2017-09-25T14:54:52-05:00 2016-12-31 521446779 JOHNSON LAMBERT LLP PO BOX 525 BURLINGTON VT 05402 990 2016-01-01 020630294 COLLEGE INSURANCE COMPANY COLL 8028645599 100 BANK STREET SUITE 610 BURLINGTON VT 05402 STEPHEN L GARWOOD TREASURER 3126480914 2017-09-25 1 MATT T GRAVELIN CPA P00962423 8023834800 66.77.128.118 2017-09-25 15:53:21 ED P 28D0B141555FEB4DFF32C358BF5C1CA1AB81B3C7 E92EC12878E6ED9F107DFBFC32DE29E76F0C1F5F 2016 2021-01-29 14:40:06Z STEPHEN L GARWOOD 200 S WACKER DR STE 1000 CHICAGO IL 606063800 45431651 0 X N/A X 2002 VT PROVIDES PROPERTY & CASUALTY INSURANCE TO RELIGIOUS INSTITUTIONS. 24 23 0 26 576035 21785 0 0 23664933 22660667 1312861 1378298 0 0 24977794 24038965 0 0 17318668 17860112 0 0 0 0 0 4733117 3866889 22051785 21727001 2926009 2311964 65172382 66844597 41428458 40398694 23743924 26445903 COLLEGE PROVIDES VARIOUS INSURANCE COVERAGE TO EDUCATIONAL & INSTITUTIONAL INSURANCE ADMINISTRATORS, INC. (EIIA), AND ITS PARTICIPATING HIGHER EDUCATION INSTITUTIONS, ROOTED IN A RELIGIOUS TRADITION. 0 0 19809403 22660667 PROPERTY & CASUALTY INSURANCE, STUDENT INSURANCE AND EMPLOYEE BENEFITS INSURANCE. 19809403 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 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 1 0 0 0 1 7 0 1 0 1 1 0 0 0 0 0 0 0 0 0 X 24 23 0 1 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X MARSH MANAGEMENT SERVICES INC 8028645599 100 BANK STREET SUITE 610 BURLINGTON VT 05402 MRS SIRI S GADBOIS PRESIDENT/DIRECTOR 2.00 35.50 X X 0 445196 87885 MR ED PRECOURT SECRETARY/DIRECTOR 0.50 X X 0 0 0 DR DAVID BECKLEY DIRECTOR 0.50 X 0 0 0 MR KENNETH WESTPHAL- TERMED 7116 DIRECTOR 0.50 X 0 0 0 DR JENNIFER BRAATEN- TERMED 7116 DIRECTOR 0.50 X 0 0 0 DR JOHN ROUSH DIRECTOR 0.50 X 0 0 0 MR JEFFERY WOLF DIRECTOR 0.50 X 0 0 0 DR HAROLD WILDE DIRECTOR 0.50 X 0 0 0 DR DANIEL DIBIASIO DIRECTOR 0.50 X 0 0 0 MR DERICK WHITE DIRECTOR 0.50 X 0 0 0 DR MARK WILHEM DIRECTOR 0.50 X 0 0 0 REV DR JAY RUNDELL DIRECTOR 0.50 X 0 0 0 MS MARSHA DENNISTON DIRECTOR 0.50 X 0 0 0 MR JAY LEMONS DIRECTOR 0.50 X 0 0 0 MR ED KANIA DIRECTOR 0.50 X 0 0 0 MR JEFF ARNOLD DIRECTOR 0.50 X 0 0 0 DR MARK BENEDETTO DIRECTOR 0.50 X 0 0 0 MS DEBORAH HALL DIRECTOR 0.50 X 0 0 0 DRWALTER KIMBROUGH DIRECTOR 0.50 X 0 0 0 MR BOB SCHMOLL DIRECTOR 0.50 X 0 0 0 MS KAREN WARD DIRECTOR 0.50 X 0 0 0 DR KENNETH GARREN DIRECTOR 0.50 X 0 0 0 MS JANET HANSON DIRECTOR 0.50 X 0 0 0 DR SANDRA HARPER DIRECTOR 0.50 X 0 0 0 DR JAKE SCHRUM DIRECTOR 0.50 X 0 0 0 MR JEFFREY STRAITS DIRECTOR 0.50 X 0 0 0 MR DONALD J CENCULA JR ASSISTANT TREASURER 2.00 35.50 X X 0 145408 50804 MRS ELAINE MARINO ASSISTANT TREASURER 2.00 35.50 X X 0 120987 46716 MR STEPHEN L GARWOOD TREASURER 2.00 35.50 X 0 319769 76086 MS MARY ELLEN MORIARTY VICE PRESIDENT 2.00 35.50 X 0 278753 51866 MR JOHN ROSKOPF ASSISTANT TREASURER 2.00 35.50 X 0 207412 40339 0 1517525 353696 0 0 1 0 EDUCATIONAL & INSTITUTIONAL INSURANCE AD 200 S WACKER DR STE 1000 CHICAGO IL 60606 ADMINISTRATOR 1470000 MARSH MANAGEMENT SERVICES INC 100 BANK ST STE 610 BURLINGTON VT 05402 CAPTIVE MANAGEMENT & ACTUARY 161312 ASSET ALLOCATION & MANAGEMENT COMPANY L 30 N LASALLE ST STE 3500 CHICAGO IL 606022508 INVESTMENT MANAGER 133215 3 PREMIUMS EARNED 524292 22660667 22084632 576035 22660667 1252367 1252367 21518617 21392686 125931 125931 125931 24038965 22084632 576035 1378298 17860112 17860112 1586700 1586700 8091 8091 42850 42850 147110 147110 86794 86794 12750 12750 20843 20843 COMMISSION EXPENSE 1885439 1885439 PREMIUM TAX EXPENSE 64657 64657 FEDERAL TAX EXPENSE 5176 5176 MISCELLANEOUS EXPENSE 4826 4826 1653 -805 2458 21727001 19809403 1917598 0 5641726 3509347 120545 138531 58455073 62237181 955038 