2017-11-14T11:02:11-06:00 2016-12-31 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2016-01-01 440545275 GOVERNMENT EMPLOYEES HEALTH ASSOCIATION INC % SARAH OSBORNE GOVE 8162575500 310 NE MULBERRY LEES SUMMIT MO 640865861 SARAH OSBORNE VP CHIEF ACTUARY,CFO 8162575500 2017-11-15 true Michael J Engle P00482834 8162216300 167.68.126.162 43372220173185000003 2017-11-14 P 4D02266371F55FDDA6DABD55B95E59043C5383CF 355CC2E4B6E27E32DAADC48E1CA8D97843AD7DA8 2016 2017-02-10 21:41:12Z JULIE BROWNE 310 NE MULBERRY LEES SUMMIT MO 640865861 3898784459 false X WWW.GEHA.COM X 1939 MO PROVIDE COVERAGE TO FEDERAL EMPLOYEES AND ANNUITANTS PURSUANT TO THE FEDERAL EMPLOYEES HEALTH BENEFIT ACT OF 1959, AS AMENDED, AND REGULATIONS ISSUED THEREUNDER. 10 9 1450 0 13057683 183763 0 0 3451068498 3524566300 17397249 14341011 176292 174559 3468642039 3539081870 510223 474244 3176915626 3247234255 103590310 111266428 0 0 0 148294482 155080567 3429310641 3514055494 39331398 25026376 1548721086 1775693772 880205648 1064778503 668515438 710915269 X GEHA PROVIDES PRODUCTS AND SERVICES THAT HELP MEMBERS PROTECT THEIR FAMILIES AND ACCESS QUALITY, AFFORDABLE HEALTH CARE. false true PROVIDE MEDICAL AND DENTAL COVERAGE TO APPROXIMATELY 1,632,000 FEDERAL EMPLOYEES AND ANNUITANTS AND THEIR DEPENDENTS PURSUANT TO THE FEDERAL EMPLOYEES HEALTH BENEFIT ACT OF 1959 (FEHBP), AS AMENDED, THE FEDERAL EMPLOYEES DENTAL AND VISION INSURANCE PROGRAM AND OTHER HEALTH AND DENTAL PROGRAMS. false false false false false false false false false true false false false true false false true false false false false false false false false false true false true false false false true true false false false false false false true true true false true 92173 0 true 1450 true true true false false false false false false false X 10 9 true false false false true true true true true false false true true true true true true true true false X SARAH OSBORNE 8162575500 310 NE MULBERRY LEES SUMMIT MO 640865861 X WILLIAM H DAWSON DIRECTOR/SECRETARY 9.23 0.0 X X 77000 0 0 EDWARD A ADAMS DIRECTOR 3.0 0.0 X 76000 0 0 PATRICK A MCGUIRE DIRECTOR 6.23 0.0 X 77000 0 0 BARBARA SHEFFIELD DIRECTOR 13.19 0.0 X 76000 0 0 THOMAS THORNBURG DIRECTOR 11.08 0.46 X 77000 0 0 AMY M CARPENTER DIR./BOARD VP/COMMITTEE CHAIR 5.54 0.0 X X 104996 0 0 PHILIP D NICOTRA DIRECTOR/COMMITTEE CHAIR 15.38 0.0 X 87008 0 0 JERRY PHILLIPS DIR./SECRETARY/COMMITTEE CHAIR 11.96 0.0 X X 102391 0 0 MIKE D FORTUNE DIRECTOR 8.31 0.23 X 63800 0 0 JULIE BROWNE DIRECTOR/PRESIDENT 40.0 0.0 X X 482966 0 69378 EILEEN HUTCHINSON VP FINANCE, CFO 40.0 0.0 X 304443 0 56890 ANNETTE GEROY VP CHIEF OPERATING OFFICER 40.0 0.0 X 277495 0 53485 LARRY MCENROE VP GENERAL COUNSEL 40.0 0.0 X 253027 0 44217 DAVID KOENIG VP HEALTH PLAN BUSINESS OPS 40.0 0.0 X 248621 0 47770 CHAD MILLS SR VP TECHNOLOGY & RISK, CIIO 40.0 0.0 X 243853 0 62958 RONALD JACKSON VP EE RELATIONS & ENGAGEMENT 40.0 0.0 X 227503 0 52642 KATHLEEN ROSS VP CLINICAL OPERATIONS, CHO 40.0 