2014-02-06T09:47:26-06:00 2013-06-30 061533253 SASLOW LUFKIN & BUGGY LLP 10 TOWER LANE AVON CT 06001 990 2012-07-01 204687937 ACADEMIC PHYSICIANS INSURANCE COMPANY C/O MARSH CAPTIVE SOLUTIONS ACAD 8608646269 100 BANK STREET SUITE 610 BURLINGTON VT 05401 MARCY WATERFALL 8608646269 2014-02-04 1 KATRINA COHEN P00739710 8606789200 2012 2015-11-30 17:44:51Z MARCY WATERFALL 100 BANK STREET SUITE 610 BURLINGTON VT 05401 19500665 0 X N/A X 2006 VT THE COMPANY IS ORGANIZED AND OPERATED FOR THE EXCLUSIVE PURPOSE OF SUPPORTING (SEE SCHEDULE O) THE UNIVERSITY OF OKLAHOMA'S ACADEMIC, EDUCATIONAL, RESEARCH, CLINICAL CARE, AND INDIGENT CARE MISSIONS. ACCORDINGLY, ITS SERVICES ARE LIMITED TO PROVIDING MEDICAL PROFESSIONAL LIABILITY INSURANCE COVERAGE AND RELATED SERVICES TO THE UNIVERSITY AND ITS MEDICAL PROFESSIONAL EMPLOYEES. 9 0 0 0 0 0 0 0 7678421 8353043 1379544 1312563 0 0 9057965 9665606 0 0 0 0 0 0 0 0 0 7465996 9550393 7465996 9550393 1591969 115213 47096717 50871654 22122444 26374085 24974273 24497569 X THE COMPANY IS ORGANIZED AND OPERATED FOR THE EXCLUSIVE PURPOSE OF SUPPORTING THE UNIVERSITY OF OKLAHOMA'S ACADEMIC, EDUCATIONAL, RESEARCH, CLINICAL CARE, AND INDIGENT CARE MISSIONS. ACCORDINGLY, ITS SERVICES ARE LIMITED TO PROVIDING MEDICAL ( SEE SCHEDULE O) PROFESSIONAL LIABILITY INSURANCE COVERAGE AND RELATED SERVICES TO THE UNIVERSITY AND ITS MEDICAL PROFESSIONAL EMPLOYEES. 0 0 9009395 8353043 ACADEMIC PHYSICIANS INSURANCE COMPANY PROVIDES MEDICAL PROFESSIONAL LIABILITY INSURANCE COVERAGES TO THE UNIVERSITY OF OKLAHOMA, A TAX-EXEMPT ORGANIZATION. THE INSURANCE COVERAGES PROVIDED TO THE UNIVERSITY OF OKLAHOMA WILL ASSIST THE UNIVERSITY IN STABILIZING ITS INSURANCE COSTS. THE UNIVERSITY OF OKLAHOMA IS OKLAHOMA'S PREMIER HIGHER EDUCATION INSTITUTION, SERVING THE EDUCATIONAL, CULTURAL AND HEALTH CARE NEEDS OF THE STATE AND SURROUNDING REGIONS. ACADEMIC PHYSICIANS INSURANCE COMPANY PROVIDES MEDICAL PROFESSIONAL COVERAGE RELATED TO LIABILITY OF OVER 800 FACULTY PHYSICIANS, 700 RESIDENT PHYSICIANS, AND 700 STUDENTS.COSTS ASSOCIATED WITH PROVIDING INSURANCE COVERAGES ARE IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSE OF SUPPORTING THE UNIVERSITY OF OKLAHOMA. 9009395 1 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 0 1 0 0 0 0 0 1 0 0 0 1 72 0 1 0 0 0 0 0 0 0 0 0 X 9 0 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X MARCY WATERFALL CPA ARM 8028646269 100 BANK STREET SUITE 610 BURLINGTON VT 05401 BRIAN L MADDY 1.00 40.00 X X 0 369459 27881 M DEWAYNE ANDREWS MD 1.00 40.00 X 0 617943 48149 MICHAEL S BRONZE MD 1.00 40.00 X 0 573811 25445 MARCY WATERFALL 1.00 0.00 X X 0 0 0 KENNETH D ROWE 1.00 40.00 X 0 281640 28052 TERRENCE L STULL MD 1.00 40.00 X X 0 566283 31702 CHARLES J FOULKS MD 1.00 40.00 X 0 503168 6467 LYNN MITCHELL MD 1.00 40.00 X 0 313842 28058 RUSSELL POSTIER MD 1.00 40.00 X 0 469771 28012 HEATHER MCCLURE 5.00 40.00 X 0 280433 4758 0 3976350 228524 0 0 1 1 UNIVERSITY OF OKLAHOMA PO BOX 26901 OKLAHOMA CITY OK 73190 INSURANCE PROGRAM ADMINISTRATION 1507181 ALLIANT INSURANCE SERVICES 3 LINCOLN CENTER 5430 LBJ FREEWAY DALLAS TX 75240 UNDERWRITING & POLICY ADMIN. 251667 2 PREMIUMS EARNED 524298 8353043 8353043 8353043 1287326 1287326 9860296 9835059 25237 25237 25237 9665606 8353043 0 1312563 80000 60000 20000 19499 19499 31825 31825 91852 91852 70817 70817 16342 16342 79152 79152 53699 53699 44003 44003 48919 48919 LOSSES AND EXPENSES 7046062 7046062 UNIVERSITY OF OKLAHOMA 1157171 1157171 PATIENT SAFETY MEDICAL 322072 322072 BROKERAGE FEES - ALLIAN 251667 251667 237313 93271 144042 9550393 9009395 540998 0 1027121 3023709 8446 367493 157592 106647 44796437 45239263 1107121 2134542 47096717 50871654 75273 1330416 22047171 25043669 22122444 26374085 X 0 0 250000 250000 24724273 24247569 24974273 24497569 47096717 50871654 X 115213 -591917 X X 0 1 X 1 0 X X 0 0 0 UNIVERSITY OF OKLAHOMA 736017987 2 1 1 0 1 0 0 OUTSTANDING LOSS RESERVES (CLAIM SPECIFIC) 4879236 INCURRED BUT NOT REPORTED LOSS RESERVES 20164433 25043669 X 9573754 0 9573754 91852 91852 9665606 9458541 0 9458541 91852 91852 9550393 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE COMPANY ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FASB ASC 740 "INCOME TAXES," WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THE FINANCIAL STATEMENTS. THE COMPANY MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE COMPANY DID NOT RECORD ANY UNRECOGNIZED TAX BENEFITS AS OF AND FOR THE YEARS ENDED JUNE 30, 2013 AND 2012. THEREFORE, FASB ASC 740 HAD NO IMPACT ON THE ANNUAL EFFECTIVE TAX RATE. THE COMPANY DOES NOT BELIEVE IT IS REASONABLY POSSIBLE THAT ITS UNRECOGNIZED TAX BENEFITS WOULD MATERIALLY CHANGE IN THE NEXT TWELVE MONTHS. IN THE EVENT THE COMPANY WERE TO BECOME SUBJECT TO FEDERAL INCOME TAXES, ITS POLICY WOULD BE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO INCOME TAXES AS A COMPONENT OF GENERAL AND ADMINISTRATIVE EXPENSES. AS OF JUNE 30, 2013 AND 2012, THE COMPANY DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNRECOGNIZED TAX BENEFITS. ALL TAX YEARS FROM FISCAL YEAR 2010 FORWARD ARE OPEN AND SUBJECT TO EXAMINATION. 0 0 0 0 0 0 0 0 0 BRIAN L MADDY 0 194608 0 146342 0 28509 0 0 0 27881 0 397340 0 0 M DEWAYNE ANDREWS MD 0 451000 0 0 0 166943 0 0 0 48149 0 666092 0 0 MICHAEL S BRONZE MD 0 198675 0 0 0 375136 0 0 0 25445 0 599256 0 0 KENNETH D ROWE 0 258200 0 1775 0 21665 0 0 0 28052 0 309692 0 0 TERRENCE L STULL MD 0 250000 0 0 0 316283 0 0 0 31702 0 597985 0 0 CHARLES J FOULKS MD 0 150000 0 0 0 353168 0 0 0 6467 0 509635 0 0 LYNN MITCHELL MD 0 262470 0 100 0 51272 0 0 0 28058 0 341900 0 0 RUSSELL POSTIER MD 0 227825 0 0 0 241946 0 0 0 28012 0 497783 0 0 HEATHER MCCLURE 0 150004 0 116179 0 14250 0 0 0 4758 0 285191 0 0 MARCY WATERFALL EMPLOYEE OF SERVICE PROVIDER 80000 MARSH CAPTIVE SOLUTIONS PROVIDES ACCOUNTING AND ADMINISTRATIVE SERVICES TO THE ORGANIZATION. 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION CONTRACTS WITH MARSH CAPTIVE SOLUTIONS TO RECEIVE SPECIALIZED INSURANCE ACCOUNTING AND MANAGEMENT SERVICES. FORM 990, PART VI, SECTION A, LINE 6 THE UNIVERSITY OF OKLAHOMA IS THE SOLE MEMBER OF ACADEMIC PHYSICIANS INSURANCE COMPANY (APIC). APIC IS ORGANIZED AND IS OPERATED EXCLUSIVELY TO PROVIDE PROFESSIONAL LIABILITY INSURANCE TO THE MEDICAL PROFESSIONALS EMPLOYED BY THE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS MEMBERS,OR OTHER PERSONS WHO MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION PROVIDES COPY OF FORM 990 TO THE PRESIDENT BRIAN MADDY FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C AT EACH ANNUAL MEETING, CONFLICT OF INTEREST FORMS ARE COLLECTED FROM EACH OFFICER AND DIRECTOR OF THE ORGANIZATION AND REVIEWED FOR POTENTIAL CONFLICTS. DIRECTORS ARE REMINDED THAT IF THERE ARE CHANGES DURING THE YEAR, THEY ARE RESPONSIBLE TO COMMUNICATE THESE CHANGES TO THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 TO BE IN COMPLIANCE WITH TAX AND REGULATORY REQUIREMENTS, THE COMPANY SUBMITS ITS FORM 990 TO THE IRS, AND THE CAPTIVE ANNUAL REPORT, AUDITED FINANCIALS, AND CONFLICT OF INTEREST STATEMENTS TO THE STATE OF VERMONT. NO OTHER FINANCIAL DOCUMENTS ARE DISTRIBUTED OR MADE AVAILABLE TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: UNREALIZED HOLDING LOSSES -566,680. RECLASSIFICATION FOR REALIZED GAINS -25,237. FORM 990, PART XII, LINE 2C: THE BOARD IS RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT AND IS RESPONSIBLE FOR THE OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT PROCESS. UNIVERSITY OF OKLAHOMA PO BOX 26901 OKLAHOMA CITY OK 73190 736017987 EDUCATION OK SEC. 115(A) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0