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 010571840 Medica Holding Company % MARY QUIST MEDI 9529922058 401 Carlson Parkway Minnetonka MN 55305 MARK L BAIRD CFO 9529922058 2019-10-30 true Monroe J Gierl P01413237 6123055000 167.68.102.5 41438720193195000001 2019-11-15 P 78E8547FA765C8D9E89905B57511D075833AD426 AC54748FFC50D967AA2BBEAEB8F4489B300F6EE8 2018 2020-03-31 21:24:44Z JOHN NAYLOR 401 CARLSON PARKWAY MINNETONKA MN 55305 0 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 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 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 false 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 1725038 41286 Rajesh Aggarwal Director 0.0 10.0 X 0 70000 0 John Buck Director, Chair 0.0 15.0 X X 0 110250 0 Peter Kelly Director 0.0 10.0 X 0 67500 0 Samuel Leon Director 0.0 10.0 X 0 70250 0 John Stanoch Director, Vice Chair 0.0 10.0 X X 0 72500 0 Earl Stratton Director 0.0 10.0 X 0 73750 0 Esther Tomljanovich Director 0.0 6.0 X 0 67750 0 Mary Twinem Director 0.0 10.0 X 0 70000 0 Brigid Bonner Director 0.0 40.0 X 0 20000 0 Mark L Baird SVP & CFO, Treasurer 0.0 40.0 X 0 1007625 52175 James P Jacobson SVP & Gen Counsel, Secretary 0.0 40.0 X 0 693328 52578 David Tilford Former President & CEO 0.0 0.0 X 0 292799 0 0 4340790 146039 0 true true false 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 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 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 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 X 0 0 0 0 0 0 0 0 0 0 0 X false false false true true false false false false true false false Mark L Baird SVP & CFO, Treasurer 0 426322 0 483680 0 97623 0 25438 0 28653 0 1061716 0 70542 James P Jacobson SVP & Gen Counsel, Secretary 0 344235 0 278497 0 70596 0 25438 0 28873 0 747639 0 43106 John W Naylor President & CEO 0 775426 0 721508 0 228104 0 20625 0 22645 0 1768308 0 200570 David Tilford Former President & CEO 0 0 0 0 0 292799 0 0 0 0 0 292799 0 5358 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 4a Severance Payments: David Tilford - $83,077 Sch J Part I Line 4b THE FOLLOWING RECEIVED A SUPPLEMENT NONQUALIFIED RETIREMENT PLAN PAYMENT FROM MEDICA HEALTH PLANS, A RELATED ORGANIZATION: DAVID TILFORD - $5,358 John W. Naylor - $200,570 Mark L. Baird - $70,542 James P. Jacobson - $43,106 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 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 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. 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 PLANS 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 false