COMPREHENSIVE HEALTH INSURANCE RISK POOL ASSOCIATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COMPREHENSIVE HEALTH INSURANCE RISK POOL ASSOCIATION (EIN 64-0805837)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201323189349302837
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T11:15:52-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640809101 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARPER RAINS KNIGHT & COMPANY PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1052 HIGHLAND COLONY PKWY STE 100 | AddressLine1 |
| City | RIDGELAND | City |
| State | MS | State |
| ZIP Code | 39157 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640805837 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMPREHENSIVE HEALTH INSURANCE RISK POOL | BusinessNameLine1 |
| Business Name Line2 | ASSOCIATION | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMP | NameControl |
| Phone | 6013620799 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 13748 | AddressLine1 |
| City | JACKSON | City |
| State | MS | State |
| ZIP Code | 39236 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STEVEN SCHOUWEILER | Name |
| Title | CHAIRMAN | Title |
| Phone | 6013620799 | Phone |
| Date Signed | 2013-11-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BILL FELDER CPA | Name |
| PTIN | P00745144 | PTIN |
| Phone | 6016050722 | Phone |
| Date Prepared | 2013-11-08 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | STEVEN SCHOUWEILER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 13748 | AddressLine1 |
| City | JACKSON | City |
| State | MS | State |
| ZIP Code | 39236 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 43727149 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | HTTP://WWW.MISSISSIPPIHEALTHPOOL.ORG/ | WebSite |
| Type Of Organization Other | X | TypeOfOrganizationOther |
| Type Of Org Other Description | SCH-O NONPROFIT LEGAL ENTITY | TypeOfOrgOtherDescription |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | MS | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HEALTH AND ACCIDENT INSURANCE COVERAGE TO THOSE CITIZENS OF MISSISSIPPI WHO BECAUSE OF HEALTH CONDITIONS CANNOT SECURE SUCH COVERAGE, OR DESIRE TO OBTAIN OR CONTINUE HEALTH INSURANCE COVERAGE UNDER ANY STATE OR FEDERAL PROGRAM DESIGNED TO ENABLE PERSONS TO OBTAIN OR MAINTAIN HEALTH INSURANCE COVERAGE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1160930 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4248447 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 26368110 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 32001911 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 620188 | InvestmentIncomePriorYear |
| Investment Income Current Year | 223942 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 13464 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 28149228 | TotalRevenuePriorYear |
| Total Revenue Current Year | 36487764 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 34955022 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 33316077 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 258701 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 263394 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2961804 | OtherExpensePriorYear |
| Other Expenses Current Year | 5518825 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 38175527 | TotalExpensesPriorYear |
| Total Expenses Current Year | 39098296 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -10026299 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2610532 | RevenuesLessExpensesCY |
| Total Assets BOY | 16378262 | TotalAssetsBOY |
| Total Assets EOY | 16975186 | TotalAssetsEOY |
| Total Liabilities BOY | 19394504 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 19517799 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -3016242 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -2542613 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO ALLOW THE AVAILABILITY OF A HEALTH INSURANCE PROGRAM AND TO ALLOW THE AVAILABILITY OF HEALTH AND ACCIDENT INSURANCE COVERAGE TO THOSE CITIZENS OF THE STATE OF MISSISSIPPI WHO BECAUSE OF HEALTH CONDITIONS CANNOT SECURE SUCH COVERAGE, OR DESIRE TO OBTAIN OR CONTINUE HEALTH INSURANCE COVERAGE UNDER ANY STATE OR FEDERAL PROGRAM DESIGNED TO ENABLE PERSONS TO OBTAIN OR MAINTAIN HEALTH INSURANCE COVERAGE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 31656530 | Expense |
| Revenue | 28535678 | Revenue |
| Description | PURSUANT TO MISSISSIPPI STATUTE, THE ORGANIZATION PROVIDES HEALTH AND ACCIDENT INSURANCE COVERAGE TO THOSE CITIZENS OF MISSISSIPPI WHO BECAUSE OF HEALTH CONDITIONS CANNOT SECURE SUCH COVERAGE, OR DESIRE TO OBTAIN OR CONTINUE HEALTH INSURANCE COVERAGE UNDER ANY STATE OR FEDERAL PROGRAM DESIGNED TO ENABLE PERSONS TO OBTAIN OR MAINTAIN HEALTH INSURANCE COVERAGE. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3466233 | Expense |
