2017-07-11T16:47:18-04:00 2016-12-31 020365196 MASON & RICH PA 6 BICENTENNIAL SQ CONCORD NH 033014058 990 2016-01-01 020499340 NEW HAMPSHIRE INDIVIDUAL HEALTH PLAN BENEFIT ASSOCIATION NEWH 6032277265 1 PILLSBURY ST RM/STE 200 CONCORD NH 03301 BETH ROBERTS CHAIR 6032256633 2017-06-27 true ANDREW J LUCE CPA P01069925 6032242000 2017-06-27 9C31914D14227F922A304343564BDD21D837880E 70EE9FC9D5C7DA83CBDE0F4D4A27F11D023ADF74 2016 2021-01-29 14:40:06Z BETH ROBERTS 93 WORCESTER STREET WELLESLEY MA 02481 4311222 false X WWW.NHHEALTHPLAN.ORG X 2001 NH THE ORGANIZATION WAS ESTABLISHED BY STATE STATUTE TO FACILITATE THE AVAILABILITY OF, AND PROVIDE ACCESS TO, AFFORDABLE INDIVIDUAL HEALTH INSURANCE THROUGH A) THE SUBSIDIZATION OF CARRIERS FOR CERTAIN CLAIMS EXPERIENCED IN THE INDIVIDUAL HEALTH INSURANCE MARKET, AND B) THE PROVISION OF INDIVIDUAL HEALTH INSURANCE TO NH RESIDENTS DECLINED OR UNABLE TO OBTAIN COVERAGE IN THE COMMERCIAL MARKET. 9 9 0 10 0 4407688 658974 174053 41612 8078 4636 0 4589819 705222 0 0 0 0 0 4602454 839162 4602454 839162 -12635 -133940 3463026 2703836 658060 32810 2804966 2671026 X THE ORGANIZATION WAS ESTABLISHED BY STATE STATUTE TO FACILITATE THE AVAILABILITY OF, AND PROVIDE ACCESS TO, AFFORDABLE INDIVIDUAL HEALTH INSURANCE THROUGH A) THE SUBSIDIZATION OF CARRIERS FOR CERTAIN CLAIMS EXPERIENCED IN THE INDIVIDUAL HEALTH INSURANCE MARKET, AND B) THE PROVISION OF INDIVIDUAL HEALTH INSURANCE TO NH RESIDENTS DECLINED OR UNABLE TO OBTAIN COVERAGE IN THE COMMERCIAL MARKET. false true 839162 700586 THE ORGANIZATION IS A STATE HIGH RISK POOL ESTABLISHED BY STATE STATUTE TO FACILITATE THE AVAILABILITY OF, AND THE PROVISION OF ACCESS TO, AFFORDABLE INDIVIDUAL HEALTH INSURANCE BY: A) PROVIDING SUBSIDIZATION TO CARRIERS EXPERIENCING CATASTROPHIC CLAIMS IN THE INDIVIDUAL HEALTH INSURANCE MARKET OR LOSSES FROM PROVIDING INDIVIDUAL HEALTH COVERAGE TO RESIDENTS UNDER 19 YEARS OF AGE, AND B) PROVIDING COMPREHENSIVE HEALTH INSURANCE BENEFIT OPTIONS TO NEW HAMPSHIRE RESIDENTS WHO ARE DECLINED COVERAGE THROUGH THE PRIVATE MARKET, HAVE A PRE-QUALIFYING CONDITION OR ARE OTHERWISE INELIGIBLE. AS FURTHER OUTLINED IN SCHEDULE O, THE ORGANIZATION HAS BEEN THE RECIPIENT OF THREE SIGNIFICANT FEDERAL CONSUMER ASSISTANCE GRANTS TO PROVIDE EDUCATIONAL AND ENROLLMENT ASSISTANCE (CONTINUED ON SCHEDULE O) ..(THIS IS A CONTINUATION FROM PART III, LINE 4A) TO NEW HAMPSHIRE RESIDENTS EVALUATING COVERAGE THROUGH THE NEW HAMPSHIRE INDIVIDUAL HEALTH INSURANCE MARKETPLACE ESTABLISHED UNDER THE AFFORDABLE CARE ACT. THESE ACTIVITIES ALSO FACILITATED THE TRANSITION OF THE ENROLLEES IN THE STATE HIGH RISK POOL TO THE NEW INDIVIDUAL HEALTH INSURANCE MARKETPLACE. 