BETA

MINNESOTA WORKERS COMPENSATION INSURERS ASSOCIATION INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MINNESOTA WORKERS COMPENSATION INSURERS ASSOCIATION INC (EIN 41-0417040)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-07-28
IRS object ID
201722099349300402
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-07-28T07:14:37-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN411489071PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SMITH SCHAFER & ASSOCIATES LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17500 HIGHWAY 55 SUITE 350AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55427ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN410417040EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MINNESOTA WORKERS COMPENSATIONBusinessNameLine1Txt
Business Name Line2INSURERS ASSOCIATION INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMINNBusinessNameControlTxt
Phone9528971737PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17701 FRANCE AVENUE SOUTH NO 450AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55435ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRANDON MILLERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9528971737PhoneNum
Signature2017-07-17SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGARY J TURNQUIST CPAPreparerPersonNm
PTINP00051420PTIN
Phone9529201455PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.179.106.126IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-07-17IPDt
IP Tm15:27:18IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id138B7FF938AB1A349C06612BAE914403F8392C97AtSubmissionCreationDeviceId
At Submission Filing Device IdB0544590A432A102709DADD78B1B978718177E7BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRANDON MILLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17701 FRANCE AVE S STE 450AddressLine1Txt
CityEDINACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55435ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,587,032GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.MWCIA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO PROVIDE TO ITS MEMBERS SERVICES AND INFORMATION REQUIRED UNDER PROVISIONS OF MN STATUTES.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee49TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$7,873,525PYProgramServiceRevenueAmt
CY Program Service Revenue$7,505,731CYProgramServiceRevenueAmt
PY Investment Income$131,286PYInvestmentIncomeAmt
CY Investment Income$81,301CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$8,004,811PYTotalRevenueAmt
CY Total Revenue$7,587,032CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,778,521PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,870,768CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,417,230PYOtherExpensesAmt
CY Other Expenses$2,535,461CYOtherExpensesAmt
PY Total Expenses$7,195,751PYTotalExpensesAmt
CY Total Expenses$7,406,229CYTotalExpensesAmt
PY Revenues Less Expenses$809,060PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$180,803CYRevenuesLessExpensesAmt
Total Assets BOY$5,558,108TotalAssetsBOYAmt
Total Assets EOY$6,174,836TotalAssetsEOYAmt
Total Liabilities BOY$5,451,258TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,085,197TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$106,850NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$89,639NetAssetsOrFundBalancesEOYAmt
MissionTHE MINNESOTA WORKERS' COMPENSATION INSURERS ASSOCIATION, INC. IS A NOT-FOR-PROFIT CORPORATION FORMED TO PROVIDE TO ITS MEMBERS THOSE ACTIVITIES WHICH ARE REQUIRED AND PERMITTED OF A DATA SERVICE ORGANIZATION UNDER THE PROVISIONS OF MINNESOTA STATUTES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,572,669ExpenseAmt
Revenue$7,444,634RevenueAmt
DescPROVIDE SERVICES TO INSURANCE COMPANIES LICENSED TO WRITE WORKERS' COMPENSATION INSURANCE IN MINNESOTA TO ENABLE THEM TO COMPLY WITH STATUTORY REQUIREMENTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$78,309ExpenseAmt
Revenue$61,098RevenueAmt
DescCOVER CLAIMS FOR INSURANCE COMPANIES THAT WENT INSOLVENT PRIOR TO 1983.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$4,650,978TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee49EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LEANN HAYESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9528971737PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17701 FRANCE AVE SOUTH 450AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55435ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KEITH KRUEGER
BOARD MEMBER0.50Yes (X)$0$0$0
IRA FEUERLICHT
BOARD MEMBER0.50Yes (X)$0$0$0
PAUL LARSON
BOARD MEMBER0.50Yes (X)$0$0$0
TARA SITES
BOARD MEMBER0.50Yes (X)$0$0$0
GARY THADEN
BOARD MEMBER0.50Yes (X)$0$0$0
BARRY PRESLASKI
BOARD MEMBER0.50Yes (X)$0$0$0
WES MATTSFIELD
BOARD MEMBER0.50Yes (X)$0$0$0
BRIAN BENT
BOARD MEMBER0.50Yes (X)$0$0$0
CHRIS WESTERMEYER
BOARD MEMBER0.50Yes (X)$0$0$0
KEVIN CHRISTY
BOARD MEMBER0.50Yes (X)$0$0$0
KEVIN GREGERSON
BOARD MEMBER0.50Yes (X)$0$0$0
MATT REZAC
BOARD MEMBER0.50Yes (X)$0$0$0
BRANDON MILLER
PRESIDENT40.00$168,940$0$33,107Yes (X)
CRAIG A ANDERSON
VP - ACTUARIAL40.00$137,145$0$40,005Yes (X)
KATHLEEN PETERSON
SR. VP - OPERATIONS/TREASU40.00$141,006$0$42,596Yes (X)
SUSAN R LEVEY
VP - INFORMATION TECHNOLOG40.00$124,004$0$38,426Yes (X)
PAMELA FLATEN
DATA REPORTING MANAGER40.00$108,654$0$30,510Yes (X)
THOMAS GOODRICH
SR. PROGRAM ANALYST40.00$106,808$0$35,968Yes (X)