| Revenue | 3466233 | Revenue |
| Description | DURING 2011, THE MISSISSIPPI COMMISSIONER OF INSURANCE DETERMINED THAT THE ORGANIZATION WAS THE APPROPRIATE AND PROPER PLATFORM TO ESTABLISH AND IMPLEMENT MISSISSIPPI'S STATE-BASED HEALTH INSURANCE EXCHANGE CONSISTENT WITH THE AFFORDABLE CARE ACT. SINCE THAT TIME THE ORGANIZATION HAS UNDERTAKEN TO IMPLEMENT A STATE-BASED EXCHANGE TAILORED TO THE UNIQUE NEEDS OF MISSISSIPPI. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 35122763 | TotalProgramServiceExpense |
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 2 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LANNY CRAFT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6018999967 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 13748 | AddressLine1 |
| City | JACKSON | City |
| State | MS | State |
| ZIP Code | 39236 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (12 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| AMER NAT INS CO-STEVEN SCHOUWEILER | ||||||
| CHAIRMAN | 0.50 | X | X | 0 | 0 | 0 |
| BCBS OF MS - CHARLES PACE | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| UNITED HEALTHCARE OF MS - STAN NEES | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| RON ALDRIDGE | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| DAN DAVIS | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| LARRY FORTENBERRY | ||||||
| VICE CHAIRMAN | 0.50 | X | X | 0 | 0 | 0 |
| MICHAEL LIVINGSTON MD | ||||||
| SECRETARY | 0.50 | X | X | 0 | 0 | 0 |
| WILLIAM O TOWNSEND | ||||||
| TREASURER | 0.50 | X | X | 0 | 0 | 0 |
| JOYCE WADE MD | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| CHAIR HOUSE INS COMMITTE | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| CHAIR SENATE INS COMMITTE | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| LANNY CRAFT | ||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 249985 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 249985 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CORESOURCE | |||||
| 5200 77 CENTER DRIVE | CHARLOTTE | NC | 28217 | ADMINISTERING INSURER | 1032190 |
| JONES WALKER LLP | |||||
| 190 EAST CAPITOL STREET | JACKSON | MS | 39201 | LEGAL SERVICES | 624704 |
| PUBLIC CONSULTING GROUP | |||||
| 148 STATE STREET | BOSTON | MA | 02109 | CONSULTING | 504659 |
| LANNY CRAFT | |||||
| PO BOX 13748 | JACKSON | MS | 39236 | EXECUTIVE DIRECTOR | 249985 |
| CSG GOVERNMENT SOLUTIONS | |||||
| 180 N STETSON AVE SUITE 3200 | CHICAGO | IL | 60601 | CONSULTING | 246839 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Government Grants | 4248447 | GovernmentGrants |
| Total Contributions | 4248447 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PREMIUMS | 524298 | 17383347 | 17383347 |
| OPERATIONAL ASSESSMENTS | 524298 | 14618564 | 14618564 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 32001911 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 341068 | TotalRevenueColumn |
| Exclusion | $341,068 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7122259 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7239385 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -117126 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -117126 | TotalRevenueColumn |
| Exclusion | -$117,126 | ExclusionAmount |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13464 | TotalRevenueColumn |
| Exclusion | $13,464 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 13464 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 36487764 | TotalRevenueColumn |
| Related Or Exempt Function Income | 32001911 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $237,406 | ExclusionAmount |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33316077 | Total |
| Program Services | 33316077 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 263394 | Total |
| Management And General | 263394 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1369286 | Total |
| Program Services | 1369286 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93612 | Total |
| Management And General | 93612 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83128 | Total |
| Management And General | 83128 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3466233 | Total |
| Management And General | 3466233 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17696 | Total |
| Management And General | 17696 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12033 | Total |
| Management And General | 12033 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1494 | Total |
