2016-11-10T07:32:16-06:00 2015-12-31 381357951 PLANTE & MORAN PLLC 250 S High St Suite 100 Columbus OH 43215 990 2015-01-01 900962741 LAND OF LINCOLN MUTUAL HEALTH INSURANCE COMPANY LAND 3129066100 222 S RIVERSIDE PLAZA No 1600 CHICAGO IL 60606 DOUGLAS HARRELL CFO 3129066100 2016-11-07 1 BERNIE OSTROWSKI P00366367 6148493000 2015 2017-02-10 21:41:12Z DOUGLAS HARRELL 222 S RIVERSIDE PLAZA No 1600 CHICAGO IL 60606 163779077 0 X https://www.landoflincolnhealth.org/ X 2013 IL THE MISSION OF THE CO-OP IS TO PROVIDE ITS MEMBERS HIGH QUALITY HEALTHCARE WHILE LOWERING THEIR COSTS THROUGH A MOVEMENT TOWARD CLINICAL INTEGRATION AND CARE EFFICIENCIES. 12 2 0 3 0 0 0 0 11411645 147555046 710958 443609 0 0 12122603 147998655 0 0 16300880 0 6096481 14992154 0 0 0 10006932 224450037 32404293 239442191 -20281690 -91443536 56759127 108001718 24838319 77165372 31920808 30836346 THE MISSION OF THE CO-OP IS TO PROVIDE ITS MEMBERS HIGH QUALITY HEALTHCARE WHILE LOWERING THEIR COSTS THROUGH A MOVEMENT TOWARD CLINICAL INTEGRATION AND CARE EFFICIENCIES. 0 0 LAND OF LINCOLN MUTUAL HEALTH INSURANCE COMPANY (LLH) IS A NON-PROFIT CONSUMER OPERATED AND ORIENTED PLAN DESIGNED TO CREATE AND MANAGE AN AFFORDABLE, ACCESSIBLE AND ACCOUNTABLE CONSUMER-CENTRIC HEALTH COOPERATIVE IN THE STATE OF ILLINOIS THAT CREATES A NEW COMPETITIVE PRESENCE IN THE INSURANCE MARKETPLACE UNDER THE AUSPICES OF THE AFFORDABLE CARE ACT. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 X 41 0 1 0 0 0 0 0 0 0 0 0 1500000 30836346 0 X 12 2 0 1 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X DOUGLAS HARRELL 3129066100 222 S RIVERSIDE PLAZA STE 1600 CHICAGO IL 60606 KEVIN SCANLAN CHAIRMAN 4.00 0.00 X X 0 0 0 JUAN SALGADO VICE CHAIRMAN 4.00 0.00 X X 3021 0 0 VINCENT PRYOR TREASURER 4.00 0.00 X X 3902 0 0 MELINDA KELLY SECRETARY 4.00 0.00 X X 6700 0 0 LARRY DONALDSON DIRECTOR 4.00 0.00 X 6277 0 0 KEITH KUDLA DIRECTOR 4.00 0.00 X 3737 0 0 JASON SCIARRO DIRECTOR 4.00 0.00 X 2897 0 0 J TODD PHILLIPS DIRECTOR 4.00 0.00 X 11002 0 0 ELLIOT RICHARDSON DIRECTOR 4.00 0.00 X 0 0 0 TRISHA HOMANS DIRECTOR 4.00 0.00 X 1361 0 0 RICHARD BUCHLER DIRECTOR 4.00 0.00 X 0 0 0 DANIEL YUNKER CEO 20.00 0.00 X 213438 0 0 BRIAN MAUDE CFO 20.00 0.00 X 33101 0 247 PATRICK SHANNON CFO 40.00 0.00 X 151838 0 1603 JASON MONTRIE PRESIDENT 40.00 0.00 X 452563 0 0 BARBARA LOEB CMO 40.00 0.00 X 358130 0 6864 MONICA KATZ VP, OPERATIONS 40.00 0.00 X 251816 0 8537 CHRISTOPHER WILEY MARKET PRACTICE LEADER, SALES 40.00 0.00 X 248069 0 4034 SHAWN DORGAN VP, SALES 40.00 0.00 X 215696 0 0 ANDREA CHRISTOPHERSON CHIEF ACTUARY 40.00 0.00 X 185480 0 9195 AMANDA LOTT CP, MEMBER EXPERIENCE 40.00 0.00 