MUHAMMAD KASHIF
TECHNICAL PROJECT LEAD40.00$111,753$0$28,618Yes (X)
PATRICK RILEY
SR. NETWORK ADMINISTRATOR40.00$102,095$0$30,768Yes (X)
THOMAS HARMS
DEFERRED COMPENSATION0.00$149,190$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,149,595TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$279,998TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SPECTRUM PARTNERS LLC
7701 FRANCE AVENUE SOUTH SUITE 450MINNEAPOLISMN55435DATABASE SUPPORT$299,649
DYNAMICVIEW LLC
13808 AUTUMNWOOD AVENUEROSEMOUNTMN55068IT SERVICES$207,260
CDX LLC
30 S 17TH ST 1500PHILADELPHIAPA191034007IT SERVICES$110,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEMBER ASSESSMENTS518210$6,715,532$6,715,532
ASSIGNED RISK SERVICE518210$520,947$520,947
SERVICES & OTHER INC518210$177,714$177,714
U.S.P. FINES518210$85,650$85,650
PAPER PROCESSING FEES518210$5,888$5,888
FieldValueIRS element (for citing)
Total Program Service Revenue$7,505,731TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$81,301TotalRevenueColumnAmt
Exclusion$81,301ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,587,032TotalRevenueColumnAmt
Related Or Exempt Func Income$7,505,731RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$81,301ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$571,094TotalAmt
Program Services$365,888ProgramServicesAmt
Management And General$205,206ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,554,472TotalAmt
Program Services$1,636,595ProgramServicesAmt
Management And General$917,877ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$895,798TotalAmt
Program Services$573,918ProgramServicesAmt
Management And General$321,880ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$604,839TotalAmt
Program Services$387,507ProgramServicesAmt
Management And General$217,332ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$244,565TotalAmt
Program Services$156,688ProgramServicesAmt
Management And General$87,877ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$159,627TotalAmt
Program Services$15,962ProgramServicesAmt
Management And General$143,665ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$37,758TotalAmt
Program Services$3,775ProgramServicesAmt
Management And General$33,983ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,579TotalAmt
Program Services$8,290ProgramServicesAmt
Management And General$8,289ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$170,627TotalAmt
Program Services$85,517ProgramServicesAmt
Management And General$85,110ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,002,950TotalAmt
Program Services$575,949ProgramServicesAmt
Management And General$427,001ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$522,448TotalAmt
Program Services$339,534ProgramServicesAmt
Management And General$182,914ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$86,371TotalAmt
Program Services$26,371ProgramServicesAmt
Management And General$60,000ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RESEARCH IST. DATA COLL$195,000$195,000
RATEMAKING CONSULTING$119,771$119,771
PUBLIC AFFAIRS$81,536$50,405$31,131
CLAIMS OF COMPANIES INS$78,309$78,309

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$64,485TotalAmt
Program Services$31,499ProgramServicesAmt
Management And General$32,986ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,406,229TotalAmt
Program Services$4,650,978ProgramServicesAmt
Management And General$2,755,251ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,135,815BOYAmt
EOY$3,370,060EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,768BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,420,525BOYAmt
EOY$2,804,776EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,558,108BOYAmt
EOY$6,174,836EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,451,258BOYAmt
EOY$6,085,197EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,451,258BOYAmt
EOY$6,085,197EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$106,850BOYAmt
EOY$89,639EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$106,850BOYAmt
EOY$89,639EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,558,108BOYAmt
EOY$6,174,836EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$180,803ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$195,793NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$393,807OtherChangesInNetAssetsAmt
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
MEMBER CASH RESERVE ASSESS PAYABLE$3,483,529
MEMBER ASSESS REAPPORTION PAYABLE$393,807
DEFERRED COMPENSATION OBLIGATION$1,207,861
ADVANCES FROM MEMBERS$1,000,000
FieldValueIRS element (for citing)
Total Liability$6,085,197TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$7,721,728TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$195,793NetUnrealizedGainsInvstAmt
Revenue Not Reported$195,793RevenueNotReportedAmt
Revenue Subtotal$7,525,935RevenueSubtotalAmt
Other Revenues Not Included$61,097OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$61,097RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,587,032TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,327,921TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$7,327,921ExpensesSubtotalAmt
Other Expenses Not Included$78,309OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$78,309ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,406,230TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 4B - OTHER ADJUSTMENTS:REVENUE RELATED TO INSOLVENT FUND 61,097.
