MINNESOTA WORKERS COMPENSATION INSURERS ASSOCIATION INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- MINNESOTA WORKERS COMPENSATION INSURERS ASSOCIATION INC (EIN 41-0417040)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-07-23
- IRS object ID
- 201912049349301351
- Schema version
- 2018v3.1
- 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 | 2019-07-23T15:33:58-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 411489071 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SMITH SCHAFER & ASSOCIATES LTD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7500 HIGHWAY 55 SUITE 350 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55427 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410417040 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MINNESOTA WORKERS COMPENSATION | BusinessNameLine1Txt |
| Business Name Line2 | INSURERS ASSOCIATION INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MINN | BusinessNameControlTxt |
| Phone | 9528971737 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7701 FRANCE AVENUE SOUTH NO 450 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55435 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRANDON MILLER | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 9528971737 | PhoneNum |
| Signature | 2019-07-23 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GRANT M TENTIS CPA | PreparerPersonNm |
| PTIN | P00216766 | PTIN |
| Phone | 9529201455 | PhoneNum |
| Preparation | 2019-07-18 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 192.55.242.200 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-07-23 | IPDt |
| IP Tm | 15:33:35 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | B236223D03FBDCEDD0FF9513F3D6B97E6F96E895 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 0659BEB047D3AB56C2BCA66B26B5C2492DAA3789 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BRANDON MILLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7701 FRANCE AVE S STE 450 | AddressLine1Txt |
| City | EDINA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55435 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,597,856 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.MWCIA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE TO ITS MEMBERS SERVICES AND INFORMATION REQUIRED UNDER PROVISIONS OF MN STATUTES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 50 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,367,659 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,477,101 | CYProgramServiceRevenueAmt |
| PY Investment Income | $85,683 | PYInvestmentIncomeAmt |
| CY Investment Income | $120,755 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $7,453,342 | PYTotalRevenueAmt |
| CY Total Revenue | $7,597,856 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,985,008 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,937,861 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,419,931 | PYOtherExpensesAmt |
| CY Other Expenses | $2,333,436 | CYOtherExpensesAmt |
| PY Total Expenses | $7,404,939 | PYTotalExpensesAmt |
| CY Total Expenses | $7,271,297 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $48,403 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $326,559 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,474,790 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,659,152 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,358,481 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,402,432 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $116,309 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $256,720 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MINNESOTA WORKERS' COMPENSATION INSURERS ASSOCIATION, INC. IS A NOT-FOR-PROFIT CORPORATION FORMED TO PROVIDE TO ITS MEMBERS THOSE ACTIVITIES WHICH ARE REQUIRED AND PERMITTED OF A DATA SERVICE ORGANIZATION UNDER THE PROVISIONS OF MINNESOTA STATUTES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,082,407 | ExpenseAmt |
| Revenue | $7,287,789 | RevenueAmt |
| Desc | PROVIDE SERVICES TO INSURANCE COMPANIES LICENSED TO WRITE WORKERS' COMPENSATION INSURANCE IN MINNESOTA TO ENABLE THEM TO COMPLY WITH STATUTORY REQUIREMENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $48,901 | ExpenseAmt |
| Revenue | $189,312 | RevenueAmt |
| Desc | COVER CLAIMS FOR INSURANCE COMPANIES THAT WENT INSOLVENT PRIOR TO 1983. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $5,131,308 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 50 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KATHLEEN PETERSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9528976420 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7701 FRANCE AVE SOUTH 450 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55435 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| IRA FEUERLICHT | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| BARRY PRESLASKI | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| PAUL LARSON | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| DONNA GLENN | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| SETH DAGGETT | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| CHRIS WESTERMEYER | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| JIM KEAL | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN CHRISTY | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN GREGERSON | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| JIM KAYNISH | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| GARY THADEN | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| AMANDA APONTE | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| BRANDON MILLER | ||||||||
