2018-05-14T14:36:56-05:00 2017-12-31 910189318 MOSS ADAMS LLP 805 SW BROADWAY STE 1200 PORTLAND OR 97205 990 2017-01-01 453321455 OREGON'S HEALTH CO-OP OREG 6126299079 2000 SW 1ST AVENUE NO 430 PORTLAND OR 97201 JAN MOENCK SPECIAL DEPUTY RECEIVER 6126299079 2018-05-14 1 WENDY CAMPOS P00448102 5032421447 2018-05-10 2017 2022-09-23 18:48:47Z X JAN MOENCK 20 BATTERSON PARK RD 300 FARMINGTON CT 06032 2755700 0 X WWW.OHCOOP.ORG X 2011 OR OREGON'S HEALTH CO-OP IS A NONPROFIT PUBLIC BENEFIT CORPORATION OPERATING EXCLUSIVELY AS A CONSUMER OPERATED AND ORIENTED HEALTH PLAN AS DEFINED UNDER SECTION 1322 OF THE AFFORDABLE CARE ACT. THE CORPORATION OFFERED HEALTH CARE INSURANCE AND SERVICES TO INDIVIDUALS AND BUSINESSES ON AND OFF THE OREGON HEALTH INSURANCE EXCHANGE. THE ORGANIZATION CEASED CONDUCTING OPERATIONS AS A HEALTH INSURANCE CARRIER AS OF JULY 31, 2016. EFFECTIVE JULY 11, 2016, OREGON'S HEALTH CO-OP WENT INTO STATE RECEIVERSHIP AND ALL POLICIES WERE TERMINATED AS OF JULY 31, 2016. ON MARCH 2, 2017 THE ORGANIZATION ENTERED INTO LIQUIDATION AND WIND-DOWN OF THE OPERATIONS IS IN PROCESS. 0 0 8 0 0 0 0 0 48331347 15905 791462 3973 0 2735822 49122809 2755700 0 0 0 0 4707678 530332 0 0 0 71551746 3771918 76259424 4302250 -27136615 -1546550 16750410 11402634 81011335 77210109 -64260925 -65807475 X OREGON'S HEALTH CO-OP IS A NONPROFIT PUBLIC BENEFIT CORPORATION OPERATING EXCLUSIVELY AS A CONSUMER OPERATED AND ORIENTED HEALTH PLAN AS DEFINED UNDER SECTION 1322 OF THE AFFORDABLE CARE ACT. THE CORPORATION OFFERED HEALTH CARE INSURANCE AND SERVICES TO INDIVIDUALS AND BUSINESSES ON AND OFF THE OREGON HEALTH INSURANCE EXCHANGE. THE ORGANIZATION CEASED CONDUCTING OPERATIONS AS A HEALTH INSURANCE CARRIER AS OF JULY 31, 2016. EFFECTIVE JULY 11, 2016, OREGON'S HEALTH CO-OP WENT INTO STATE RECEIVERSHIP AND ALL POLICIES WERE TERMINATED AS OF JULY 31, 2016. ON MARCH 2, 2017 THE ORGANIZATION ENTERED INTO LIQUIDATION AND WIND-DOWN OF THE OPERATIONS IS IN PROCESS. 0 0 OREGON'S HEALTH CO-OP, A NONPROFIT COMMERCIAL HEALTH INSURANCE ISSUER, ESTABLISHED TO OPERATE AS A CONSUMER OPERATED AND ORIENTED PLAN AS DEFINED BY THE AFFORDABLE CARE ACT (ACA), SOLD HEALTH INSURANCE COVERAGE TO INDIVIDUALS, SMALL GROUPS AND LARGE GROUPS, THROUGH JULY 31, 2016. 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 255 0 1 8 1 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 OR X JAN MOENCK 6126299079 2000 SW 1ST AVENUE 430 PORTLAND OR 97201 X PEGGY WORLEY CFO 40.00 X 196520 0 0 JEAN GARGAN PROJECT MANAGER 40.00 X 110436 0 0 306956 0 0 2 0 1 0 VALENCE HEALTH 540 W MADISON STREET CHICAGO IL 60661 THIRD-PARTY ADMIN SERVICES 1056233 RISK REGULATORY CONSULTING LLC 5155 PAYSPHERE CIRCLE CHICAGO IL 60674 RECEIVERS 1026155 EVOLENT HEALTH LLC 5415 E HIGH STREET SUITE 275 PHOENIX AZ 85054 CLAIMS AND ACCOUNTING SERVICES 982713 MPX 2301 CONGRESS STREET PORTLAND ME 04102 PRINTING/PUBLISHING 153901 4 PREMIUM REVENUE 524114 15905 15905 15905 373 373 3600 0 3600 3600 3600 LOSS RESERVE REVERSAL 524114 2735822 2735822 2735822 2755700 2751727 0 3973 X 478204 52128 1441566 14236 1620414 137951 850 514546 33592 8763 4302250 13212358 8695784 5000 4716 211936 2362 162280 151016 44856 11264 3276260 2688508 16750410 11402634 6125611 5505326 58856900 59371393 16028824 12333390 81011335 77210109 X 0 0 0 0 -64260925 -65807475 -64260925 -65807475 16750410 11402634 -1546550 0 X 0 0 0 162280 151016 11264 11264 REINSURANCE RECEIVABLE 1971363 HEALTHCARE AND OTHER AMOUNTS RECEIVABLE 315821 OTHER NON-INVESTED ASSETS 401324 2688508 PREMIUMS RECEIVED IN ADVANCE 89537 HEALTHCARE PAYABLES 12207412 OTHER LIABILITIES 36441 12333390 0 0 0 0 0 0 0 0 0 PEGGY WORLEY CFO 196520 0 0 0 0 0 0 0 0 0 196520 0 0 0 FORM 990, PART V, LINE 13A OR FORM 990, PART VI, SECTION A, LINE 1 THE ORGANIZATION WAS IN RECEIVERSHIP AS DESCRIBED IN PART III AND NO BOARD MEMBERS WERE IN EXISTENCE AT THE END OF THE YEAR. ALL TYPICAL BOARD POWERS WERE TRANSFERRED TO JAN MOENCK, THE SPECIAL DEPUTY RECEIVER, REPORTED IN PART II AS THE SIGNER OF THE RETURN. FORM 990, PART VI, SECTION A, LINE 8A THE FORMATIONAL BOARD AND ALL FUNCTIONS THEY PERFORMED WERE ELIMINATED IMMEDIATELY PRIOR TO RECEIVERSHIP ON JULY 11, 2016. FORM 990, PART VI, SECTION A, LINE 8B THE FORMATIONAL BOARD AND ALL FUNCTIONS THEY PERFORMED WERE ELIMINATED IMMEDIATELY PRIOR TO RECEIVERSHIP ON JULY 11, 2016. FORM 990, PART VI, SECTION B, LINE 11B OREGON'S HEALTH CO-OP'S ACCOUNTING PERSONNEL AND RECEIVER REVIEW FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 WHILE NO REQUIREMENT TO MAKE ITS GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC EXISTS, OREGON'S HEALTH CO-OP CONSIDERED ALL REQUESTS FOR THESE DOCUMENTS ON A CASE BY CASE BASIS. FORM 990, PART IX, LINE 11G PROFESSIONAL SERVICES 1,620,414.