PART XII, LINE 4B - OTHER ADJUSTMENTS:EXPENSES RELATED TO INSOLVENT FUND 78,309.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRANDON MILLER
PRESIDENT$168,940$0$0$0$0$0$31,958$0$1,149$0$202,047$0$0$0
CRAIG A ANDERSON
VP - ACTUARIAL$137,145$0$0$0$0$0$26,578$0$13,427$0$177,150$0$0$0
KATHLEEN PETERSON
SR. VP - OPERATIONS/TREASU$141,006$0$0$0$0$0$27,327$0$15,269$0$183,602$0$0$0
SUSAN R LEVEY
VP - INFORMATION TECHNOLOG$124,004$0$0$0$0$0$23,157$0$15,269$0$162,430$0$0$0
THOMAS HARMS
DEFERRED COMPENSATION$0$0$0$0$149,190$0$0$0$0$0$149,190$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4AFormAndLineReferenceDesc
ExplanationTHOMAS HARMS RECEIVED DEFERRED COMPENSATION PAYMENTS TOTALING $149,190.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6ANY ENTITY THAT IS LICENSED THROUGH MN DEPARTMENT OF COMMERCE TO WRITE WORKERS COMPENSATION INSURANCE HAS TO BE A MEMBER OF A DATA SERVICE ORGANIZATION, MWCIA THE ONLY DSO IN THE STATE OF MINNESOTA.
FORM 990, PART VI, SECTION A, LINE 7AGUIDED BY A BOARD OF TWELVE MEMBERS, MWCIA HAS TEN COMPANY MEMBERS AND TWO PUBLIC MEMBERS APPOINTED BY THE MINNESOTA DEPARTMENT OF COMMERCE
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THIS FORM 990 IS TRANSMITTED TO THE BUDGET AND INVESTMENT COMMITTEE MEMBERS FOR REVIEW. ONCE APPROVED BY THE COMMITTEE THE DRAFT IS THEN REVIEWED BY ALL BOARD MEMBERS WHO THEN VOTE TO APPROVE SUBMISSION OF THE FORM 990 TO ASSURE FULL AND ACCURATE DISCLOSURE TO THE IRS AND MAKE CERTAIN THE BOARD IS FULLY AWARE OF THE ITS CONTENTS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL PROCRESS OF REQUIRING EMPLOYEES AND BOARD MEMBERS TO REVIEW THE POLICY, AND SIGN AN ACKNOWLEDGEMENT STATING THEIR COMPLIANCE WITH THE POLICY. THE POLICY REQUIRES BOARD MEMBERS TO DISCLOSE POTENTIAL CONFLICT OF INTEREST RELATIONSHIPS THAT ARISE IN THE ORDINARY COURSE OF THE ORGANIZATION'S BUSINESS. IF CONFLICTS ARE IDENTIFIED, THE PRESIDENT AND SENIOR VICE PRESIDENT OF OPERATIONS, IN CONSULTATION WITH THE CHAIR OF THE BOARD OF DIRECTORS, ARE RESPONSIBLE TO MANAGE THE RELATIONSHIPS TO ENSURE THAT FINANCIAL DECISIONS ARE MADE WITH INDEPENDENCE. IN THE CUURENT YEAR, ONE BOARD MEMBER ALSO PROVIDES WORKERS' COMPENSATION INSURANCE TO ASSOCIATION AND ONE PUBLIC MEMBER PURCHASES DATA FROM THE ASSOCIATION.
FORM 990, PART VI, SECTION B, LINE 15PRESIDENT SALARY IS SET BY EXECUTIVE COMMITTEE (BOARD OF DIRECTORS). ALL OTHER EMPLOYEES INCLUDING KEY EMPLOYEES ARE SET BY MANAGEMENT. A SALARY REVIEW PROGRAM HAS BEEN ESTABLISHED BY AN INDEPENDENT CONSULTING FIRM AND IS CONSISTENTLY REVIEWED TO ENSURE WAGES ARE COMPETITIVE AND FAIR.
FORM 990, PART VI, SECTION C, LINE 19THE ARTICLES OF INCORPORATION AND BYLAWS ARE POSTED ON THE ORGANIZATIONS WEBSITE. FINANCIAL INFORMATION IS INCLUDED IN SUMMARY FORM IN THE ANNUAL REPORT WHICH IS ALSO POSTED ON THE WEBSITE. OTHER INFORMATION, SUCH AS THE CONFLICT OF INTEREST POLICY IS AMADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:MEMBERSHIP REAPPORTIONMENT ASSESSMENT ADJUSTMENT -393,807.

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