2016-07-18T12:02:57-05:00 2015-12-31 411735076 BLANSKI PETER KRONLAGE & ZOCH PA 7500 OLSON MEM HWY STE 200 MINNEAPOLIS MN 55427 990 2015-01-01 410417040 MINNESOTA WORKERS COMPENSATION INSURERS ASSOCIATION INC MINN 9528971737 7701 FRANCE AVENUE SOUTH NO 450 MINNEAPOLIS MN 55435 BRANDON MILLER PRESIDENT 9528971737 2016-06-16 1 GARY J TURNQUIST CPA P00051420 7635466211 2016-06-16 2015 2016-09-27 15:27:22Z BRANDON MILLER 7701 FRANCE AVE S STE 450 EDINA MN 55435 8004811 0 X WWW.MWCIA.ORG X 1983 MN TO PROVIDE TO ITS MEMBERS SERVICES AND INFORMATION REQUIRED UNDER PROVISIONS OF MN STATUTES. 12 12 42 0 0 0 0 0 7740384 7873525 125672 131286 0 0 7866056 8004811 0 0 0 0 4688977 4778521 0 0 0 2439682 2417230 7128659 7195751 737397 809060 5659753 5558108 5490943 5451258 168810 106850 THE 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. 0 0 4422736 7873525 PROVIDE SERVICES TO INSURANCE COMPANIES LICENSED TO WRITE WORKERS' COMPENSATION INSURANCE IN MINNESOTA TO ENABLE THEM TO COMPLY WITH STATUTORY REQUIREMENTS. 61960 COVER CLAIMS FOR INSURANCE COMPANIES THAT WENT INSOLVENT PRIOR TO 1983. 4484696 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 12 0 42 1 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X X LEANN HAYES 9528971737 7701 FRANCE AVE SOUTH 450 MINNEAPOLIS MN 55435 KEITH KRUEGER BOARD MEMBER 0.50 X 0 0 0 MICHAEL D LEVY BOARD MEMBER 0.50 X 0 0 0 PAUL LARSON BOARD MEMBER 0.50 X 0 0 0 TARA SITES BOARD MEMBER 0.50 X 0 0 0 GARY THADEN BOARD MEMBER 0.50 X 0 0 0 BARRY PRESLASKI BOARD MEMBER 0.50 X 0 0 0 WES MATTSFIELD BOARD MEMBER 0.50 X 0 0 0 BRIAN BENT BOARD MEMBER 0.50 X 0 0 0 JESSICA MAYER BOARD MEMBER 0.50 X 0 0 0 KEVIN CHRISTY BOARD MEMBER 0.50 X 0 0 0 KEVIN GREGERSON BOARD MEMBER 0.50 X 0 0 0 ANDREW DOONAN BOARD MEMBER 0.50 X 0 0 0 BRANDON MILLER PRESIDENT 40.00 X 155490 0 37267 CRAIG A ANDERSON VP - ACTUARIAL 40.00 X 133353 0 40172 KATHLEEN PETERSON SR. VP - OPERATIONS/TREASU 40.00 X 137131 0 46541 SUSAN R LEVEY VP - INFORMATION TECHNOLOG 40.00 X 106108 0 40504 PAMELA FLATEN DATA REPORTING MANAGER 40.00 X 104155 0 39528 THOMAS GOODRICH SR. PROGRAM ANALYST 40.00 X 106555 0 40591 MUHAMMAD KASHIF TECHNICAL PROJECT LEAD 40.00 X 106903 0 37648 PATRICK RILEY SR. NETWORK ADMINISTRATOR 40.00 X 101585 0 34293 951280 0 316544 8 0 1 0 SPECTRUM PARTNERS LLC 7701 FRANCE AVENUE SOUTH SUITE 450 MINNEAPOLIS MN 55435 DATABASE SUPPORT 299894 DYNAMICVIEW LLC 13808 AUTUMNWOOD AVENUE ROSEMOUNT MN 55068 IT SERVICES 157445 STINSON LEONARD STREET LLP 2900 1201 WALNUT ST KANSAS CITY MO 64106 LEGAL SERVICES 138584 CDX LLC 30 S 17TH ST 1500 PHILADELPHIA PA 191034007 IT SERVICES 110000 4 MEMBER ASSESSMENTS 518210 7178887 7178887 ASSIGNED RISK SERVICE 518210 568491 568491 U.S.P. FINES 518210 66250 66250 SERVICES & OTHER INC 518210 50309 50309 PAPER PROCESSING FEES 518210 9588 9588 7873525 131286 131286 8004811 7873525 0 131286 532082 338349 193733 2569041 1633641 935400 675791 429732 246059 759281 482823 276458 242326 154094 88232 160684 16068 144616 30815 3000 27815 15219 7500 7719 164773 94373 70400 976883 566817 410066 522019 339949 182070 88080 25000 63080 RESEARCH IST. DATA COLL 195000 195000 PUBLIC AFFAIRS 69623 41244 28379 OTHER EXPENSES 65476 30146 35330 RATEMAKING CONSULTING 65000 65000 63658 61960 1698 7195751 4484696 2711055 0 3566139 3135815 3526 1768 2090088 2420525 5659753 5558108 5490943 5451258 5490943 5451258 X 168810 106850 168810 106850 5659753 5558108 X 809060 -145397 -725623 X X 0 1 X 1 0 0 MEMBER CASH RESERVE ASSESS PAYABLE 3464984 MEMBER ASSESS REAPPORTION PAYABLE 725623 DEFERRED COMPENSATION OBLIGATION 1260651 5451258 7859414 -145397 -145397 8004811 0 8004811 7133791 0 7133791 61960 61960 7195751 PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES RELATED TO INSOLVENT FUND 61,960. X X X X 0 0 0 BRANDON MILLER PRESIDENT 155490 0 0 0 0 0 29780 0 7487 0 192757 0 0 0 CRAIG A ANDERSON VP - ACTUARIAL 133353 0 0 0 0 0 25951 0 14221 0 173525 0 0 0 KATHLEEN PETERSON SR. VP - OPERATIONS/TREASU 137131 0 0 0 0 0 26686 0 19855 0 183672 0 0 0 THOMAS E HARMS EMPLOYEE 9600 TOM HARMS IS A RETIRED EMPLOYEE AND ALSO OWNS A LEGAL PRACTICE UNDER THE SAME NAME WHICH IS RETAINED AS OUTSIDE COUNCIL. 0 FORM 990, PART VI, SECTION A, LINE 6 ANY 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 7A GUIDED 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 11 A 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 12C THE 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 15 PRESIDENT 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 19 THE 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.