839162 false true 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 false false false false false true false false false false false false false false true 0 0 true 0 false false false false false false false false false false false false X 9 9 false true false false false false false true true false false true true true true true true false false false X X J MICHAEL DEGNAN 6032256633 1 PILLSBURY ST CONCORD NH 03301 X DAVID M ELLIS VICE-CHAIR 1.00 X X 0 0 0 LISA GUERTIN DIRECTOR 1.00 X 0 0 0 BRUCE P KING TREASURER/CO 1.00 X X 0 0 0 MARK MCCUE ASST SECRETA 1.00 X 0 0 0 MARTHA MCLEOD SECRETARY 1.00 X X 0 0 0 BRANDY MILLEN DIRECTOR 1.00 X 0 0 0 DOMENIC PAMIERI DIRECTOR 1.00 X 0 0 0 BETH ROBERTS CHAIR 1.00 X X 0 0 0 DAVID SKY DIRECTOR - N 1.00 X 0 0 0 DAVID TRUDO DIRECTOR 1.00 X 0 0 0 false false false LOUIS KARNO & COMPANY LLC 31 WARREN STREET CONCORD NH 03301 PROGRAM SERVICE 293770 PUBLIC CONSULTING GROUP 148 STATE STREET BOSTON MA 02109 GRANT ADMIN 255867 HELMS COMPANY 1 PILLSURY STREET SUITE 200 CONCORD NH 03301 MANAGEMENT SERV 158941 3 658974 658974 PREMIUM REFUNDS 41612 41612 41612 4636 4636 3606000 3606000 705222 41612 4636 X 158941 55186 21689 343406 1050 1510 1000 787 9150 OUTREACH - CAG 206230 IN-PERSON ASSISTORS 40091 BANK CHARGES 122 839162 0 0 0 503148 350767 2333916 2343818 592814 6174 7940 26974 1311 3463026 2703836 658060 32810 658060 32810 X 2804966 2671026 2804966 2671026 3463026 2703836 X -133940 X false true X true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 706751 1529 1529 705222 705222 2583426 1744264 1744264 839162 839162 SCHEDULE D, PAGE 4, PART XI, LINE 2D OTHER SUPPORT EARNED AFTER 9/30/16 1,529 SCHEDULE D, PAGE 4, PART XII, LINE 2D OTHER DEDUCTIONS INCURRED AFTER 9/30/16 1,744,264 SEE STATEMENT BELOW - SUPPLEMENTAL false SCHEDULE L, PART V PART IV QUESTION 28 & SCH L THE ORGANIZATION IS BY STATUTE DESIGNED TO HAVE REPRESENTATIVES OF INSURANCE COMPANIES, HOSPITALS AND OTHER RELATED PARTIES. THEREFORE, THERE ARE TRANSACTIONS AMONG THE COMPANIES FOR WHICH THE BOARD MEMBERS WORK. PART VI(A)LINE 2 THE ORGANIZATION IS BY STATUTE DESIGNED TO HAVE REPRESENTATIVES OF INSURANCE COMPANIES, HOSPITALS AND OTHER RELATED PARTIES. THEREFORE, THERE ARE TRANSACTIONS AMONG THE COMPANIES FOR WHICH THE BOARD MEMBERS WORK. FORM 990 - ORGANIZATION'S MISSION THE ORGANIZATION WAS ESTABLISHED BY STATE STATUTE TO FACILITATE THE AVAILABILITY OF, AND PROVIDE ACCESS TO, AFFORDABLE INDIVIDUAL HEALTH INSURANCE THROUGH A) THE SUBSIDIZATION OF CARRIERS FOR CERTAIN CLAIMS EXPERIENCED IN THE INDIVIDUAL HEALTH INSURANCE MARKET, AND B) THE PROVISION OF INDIVIDUAL HEALTH INSURANCE TO NH RESIDENTS DECLINED OR UNABLE TO OBTAIN COVERAGE IN THE COMMERCIAL MARKET. FORM 990 THE NEW HAMPSHIRE INDIVIDUAL HEALTH PLAN'S HIGH RISK POOL TERMINATED ITS COVERAGE EFFECTIVE JUNE 30, 2014 AND PAID ALL CLAIMS