0.0 X 219537 0 44171 SUSIE OLIVER SR VP HEALTH SERVICES 40.0 0.0 X 218287 0 58339 KAREN SCHULER VP CHIEF STRATEGY & MARKETING 40.0 0.0 X 212515 0 62233 JOSEPH MURRAY VP GENERAL COUNSEL 40.0 0.0 X 206466 0 15099 SHANNON HORGAN PRES. SURETY INSURANCE & PPO 0.0 40.0 X 201348 0 57171 LISA HODSON VP STRATEGY & GOV'T AFFAIRS 40.0 0.0 X 197746 0 58759 SHERRY GIBBS VP CUSTOMER EXPERIENCE & MARKE 40.0 0.0 X 181777 0 10449 SARAH OSBORNE VP CHIEF ACTUARY, CFO 40.0 0.0 X 172243 0 4734 LISA SKEENS VP MEDICAL & DENTAL PRODUCTS 40.0 0.0 X 170364 0 48363 JAMES EBBERTS MEDICAL DIRECTOR 40.0 0.0 X 415760 0 63513 FONDA BAKER DIRECTOR PHARMACY 40.0 0.0 X 254604 0 43319 ANITA HOLDEN DIRECTOR BUSINESS SUPPORT SVCS 40.0 0.0 X 220431 0 38438 HARVEY AMOS MANAGER EMPLOYEE BENEFITS 40.0 0.0 X 210287 0 38940 JEFFREY SEEMAN DIRECTOR BUSINESS DEVELOPMENT 40.0 0.0 X 208502 0 57489 RICHARD G MILES PRESIDENT/CEO(RETIRED 05/2015) 40.0 0.0 X 120000 0 0 5988970 0 988357 98 true true false CVS PHARMACY INC ONE CVS DRIVE WOONSOCKET RI 02895 PBM 516303519 UNITED HEALTHCARE INSURANCE 9900 BREN ROAD EAST MINNETONKA MN 55343 PPO NETWORK 20239395 AETNA LIFE INSURANCE COMPANY 151 FARMINGTON AVE RT21 HARTFORD CT 06156 PPO NETWORK 11534565 CHANGE HEALTHCARE EMDEON 3055 LEBANON PIKE STE 1000 NASHVILLE TN 37214 TECH & CONSULTING 10232966 EYEMED VISION CARE PO BOX 8069 CHICAGO IL 60680 PPO NETWORK 7533302 138 0 MEMBER PREMIUMS 524114 3511755588 3511755588 ADMIN SVC FEE REVENUE 900099 12801061 12801061 OTHER 524298 9651 9651 3524566300 12961466 12879403 82063 0 0 29729 15990 13739 0 13739 13739 361074320 359690687 -4088 1383633 4088 1379545 1379545 0 0 0 0 0 0 0 0 0 GOLF TOURNAMENT REVENUE 900099 160820 160820 160820 3539081870 3526024187 13057683 474244 0 0 3247234255 5306044 151350 71397208 11465681 16955278 5990867 0 676543 306175 0 0 0 21543419 2535500 7532198 17186960 0 1806196 1534469 0 12971 0 0 12422877 716285 MANAGED CARE 72312351 ASA EXPENSE 12801061 ACA FEES 1057608 LICENSES & FEES 1020661 1615293 3514055494 600 400 98180364 107458851 0 0 795609790 977171720 0 0 0 0 5715341 5715341 0 0 4597658 5968811 65503782 31766455 34567992 33737327 571017969 611051275 27233069 29177741 0 0 9488807 2761157 2309496 2651149 1548721086 1775693772 122833262 114998507 0 0 1094852 1193696 0 0 0 0 0 0 0 0 0 0 756277534 948586300 880205648 1064778503 X 668515438 710915269 0 0 0 0 668515438 710915269 1548721086 1775693772 X 25026376 16495512 877943 X false true X true false 8167434 8167434 33807716 14422442 19385274 23499008 17323277 6175731 29624 20736 8888 33737327 0 Special Reserve 521830181 Claim Reserve 412381540 Accrued Postretirement Benefits 14374579 948586300 SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true BOYS & GIRLS CLUB OF GREATER KC 6301 ROCKHILL ROAD KANSAS CITY MO 64131 436072065 501(C)(3) 80000 SUPPORT THE PERSONAL DEVELOPMENT OF BOYS & GIRLS. DREAM FACTORY INC 410 W CHESTNUT ST STE 530 LOUISVILLE KY 40202 431623323 501(C)(3) 6000 HOPE HOUSE INC PO BOX 577 