2013-06-20T11:22:51-05:00 2012-12-31 MASON & RICH PA 6 BICENTENNIAL SQ CONCORD NH 033014058 990 2012-01-01 020499340 NEW HAMPSHIRE INDIVIDUAL HEALTH PLAN BENEFIT ASSOCIATION NEWH 6032277265 1 PILLSBURY ST CONCORD NH 03301 BETH ROBERTS 6032277265 2013-05-10 true LESLIE A WALKER 6032242000 2013-05-28 2012 2016-02-24 21:20:13Z BETH ROBERTS CHAIR 1 PILLSBURY ST CONCORD NH 03301 68916515 false X WWW.NHHEALTHPLAN.ORG X 2001 NH ESTABLISHED BY STATE STATUTE TO A) PROVIDE SUBSIDIZATION TO CARRIERS EXPERIENCING CATASTROPHIC CLAIMS IN THE INDIVIDUAL HEALTH INSURERS MARKET AND B) TO PROVIDE HEALTH INSURANCE TO NH RESIDENTS DECLINED COVERAGE IN THE PRIVATE MARKET. 14 14 0 14 0 15218775 30318757 20575093 26981514 26339 14683 0 35820207 57314954 0 0 0 0 0 36831817 63493647 36831817 63493647 -1011610 -6178693 14269323 14589884 9231066 15730320 5038257 -1140436 X ESTABLISHED BY STATE STATUTE TO A) PROVIDE SUBSIDIZATION TO CARRIERS EXPERIENCING CATASTROPHIC CLAIMS IN THE INDIVIDUAL HEALTH INSURERS MARKET AND B) TO PROVIDE HEALTH INSURANCE TO NH RESIDENTS DECLINED COVERAGE IN THE PRIVATE MARKET. false false 63493647 THE NEW HAMPSHIRE HEALTH PLAN (NHHP) IS A STATE HIGH RISK POOL ESTABLISHED BY STATE STATUTE TO A)PROVIDE SUBSIDIZATION TO CARRIERS EXPERIENCING CATASTROPHIC CLAIMS IN THE INDIVIDUAL HEALTH INSURANCE MARKET AND B)TO PROVIDE COMPREHENSIVE HEALTH INSURANCE BENEFIT OPTIONS TO NEW HAMPSHIRE RESIDENTS WHO ARE DECLINED COVERAGE THROUGH THE PRIVATE MARKET, HAVE A PRE-QUALIFYING CONDITION OR ARE OTHERWISE ELIGIBLE. THE NHHP IS INTENDED GENERALLY TO BE THE INSURER OF LAST RESORT FOR NEW HAMPSHIRE RESIDENTS. 63493647 false true false false false false false false false false false false false true false true false false false false false false false false false false false false false false false false false false true false false false false false false false false true 0 0 true 0 false false false false false false false false false false false false X 14 14 false true false false false false false true true false false false true true true true true false false false X X BETH ROBERTS 6032256633 1 PILLSBURY ST CONCORD NH 03301 X BETH ROBERTS 1.00 X X 0 0 0 DAVID SKY 1.00 X 0 0 0 BRUCE P KING 1.00 X X 0 0 0 DAVID M ELLIS 1.00 X X 0 0 0 MARTHA MCLEOD 1.00 X X 0 0 0 DAVID TRUDO 1.00 X 0 0 0 LISA KAPLAN HOWE 1.00 X 0 0 0 KEITH NYHAN 1.00 X 0 0 0 SUSAN E DEW 1.00 X 0 0 0 KATHY BELANGER 1.00 X 0 0 0 LISA GUERTIN 1.00 X 0 0 0 MARK MCCUE 1.00 X 0 0 0 DOMENIC PAMIERI 1.00 X 0 0 0 BRANDY MILLEN 1.00 X 0 0 0 false false false BENEFIT MANAGEMENT INC 2015 16TH STREET GREAT BEND KS 67530 TPA SERVICES 1394549 ANTHEM HEALTH PLANS OF NH 3000 GOFFS FALLS ROAD MANCHESTER NH 03111 INS PROVIDER 449362 HELMS COMPANY 1 PILLSURY STREET SUITE 200 CONCORD NH 03301 MANAGEMENT 311948 LEIF ASSOCIATES 1515 ARAPAHOE STREET DENVER CO 80202 ACTUARY SERV 112057 4 30318757 30318757 POLICYHOLDER PREMIUMS 20000260 20000260 MEMBER ASSESSMENTS 6981254 6981254 26981514 14432 14432 11601812 11601561 251 251 251 57314954 26981514 14683 209979 40052 26526 127498 4468 7153 5188 3309 9900 CLAIM & CLAIM LOSS RESERV 60843534 ADMIN SERVICES 1520989 