WHICH WERE INCURRED BEFORE THE TERMINATION DATE UP TO THE CLAIMS SUBMISSION DEADLINE OF JUNE 30, 2015. ADDITIONALLY, FINAL SUBSIDY MECHANISM PAYMENTS WERE MADE IN 2014 AND NO PAYMENTS WERE REQUIRED IN 2015. THERE WERE NO ASSESSMENTS AGAINST ASSOCIATION MEMBERS IN 2015 BECAUSE IT WAS DETERMINED THAT THERE WERE ENOUGH CASH RESERVES TO COVER THE REMAINING CLAIMS AND COSTS REQUIRED TO CONTINUE OPERATIONS UNTIL PROGRAM ACTIVITIES ENDED IN 2016. IN ITS 2016 SESSION, THE NEW HAMPSHIRE LEGISLATURE PASSED A LAW, KNOWN AS HOUSE BILL 1696 (HB 1696), WHICH WAS SIGNED BY THE GOVERNOR. HB 1696 AMENDED VARIOUS EXISTING STATUTES, INCLUDING RSA 404-G (THE "2016 STATUTORY AMENDMENTS"). THE 2016 STATUTORY AMENDMENTS ESSENTIALLY REQUIRE NEW HAMPSHIRE INDIVIDUAL HEALTH PLAN BENEFIT ASSOCIATION (THE ASSOCIATION) TO CONTINUE IN EXISTENCE FOR THE SOLE AND LIMITED PURPOSE OF COLLECTING ASSESSMENTS ON BEHALF OF THE STATE OF NEW HAMPSHIRE IN SUPPORT OF THE NEW HAMPSHIRE MARKETPLACE PREMIUM ASSISTANCE PROGRAM ESTABLISHED UNDER NEW HAMPSHIRE RSA 126-A:5(XXV). THE STATUTORY AMENDMENT TOOK EFFECT ON 10/1/2016 AND AS A RESULT, EXEMPTED THE ASSOCIATION FROM FILING THEREAFTER. THE ASSOCIATION WAS A NOT-FOR-PROFIT CORPORATION AND HAD BEEN RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX PURSUANT TO SECTION 501(C)(26) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (THE "CODE"). HOWEVER, DURING 2016 THE STATE OF NEW HAMPSHIRE PASSED LEGISLATION THAT REQUIRED THE ASSOCIATION TO CONTINUE TO OPERATE FOR THE SOLE LIMITED PURPOSE OF COLLECTING ASSESSMENTS ON BEHALF OF THE STATE OF NEW HAMPSHIRE. THEREFORE, EFFECTIVE OCTOBER 1, 2016, THE ASSOCIATION BECAME EXEMPT UNDER INCOME OF STATES, MUNICIPALITIES, TITLE 26, SECTION 115 AND WAS NO LONGER OPERATING AS A SEC 501(C)26 ENTITY AT SEPTEMBER 30, 2016. ACTIVITY AND AMOUNTS REPORTED IN THIS RETURN INCLUDE ONLY ACTIVITY THROUGH SEPTEMBER 30, 2016. A FINAL ANNUAL RETURN, FORM 990 FOR THE ASSOCIATION'S YEAR 2016 WAS DEEMED INAPPROPRIATE AS THE ASSOCIATION WILL RETAIN AND USE ITS EMPLOYER IDENTIFICATION NUMBER (EIN) GOING FORWARD. A SHORT ANNUAL RETURN WAS DEEMED INAPPROPRIATE AS THE ASSOCIATION DID NOT CHANGE ITS FISCAL YEAR END. NET ASSETS AS OF SEPBEMBER 30, 2016 TOTAL 2,671,026 WERE RETAINED BY NEW HAMPSHIRE INDIVIDUAL HEALTH PLAN BENEFIT ASSOCIATION (THE ASSOCIATION) AND WILL BE USED TO SUPPORT THE NEW HAMPSHIRE MARKETPLACE ASSISTANCE PROGRAM AS OUTLINED UNDER THE 2016 STATUTORY AMENDMENTS. FORM 990, PAGE 1, PART I, LINE 6 VOLUNTEERS ARE ON THE BOARD OF DIRECTORS AND PERFORM EXECUTIVE DUTIES. FORM 990, PAGE 2, PART III, LINE 3 ON SEPTEMBER 30, 2013, THE ORGANIZATION WAS AWARDED A GRANT FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, CENTERS FOR MEDICARE AND MEDICAID SERVICES, TO EDUCATE