X 192681 0 186 MEGAN SCHAAR SALES 40.00 0.00 X 168203 0 766 2509912 0 31432 10 1 1 0 CATAMARAN PBM OF ILLINOIS INC 2441 WARRENVILLE RD STE 610 LISLE IL 60532 PHARMACY BENEFIT MANAGEMENT SERVICES 30879095 MCHC - SERVICE CORPORATION 222 SOUTH RIVERSIDE PLAZA STE 1900 CHICAGO IL 60606 MEMBERSHIP AND SERVICE ORGANIZATION 13356135 VALENCE HEALTH INC 540 W MADISON ST STE 1500 CHICAGO IL 60661 TECHNOLOGY SOLUTIONS 10665094 BEECHER CARLSON INSURANCE SERVICES LLC 321 NORTH CLARK STREET CHICAGO IL 60654 RISK MANAGEMENT 4348502 MULTIPLAN INC 115 FIFTH AVENUE NEW YORK NY 10003 COST MANAGEMENT SERVICES 1210198 39 NET PREMIUMS EARNED 524114 147555046 147555046 147555046 813079 813079 15410952 15780422 -369470 -369470 -369470 147998655 147555046 0 443609 1530264 11336319 1455427 670144 570408 405247 7914526 425782 5180381 2320981 687436 71132 217158 244690 222190 HOSPITAL/MEDICAL BENEFI 143134303 PRESCRIPTION DRUGS 39213190 EMERGENCY ROOM AND OUT- 16826152 CLAIMS ADJUSTMENT EXPEN 12514690 -5498229 239442191 0 10110093 8024212 6028023 33648225 45338943 15086690 46524659 56759127 108001718 4879546 35737081 2341363 8486768 16878391 15918314 739019 17023209 24838319 77165372 X 0 0 31920808 31920808 0 -1084462 31920808 30836346 56759127 108001718 X -91443536 7243 90351831 X X 0 1 X 1 1 1 0 PREMIUM DEFICIENCY RESERVE 11900000 SUSPENSE LIABILITY 13868 CEDED REINSURANCE PREMIUMS PAYABLE 1360964 GENERAL EXPENSE AND TAXES DUE OR ACCRUED 3748377 17023209 X 148000024 1369 1369 147998655 0 147998655 239443560 1369 1369 239442191 0 239442191 Part X, Line 2: INCOME TAXES- THE COMPANY IS CURRENTLY ORGANIZED AS A NOT-FOR-PROFIT ORGANIZATION IN THE STATE OF ILLINOIS. SECTION 501(C)(29), ADDED TO THE CODE BY SECTION 1322(H)(I) OF THE AFFORDABLE CARE ACT, PROVIDES FOR THE EXEMPTION OF QUALIFIED NONPROFIT HEALTH INSURANCE ISSUERS (QNHIIS) THAT HAVE RECEIVED A LOAN OR GRANT UNDER THE CMS CO-OP PROGRAM FOR PERIODS IN WHICH THEY MEET BOTH THE REQUIREMENTS OF SECTION 1322 OF THE AFFORDABLE CARE ACT AND OF ANY LOAN AGREEMENT WITH CMS. DURING 2013, THE COMPANY RECEIVED A DETERMINATION LETTER FROM THE IRS GRANTING IT 501(C)(29) TAX-EXEMPT STATUS. THE EFFECTS OF TAX POSITIONS ARE GENERALLY RECOGNIZED IN THE STATUTORY FINANCIAL STATEMENTS, CONSISTENT WITH AMOUNTS REFLECTED IN RETURNS FILED, OR EXPECTED TO BE FILED, WITH TAXING AUTHORITIES. AS OF DECEMBER 31, 2015 AND 2014, THE COMPANY IS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS. Part XI, Line 2d - Other Adjustments: REVENUES RELATING TO MISC EXPENSES 1,369. Part XII, Line 2d - Other Adjustments: REVENUE RELATING TO MISC EXPENSES 1,369. 