LEES SUMMIT MO 64063 431265685 501(C)(3) 7500 SUPPORT MISSION OF PROVIDING SAFE REFUGE. LEE'S SUMMIT EDUCATIONAL FOUNDATION INC 600 SE MILLER STREET LEES SUMMIT MO 64063 431615117 501(C)(3) 5130 SUPPORT MISSION OF AWARDING GRANTS & SCHOLARSHIPS. RESTORATION HOUSE OF GREATER KC 4041 NE LAKEWOOD WAY STE 260 LEES SUMMIT MO 64064 274837279 501(C)(3) 6000 SUPPORT PROGRAM FOR TRAFFICKING SURVIVORS. SAINT LUKE'S FOUNDATION INC 4225 BALTIMORE AVENUE KANSAS CITY MO 64111 446014699 501(C)(3) 7500 SUPPORT TEACHING, RESEARCH, & CLINICAL PROGRAMS. UNITED WAY OF GREATER KC 801 WEST 47TH STREET KANSAS CITY MO 64112 440545812 501(C)(3) 118252 SUPPORT MISSION TO IMPROVE LIVES. GIRL SCOUTS OF NE KANSAS & NW MISSOURI INC 8383 BLUE PARKWAY DR KANSAS CITY MO 64133 430892926 501(C)(3) 126750 BUILD GIRLS OF COURAGE 8 0 SCHEDULE I, PART I, LINE 2 A COMMITTEE COMPRISED OF THE PRESIDENT/CEO, SR VP HEALTH SERVICES, CHIEF OF STAFF AND THE SR EXECUTIVE ASSISTANT MEET TO REVIEW AND APPROVE GRANT REQUESTS BASED ON CURRENT GIVING, CHARITIES WHERE THERE IS A GEHA EMPLOYEE CONNECTION OR BOARD SERVICE, AND TO EVALUATE NEW OPPORTUNITIES THAT ARE PRESENTED IN THE COMMUNITIES. X X X X true true false JULIE BROWNE DIRECTOR/PRESIDENT 320024 0 149880 0 13062 0 48720 0 20658 0 552344 0 0 0 JAMES EBBERTS MEDICAL DIRECTOR 169282 0 32467 0 214011 0 46986 0 16527 0 479273 0 0 0 FONDA BAKER DIRECTOR PHARMACY 96917 0 18908 0 138779 0 26859 0 16460 0 297923 0 0 0 ANITA HOLDEN DIRECTOR BUSINESS SUPPORT SVCS 56748 0 18976 0 144707 0 29325 0 9113 0 258869 0 0 0 HARVEY AMOS MANAGER EMPLOYEE BENEFITS 78272 0 4796 0 127219 0 21323 0 17617 0 249227 0 0 0 JEFFREY SEEMAN DIRECTOR BUSINESS DEVELOPMENT 119152 0 30547 0 58803 0 38359 0 19130 0 265991 0 0 0 EILEEN HUTCHINSON VP FINANCE, CFO 91761 0 38807 0 173875 0 45375 0 11515 0 361333 0 0 0 ANNETTE GEROY VP CHIEF OPERATING OFFICER 218786 0 55581 0 3128 0 40476 0 13009 0 330980 0 0 0 LARRY MCENROE VP GENERAL COUNSEL 9367 0 0 0 243660 0 26978 0 17239 0 297244 0 0 0 DAVID KOENIG VP HEALTH PLAN BUSINESS OPS 175849 0 37278 0 35494 0 35413 0 12357 0 296391 0 0 0 CHAD MILLS SR VP TECHNOLOGY & RISK, CIIO 187703 0 48274 0 7876 0 42135 0 20823 0 306811 0 0 0 RONALD JACKSON VP EE RELATIONS & ENGAGEMENT 174701 0 44360 0 8442 0 40877 0 11765 0 280145 0 0 0 KATHLEEN ROSS VP CLINICAL OPERATIONS, CHO 176553 0 40530 0 2454 0 38262 0 5909 0 263708 0 0 0 SUSIE OLIVER SR VP HEALTH SERVICES 171557 0 39229 0 7501 0 38536 0 19803 0 276626 0 0 0 KAREN SCHULER VP CHIEF STRATEGY & MARKETING 166409 0 38747 0 7359 0 38247 0 23986 0 274748 0 0 0 JOSEPH MURRAY VP GENERAL COUNSEL 176853 0 19231 0 10382 0 0 0 15099 0 221565 0 0 0 SHANNON HORGAN PRES. SURETY INSURANCE & PPO 162813 0 38187 0 348 0 35842 0 21329 0 258519 0 0 0 LISA HODSON VP STRATEGY & GOV'T AFFAIRS 157355 0 40089 0 302 0 36904 0 21855 0 256505 0 0 0 SHERRY GIBBS VP CUSTOMER EXPERIENCE & MARKE 152170 0 29138 0 469 0 0 0 10449 0 192226 0 0 0 SARAH OSBORNE VP CHIEF ACTUARY, CFO 147581 0 24423 0 239 0 0 0 4734 0 176977 0 0 0 LISA SKEENS VP MEDICAL & DENTAL PRODUCTS 140371 0 29329 0 664 0 30210 0 18153 0 218727 0 0 0 RICHARD G MILES PRESIDENT/CEO(RETIRED 05/2015) 120000 0 0 0 0 120000 0 SCHEDULE J, PART I, LINE 4A IN EARLY 2016, GEHA OFFERED A ONE-TIME VOLUNTARY RETIREMENT INCENTIVE PLAN ("VRIP") FOR ELIGIBLE EMPLOYEES TO RETIRE AND RECEIVE AN INCENTIVE SEVERANCE PAY AND LOWER COST HEALTH CARE BENEFITS. 