2020-11-12T10:39:58-06:00 2019-12-31 KPMG LLP 4200 Wells Fargo Ctr 90 S 7th Minneapolis MN 55402 990 2019-01-01 010571840 Medica Holding Company % MARY QUIST MEDI 9529922058 401 Carlson Parkway Minnetonka MN 55305 MARK L BAIRD CFO 9529922058 2020-11-10 true Monroe J Gierl P01413237 6123055000 2020-11-09 199.206.0.5 41438720203175000000 2020-11-12 P D62D24C6D336028470863B0825818D0C3237C4FC EA4B65EE71D42BE71D1FFD4325509DD549A18899 2019 2021-04-22 16:20:28Z Mark Baird 401 CARLSON PARKWAY MINNETONKA MN 55305 1101365 false X www.Medica.com X 2002 MN TO BE THE TRUSTED HEALTH PLAN OF CHOICE FOR CUSTOMERS, MEMBERS, PARTNERS AND OUR EMPLOYEES. 10 9 0 0 0 0 0 0 0 0 0 1101365 0 0 0 1101365 0 0 0 0 0 0 0 0 0 0 18861 0 18861 0 1082504 0 56082504 0 0 0 56082504 TO BE THE TRUSTED HEALTH PLAN OF CHOICE FOR CUSTOMERS, MEMBERS, PARTNERS AND OUR EMPLOYEES. false false MEDICA HOLDING COMPANY IS THE HOLDING COMPANY FOR ALL OF THE MEDICA ENTITIES. THE GOAL OF MEDICA IS TO BE THE TRUSTED HEALTH PLAN OF CHOICE FOR CUSTOMERS, MEMBERS, PARTNERS, OUR EMPLOYEES. false false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false false false false false false false false false false false true true true false true 0 0 0 false false false false false false false false X 10 9 false false true false false false false true true false false false true true true true true false false false MN X MARY QUIST 9529922058 401 CARLSON PARKWAY MINNETONKA MN 55305 X John W Naylor President & CEO 0.0 40.0 X X 0 1977413 42410 Mark L Baird SVP & CFO, Treasurer 0.0 40.0 X 0 1036756 52987 James P Jacobson SVP & Gen Counsel, Secretary 0.0 40.0 X 0 716604 54361 John Buck Director, Chair 0.0 15.0 X X 0 126500 0 John Stanoch Director, Vice Chair 0.0 10.0 X X 0 97250 0 Earl Stratton Director 0.0 10.0 X 0 88750 0 Rajesh Aggarwal Director 0.0 10.0 X 0 83125 0 Mary Twinem Director 0.0 10.0 X 0 81625 0 Samuel Leon Director 0.0 10.0 X 0 78375 0 Peter Kelly Director 0.0 10.0 X 0 75625 0 Esther Tomljanovich Director 0.0 6.0 X 0 75250 0 Brigid Bonner Director 0.0 10.0 X 0 62500 0 0 4499773 149758 0 false true false 0 0 0 1101365 1101365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101365 1101365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18861 18861 0 0 0 0 0 0 0 0 0 0 0 0 0 18861 0 18861 0 0 0 0 56082504 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56082504 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 56082504 0 0 0 56082504 0 56082504 X 1082504 55000000 X false false false false true false false false false true false false Mark L Baird SVP & CFO, Treasurer 0 441413 0 487061 0 108282 0 25900 0 29036 0 1091692 0 80481 James P Jacobson SVP & Gen Counsel, Secretary 0 355261 0 282829 0 78514 0 25900 0 30219 0 772723 0 50257 John W Naylor President & CEO 0 873526 0 911378 0 192509 0 20627 0 23767 0 2021807 0 164475 Sch J Part I Line 3 MEDICA HOLDING COMPANY, THE FILING ORGANIZATION, DOES NOT PAY COMPENSATION. ALL COMPENSATION IS PAID BY MEDICA HEALTH PLANS, A RELATED ORGANIZATION. WHEN ESTABLISHING COMPENSATION, MEDICA HEALTH PLANS USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY/STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Sch J Part I Line 4b THE FOLLOWING RECEIVED A SUPPLEMENT NONQUALIFIED RETIREMENT PLAN PAYMENT FROM MEDICA HEALTH PLANS, A RELATED ORGANIZATION: JOHN W. NAYLOR - $164,475 