2017-11-13T15:42:34-07:00 2016-12-31 990 2016-01-01 742615873 TEXAS MUTUAL INSURANCE COMPANY TEXA 8008595995 6210 US Hwy 290 East Austin TX 78723 Mike Barron SVP & CFO 5122247972 2017-11-13 198.136.250.65 2016 2017-02-10 21:41:12Z Mike Barron 6210 US Hwy 290 East Austin TX 78723 5593345697 0 X www.texasmutual.com X Mutual 1991 TX Established by Texas statute to serve as a competitive force and act as the workers' compensation insurer of last resort. 9 9 1039 0 -2803368 -2803368 0 0 1132361006 1033842903 205270874 259126172 728688 753034 1338360568 1293722109 0 29839 0 0 96078848 103257413 0 0 0 952850958 871604908 1048929806 974892160 289430762 318829949 6318486031 6633876390 3536632294 3469399074 2781853737 3164477316 Established by Texas statute to serve as a competitive force and act as the workers' compensation insurer of last resort. 0 0 1034595937 The Company wrote 75,373 policies during 2016. At the end of 2016, the Company had 66,498 policies in force covering approximately 1,375,485 Texas employees. During the year 46,471 claims were received and processed, and approximately $400 million in benefits were paid out to injured workers. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7069 0 1 1039 1 0 0 0 0 0 0 X 9 9 0 0 0 0 0 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 0 X Mike Barton - SVP and CFO 5122247972 6210 US Hwy 290 East Austin TX 78723 Robert C Barnes Director 4 X 99000 0 0 Eric L Oliver Director 4 X 74000 0 0 Tommy D Philips Director 4 X 71000 0 0 John H Young Director 4 X 65000 0 0 Linda Foster-Smith Director 4 X 64500 0 0 John D Swanson Director 4 X 63000 0 0 Bernard C Francis Director 4 X 60500 0 0 Jay L Eisen Director 4 X 57500 0 0 Delia Reyes Director 4 X 55500 0 0 Richard J Gergasko President and CEO 40 X 667592 0 96898 Perry Michael Barron SVP and CFO 40 X 473979 0 53037 Leonard Randall Johnson SVP Investments 40 X 469990 0 83978 William Allen McLellan SVP Information Technology 40 X 437114 0 44725 Mary B Nichols General Counsel and SVP 40 X 432171 0 38049 Steven E Math SVP Underwriting 40 X 425479 0 67891 Brenda J Ward SVP Policyholder Services 40 X 411722 0 66879 Terry L Frakes SVP Public Affairs 40 X 397896 0 35549 Lynette T Caldwell SVP Human Resources 40 X 351068 0 71561 Benjamin Joel Turner SVP and Chief Actuary 40 X 250217 0 65020 Joseph Albert Yurkovich SVP Strategic Planning and Marketing 40 X 180500 0 25784 Terrence L Buchheit VP Applications 40 X 326616 0 46401 Kim Haugaard VP Network and Medical Operations 40 X 310424 0 66843 David W John VP IT Infrastructure 40 X 301992 0 77994 Ernest W Stokey VP Premium Audit 40 X 278445 0 34453 James R Kohloff VP Regional Operations 40 X 276156 0 72002 Jo Betsy Norton VP Public Affairs 40 X 274855 0 59092 Nicholas Francis Tsourmas VP and Medical Director 40 X 252295 0 39792 Phoebe Alexis Samuels Tinney VP and Associate Actuary 40 X 249372 0 55573 Timothy Patrick Riley VP Special Investigations 40 X 245884 0 42295 Martin J Leifker VP Product Development 40 X 238299 0 64133 Bill W Huckaby VP General Auditor 40 X 234933 0 41537 Jeffrey Paul Lentz VP Underwriting 40 X 233321 0 71146 Woody Lee Hill VP Safety and Information Services 40 X 225757 0 37878 Billy A Jackson VP Regional Operations 40 X 223303 0 51620 Barbara Joann Drollinger VP Regional Operations 40 X 222370 0 34917 Edward M Coates VP HR Employee Services 40 X 217804 0 54818 Shannon Simmons Pounds VP and Senior Counsel 40 X 