INSURANCE CONSUMERS IN NEW HAMPSHIRE AND PROVIDE THEM WITH ASSISTANCE IN ASSESSING THE BENEFITS AVAILABLE UNDER, AND ENROLLING IN, THE NEW HAMPSHIRE INDIVIDUAL HEALTH BENEFITS MARKETPLACE ESTABLISHED UNDER THE AFFORDABLE CARE ACT. EFFECTIVE MAY 2, 2014, THE ORGANIZATION WAS AWARDED A SIMILAR SECOND GRANT OF 3,218,753 AND ON DECEMBER 17, 2014 THE ORGANIZATION WAS AWARDED A SIMILAR THIRD GRANT OF 3,385,882 TO CONTINUE SUPPORTING THE ESTABLISHMENT OF THE AFFORDABLE CARE ACT THROUGH 2015. IN NOVEMBER 2015, THE ORGANIZATION RECEIVED APPROVAL TO EXTEND UTILIZATION OF SOME OF THE THIRD GRANT PROCEEDS TO JUNE 30, 2016. THE ORGANIZATION CONCLUDED ITS THIRD GRANT ACTIVITY BY SEPTEMBER 30, 2016. FORM 990, PAGE 2, PART III, LINE 4A ..(THIS IS A CONTINUATION FROM PART III, LINE 4A) TO NEW HAMPSHIRE RESIDENTS EVALUATING COVERAGE THROUGH THE NEW HAMPSHIRE INDIVIDUAL HEALTH INSURANCE MARKETPLACE ESTABLISHED UNDER THE AFFORDABLE CARE ACT. THESE ACTIVITIES ALSO FACILITATED THE TRANSITION OF THE ENROLLEES IN THE STATE HIGH RISK POOL TO THE NEW INDIVIDUAL HEALTH INSURANCE MARKETPLACE. FORM 990, PAGE 6, PART VI, LINE 3 THE ORGANIZATION HIRES A MANAGEMENT COMPANY TO RUN ALL OF THE PROGRAMS IN THE HEALTH PLAN. THE BOARD OF DIRECTORS OVERSEES THE OPERATIONS OF THE MANAGEMENT COMPANY. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PRESENTED TO THE FINANCE COMMITTEE BEFORE IT IS FILED. THE FINANCE COMMITTEE REVIEWS THE RETURN FOR ACCURACY AND REPORTS ITS FINDINGS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS APPROVES THE 990 BEFORE IT IS FILED. FORM 990, PAGE 6, PART VI, LINE 12C THE CONFLICT OF INTEREST POLICY IS PART OF THE ETHICS POLICY WHICH REQUIRES THE ORGANIZATION TO PERFORM AN ANNUAL UPDATE AND DISCLOSURE. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE HELD IN CARE OF HELMS & CO., CONCORD, NH AND ARE AVAILABLE UPON REQUEST. FORM 990 IS AVAILABLE ON NHHP WEBSITE. FORM 990, PART IX, LINE 11G ADMIN - CAG GRANT 343,406 0 0 FORM 990, PART XI, LINE 9 OTHER SUPPORT EARNED AFTER 9/30/16 1,529 OTHER DEDUCTIONS INCURRED AFTER 9/30/16 -1,744,264 TOTAL -1,742,735 THE FIGURES REPORTED ON THE STATEMENT OF REVENUE (PART VIII), THE STATEMENT OF EXPENSES (PART IX), AND THE BALANCE SHEET (PART X) ARE THE FIGURES AS OF AND FOR THE PERIOD ENDING 9/30/16. THE ORGANIZATION HAD THEIR FINANCIAL STATEMENTS AUDITED AS OF AND FOR THE YEAR ENDING 12/31/16. THE ORGANIZATION DID NOT INCLUDE ACTIVITY ON THE 990 FROM 10/1/16 THROUGH 12/31/16 FOR REASONS DISCLOSED THROUGHOUT SCHEDULE O. AS A RESULT, THE ORGANIZATION PREPARED THE RECONCILIATION ON SCHEDULE D (PARTS XI, XII, AND XIII) TO REPORT THE DIFFERENCES BETWEEN THE TAX RETURN AND AUDITED FINANCIAL STATEMENTS, HOWEVER, THOSE DIFFERENCES HAVE NO IMPACT ON THE NET ASSETS REPORTED ON THE 990.