75040 0 17835 0 55368 0 17196 0 398720 0 8284 Erica Sanchez VP & Controller 205408 0 62155 0 38271 0 57788 0 19896 0 383518 0 28950 Jeannette Sprague VP Applications 208268 0 60835 0 41079 0 33616 0 30559 0 374357 0 0 Paul Schlaud SVP & Special Counsel 297801 0 0 0 9734 0 34341 0 28324 0 370200 0 0 Nicholas Tsourmas VP & Medical Director 209113 0 65226 0 42386 0 34388 0 18948 0 370061 0 0 Edward Coates VP HR Employee Services 193836 0 58902 0 22382 0 60827 0 29724 0 365671 0 13076 Billy Jackson VP Regional Operations 210017 0 60030 0 35253 0 33341 0 20628 0 359269 0 0 Amy Green-Hinojosa VP Project Management Office 201258 0 57369 0 22202 0 60972 0 17196 0 358997 0 12887 Shannon Pounds VP Claims Litigation 193363 0 58403 0 35430 0 49060 0 17196 0 353452 0 26073 Lisa Evans VP Distribution & Customer Engagement 232549 0 62099 0 9564 0 48301 0 720 0 353233 0 0 Benjamin Siddons VP Business Development 212204 0 62247 0 9496 0 48949 0 18696 0 351592 0 0 Willard Potter VP Premium Audit 204191 0 61881 0 10093 0 46612 0 27744 0 350521 0 0 Peppia Gates VP Regional Operations 209258 0 56093 0 18336 0 49438 0 17196 0 350321 0 7949 Nathan Scott VP Investments 199520 0 56268 0 15636 0 49249 0 28524 0 349197 0 5902 Roger Humecky VP Data Analytics & Business Intelligence 207316 0 62308 0 9326 0 44852 0 24173 0 347975 0 0 Paschal Strong VP Underwriting Operations 188181 0 41071 0 81773 0 34676 0 0 0 345701 0 9467 Jeremiah Bentley VP Marketing & Community Affairs 190089 0 52759 0 20143 0 51727 0 29724 0 344442 0 10947 Beverly Harris VP Strategic Planning & Analysis 197245 0 57153 0 16566 0 49731 0 18963 0 339658 0 7246 Curtis Johnson VP Claim Operations 188964 0 56992 0 30480 0 30387 0 29724 0 336547 0 0 Eric Bourquin VP Safety Services 185037 0 52762 0 17364 0 46698 0 30581 0 332442 0 7660 Catherine Brown VP Facility Services 191219 0 53058 0 40552 0 28906 0 12058 0 325793 0 0 Lawrence Martin VP HR Consulting Services 189163 0 53279 0 18925 0 51252 0 10192 0 322811 0 8433 Greta Gonzales VP & Chief Risk Officer 194506 0 54474 0 10284 0 43212 0 18196 0 320672 0 0 Anthony Seraphim VP Data Governance 196968 0 42339 0 9467 0 37722 0 28224 0 314720 0 0 Schedule J, Part I, Line 1a University of Texas Club and Great Hills Country Club social club memberships were paid for Richard Gergasko, Jo Betsy Norton, Perry Barron, and James Kohloff. Schedule J, Part I, Line 4 Richard Gergasko $577,814; Lynette Caldwell $308,930; Brenda Ward $117,313; Leonard Johnson $99,228; Perry Barron $57,712; Mary Nichols $57,546; Michael Hernandez $22,909; Kim Haugaard $69,135; Jeffrey Lentz $69,723; Jo Betsy Norton $62,004; David John $77,223; Phoebe Murphy $66,112; James Kohloff $57,606; Elise Teeter $29,260; Erica Sanchez $53,749; Jeannette Sprague $27,861; Nicholas Tsourmas $22,796; Edward Coates $42,716; Billy Jackson $22,069; Amy Green-Hinojosa $42,281; Shannon Pounds $44,693; Lisa Evans $13,909; Benjamin Siddons $15,260; Willard Potter $13,712; Peppia Gates $25,096; Nathan Scott $23,532; Roger Humecky $11,400; Paschal Strong $17,433; Jeremiah Bentley $32,791; Beverly Harris $26,075; Curtis Johnson $20,370; Eric Bourquin $25,009; Catherine Brown $29,748; Lawrence Martin $30,765; Greta Gonzales $13,143; Anthony Seraphim $8,550 Form 990, Part VI, Section A, Line 7a The Company was established by Texas statue. 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 the 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 filing 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 approved 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 $3,910,054; Change in Provision for Reinsurance -$178,200