210610 0 49515 Curtis Wall Johnson VP Claim Operations 40 X 210542 0 56541 Erica Mae Sanchez VP Financial Services 40 X 208357 0 50868 Beverly Yvonne Harris VP Business Analysis and Strategic Planning 40 X 201492 0 39858 Lawrence B Martin VP HR Consulting Services 40 X 178784 0 30850 Lisa Michele Evans VP Marketing and Customer Engagement 40 X 130278 0 10400 Diane Marie Starkey Senior Manager IT 40 X 214806 0 43833 Mychael V Ritterhoff Senior Manager IT 40 X 204549 0 38022 Margaret Ann Wilson Senior Manager IT 40 X 198639 0 36483 Sonya Melea Barge Senior Manager Underwriting 40 X 193567 0 39426 Alan J Cullen Senior Manager IT 40 X 193317 0 36237 11364495 0 1931898 213 0 1 0 Coventry Healthcare PO Box 660776 Dallas TX 752660776 Professional Services 3893809 Combined Agents of America 6805 N Capital of Texas Hwy Suite 250 Austin TX 78731 Independent Agency 3689976 Amy Wick Marketing Communications 1524 IH-35 South Suite 224 Austin TX 78704 Professional Services 3202956 Focus Healthcare Management 6705 Rockledge Drive Suite 900 Bethesda MD 20817 Professional Services 2958761 Graves Dougherty Herron and Moody PO Box 98 Austin TX 78767 Professional Services 1697872 112 0 0 0 0 0 0 0 0 Premiums Earned 524126 1033842903 1033842903 0 0 0 0 0 0 1033842903 186119501 0 0 186119501 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4372444997 185262 4299402693 220895 73042304 -35633 73006671 0 -2803368 75810039 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Finance and service charges 524126 753034 753034 0 0 0 0 0 0 753034 1293722109 1034595937 -2803368 261929540 29839 0 0 0 12097515 0 69643339 5987520 9891812 5637227 0 930840 808160 132000 0 16617562 16775351 4053225 4222559 15511090 0 5147820 2187923 0 691683 0 0 5439324 0 Losses Incurred 311056219 Dividends to Policyholders 264647242 Net Commission and brokerage 127969307 Total taxes, licenses and fees 23929076 71485527 974892160 0 0 0 -3939064 -24749638 189240167 131683314 0 0 394764132 365922750 0 0 0 0 0 0 0 0 0 0 42366856 27043553 16140654 15323303 5113208235 5356106026 574899221 753005811 0 0 0 0 34172686 36584824 6318486031 6633876390 100254316 91465414 0 0 540319990 490911061 0 0 0 0 0 0 0 25012960 0 0 2896057988 2862009639 3536632294 3469399074 X 0 0 0 0 2781853737 3164477316 2781853737 3164477316 6318486031 6633876390 X 318829949 67924000 0 0 0 -4130370 X 0 1 X 1 0 0 2827205 2827205 0 28504245 17730650 10773595 0 0 0 0 0 11035406 9312903 1722503 0 0 0 0 15323303 0 0 Golub Capital Pearls DLP LP 134149927 F LS Senior Loan Fund LLC 14337480 F Maranon Senior Credit Fund II-A LP 31875955 F Western Asset Emerging Market Local Debt 4998651 F Western Asset Floating Rate High Income Fund 30016390 F Western Asset Opportunistic Non Dollar Hedged 4471995 F Western Asset Opportunistic Structured Security 12535523 F Western Asset Opportunistic US Dollar High Yield 18112642 F Western Asset Structured Product Opportunities 6993068 F Parametric Defensive Equity Fund LLC 129702124 F Silchester International Investors 103387298 F Clarion Lion Properties Fund 88656433 F Heitman Real Estate Debt Partners LP 14229288 F Principal Real Estate Debt Fund LP 25523125 F USSA Eagle Real Estate LP 92306357 F Partners Fund 10000000 F Partners Group Real Estate Second 2013A LP 31709555 F 753005811 0 Losses 2575632004 Loss adjustment expenses 255322969 Amounts withheld/retained by Company for account of others 4045661 Payables for securities 