116 EMPLOYEES ELECTED TO PARTICIPATE IN THE VOLUNTARY RETIREMENT INCENTIVE PLAN. OF THOSE LISTED BELOW EILEEN HUTCHINSON, ANITA HOLDEN, FONDA BAKER, HARVEY AMOS, AND JAMES EBBERTS PARTICIPATED IN THIS PROGRAM. EILEEN HUTCHINSON VRIP SEVERANCE - $135,385 LARRY MCENROE VRIP SEVERANCE - $207,635 ANITA HOLDEN VRIP SEVERANCE - $128,000 FONDA BAKER VRIP SEVERANCE - $128,750 HARVEY AMOS VRIP SEVERANCE - $104,841 JAMES EBBERTS SEVERANCE - $176,885 JEFFREY SEEMAN SEVERANCE - $ 44,850 SCHEDULE J, PART I LINE 4B THE FOLLOWING DIRECTORS PARTICIPATED IN A NONQUALIFED RETIREMENT PLAN, HOWEVER, THERE WERE NO ACCRUALS OR PAYOUTS FROM THE PLAN DURING 2016: EDWARD A. ADAMS PATRICK A. MCGUIRE BARBARA SHEFFIELD THOMAS THORNBURG SEE SCHEDULE L PART V PART IV BUSINESS TRANSACTIONS WITH INTERESTED PERSONS TRANSACTION 1 (A) ROBERT ROSS (B) ROBERT ROSS IS THE SPOUSE OF KATHLEEN ROSS, A KEY EMPLOYEE OF GEHA (C) $31,350 (D) CONSULTING SERVICES (E) NO TRANSACTION 2 (A) RICHARD G. MILES (B) RICHARD G. MILES IS THE FORMER PRESIDENT/CEO OF GEHA THAT RETIRED IN MAY 2015 (C) $120,000 (D) CONSULTING SERVICES (E) NO FORM 990, PART III, LINE 3 GEHA'S ASO CONTRACT WITH THE DEPARTMENT OF HEALTH & HUMAN SERVICES PRE-EXISTING CONDITION INSURANCE PLAN EXPIRED. FORM 990, PART VI, SECTION A, LINE 2 JULIE BROWNE AND SHANNON HORGAN HAVE A BUSINESS RELATIONSHIP. THE BUSINESS RELATIONSHIP IS THEY ARE DIRECTORS OR OFFICERS OF RELATED FOR-PROFIT ENTITIES. FORM 990, PART VI, SECTION A, LINE 6 Membership in the Association shall be open to employees and annuitants of the Federal Government. Such persons may become regular members by (1) making application to join the Association, and (2) enrolling in a health benefit plan sponsored by the Association. Membership shall terminate when a person is no longer enrolled in a health benefit plan sponsored by the Association. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT THE BOARD OF DIRECTORS FROM PERSONS NOMINATED BY THE NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS APPROVE AMENDMENTS TO THE BY-LAWS. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS PRESENTED AND DISTRIBUTED TO THE AUDIT COMMITTEE BY THE INDEPENDENT ACCOUNTING FIRM. