2014-11-16T19:55:01-06:00 2013-12-31 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2013-01-01 010719207 FIRST MEDICAL INSURANCE COMPANY (RRG) % MARSH MANAGEMENT SERVICES I FIRS 8028645599 C/O MARSH MANAGEMENT SERVICES INC 100 BANK STREET Suite BURLINGTON VT 05401 THOMAS TODOROW EVP & CFO 2673303000 2014-11-14 true ERICA R MCREYNOLDS P00977806 2673303000 2013 2015-11-30 17:44:51Z THOMAS J TODOROW 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19107 69356541 false X N/A X 2002 VT the organization provides insurance for the children's hospital of philadelphia and certain affiliated tax-exempt organizations. 3 1 0 0 0 0 0 11693476 10890359 7151394 5124235 0 0 18844870 16014594 0 0 0 0 0 0 0 0 0 5885682 7507826 5885682 7507826 12959188 8506768 110536071 120918146 45878817 64390578 64657254 56527568 THE ORGANIZATION PROVIDES INSURANCE FOR THE CHILDREN'S HOSPITAL OF PHILADELPHIA AND CERTAIN AFFILIATED TAX-EXEMPT ORGANIZATIONS. false false 7120414 10890359 INSURANCE FOR CHILDREN'S HOSPITAL OF PHILADELPHIA AND ITS TAX-EXEMPT ENTITIES. 7120414 true false false false false false false false false false false true false false true false true true 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 true false false false true 0 0 0 false false false false false false false false false false false X 3 1 false false false false true true true true true false false true true true true true true false false false X MARSH MANAGEMENT SERVICES I 8028645599 100 BANK ST STE 610 BURLINGTON VT 05401 THOMAS J TODOROW DIRECTOR,PRESIDENT & TREASURER 1.0 43.0 X X 0 1135698 32857 EDWARD F PRECOURT DIRECTOR & ASSISTANT TREASURER 1.0 0.0 X X 0 0 0 LYNN CALHOUN DIRECTOR & SECRETARY 1.0 39.0 X X 0 231885 7766 0 1367583 40623 0 false true false WHITE WILLIAMS ONE LIBERTY PL 1650 MARKET ST STE PHILADELPHIA PA 19103 LEGAL SERVICES 873280 POST POST LLC 200 BERWYN PARK STE 102 920 CASSA BERWYN PA 19312 LEGAL SERVICES 386632 STANDISH MELLON 1 BOSTON PL 5400 BOSTON MA 02108 INVESTMENT 221241 POST SCHELL PC FOUR PENN CENTER 1600 JFK BLVD PHILADELPHIA PA 19103 LEGAL SERVICES 215445 CONRAD O'BRIEN PC 1515 MARKET STREET 16TH FLOOR PHILADELPHIA PA 19103 LEGAL SERVICES 177071 5 0 Insurance premium earned 10890359 10890359 All Other Program Services 10890359 2779967 2779967 0 0 0 0 0 55686215 53341947 2344268 2344268 2344268 0 0 0 0 16014594 10890359 5124235 0 0 0 0 0 0 0 0 0 0 85750 85750 4145 4145 43100 43100 0 0 221241 221241 20250 20250 0 0 0 0 0 816 816 0 0 0 0 0 0 LOSSES & LOSS ADJUSTMENT 6213627 6213627 PROVISION FOR IBNR 588377 588377 POLICY ACQUIS & UNDERWRITING 318410 318410 GENERAL & ADMINISTRATIVE 12110 12110 7507826 0 387412 0 13721653 7032591 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142773 168043 0 36389884 52804577 60281761 60912935 0 0 0 0 0 0 110536071 120918146 186669 135033 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45692148 64255545 45878817 64390578 X 0 0 5149516 5149516 59507738 51378052 64657254 56527568 110536071 120918146 X 8506768 -636454 -16000000 X false true X true false X X X false false false THE CHILDREN'S HOSPITAL OF PHILADELPHIA 231352166 03 true true true 0 THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOUNDATION 232237932 07 true true true 0 THE CHILDREN'S HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION 232311482 09 true true true 0 CHOP CLINICAL ASSOCIATES INC 223548970 09 true true true 0 CHILDREN'S ANESTHESIOLOGY ASSOCIATES LTD 232592835 09 true true true 0 CHILDREN'S ANESTHESIOLOGY ASSOCIATES OF NEW JERSEY INC 223405673 09 true true true 0 CHILDREN'S HEALTH CARE ASSOCIATES INC 233036699 09 true true true 0 CHILDREN'S HEALTH CARE ASSOCIATES OF NEW JERSEY INC 222785804 09 true true true 0 CHILDREN'S SURGICAL ASSOCIATES LTD 232589322 09 true true true 0 CHILDREN'S SURGICAL ASSOCIATES OF NEW JERSEY INC 223348481 09 true true true 0 RADIOLOGY ASSOCIATES OF THE CHILDREN'S HOSPITAL INC 232665855 09 true true true 0 11 SPONSORED ENTERPRISES 18748504 F ASSET-BACKED SECURITIES 6937608 F COMMERCIAL MORTGAGE BACKED SEC 2611776 F MUNICIPAL BONDS 4081388 F CORPORATE DEBT SECURITIES 27707824 F ACCRUED INTEREST 523456 F FOREIGN GOVERNMENTS 302379 F 60912935 0 LOSSES PAYABLE 1018681 UNEARNED PREMIUM RESERVES 5272307 LOSS ADJUSTMENT EXPENSES 39315565 PAYABLE FOR SECURITIES PURCHASED 2648992 SURPLUS DISTRIBUTION PAYABLE 16000000 64255545 15156899 -636454 -636454 15793353 221241 221241 16014594 7286585 7286585 221241 221241 7507826 