0 0 0 DANIEL YUNKER CEO 150000 0 63438 0 0 0 0 0 0 0 213438 0 0 0 PATRICK SHANNON CFO 142135 0 0 0 9703 0 0 0 1603 0 153441 0 0 0 JASON MONTRIE PRESIDENT 368333 0 68697 0 15533 0 0 0 0 0 452563 0 0 0 BARBARA LOEB CMO 290000 0 26250 0 41880 0 0 0 6864 0 364994 0 0 0 MONICA KATZ VP, OPERATIONS 196893 0 39293 0 15630 0 0 0 8537 0 260353 0 0 0 CHRISTOPHER WILEY MARKET PRACTICE LEADER, SALES 112920 0 37164 0 97985 0 0 0 4034 0 252103 0 0 0 SHAWN DORGAN VP, SALES 185955 0 14625 0 15116 0 0 0 0 0 215696 0 0 0 ANDREA CHRISTOPHERSON CHIEF ACTUARY 170000 0 0 0 15480 0 0 0 9195 0 194675 0 0 0 AMANDA LOTT CP, MEMBER EXPERIENCE 147500 0 14063 0 31118 0 0 0 186 0 192867 0 0 0 MEGAN SCHAAR SALES 142155 0 22951 0 3097 0 0 0 766 0 168969 0 0 0 Part I, Line 3 COMPENSATION TO EMPLOYEES OF LAND OF LINCOLN MUTUAL HEALTH INSURANCE COMPANY IS PAID BY AN UNRELATED MANAGEMENT COMPANY. THE MANAGEMENT AGREEMENT IS AN ARM'S LENGTH TRANSACTION AND COMPENSATION IS SET BY THE MANAGEMENT COMPANY BASED ON OTHER ORGANIZATIONS' FORMS 990 AND COMPENSATION SURVEY RESULTS. BRENDAN SCANLAN FAMILY MEMBER OF BOARD CHAIRMAN, KEVIN SCANLAN 50226 EMPLOYEE COMPENSATION 0 PARSON PARTNERS LLC BOARD MEMBER J. TODD PHILLIPS OWNS BUSINESS 106700 STRATEGIC CONSULTING 0 Form 990, Part V, Line 13a IL Form 990, Part V, Line 13a THE COOPERATIVE IS LICENSED TO ISSUE QUALIFIED HEALTH PLANS IN ILLINOIS AND IS REQUIRED TO MAINTAIN RESERVES OF $1,500,000 AND HAD $31,479,713 ON HAND AT YEAR-END. Form 990, Part VI, Section A, line 3 PURSUANT TO A MANAGEMENT AGREEMENT, METROPOLITAN CHICAGO HEALTHCARE COUNCIL (MCHC) PROVIDES SUPPORT SERVICES TO LAND OF LINCOLN MUTUAL HEALTH INSURANCE COMPANY (LLH), INCLUDING FINANCIAL AND ACCOUNTING MANAGEMENT, HUMAN RESOURCES, PUBLIC RELATIONS, AND ENTERPRISE TECHNOLOGY. MCHC ALSO PROVIDES LLH WITH A COMPREHENSIVE SET OF EXECUTIVE MANAGERS, AS APPROVED BY THE LLH'S BOARD, AND SUCH OPERATIONAL PERSONNEL NEEDED TO PERFORM ALL THE NECESSARY MANAGEMENT ACTIVITIES OF LLH. Form 990, Part VI, Section A, line 6 LLH IS ORGANIZED AS A NOT-FOR-PROFIT COMPANY WITH A SINGLE CLASS OF MEMBERS. MEMBERS SHALL BE EACH INSURED INDIVIDUAL, EIGHTEEN YEARS OR OLDER, UNDER AN INDIVIDUAL OR GROUP POLICY OF HEALTH INSURANCE ISSUED BY LLH. THE INITIAL MEMBERS PRIOR TO ISSUANCE OF INSURANCE SHALL BE THE INCORPORATORS OF LLH. Form 990, Part VI, Section A, line 7a EACH MEMBER SHALL VOTE FOR OPEN SEATS ON THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. THE MEMBERS SHALL BE ENTITLED TO A SINGLE VOTE FOR EACH OPEN POSITION ON THE BOARD OF DIRECTORS DURING AN ELECTION. Form 990, Part VI, Section B, line 11 NO REVIEW WILL BE CONDUCTED AS THE ENTITY IS IN THE PROCESS OF LIQUIDATION. Form 990, Part