BETA

MINNESOTA WORKERS COMPENSATION INSURERS ASSOCIATION INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MINNESOTA WORKERS COMPENSATION INSURERS ASSOCIATION INC (EIN 41-0417040)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-07-18
IRS object ID
201612009349300731
Schema version
2015v2.1
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)
Return2016-07-18T12:02:57-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN411735076PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLANSKI PETER KRONLAGE & ZOCH PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17500 OLSON MEM HWY STE 200AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55427ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

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
Signature2016-06-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGARY J TURNQUIST CPAPreparerPersonNm
PTINP00051420PTIN
Phone7635466211PhoneNum
Preparation2016-06-16PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

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$8,004,811GrossReceiptsAmt
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 Employee42TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$7,740,384PYProgramServiceRevenueAmt
CY Program Service Revenue$7,873,525CYProgramServiceRevenueAmt
PY Investment Income$125,672PYInvestmentIncomeAmt
CY Investment Income$131,286CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$7,866,056PYTotalRevenueAmt
CY Total Revenue$8,004,811CYTotalRevenueAmt
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$4,688,977PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,778,521CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,439,682PYOtherExpensesAmt
CY Other Expenses$2,417,230CYOtherExpensesAmt
PY Total Expenses$7,128,659PYTotalExpensesAmt
CY Total Expenses$7,195,751CYTotalExpensesAmt
PY Revenues Less Expenses$737,397PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$809,060CYRevenuesLessExpensesAmt
Total Assets BOY$5,659,753TotalAssetsBOYAmt
Total Assets EOY$5,558,108TotalAssetsEOYAmt
Total Liabilities BOY$5,490,943TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,451,258TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$168,810NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$106,850NetAssetsOrFundBalancesEOYAmt
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$4,422,736ExpenseAmt
Revenue$7,873,525RevenueAmt
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$61,960ExpenseAmt
DescCOVER CLAIMS FOR INSURANCE COMPANIES THAT WENT INSOLVENT PRIOR TO 1983.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$4,484,696TotalProgramServiceExpensesAmt
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 EntYes (1)BusinessRlnWithOfficerEntInd
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 Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee42EmployeeCnt
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
Other WebsiteYes (X)OtherWebsiteInd
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 (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KEITH KRUEGER
BOARD MEMBER0.50Yes (X)$0$0$0
MICHAEL D LEVY
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
JESSICA MAYER
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
ANDREW DOONAN
BOARD MEMBER0.50Yes (X)$0$0$0
BRANDON MILLER
PRESIDENT40.00$155,490$0$37,267Yes (X)
CRAIG A ANDERSON
VP - ACTUARIAL40.00$133,353$0$40,172Yes (X)
KATHLEEN PETERSON
SR. VP - OPERATIONS/TREASU40.00$137,131$0$46,541Yes (X)
SUSAN R LEVEY
VP - INFORMATION TECHNOLOG40.00$106,108$0$40,504Yes (X)
PAMELA FLATEN
DATA REPORTING MANAGER40.00$104,155$0$39,528Yes (X)
THOMAS GOODRICH
SR. PROGRAM ANALYST40.00$106,555$0$40,591Yes (X)
MUHAMMAD KASHIF
TECHNICAL PROJECT LEAD40.00$106,903$0$37,648Yes (X)
PATRICK RILEY
SR. NETWORK ADMINISTRATOR40.00$101,585$0$34,293Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$951,280TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$316,544TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SPECTRUM PARTNERS LLC
7701 FRANCE AVENUE SOUTH SUITE 450MINNEAPOLISMN55435DATABASE SUPPORT$299,894
DYNAMICVIEW LLC
13808 AUTUMNWOOD AVENUEROSEMOUNTMN55068IT SERVICES$157,445
STINSON LEONARD STREET LLP
2900 1201 WALNUT STKANSAS CITYMO64106LEGAL SERVICES$138,584
CDX LLC
30 S 17TH ST 1500PHILADELPHIAPA191034007IT SERVICES$110,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEMBER ASSESSMENTS518210$7,178,887$7,178,887
ASSIGNED RISK SERVICE518210$568,491$568,491
U.S.P. FINES518210$66,250$66,250
SERVICES & OTHER INC518210$50,309$50,309
PAPER PROCESSING FEES518210$9,588$9,588
FieldValueIRS element (for citing)
Total Program Service Revenue$7,873,525TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$131,286TotalRevenueColumnAmt
Exclusion$131,286ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,004,811TotalRevenueColumnAmt
Related Or Exempt Func Income$7,873,525RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$131,286ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$532,082TotalAmt
Program Services$338,349ProgramServicesAmt
Management And General$193,733ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,569,041TotalAmt
Program Services$1,633,641ProgramServicesAmt
Management And General$935,400ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$675,791TotalAmt
Program Services$429,732ProgramServicesAmt
Management And General$246,059ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$759,281TotalAmt
Program Services$482,823ProgramServicesAmt
Management And General$276,458ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$242,326TotalAmt
Program Services$154,094ProgramServicesAmt
Management And General$88,232ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$160,684TotalAmt
Program Services$16,068ProgramServicesAmt
Management And General$144,616ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$30,815TotalAmt
Program Services$3,000ProgramServicesAmt
Management And General$27,815ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,219TotalAmt
Program Services$7,500ProgramServicesAmt
Management And General$7,719ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$164,773TotalAmt
Program Services$94,373ProgramServicesAmt
Management And General$70,400ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$976,883TotalAmt
Program Services$566,817ProgramServicesAmt
Management And General$410,066ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$522,019TotalAmt
Program Services$339,949ProgramServicesAmt
Management And General$182,070ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$88,080TotalAmt
Program Services$25,000ProgramServicesAmt
Management And General$63,080ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RESEARCH IST. DATA COLL$195,000$195,000
PUBLIC AFFAIRS$69,623$41,244$28,379
OTHER EXPENSES$65,476$30,146$35,330
RATEMAKING CONSULTING$65,000$65,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$63,658TotalAmt
Program Services$61,960ProgramServicesAmt
Management And General$1,698ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,195,751TotalAmt
Program Services$4,484,696ProgramServicesAmt
Management And General$2,711,055ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,566,139BOYAmt
EOY$3,135,815EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,526BOYAmt
EOY$1,768EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,090,088BOYAmt
EOY$2,420,525EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,659,753BOYAmt
EOY$5,558,108EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,490,943BOYAmt
EOY$5,451,258EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,490,943BOYAmt
EOY$5,451,258EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$168,810BOYAmt
EOY$106,850EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$168,810BOYAmt
EOY$106,850EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,659,753BOYAmt
EOY$5,558,108EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$809,060ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$145,397NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$725,623OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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 (3 entries)