14699509 Advanced premiums 11220391 Retroactive Reinsurance Reserve 1089105 2862009639 1293722109 0 0 0 0 0 1293722109 0 0 0 1293722109 974892160 0 0 0 0 0 974892160 0 0 0 974892160 Europe (including Iceland and Greenland) Investments 41709555 0 0 41709555 1 0 0 1 1 0 X X 1 1 0 Richard J Gergasko President and CEO 422011 0 161669 0 83912 0 80382 0 16516 0 764490 0 0 0 Perry Michael Barron SVP and CFO 281847 0 69714 0 122418 0 28385 0 24652 0 527016 0 0 0 Leonard Randall Johnson SVP Investments 276353 0 69343 0 124294 0 65962 0 18016 0 553968 0 24841 0 William Allen McLellan SVP Information Technology 244342 0 66506 0 126266 0 28385 0 16340 0 481839 0 0 0 Mary B Nichols General Counsel and SVP 243824 0 64915 0 123432 0 28385 0 9664 0 470220 0 0 0 Steven E Math SVP Underwriting 255295 0 63153 0 107030 0 56546 0 11344 0 493368 0 25753 0 Brenda J Ward SVP Policyholder Services 225876 0 58352 0 127495 0 59715 0 7164 0 478602 0 24454 0 Terry L Frakes SVP Public Affairs 209869 0 55729 0 132298 0 28385 0 7164 0 433445 0 0 0 Lynette T Caldwell SVP Human Resources 199053 0 50214 0 101801 0 54988 0 16573 0 422629 0 24691 0 Benjamin Joel Turner SVP and Chief Actuary 116500 0 61239 0 72478 0 53620 0 11400 0 315237 0 0 0 Joseph Albert Yurkovich SVP Strategic Planning and Marketing 77684 0 58238 0 44578 0 19504 0 6280 0 206284 0 0 0 Terrence L Buchheit VP Applications 192378 0 40960 0 93278 0 28385 0 18016 0 373017 0 0 0 Kim Haugaard VP Network and Medical Operations 184586 0 38935 0 86902 0 52739 0 14104 0 377266 0 22432 0 David W John VP IT Infrastructure 184347 0 39391 0 78254 0 52694 0 25300 0 379986 0 22488 0 Ernest W Stokey VP Premium Audit 154669 0 33774 0 90002 0 26466 0 7988 0 312899 0 0 0 James R Kohloff VP Regional Operations 181934 0 36436 0 57785 0 47450 0 24552 0 348157 0 5640 0 Jo Betsy Norton VP Public Affairs 168151 0 32984 0 73720 0 43812 0 15280 0 333947 0 20580 0 Nicholas Francis Tsourmas VP and Medical Director 176320 0 36609 0 39366 0 24276 0 15516 0 292087 0 0 0 Phoebe Alexis Samuels Tinney VP and Associate Actuary 175863 0 35094 0 38416 0 42793 0 12780 0 304946 0 7063 0 Timothy Patrick Riley VP Special Investigations 142162 0 31096 0 72626 0 42295 0 0 0 288179 0 18678 0 Martin J Leifker VP Product Development 166277 0 34060 0 37963 0 39481 0 24652 0 302433 0 10619 0 Bill W Huckaby VP General Auditor 152539 0 33086 0 49308 0 21859 0 19678 0 276470 0 0 0 Jeffrey Paul Lentz VP Underwriting 165320 0 34768 0 33233 0 45659 0 25487 0 304467 0 10054 0 Woody Lee Hill VP Safety and Information Services 155669 0 34018 0 36071 0 35878 0 2000 0 263636 0 0 0 Billy A Jackson VP Regional Operations 160805 0 32956 0 29542 0 35204 0 16416 0 274923 0 0 0 Barbara Joann Drollinger VP Regional Operations 153892 0 33429 0 35049 0 34917 0 0 0 257287 0 0 0 Edward M Coates VP HR Employee Services 147282 0 32697 0 37825 0 30166 0 24652 0 272622 0 10321 0 Shannon Simmons Pounds VP and Senior Counsel 141989 0 30722 0 37899 0 33235 0 16280 0 260125 0 0 0 Curtis Wall Johnson VP Claim Operations 156280 0 32325 0 21937 0 31889 0 24652 0 267083 0 0 0 Erica Mae Sanchez VP Financial Services 139495 0 31140 0 37722 0 35588 0 15280 0 259225 0 5315 0 Beverly Yvonne Harris VP Business Analysis and Strategic Planning 132923 0 18684 0 49885 0 24342 0 15516 0 241350 0 0 0 Lawrence B Martin VP HR Consulting Services 113317 0 19403 0 46064 0 22726 0 8124 0 209634 0 7595 0 Lisa Michele Evans VP Marketing and