2019-11-15T08:32:03-06:00 2018-12-31 KPMG LLP 4200 Wells Fargo Ctr 90 S 7th Minneapolis MN 55402 990 2018-01-01 411242261 Medica Health Plans % MARY QUIST MEDI 9529922058 401 CARLSON PARKWAY CP 330 MINNETONKA MN 55305 MARK L BAIRD CFO 9529922058 2019-11-01 true Monroe J Gierl P01413237 6123055000 2019-11-01 167.68.102.5 41438720193195000000 2019-11-15 P 78E8547FA765C8D9E89905B57511D075833AD426 8BD7D0D2F7BAF24950AAE7E4793AA7726A034EC5 2018 2020-03-31 21:24:44Z JOHN NAYLOR 401 CARLSON PARKWAY CP 330 MINNETONKA MN 55305 2059291205 false X WWW.MEDICA.COM X 1973 MN TO BE THE TRUSTED HEALTH PLAN OF CHOICE FOR CUSTOMERS, MEMBERS, PARTNERS AND OUR EMPLOYEES. 6 5 1781 0 -15133 161808 0 0 1471441545 1027855012 21687362 10573754 1703041 1465647 1494831948 1039894413 576000 3218589 1137627909 660745339 152369473 190686046 0 0 0 123019918 142885207 1413593300 997535181 81238648 42359232 481974194 539695899 194116273 246628684 287857921 293067215 X TO BE THE TRUSTED HEALTH PLAN OF CHOICE FOR CUSTOMERS, MEMBERS, PARTNERS AND OUR EMPLOYEES. false false 653688712 728511381 SEE SCHEDULE O. 3370757 4491744 IN 2018 MHP PROVIDED FULLY INSURED COMMERCIAL HMO HEALTH INSURANCE COVERAGE TO GROUPS AND INDIVIDUALS IN MINNESOTA. AS OF 12/31/2018 THE ENROLLMENT IN MHP FULLY INSURED MINNESOTA GROUP PLANS WAS 523, WHICH WAS APPROXIMATELY 1.7% OF MHP'S TOTAL 2018 ENROLLMENT. 3685870 -360589 SEE SCHEDULE O. 3218589 3218589 295212476 Intercompany Admin Agreement 3218589 3218589 295212476 663963928 false false false false false false false false false true false false true false true true true false false false false false false false false false true false true false false false false false false false false false false false false false true false true false true 1193 0 true 1781 true true true false false false false false false false X 6 5 false false false false true true false true true false true true true true true true true true true true false MN X MARY QUIST 9529922058 401 CARLSON PARKWAY CP330 MINNETONKA MN 55305 X John W Naylor President & CEO 40.0 0.0 X X 1725038 0 41286 John Buck Director, Chair 15.0 0.0 X X 110250 0 0 Peter Kelly Director 10.0 0.0 X 67500 0 0 John Stanoch Director, Vice Chair 10.0 0.0 X X 72500 0 0 Esther Tomljanovich Director 6.0 0.0 X 67750 0 0 Mary Twinem Director 10.0 0.0 X 70000 0 0 Mark L Baird SVP & CFO, Treasurer 40.0 0.0 X 1007625 0 52175 James P Jacobson SVP & Gen Counsel, Secretary 40.0 0.0 X 693328 0 52578 Geoffrey J Bartsh SVP & GM IFB 40.0 0.0 X 507654 0 63547 Robert Longendyke SVP & CMO 40.0 0.0 X 594804 0 51718 Scott R Reid VP Growth Initiatives 40.0 0.0 X 552768 0 49724 Timothy D Thull SVP & CIO 40.0 0.0 X 874412 0 50709 Paul R Crowley SVP & GM CMD 40.0 0.0 X 572112 0 73497 Thomas H Lindquist SVP & GM Govt Programs 40.0 0.0 X 658210 0 87266 Nichole L White SVP Health Services 40.0 0.0 X 595052 0 86013 John R Mach Jr Chief Med Officer & SVP 40.0 0.0 X 436591 0 61814 Lynn Altmann VP Human Resources 40.0 0.0 X 503613 0 53709 Kimberly A Branson VP Operations 40.0 0.0 X 672763 0 46296 Lori L Nelson SVP Prov Strat & Net Mgt 40.0 0.0 X 554609 0 49800 Stephen T Custis VP Chief Actuary 40.0 0.0 X 494833 0 64631 Mary P Quist VP Finance & Corp. Controller 40.0 0.0 X 653723 0 48280 Jay C McLaren VP Pub Policy & Govt Rel 40.0 0.0 X 391823 0 61327 Thomas M Wentzel Director Agency Relations 40.0 0.0 X 393299 0 43752 Stacy L Ballard Medical Director 40.0 0.0 X 413130 0 34112 Andrew E Davis Former GM & VP CHA 0.0 0.0 X 93908 0 0 Alan Spiro MD Former SVP & CMO 0.0 0.0 X 58333 0 0 David Tilford Former President & CEO 0.0 0.0 X 292799 0 0 Glenn E Andis Former SVP Govt Prog 0.0 0.0 X 164218 0 0 Jana L Johnson Former SVP Hlth & Provider Srv 0.0 0.0 X 377014 0 0 13669659 0 1072234 378 true true false United Health Care Services Inc 9900 Bren Dr E MN008-T380 Minnetonka MN 55343 Claims Processing 84017889 Doherty Consulting Inc 418 County Road D E ST PAUL MN 55117 Temp Services 10625953 Aon Hewitt Health Market Insurance 5600 W 83rd St 8200 Tower Ste 1100 Minneapolis MN 55437 Consulting Services 3566933 Change HealthCare Solutions LLC 3055 Lebanon Pike Ste 1000 Nashville TN 37214 Issues claim pymnts 1820008 Optimity Advisors LLC 1600 K St NW Washington DC 20006 Consulting Services 965275 26 0 Medicaid Revenue 524114 728511381 728511381 728150792 Group & Individual Premiums 524114 4491744 4491744 4491744 INTERCOMPANY ADMIN FEES 561000 295212476 295212476 295212476 MEDICARE REVENUE 524114 -360589 -360589 1027855012 7321798 7321798 0 0 5467010 3986230 1480780 0 1480780 1480780 1018662518 1015410562 3251956 3251956 3251956 0 0 0 0 0 0 0 0 0 Medica Tax Partnership - Dental Revenue 900099 -15133 -15133 -15133 1039894413 1027855012 -15133 12054534 3218589 3218589 0 0 660745339 660745339 10336580 10336580 0 144394218 144394218 12154916 12154916 14868166 14868166 8932166 8932166 0 921798 921798 752505 752505 566573 566573 0 547036 547036 34621910 34621910 13078228 13078228 4663902 4663902 28036757 28036757 0 5867834 5867834 566489 566489 0 413035 413035 30423 30423 0 24252042 24252042 1610068 1610068 Premium Taxes 15846301 15846301 Printing & Publication 7207923 7207923 Other 3902383 3902383 997535181 663963928 333571253 0 0 0 0 0 75237433 21045722 55134613 121463698 0 0 33733311 33968280 0 0 0 0 0 0 0 0 0 0 122127959 40403968 83995306 81723991 203628238 254027635 5441632 0 0 0 0 0 24803661 27466573 481974194 539695899 154543349 206815184 0 0 39572924 39813500 0 0 0 0 0 0 0 0 0 0 0 0 194116273 246628684 X 287857921 293067215 0 0 0 0 287857921 293067215 481974194 539695899 X 42359232 -11134822 -26015116 X false true X true false 18775799 18775799 67824201 10507023 57317178 18554927 14691718 3863209 16973032 15205227 1767805 81723991 INVESTMENT INCOME 1152632 UNINSURED PLANS RECEIVABLE 820000 INTERCOMPANY