VI, Section B, line 12c THE COMPANY HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT REQUIRES DIRECTORS, OFFICERS AND KEY EMPLOYEES TO SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE. THE ANNUAL DISCLOSURE REQUIRES DIRECTORS, OFFICERS AND KEY EMPLOYEES TO DISCLOSE, IN WRITING, ANY KNOWN FINANCIAL INTEREST THAT THE INDIVIDUAL (TOGETHER WITH FAMILY MEMBERS) HAS IN ANY BUSINESS ENTITY THAT TRANSACTS BUSINESS WITH THE COMPANY. IN ADDITION, DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO IMMEDIATELY DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST THAT ARISES MID-YEAR IN RELATION TO A PROPOSED TRANSACTION. THE CONFLICT OF INTEREST POLICY REQUIRES THAT ANY INDIVIDUAL WITH A CONFLICT BE RECUSED FROM THE DECISION MAKING PROCESS, THAT INDEPENDENT DIRECTORS OR COMMITTEE MEMBERS DETERMINE THAT THE PROPOSED TRANSACTION IS IN THE BEST INTEREST OF THE COMPANY, AND THE TRANSACTION MUST BE APPROVED BY A VOTE OF THE INDEPENDENT DIRECTORS OR COMMITTEE MEMBERS WITHOUT THE PARTICIPATION OF ANY INTERESTED INDIVIDUAL. THE ANNUAL CONFLICT DISCLOSURE STATEMENTS ARE SUBMITTED TO, AND REVIEWED BY, THE AUDIT COMMITTEE, COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. IN ADDITION, THE EXECUTIVE STAFF IS RESPONSIBLE FOR MONITORING ANY POSSIBLE CONFLICT TRANSACTIONS THAT ARISE AND MANAGING THEM TO ENSURE THAT ALL TRANSACTIONS REPRESENT ARM'S LENGTH, FAIR MARKET VALUE TERMS FOR THE BENEFIT OF THE COMPANY. Form 990, Part VI, Section C, line 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, EITHER AS A PRINTED OR ELECTRONIC COPY, FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D). Form 990, Part XI, line 9: CHANGE IN NONADMITTED ASSETS -1,877,028. CHANGE IN SURPLUS NOTES 92,227,365. AGGREGATE WRITE-INS FOR GAINS/(LOSSES) IN SURPLUS 1,494. Form 990, Part XII, Line 1: THE STATUTORY FINANCIAL STATEMENTS HAVE BEEN PREPARED IN ACCORDANCE WITH THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS (NAIC) ACCOUNTING PRACTICES AND PROCEDURES MANUAL AND THE STATUTORY ACCOUNTING PRINCIPLES AS PRESCRIBED BY THE ILLINOIS DEPARTMENT OF INSURANCE. STATUTORY ACCOUNTING PRINCIPLES ARE DESIGNED PRIMARILY TO DEMONSTRATE THE COMPANY'S ABILITY TO MEET THE CLAIMS OF POLICYHOLDERS. THERE ARE NO DIFFERENCES BETWEEN NAIC AND THE STATE OF ILLINOIS ACCOUNTING PRACTICES WITH REGARDS TO THE PREPARATION OF THE COMPANY'S STATUTORY FINANCIAL STATEMENTS. Form 990, Part XII, Line 2c: THE BOARD OF DIRECTORS SELECTS AN INDEPENDENT ACCOUNTANT DURING A PROPOSAL PROCESS. THE ACCOUNTANT PRESENTS THE FINAL COPY OF THE FINANCIAL STATEMENTS TO THE BOARD. THE BOARD REVIEWS AND VOTES TO APPROVE THE STATEMENTS AS PRESENTED.