959538 65172382 66844597 1841070 2238875 39587388 38159819 41428458 40398694 X 0 0 2750154 2750154 20993770 23695749 23743924 26445903 65172382 66844597 2311964 390015 0 X 0 1 X 1 0 X X X 1 EDUCATIONAL & INSTITUTIONAL INSURANCE ADMINISTRATORS INC 391255714 1 1 1470000 0 1 1470000 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION B, LINE 1 THE SUPPORTED ORGANIZATION, EDUCATIONAL & INSTITUTIONAL INSURANCE ADMINISTRATORS, INC. ("EIIA"), HAS A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF COLLEGE INSURANCE COMPANY IN TWO WAYS. FIRST, COLLEGE INSURANCE COMPANY ("COLLEGE") IS A NON-PROFIT MEMBER CORPORATION UNDER VERMONT LAW AND EIIA IS ITS SOLE MEMBER. AS ITS SOLE MEMBER, EIIA HAS CERTAIN RIGHTS UNDER VERMONT LAW WITH RESPECT TO THE OPERATION OF COLLEGE. SECOND, ALL OF THE DIRECTORS OF COLLEGE ARE AFFILIATED WITH EIIA. EACH DIRECTOR OF EIIA SOLELY BY VIRTUE OF HIS OR HER OFFICE AUTOMATICALLY BECOMES A DIRECTOR OF COLLEGE. THE REMAINING DIRECTOR, WHO IS REQUIRED TO BE A VERMONT RESIDENT, IS APPOINTED BY EIIA. 0 LOSS AND LOSS EXPENSE RESERVES 29654942 UNEARNED PREMIUMS 8497243 PAYABLE TO AFFILIATES 7634 38159819 X 23891855 0 23891855 147110 147110 24038965 21579891 0 21579891 147110 147110 21727001 PART X, LINE 2: COLLEGE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR FEDERAL INCOME TAX IS RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. MANAGEMENT HAS CONCLUDED THAT COLLEGE HAS PROPERLY MAINTAINED ITS EXEMPT STATUS AND HAS NOT TAKEN ANY UNCERTAIN TAX POSITIONS WHICH WOULD JEOPARDIZE IT. 0 0 0 0 0 0 0 0 0 MRS SIRI S GADBOIS PRESIDENT/DIRECTOR 0 430196 0 15000 0 0 0 65325 0 22560 0 533081 0 0 MR DONALD J CENCULA JR ASSISTANT TREASURER 0 139658 0 5750 0 0 0 22093 0 28711 0 196212 0 0 MRS ELAINE MARINO ASSISTANT TREASURER 0 113987 0 7000 0 0 0 18005 0 28711 0 167703 0 0 MR STEPHEN L GARWOOD TREASURER 0 254769 0 65000 0 0 0 47375 0 28711 0 395855 0 0 MS MARY ELLEN MORIARTY VICE PRESIDENT 0 233753 0 45000 0 0 0 41189 0 10677 0 330619 0 0 MR JOHN ROSKOPF ASSISTANT TREASURER 0 207412 0 0 0 0 0 29662 0 10677 0 247751 0 0 FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES ARE DELEGATED TO MARSH MANAGEMENT SERVICES INC. FORM 990, PART VI, SECTION A, LINE 6 EIIA IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE BOARD ARE NOMINATED AND ELECTED BY EIIA. FORM 990, PART VI, SECTION A, LINE 7B ALL GOVERNING DOCUMENTS ARE REQUIRED TO BE APPROVED BY ALL MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE FEDERAL FORM 990 IS THOROUGHLY REVIEWED BY STEPHEN GARWOOD (TREASURER), MARSH MANAGEMENT SERVICES INC. AND THE AUDIT COMMITTEE, PRIOR TO FILING. ADDITIONALLY, THE AUDIT COMMITTEE CONSISTS OF NINE BOARD MEMBERS WHO THEN REPORT THEIR REVIEW TO ALL OF THE BOARD OF DIRECTORS TO ENSURE THAT THE FORM 990 IS COMPLETE AND ACCURATE. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND OFFICERS ARE REQUIRED TO ANNUALLY DISCLOSE RELATIONSHIPS THAT MIGHT GIVE RISE TO CONFLICTS OF INTEREST. CONFLICTED DIRECTORS AND OFFICERS ARE REQUIRED TO RECUSE THEMSELVES FROM VOTING ON PERTINENT MATTERS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. EDUCATIONAL & INSTITUTIONAL INSURANCE ADMINISTRATORS INC 200 S WACKER DR STE 1000 CHICAGO IL 60606 391255714 RELIGIOUS ORGANIZATION IL 501(C)(3) LINE 1 N/A 0 COLLEGE RISK RETENTION GROUP INC 100 BANK ST STE 610 BURLINGTON VT 05402 264676942 RELIGIOUS ORGANIZATION VT 501(C)(3) LINE 1 EIIA INC 0 COLLEGE RISK PURCHASING GROUP INC 200 S WACKER DR STE 1000 CHICAGO IL 60606 270756530 RELIGIOUS ORGANIZATION IL 501(C)(3) LINE 1 EIIA INC 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 EDUCATIONAL AND INSTITUTIONAL INSURANCE ADMINISTRATORS INC M 1470000 INVOICE AMOUNTS