RECEIVABLES 16438778 GENERAL EXPENSE RECEIVABLE 9055163 27466573 0 0 X 745507754 4607783 4607783 740899971 547036 298447106 298994142 1039894113 705902301 7361262 7361262 698541039 547036 298447106 298994142 997535181 Sch D 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. Sch D Part XI Line 2d OTHER ADJUSTMENTS: STATUTORY GROSS UP FOR RENTAL INCOME $ 4,592,650 DENTAL EXPENSES $ 15,133 TOTAL TO SCHEDULE D, PART XI, LINE 2D $ 4,607,783 Sch D Part XI Line 4b OTHER ADJUSTMENTS: INTERCOMPANY ADMIN FEES RECLASSED FROM EXPENSE $295,212,476 INTEREST EXPENSE RECLASSED AS EXPENSE $30,423 DEPRECIATION ON REAL ESTATE RECLASSED AS EXPENSE $3,204,207 TOTAL TO SCHEDULE D, PART XI, LINE 4B $298,447,106 Sch D Part XII Line 2d Other Adjustments: Statutory Gross Up for depreciation expense $2,753,479 Statutory Gross up for rental income $4,592,650 Dental Expenses (Medica Tax Partnership K-1) $15,133 Total to Schedule D, Part XII, Line 2d $7,361,262 Sch D Part XII Line 4b Other adjustments: interest expense reclassed as revenue $30,423 depreciation on real estate reclassed as expense $3,204,207 intercompany admin fees reclassed as revenue $295,212,476 Total to Schedule D, Part XII, line 4b $298,447,106 true INSTITUTE FOR CLINICAL SYSTEMS IMPROVEMENT 8009 34TH AVE S SUITE 1200 BLOOMINGTON MN 55425 411782168 501(C)(3) 218589 SUPPORT BEST PRACTICES IN MEDICAL WORLD MEDICA FOUNDATION 401 CARLSON PARKWAY CW 104 MINNETONKA MN 55305 411812461 501(C)(3) 3000000 PROGRAM SUPPORT 2 Sch I 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 true true false false false true true false false Mark L Baird SVP & CFO, Treasurer 426322 0 483680 0 97623 0 25438 0 28653 0 1061716 0 70542 0 Geoffrey J Bartsh SVP & GM IFB 275300 0 204471 0 27883 0 39682 0 25434 0 572770 0 6352 0 Stephen T Custis VP Chief Actuary 256978 0 193033 0 44822 0 38781 0 27365 0 560979 0 22914 0 James P Jacobson SVP & Gen Counsel, Secretary 344235 0 278497 0 70596 0 25438 0 28873 0 747639 0 43106 0 Robert Longendyke SVP & CMO 302179 0 234664 0 57961 0 25438 0 27662 0 647904 0 33988 0 John W Naylor President & CEO 775426 0 721508 0 228104 0 20625 0 22645 0 1768308 0 200570 0 Mary P Quist VP Finance & Corp. Controller 277923 0 313379 0 62421 0 25438 0 24415 0 703576 0 37689 0 Scott R Reid VP Growth Initiatives 271355 0 228652 0 52761 0 25438 0 25831 0 604037 0 30024 0 Timothy D Thull SVP & CIO 330652 0 461323 0 82437 0 25438 0 26953 0 926803 0 59202 0 Paul R Crowley SVP & GM CMD 308123 0 232405 0 31584 0 50043 0 25080 0 647235 0 9953 0 Thomas H Lindquist SVP & GM Govt Programs 322142 0 314035 0 22033 0 62527 0 26416 0 747153 0 0 0 Nichole L White SVP Health Services 299136 0 268331 0 27585 0 55379 0 37680 0 688111 0 0 0 John R Mach Jr Chief Med Officer & SVP 230917 0 179800 0 25874 0 41562 0 21721 0 499874 0 0 0 Lynn Altmann VP Human Resources 267335 0 189144 0 47134 0 25438 0 29816 0 558867 0 25158 0 Kimberly