false true false false false false false false false THOMAS J TODOROW DIRECTOR,PRESIDENT & TREASURER 0 653407 0 386250 0 96041 0 5100 0 27757 0 1168555 0 0 LYNN CALHOUN DIRECTOR & SECRETARY 0 193481 0 38404 0 0 0 0 0 7766 0 239651 0 0 FORM 990, SCHEDULE J, PART I, LINE 4 SERP Plans participate in Supplemental Employee Retirement Plans ("SERPs"). Any SERP payments are reported in Column (B)(iii). FORM 990, PART VI, SECTION A, LINES 6 AND 7 THE FOLLOWING ORGANIZATIONS ARE MEMBERS OF FIRST MEDICAL INSURANCE COMPANY (RRG): - The CHILDREN'S HOSPITAL OF PHILADELPHIA - The CHILDREN'S HOSPITAL OF PHILADELPHIA foundation - The Children's Hospital of Philadelphia Practice Association - CHOP Clinical Associates, Inc. - Children's Anesthesiology Associates, Ltd. - Children's Anesthesiology Associates of New Jersey - Children's Health Care Associates, Inc. - Children's Health Care Associates of New Jersey, Inc. - Children's Surgical Associates, Ltd. - Children's Surgical Associates of New Jersey, Inc. - Radiology Associates of the Children's Hospital, Inc. Form 990, Part VI, Section A, Line 7b Under FMIC's Bylaws, Members have the authority to elect or remove the Directors. FORM 990, PART VI, SECTION B, LINE 11B FMIC RECEIVES AUDITED FINANCIAL STATEMENTS. A PUBLIC ACCOUNTING FIRM PREPARES THE FORM 990 BASED ON THESE FINANCIAL STATEMENTS AS WELL AS OTHER INFORMATION GATHERED. ONCE PREPARED, THE FORM 990 WAS REVIEWED BY THE FINANCE OFFICE OF CHOP AS WELL AS THE DIRECTORS AND BOARD MEMBERS OF FMIC PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12B ALL OFFICERS, DIRECTORS OF FMIC ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. FORM 990, PART VI, SECTION B, LINE 12C FMIC has a Conflicts of Interest Policy. That policy applies by its terms to the directors and officers of FMIC who are employees of The Children's Hospital of Philadelphia; by virtue of its adoption by FMIC, the Policy also applies to the directors and officers of FMIC who are not employees of The Children's Hospital of Philadelphia, with respect to their duties regarding FMIC. (FMIC does not have any employees.) Pursuant to the Policy, annual conflicts of interest statements are completed by all covered persons, including all directors and officers of FMIC. The statements are reviewed by FMIC board for further review and follow-up as needed. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES DISTRIBUTION FROM SURPLUS - ($16,000,000) THE CHILDREN'S HOSPITAL OF PHILADELPHIA 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 231352166 HEALTHCARE PA 501(C)(3) 3 CHOP FND true CHOP FOUNDATION 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 232237932 SUPPORT PA 501(C)(3) 7 NA false CHOP PRACTICE ASSOCIATION 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 232311482 HEALTHCARE PA 501(C)(3) 9 CHOP true CHOP CLINICAL ASSOCIATES INC C/O CHOP 34TH ST CIVIC CTR PHILADELPHIA PA 19104 223548970 HEALTHCARE NJ 501(C)(3) 9 CHOP true CHILDREN'S ANESTHESIOLOGY ASSOC LTD 34TH ST CIVIC CENTER BLVD philadelphia PA 19104 232592835 HEALTHCARE PA 501(C)(3) 9 CHOP true CHILDREN'S ANESTHESIOLOGY ASSOC OF NJ 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 223405673 HEALTHCARE NJ 501(C)(3) 9 CHOP true CHILDREN'S HEALTH CARE ASSOCIATES INC 100 PENN SQ E 9TH FL PHILADELPHIA PA 19107 222785804 HEALTHCARE PA 501(C)(3) 9 CHOP true CHILDREN'S HEALTH CARE ASSOCIATES OF NJ 51 HADDONFIELD ROAD CHERRY HILL NJ 08002 233036699 HEALTHCARE NJ 501(C)(3) 9 CHOP true CHILDREN'S SURGICAL ASSOCIATES LTD 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 232589322 HEALTHCARE PA 501(C)(3) 9 CHOP true CHILDREN'S SURGICAL ASSOCIATES OF NJ 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 223348481 HEALTHCARE NJ 501(C)(3) 9 CHOP true RADIOLOGY ASSOCIATES OF CHOP 100 PENN SQUARE EAST PHILADELPHIA PA 19107 232665855 HEALTHCARE PA 501(C)(3) 9 CHOP true PGH DEVELOPMENT CORPORATION 426 CURIE BLVD PHILADELPHIA PA 19104 232351015 SUPPORT PA 501(C)(3) 11 I NA false SURGICAL ASSOCIATES RESEARCH & EDUCATION 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 232181768 RESEARCH PA 501(C)(3) 11 III - FI CHOP true 4865 MARKET ASSOC 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 461341918 REAL ESTATE PA NA N/A SPARK THERAPEUTICS 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 462654405 RESEARCH PA CHOP N/A false false false false false false false false false false false false false false false false false false true