CARRIER SUBSIDIES 449362 AGENT REFERRAL FEES 218800 26889 63493647 0 0 0 651769 5032149 2208303 88984 45595 6524990 10682464 116775 122522 1854656 1531000 14269323 14589884 159972 608260 1467588 1877060 7603506 13245000 9231066 15730320 X 5038257 -1140436 5038257 -1140436 14269323 14589884 -6178693 X false true X true true true RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED LOSS RESERVES 13245000 13245000 57314954 57314954 57314954 63493647 63493647 63493647 SEE STATEMENT BELOW - SUPPLEMENTAL false ADDITIONAL INFORMATION SCHEDULE L PART V PART IV QUESTION 28 SCH L THE ORGANIZATION IS BY STATUTE DESIGNED TO HAVE REPRESENTATIVES OF INSURANCE COMPANIES HOSPITALS AND OTHER RELATED PARTIES THEREFORE THERE ARE TRANSACTIONS AMONG THE COMPANIES FOR WHICH THE BOARD MEMBERS WORK PART VIALINE 2 THE ORGANIZATION IS BY STATUTE DESIGNED TO HAVE REPRESENTATIVES OF INSURANCE COMPANIES HOSPITALS AND OTHER RELATED PARTIES THEREFORE THERE ARE TRANSACTIONS AMONG THE COMPANIES FOR WHICH THE BOARD MEMBERS WORK ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION ESTABLISHED BY STATE STATUTE TO A) PROVIDE SUBSIDIZATION TO CARRIERS EXPERIENCING CATASTROPHIC CLAIMS IN THE INDIVIDUAL HEALTH INSURERS MARKET AND B) TO PROVIDE HEALTH INSURANCE TO NH RESIDENTS DECLINED COVERAGE IN THE PRIVATE MARKET. ADDITIONAL INFORMATION FORM 990 NEW HAMPSHIRE INDIVIDUAL HEALTH PLAN IS CONTRACTED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO ADMINISTER A FEDERAL HIGH RISK POOL INSURANCE PROGRAM. THE PROGRAM IS FULLY FUNDED BY THE HEALTH AND HUMAN SERVICES AND FROM PREMIUMS. NEW HAMPSHIRE INDIVIDUAL HEALTH PLAN HAS NO LIABILITY ASSOCIATED WITH THE FEDERAL HIGH RISK POOL FOR COSTS THAT ARE IN EXCESS OF FUNDING. EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS FORM 990, PAGE 1, PART I, LINE 6 VOLUNTEERS ARE ON THE BOARD OF DIRECTORS AND PERFORM EXECUTIVE DUTIES. AUTHORITY DELEGATED TO COMMITTEE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 1A THE COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD TO THE EXTENT SET FORTH IN THE BYLAWS AND EXCEPT AS MAY BE LIMITED BY APPLICABLE LAW. THE COMMITTEE MAY FULFILL ADDITIONAL DUTIES AND ADOPT ADDITIONAL POLICIES AND PROCEDURES AS MAY BE APPROPRIATE IN LIGHT OF CHANGING BUSINESS, LEGISLATIVE, REGULATORY OR OTHER CONDITIONS. MANAGEMENT DELEGATED FORM 990, PAGE 6, PART VI, LINE 3 THE ORGANIZATION HIRES A MANAGEMENT COMPANY TO RUN ALL OF THE PROGRAMS IN THE HEALTH PLAN. THE TRUSTEES OVERSEE THE OPERATIONS OF THE MANAGEMENT COMPANY. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PRESENTED TO THE FINANCE COMMITTEE BEFORE IT IS FILED. THE FINANCE COMMITTEE REVIEWS THE RETURN FOR ACCURACY AND REPORTS ITS FINDINGS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS APPROVES THE 990 BEFORE IT IS FILED. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE CONFLICT OF INTEREST POLICY IS PART OF THE ETHICS POLICY. IT REQUIRES THAT THE ORGANIZATION PERFORM AN ANNUAL UPDATE AND DISCLOSURE. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE HELD IN CARE OF HELMS & CO., CONCORD, NH AND ARE AVAILABLE UPON REQUEST. FORM 990 IS AVAILABLE ON NHHP WEBSITE.