Customer Engagement 118154 0 0 0 12124 0 10400 0 0 0 140678 0 0 0 Diane Marie Starkey Senior Manager IT 134616 0 23768 0 56421 0 30294 0 13539 0 258638 0 10177 0 Mychael V Ritterhoff Senior Manager IT 130953 0 22776 0 50820 0 28834 0 9188 0 242571 0 9068 0 Margaret Ann Wilson Senior Manager IT 143856 0 23667 0 31117 0 28198 0 8285 0 235123 0 9730 0 Sonya Melea Barge Senior Manager Underwriting 100140 0 21822 0 71605 0 20057 0 19369 0 232993 0 0 0 Alan J Cullen Senior Manager IT 129986 0 21800 0 41531 0 27073 0 9164 0 229554 0 9116 0 Schedule J, Part I, Line 4 Schedule J, Part I, Line 4a: Sonya Melea Barge $59,943----------Schedule J, Part I, Line 4b: Richard J Gergasko $51,997; Leonard Randall Johnson $37,577; Steven E Math $28,161; Brenda J Ward $31,330; Lynette T Caldwell $26,603; Benjamin Joel Turner $26,633; Kim Haugaard $24,354; David W John $24,959; James R Kohloff $19,065; Jo Betsy Norton $17,272; Phoebe Alexis Samuel Tinney $17,821; Timothy Patrick Riley $19,665; Martin J Leifker $15,929; Jeffrey Paul Lentz $23,385; Woody Lee Hill $13,064; Billy A Jackson $12,694; Barbara Joann Drollinger $12,694; Edward M Coates $9,058; Shannon Simmons Pounds $11,701; Curtis Wall Johnson $10,497; Erica Mae Sanchez $15,258; Beverly Yvonne Harris $4,170; Lawrence B Martin $5,949; Diane Marie Starkey $9,133; Mychael V Ritterhoff $8,704; Margaret Ann Wilson $9,002; Sonya Melea Barge $4,433; Alan J Cullen $8,385 Form 990, Part VI, Section A, Line 7a The company was established by Texas statute. The company has a nine-member Board of Directors consisting of Texas business employers. Five members, including the chair, are appointed by the Governor of Texas and confirmed by the Senate. The remaining four Board members are elected by the policyholders. Form 990, Part VI, Section A, Line 7b Legislation prohibits the appointment or election of any person who has potential conflict of interest because of other involvement in the insurance industry. Form 990, Part VI, Section B, Line 11b The 990 Tax Return is completed by an accountant in the Financial Reporting department using workpapers and verification to the Company's Annual Statement and Audited Statutory Annual Report. The return is reviewed by management prior to filling the return. Form 990, Part VI, Section B, Line 12c The Company's Conflict of Interest Policy is reviewed annually. The policy is distributed to all employees via a yearly Publications email. All employees are required to acknowledge receipt by providing an electronic signature. Form 990, Part VI, Section B, Line 15 An annual compensation review is performed by the Company's Human Resources Department for all benchmark positions, including executive positions. The Board of Directors reviews and approves the compensation package for the President and General Auditor. The President or his designee approves the pay for all other employees. Form 990, Part VI, Section C, Line 19 All external requests for organizational information can be obtained through written requests. Additionally, certain financial information is available on the Company's website. Form 990, Part XI, Line 9 Change in non-admitted assets ($4,482,014); change in provision for reinsurance ($3,117,275); elimination of post retirement medical plan $3,468,919 2016 tax return requires information from Form 990-T. The due date for Form 990-T is November 15, 2017. Form 990 extension was filed and approved.