A Branson VP Operations 280647 0 329478 0 62638 0 24063 0 23804 0 720630 0 39808 0 Lori L Nelson SVP Prov Strat & Net Mgt 299373 0 192605 0 62631 0 23136 0 28277 0 606022 0 37526 0 Jay C McLaren VP Pub Policy & Govt Rel 213293 0 151384 0 27146 0 30408 0 32321 0 454552 0 3958 0 Thomas M Wentzel Director Agency Relations 177188 0 212687 0 3424 0 20625 0 24035 0 437959 0 0 0 Stacy L Ballard Medical Director 268609 0 142980 0 1541 0 18064 0 16972 0 448166 0 0 0 Glenn E Andis Former SVP Govt Prog 0 0 0 0 164218 0 0 0 0 0 164218 0 50160 0 Jana L Johnson Former SVP Hlth & Provider Srv 0 0 72400 0 304614 0 0 0 0 0 377014 0 60801 0 David Tilford Former President & CEO 0 0 0 0 292799 0 0 0 0 0 292799 0 5358 0 Sch J Part I Line 4a Severance Payments: Jana L. Johnson $ 118,723 David Tilford $ 83,077 Alan Spiro $ 58,333 Andrew Davis $36,761 Sch J Part I Line 4b THE FOLLOWING RECEIVED PAYMENTS FROM A NON-QUALIFIED RETIREMENT PLAN: Mark L. BAIRD $ 70,542 Geoffrey J. BARTSH $ 6,352 ANDREW E. DAVIS $ 747 JAMES P. JACOBSON $ 43,106 JANA L. JOHNSON $ 60,801 ROBERT LONGENDYKE $ 33,988 JOHN W. NAYLOR $ 200,570 MARY P. QUIST $ 37,689 SCOTT R. REID $ 30,024 TIMOTHY D. THULL $ 59,202 DAVID TILFORD $ 5,358 LYNN ALTMANN $ 25,158 KIMBERLY A. BRANSON $ 39,808 STEPHEN T. CUSTIS $ 22,914 PAUL R. CROWLEY $ 9,953 LORI L. NELSON $ 37,526 JAY C. MCLAREN $ 3,958 GLENN E. ANDIS $ 50,160 Sch J Part I Line 6a & 6b MANAGEMENT INCENTIVE COMPENSATION INCLUDES COMPONENTS RELATED TO THE ORGANIZATIONS OPERATING EARNINGS. 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 III Line 4a MEDICA HEALTH PLANS (MHP) IN 2018 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 16,789 MEDICA MEMBERS 55.9% OF MHP'S TOTAL ENROLLMENT - WERE IN MINNESOTA STATE PROGRAMS AS OF 12/31/2018. THERE WERE 4,056 MINNESOTA SENIOR CARE PLUS MEMBERS AND 12,733 SPECIAL NEEDS BASIC CARE MEMBERS. STATE OF MINNESOTA HEALTH CARE PROGRAMS MINNESOTA 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. MEDICAS 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 2018 MEDICA HEALTH PLANS MEDICAL LOSS RATIO FOR STATE OF MINNESOTA HEALTH PROGRAMS WAS 89.7%. -THE ADMINISTRATIVE COST RATIO WAS APPROXIMATELY 5.6% INCLUDING PREMIUM TAXES. FORM 990 PART III LINE 4C IN 2018, MHP PARTICIPATED IN MINNESOTA SENIOR HEALTH OPTIONS (MSHO), A MEDICARE-RELATED PRODUCT, IN MINNESOTA. ENROLLMENT IN THAT PRODUCT WAS 11,132 OR 37.0% OF MHP'S TOTAL ENROLLMENT. MSHO IS A PRODUCT FOR PEOPLE AGE 65 AND OLDER AND ELIGIBLE FOR BOTH MEDICARE AND MEDICAID. IN 2018, MEDICA STARTED OFFERING MEDICARE ADVANTAGE AND MEDICARE SUPPLEMENT PLANS. MEDICARE ADVANTAGE HAD ENROLLMENT OF 391 MEMBERS OR 1.3% OF MHPS TOTAL ENROLLMENT. MEDICARE ADVANTAGE IS A HEALTH PLAN THAT PROVIDES ALL ENROLLEES PART A AND PART B BENEFITS. MEDICARE SUPPLEMENT HAD ENROLLMENT OF 1,224 MEMBERS OR 4.1% OF MHPS 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. Form 990 Part