| PRESIDENT | 40.00 | $182,904 | $0 | $34,941 | Yes (X) | |||
| CRAIG A ANDERSON | ||||||||
| VP - ACTUARIAL | 40.00 | $145,282 | $0 | $45,609 | Yes (X) | |||
| KATHLEEN PETERSON | ||||||||
| SR. VP - OPERATIONS/TREASU | 40.00 | $152,138 | $0 | $49,601 | Yes (X) | |||
| SUSAN R LEVEY | ||||||||
| VP - INFORMATION TECHNOLOG | 40.00 | $134,080 | $0 | $46,560 | Yes (X) | |||
| PAMELA FLATEN | ||||||||
| DATA REPORTING MANAGER | 40.00 | $111,399 | $0 | $38,246 | Yes (X) | |||
| THOMAS GOODRICH | ||||||||
| SR. PROGRAM ANALYST | 40.00 | $110,776 | $0 | $40,198 | Yes (X) | |||
| MUHAMMAD KASHIF | ||||||||
| TECHNICAL PROJECT LEAD | 40.00 | $114,936 | $0 | $36,517 | Yes (X) | |||
| PATRICK RILEY | ||||||||
| SR. NETWORK ADMINISTRATOR | 40.00 | $106,170 | $0 | $37,716 | Yes (X) | |||
| SONDRA MATTKE | ||||||||
| SR. BUSINESS ANALYST | 40.00 | $101,073 | $0 | $28,175 | Yes (X) | |||
| THOMAS HARMS | ||||||||
| DEFERRED COMPENSATION | 0.00 | $148,642 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,307,400 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $357,563 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SPECTRUM PARTNERS LLC | |||||
| 7701 FRANCE AVENUE SOUTH SUITE 450 | MINNEAPOLIS | MN | 55435 | DATABASE SUPPORT | $300,000 |
| SOUND ACTUARIAL CONSULTING | |||||
| 403-2 EAST MAIN STREET | PORT JEFFERSON | NY | 11777 | ACTUARIAL CONSULTING | $114,808 |
| DYNAMICVIEW LLC | |||||
| 13808 AUTUMNWOOD AVENUE | ROSEMOUNT | MN | 55068 | COMMERCIAL ASPHALT CONSTRUCTION | $111,974 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEMBER ASSESSMENTS | 518210 | $6,675,665 | $6,675,665 |
| ASSIGNED RISK SERVICE | 518210 | $477,435 | $477,435 |
| SERVICES & OTHER INC | 518210 | $257,507 | $257,507 |
| U.S.P. FINES | 518210 | $63,950 | $63,950 |
| PAPER PROCESSING FEES | 518210 | $2,544 | $2,544 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,477,101 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $120,755 | TotalRevenueColumnAmt |
| Exclusion | $120,755 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,597,856 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,477,101 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $120,755 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $614,404 | TotalAmt |
| Program Services | $402,956 | ProgramServicesAmt |
| Management And General | $211,448 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,674,281 | TotalAmt |
| Program Services | $1,753,921 | ProgramServicesAmt |
| Management And General | $920,360 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $712,626 | TotalAmt |
| Program Services | $467,374 | ProgramServicesAmt |
| Management And General | $245,252 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $681,161 | TotalAmt |
| Program Services | $446,738 | ProgramServicesAmt |
| Management And General | $234,423 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,389 | TotalAmt |
| Program Services | $167,496 | ProgramServicesAmt |
| Management And General | $87,893 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,000 | TotalAmt |
| Program Services | $106,500 | ProgramServicesAmt |
| Management And General | $43,500 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,165 | TotalAmt |
| Program Services | $24,967 | ProgramServicesAmt |
| Management And General | $10,198 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,800 | TotalAmt |
| Program Services | $4,828 | ProgramServicesAmt |
| Management And General | $1,972 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,426 | TotalAmt |
| Program Services | $99,705 | ProgramServicesAmt |
| Management And General | $40,721 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $926,866 | TotalAmt |
| Program Services | $776,729 | ProgramServicesAmt |
| Management And General | $150,137 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $508,640 | TotalAmt |
| Program Services | $361,135 | ProgramServicesAmt |
| Management And General | $147,505 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,389 | TotalAmt |
| Program Services | $67,640 | ProgramServicesAmt |
| Management And General | $17,749 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| RESEARCH IST. DATA COLL | $195,000 | $195,000 | |
| RATEMAKING CONSULTING | $114,808 | $114,808 | |
| PUBLIC AFFAIRS | $69,118 | $49,202 | $19,916 |
| OTHER EXPENSES | $52,323 | $43,408 | $8,915 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,901 | TotalAmt |
| Program Services | $48,901 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,271,297 | TotalAmt |
| Program Services | $5,131,308 | ProgramServicesAmt |
| Management And General | $2,139,989 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,107,592 | BOYAmt |
| EOY | $3,212,655 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,367,198 | BOYAmt |
| EOY | $3,446,497 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,474,790 | BOYAmt |
| EOY | $6,659,152 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,358,481 | BOYAmt |