DescDescAmtAmt
MEMBER CASH RESERVE ASSESS PAYABLE$3,464,984
MEMBER ASSESS REAPPORTION PAYABLE$725,623
DEFERRED COMPENSATION OBLIGATION$1,260,651
FieldValueIRS element (for citing)
Total Liability$5,451,258TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$7,859,414TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$145,397NetUnrealizedGainsInvstAmt
Revenue Not Reported-$145,397RevenueNotReportedAmt
Revenue Subtotal$8,004,811RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$8,004,811TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,133,791TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$7,133,791ExpensesSubtotalAmt
Other Expenses Not Included$61,960OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$61,960ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,195,751TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART XII, LINE 4B - OTHER ADJUSTMENTS:FormAndLineReferenceDesc
ExplanationEXPENSES RELATED TO INSOLVENT FUND 61,960.ExplanationTxt

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 Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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$155,490$0$0$0$0$0$29,780$0$7,487$0$192,757$0$0$0
CRAIG A ANDERSON
VP - ACTUARIAL$133,353$0$0$0$0$0$25,951$0$14,221$0$173,525$0$0$0
KATHLEEN PETERSON
SR. VP - OPERATIONS/TREASU$137,131$0$0$0$0$0$26,686$0$19,855$0$183,672$0$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonTHOMAS E HARMSPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionEMPLOYEERelationshipDescriptionTxt
Transaction$9,600TransactionAmt
TransactionTOM HARMS IS A RETIRED EMPLOYEE AND ALSO OWNS A LEGAL PRACTICE UNDER THE SAME NAME WHICH IS RETAINED AS OUTSIDE COUNCIL.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 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 11A 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 -725,623.
FORM 900, PART XII, LINE 1:ACCOUNTING METHOD USED TO PREPARE THE FORM 990: MODIFIED CASH BASIS.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.