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S AUDIT COMMITTEE HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. A FINAL COPY OF THE 990 IS PROVIDED TO BOARD OF DIRECTORS PRIOR TO FINAL FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES AND DIRECTORS RECEIVE ANNUAL CONFLICT OF INTEREST TRAINING AND COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. THE RESULTS ARE REVIEWED BY THE GENERAL COUNSEL. CONFLICTS ARE ADDRESSED ON AN INDIVIDUAL BASIS WITH CONTROLS TO RESTRICT ACCESS BY EMPLOYEES TO SPECIFIC INFORMATION AND DUTIES. FORM 990, PART VI, SECTION B, LINE 15A AND 15B COMPENSATION FOR GEHA PRESIDENT, OFFICERS, AND KEY EMPLOYEES WAS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE IN OCTOBER 2016. HR PROVIDES COMPARABLE MARKET DATA WITH RESPECT TO EACH POSITION PERIODICALLY. DOCUMENTATION IS MAINTAINED WITHIN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A IN EARLY 2016, GEHA OFFERED A ONE-TIME VOLUNTARY RETIREMENT INCENTIVE PLAN FOR ELIGIBLE EMPLOYEES TO RETIRE AND RECEIVE AN INCENTIVE SEVERANCE PAY AND LOWER COST HEALTH CARE BENEFITS. 116 EMPLOYEES ELECTED TO PARTICIPATE IN THE VOLUNTARY RETIREMENT INCENTIVE PLAN. THOSE THAT ARE LISTED IN PART VII AND PARTICIPATED IN THE PLAN ARE DISCLOSED ON SCHEDULE J, PART III. RICHARD G. MILES, FORMER PRESIDENT/CEO, RETIRED IN MAY 2015. THE COMPENSATION HE RECEIVED IN 2016 WAS FOR A CONSULTING AGREEMENT WITH GEHA, THIS AGREEMENT ENDED AS OF DECEMBER 31, 2016 AND WAS NOT FOR HIS PAST SERVICES AS PRESIDENT/CEO. FORM 990, PART XI, LINE 9 INVESTMENT RETURN ON SUBSIDIARIES $ 1,944,672 CHANGE IN POSTRETIREMENT BENEFIT OBLIGATION ($ 1,066,729) -------------- $ 877,943 FORM 990, PART XII, LINE 2C GEHA'S BOARD OF DIRECTORS HAS AN AUDIT SUB-COMMITTEE. THIS COMMITTEE MEETS QUARTERLY WITH THE EXTERNAL AUDITORS. ANNUALLY, THE EXTERNAL AUDITORS PRESENT THE RESULTS OF THE CONSOLIDATED AUDIT TO THE COMMITTEE. UNITED STATES GOVERNMENT 1900 E STREET NW WASHINGTON DC 20415 GOVERNMENT DC GOVERNMENT N/A NA false GEHA HOLDINGS INC 310 NE MULBERRY LEES SUMMIT MO 640865861 454255250 HOLDING COMPANY MO GEHA INC C CORP 353 34975403 1.00000 true PPO USA INC 310 NE MULBERRY LEES SUMMIT MO 640865861 364722027 SUBSIDIARY MO GEHA HLDGSINC C CORP 15738757 9276460 1.00000 true SURETY LIFE INSURANCE COMPANY 310 NE MULBERRY LEES SUMMIT MO 640865861 870198108 SUBSIDIARY NE GEHA HLDGSINC C CORP 525915 432144183 1.00000 true true false false true false false false false false false false true false true true false true false false GEHA HOLDINGS INC A(I) 82063 MID-TERM RATE GEHA HOLDINGS INC A(IV) 29729 COST GEHA HOLDINGS INC D 5715341 COST PPO USA INC L 7920712 COST SURETY LIFE INSURANCE COMPANY L 4861582 COST GEHA HOLDINGSPPO USAINC SURETY LIFE INS CO N 0 SEE PART VII GEHA HOLDINGSPPO USAINC SURETY LIFE INS CO O 0 SEE PART VII PPO USA INC Q 7154938 COST SURETY LIFE INSURANCE COMPANY Q 5645748 COST SCHEDULE R, PART II, LINE 1 THE UNITED STATES GOVERNMENT IS LISTED AS A RELATED ORGANIZATION BECAUSE IT IS THE SPONSORING ORGANIZATION OF THE GOVERNMENT EMPLOYEES HEALTH ASSOCATION UNDER THE FEDERAL EMPLOYEES HEALTH BENEFIT ACT OF 1959. SCHEDULE R, PART V, LINES 2(4) & 2(5) THE AMOUNTS FOR SHARING OF FACILITIES, EQUIPMENT, MAILING LISTS OR OTHER ASSETS AND THE AMOUNTS FOR SHARING OF PAID EMPLOYEES ARE INCLUDED AS PART OF THE PERFORMANCE OF SERVICES AMOUNTS DISCLOSED ABOVE.