III Line 4d MEDICA HEALTH PLANS INTERCOMPANY ADMINISTRATIVE AGREEMENTS MHP HAS MANAGEMENT AGREEMENTS WITH RELATED ENTITIES TO PROVIDE ADMINISTRATIVE SERVICES. MHP IS REIMBURSED FOR THESE SERVICES MONTHLY. IN 2018, MHP WAS REIMBURSED FOR $295,212,476 IN INTERCOMPANY ADMINISTRATIVE EXPENSES, REPORTED AS REVENUE ON THE 990. CONTRIBUTIONS BY MEDICA ON BEHALF OF MEMBERS BEYOND CONTRACTED SERVICES IN 2018 MHP SPENT APPROXIMATELY $2.5 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; AND NON-MEDICARE VALUE OF COST-SHARING WAIVED COPAYS. OTHER COMMUNITY BENEFITS MHP PROVIDED OTHER COMMUNITY BENEFITS WITH A WIDE RANGE OF PROGRAMS AND INITIATIVES TO PROMOTE PUBLIC AND INDIVIDUAL HEALTH, REDUCE DISPARITIES IN 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 BENEFIT MEDICA 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 2018, 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. IN 2018, FIT CHOICES BY MEDICA WAS AVAILABLE AT NO COST TO MHP'S FULLY INSURED MEMBERS. TOBACCO CESSATION COACHING MEDICA'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. MEDICAL AND MENTAL HEALTH DISEASE MANAGEMENT AND PATIENT SUPPORT MEDICA IN 2018 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 EARLY INTERVENTION 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. Form 990 Part VI Line 6 MEMBERS EXIST WITHIN MEDICA HEALTH PLANS AS MEMBERS COVERED UNDER REGULATED INSURANCE PLANS. Form 990 Part VI Line 7a THE MEMBERSHIP OF MEDICA HEALTH PLANS ELECTS THE CONSUMER BOARD MEMBERS. Form 990 Part VI Line 11b MEDICA'S TAX ADVISORS COMPLETE THE RETURN, MEDICA'S CONTROLLER AND FINANCE DIRECTOR REVIEW 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 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 Line 15a 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 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 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 CHANGES IN NET ASSETS: CHANGE IN VALUE OF NONADMITTED ASSETS $31,738,363 STAT GROSS UP FOR DEPRECIATION $(2,753,479) TRANSFER TO MHC $(55,000,000) TOTAL TO FORM 990, PART XI, LINE 9 $(26,015,116) MEDICA FOUNDATION 401 CARLSON PARKWAY MINNETONKA MN 55305 411812461 FOUNDATION MN 501(C)(3) Line 12B MH COMPANY false MEDICA Community Health Plan 401 CARLSON PARKWAY MINNETONKA MN 55305 411843804 HEALTH CVRGE MN 501(C)(4) N/A MH COMPANY false MEDICA HOLDING COMPANY 401 CARLSON PARKWAY MINNETONKA MN 55305 010571840 HOLDING CO MN 501(C)(4) N/A NA false 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 AFFILIATED SERVICES 401 CARLSON PARKWAY MINNETONKA MN 55305 411716415 HOLDING COMPANY MN MH COMPANY 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 MMSI INC 401 CARLSON PARKWAY MINNETONKA MN 55305 411547003 THIRD PARTY ADMIN MN MEDICA AFF C Corp 0 0 false false true false false false false false false false false false false false true true false true true false MEDICA FOUNDATION b 3000000 BOOK