MARK L. BAIRD - $80,481 JAMES P. JACOBSON - $50,257 Sch J Part I Line 6b MANAGEMENT INCENTIVE COMPENSATION INCLUDES COMPONENTS RELATED TO OPERATING EARNINGS OF AFFILIATED MEDICA ENTITIES. Sch J 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 Line 4 The Bylaw changes decouple "officers" from "vice presidents" by removing references to vice presidents and senior vice presidents in the Bylaws and by eliminating the requirement that the Board must approve the CEO's appointment of senior vice presidents and above. Under the Bylaws as revised, the Board will only approve the appointment of "officers" of the company - defined as the President and CEO, the Treasurer and CFO, the Secretary, and any other officers the Board "deems necessary for the operation and management" of the company. Under the revised Bylaws, vice presidents and senior vice presidents will no longer be presumed to be "officers" of the company (other than those noted above), unless specifically appointed by the CEO and approved by the Board. Form 990 Part VI Line 12c ANNUALLY ALL EMPLOYEES OF MEDICA HEALTH AND DIRECTORS OF ALL MEDICA ENTITIES COMPLETE A CONFLICT OF INTEREST DISCLOSURE AND ARE REQUIRED TO REVIEW THE CURRENT POLICY. ALL POTENTIAL CONFLICTS ARE REVIEWED BY LEGAL/COMPLIANCE. Form 990 Part VI Line 15a MEDICA HOLDING COMPANY, THE FILING ORGANIZATION, DOES NOT PAY COMPENSATION. ALL COMPENSATION IS PAID BY MEDICA HEALTH PLANS, A RELATED ORGANIZATION. WHEN ESTABLISHING COMPENSATION, MEDICA HEALTH PLANS USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY/STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Form 990 Part VI 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 STATEMENT WITH THE REGULATORS. MEDICA CONSIDERS FINANCIAL STATEMENTS THAT ARE FILED WITH THE REGULATORS TO BE PUBLIC DOCUMENTS. FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 612(D). Form 990 Part VII Line 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 INSURANCE COMPANY, MEDICA SELF-INSURED, MEDICA AFFILIATED SERVICES, MEDICA HEALTH MANAGEMENT, AND MMSI, INC). 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 TRANSFER FROM MHP $55,000,000 ------------------------------------------------- TOTAL TRANSFERS TO/FROM AFFILIATES $55,000,000 MEDICA HEALTH PLANS 401 CARLSON PARKWAY MINNETONKA MN 55305 411242261 HEALTH CVRGE MN 501(C)(4) N/A MH COMPANY true MEDICA FOUNDATION 401 CARLSON PARKWAY MINNETONKA MN 55305 411812461 FOUNDATION MN 501(C)(3) Line 12B MH COMPANY true MEDICA COMMUNITY HEALTH PLAN 401 CARLSON PARKWAY MINNETONKA MN 55305 411843804 HEALTH CVRGE MN 501(C)(4) N/A MH COMPANY true MEDICA INSURANCE COMPANY 401 CARLSON PARKWAY MINNETONKA MN 55305 411490988 HEALTH INSURANCE MN Medica AFF C Corp 0 0 false MEDICA SELF-INSURED 401 CARLSON PARKWAY MINNETONKA MN 55305 411479417 THIRD PARTY ADMIN MN Medica AFF C Corp 0 0 false MEDICA HEALTH MANAGEMENT 401 CARLSON PARKWAY MINNETONKA MN 55305 208005519 HEALTH MGMT MN Medica AFF C Corp 0 0 false MEDICA AFFILIATED SERVICES 401 CARLSON PARKWAY MINNETONKA MN 55305 411716415 HOLDING COMPANY MN MH Company C Corp 0 0 true MMSI Inc 401 CARLSON PARKWAY MINNETONKA MN 55305 411547003 THIRD PARTY ADMIN MN Medica AFF C Corp 0 0 false false false false false false false false false false false false false false false false false false false true Medica Health Plans s 55000000 Book