| EOY | $6,402,432 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,358,481 | BOYAmt |
| EOY | $6,402,432 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,309 | BOYAmt |
| EOY | $256,720 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,309 | BOYAmt |
| EOY | $256,720 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,474,790 | BOYAmt |
| EOY | $6,659,152 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $326,559 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$265,014 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $78,866 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| MEMBER CASH RESERVE ASSESS PAYABLE | $3,536,524 |
| DEFERRED COMPENSATION OBLIGATION | $1,215,908 |
| ADVANCES FROM MEMBERS | $1,650,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,402,432 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $7,143,530 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$265,014 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$265,014 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,408,544 | RevenueSubtotalAmt |
| Other Revenues Not Included | $189,312 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $189,312 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,597,856 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,222,396 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,222,396 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $48,901 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $48,901 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,271,297 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | REVENUE RELATED TO INSOLVENT FUND 188,198. INVESTMENT INCOME 1,114. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | EXPENSES RELATED TO INSOLVENT FUND 48,901. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRANDON MILLER | ||||||||||||||
| PRESIDENT | $182,904 | $0 | $0 | $0 | $0 | $0 | $34,136 | $0 | $805 | $0 | $217,845 | $0 | $0 | $0 |
| CRAIG A ANDERSON | ||||||||||||||
| VP - ACTUARIAL | $145,282 | $0 | $0 | $0 | $0 | $0 | $28,911 | $0 | $16,698 | $0 | $190,891 | $0 | $0 | $0 |
| KATHLEEN PETERSON | ||||||||||||||
| SR. VP - OPERATIONS/TREASU | $152,138 | $0 | $0 | $0 | $0 | $0 | $30,275 | $0 | $19,326 | $0 | $201,739 | $0 | $0 | $0 |
| SUSAN R LEVEY | ||||||||||||||
| VP - INFORMATION TECHNOLOG | $134,080 | $0 | $0 | $0 | $0 | $0 | $26,247 | $0 | $20,313 | $0 | $180,640 | $0 | $0 | $0 |
| THOMAS GOODRICH | ||||||||||||||
| SR. PROGRAM ANALYST | $110,776 | $0 | $0 | $0 | $0 | $0 | $22,045 | $0 | $18,153 | $0 | $150,974 | $0 | $0 | $0 |
| MUHAMMAD KASHIF | ||||||||||||||
| TECHNICAL PROJECT LEAD | $114,936 | $0 | $0 | $0 | $0 | $0 | $20,286 | $0 | $16,231 | $0 | $151,453 | $0 | $0 | $0 |
| THOMAS HARMS | ||||||||||||||
| DEFERRED COMPENSATION | $148,642 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $148,642 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | THOMAS HARMS RECEIVED DEFERRED COMPENSATION PAYMENTS TOTALING $148,642. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | ANY ENTITY THAT IS LICENSED THROUGH MN DEPARTMENT OF COMMERCE TO WRITE WORKERS COMPENSATION INSURANCE HAS TO BE A MEMBER OF A DATA SERVICE ORGANIZATION, MWCIA THE ONLY DSO IN THE STATE OF MINNESOTA. |
| FORM 990, PART VI, SECTION A, LINE 7A | GUIDED BY A BOARD OF TWELVE MEMBERS, MWCIA HAS TEN COMPANY MEMBERS AND TWO PUBLIC MEMBERS APPOINTED BY THE MINNESOTA DEPARTMENT OF COMMERCE |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THIS FORM 990 IS TRANSMITTED TO THE BUDGET AND INVESTMENT COMMITTEE MEMBERS FOR REVIEW. ONCE APPROVED BY THE COMMITTEE THE DRAFT IS THEN REVIEWED BY ALL BOARD MEMBERS WHO THEN VOTE TO APPROVE SUBMISSION OF THE FORM 990 TO ASSURE FULL AND ACCURATE DISCLOSURE TO THE IRS AND MAKE CERTAIN THE BOARD IS FULLY AWARE OF THE ITS CONTENTS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL PROCRESS OF REQUIRING EMPLOYEES AND BOARD MEMBERS TO REVIEW THE POLICY, AND SIGN AN ACKNOWLEDGEMENT STATING THEIR COMPLIANCE WITH THE POLICY. THE POLICY REQUIRES BOARD MEMBERS TO DISCLOSE POTENTIAL CONFLICT OF INTEREST RELATIONSHIPS THAT ARISE IN THE ORDINARY COURSE OF THE ORGANIZATION'S BUSINESS. IF CONFLICTS ARE IDENTIFIED, THE PRESIDENT AND SENIOR VICE PRESIDENT OF OPERATIONS, IN CONSULTATION WITH THE CHAIR OF THE BOARD OF DIRECTORS, ARE RESPONSIBLE TO MANAGE THE RELATIONSHIPS TO ENSURE THAT FINANCIAL DECISIONS ARE MADE WITH INDEPENDENCE. IN THE CUURENT YEAR, ONE BOARD MEMBER ALSO PROVIDES WORKERS' COMPENSATION INSURANCE TO ASSOCIATION AND ONE PUBLIC MEMBER PURCHASES DATA FROM THE ASSOCIATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | PRESIDENT SALARY IS SET BY EXECUTIVE COMMITTEE (BOARD OF DIRECTORS). ALL OTHER EMPLOYEES INCLUDING KEY EMPLOYEES ARE SET BY MANAGEMENT. A SALARY REVIEW PROGRAM HAS BEEN ESTABLISHED BY AN INDEPENDENT CONSULTING FIRM AND IS CONSISTENTLY REVIEWED TO ENSURE WAGES ARE COMPETITIVE AND FAIR. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ARTICLES OF INCORPORATION AND BYLAWS ARE POSTED ON THE ORGANIZATIONS WEBSITE. FINANCIAL INFORMATION IS INCLUDED IN SUMMARY FORM IN THE ANNUAL REPORT WHICH IS ALSO POSTED ON THE WEBSITE. OTHER INFORMATION, SUCH AS THE CONFLICT OF INTEREST POLICY IS AMADE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | MEMBERSHIP REAPPORTIONMENT ASSESSMENT ADJUSTMENT 78,866. |
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