| Management And General | 1494 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| INCREASE IN POLICY CLAI | 388000 | 388000 | |
| AGENT REFERRAL FEES | 49400 | 49400 | |
| ACTUARIAL | 24085 | 24085 | |
| MISCELLANEOUS | 13858 | 13858 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39098296 | Total |
| Program Services | 35122763 | ProgramServices |
| Management And General | 3975533 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 977375 | BOY |
| EOY | 1178517 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2149580 | BOY |
| EOY | 4338432 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2029459 | BOY |
| EOY | 4057071 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 941 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 941 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10712285 | BOY |
| EOY | 7141302 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 509563 | BOY |
| EOY | 259864 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16378262 | BOY |
| EOY | 16975186 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1268266 | BOY |
| EOY | 3925555 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1481451 | BOY |
| EOY | 1834266 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16644787 | BOY |
| EOY | 13757978 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19394504 | BOY |
| EOY | 19517799 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -3016242 | BOY |
| EOY | -2542613 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -3016242 | BOY |
| EOY | -2542613 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16378262 | BOY |
| EOY | 16975186 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -2610532 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -62602 | ReconciliationUnrealizedInvest |
| Reconcilation Invest Expenses | -35237 | ReconcilationInvestExpenses |
| Reconcilation Other Changes | 3182000 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 941 | OtherCostOrOtherBasis |
| Depreciation | 941 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| RSV FOR ASSESSMENT OVERPAYMENTS | $500,000 |
| POLICY CLAIMS & BENEFITS PAYABLE | $5,366,000 |
| PREMIUMS RECEIVED IN ADVANCE | $154,978 |
| BENEFIT RESERVES | $7,737,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 13757978 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 36389925 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -62602 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -62602 | RevenueNotRptdF990 |
| Revenue Subtotal | 36452527 | RevenueSubtotal |
| Investment Expenses Not Included | 35237 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 35237 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 36487764 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 39098296 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 39098296 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 39098296 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE ASSOCIATION IS RECOGNIZED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(26) OF THE INTERNAL REVENUE CODE. THERE WERE NO UNCERTAIN TAX POSITIONS IDENTIFIED RELATED TO THE CURRENT YEAR AND THE ASSOCIATION HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2012 FOR WHICH LIABILITIES HAVE BEEN ESTABLISHED. THE ASSOCIATION RECOGNIZES INTEREST AND PENALTIES, IF ANY, RELATED TO UNRECOGNIZED TAX BENEFITS AS A COMPONENT OF INCOME TAX EXPENSE. THE TAX YEARS THAT REMAIN OPEN FOR FEDERAL AND STATE INCOME TAX JURISDICTIONS ARE 2009 AND FORWARD. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | LANNY CRAFT | NamePerson |
| Title | EXECUTIVE DIRECTOR | Title |
| Base Compensation Filing Org | 249985 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 249985 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNITED HEALTH CARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | BOARD MEMBER AND ADMINISTERING INSURER | Relationship |
| Amount Of Transaction | 123950 | AmountOfTransaction |
| Description Of Transaction | EFFECTIVE NOVEMBER 1, 2012 THE ASSOCIATION ENGAGED UNITED HEALTHCARE TO BE THEIR NEW ADMINISTERING INSURER AT A RATE OF $38.70 FOR EACH INDIVIDUAL COVERED BY THE ASSOCIATION. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ASSOCIATION IS COMPRISED OF ALL INSURANCE COMPANIES, NONPROFIT HEALTH CARE SERVICES PLANS, FRATERNAL BENEFIT SOCIETIES, HEALTH MAINTENANCE ORGANIZATIONS, ANY SELF-INSURANCE ARRANGEMENT COVERED BY THE EMPLOYEE RETIREMENT INCOME SECURITY ACT TO THE EXTENT CONSISTENT WITH FEDERAL LAW AND ANY OTHER ENTITY PROVIDING A PLAN OF HEALTH INSURANCE OR HEALTH BENEFITS SUBJECT TO STATE INSURANCE REGULATION, ANY HEALTH INSURANCE REINSURER IN MISSISSIPPI, AND THIRD PARTY ADMINISTRATORS PAYING OR PROCESSING HEALTH INSURANCE CLAIMS FOR ANY MISSISSIPPI RESIDENT. ALL SUCH ENTITIES, AS A CONDITION OF DOING BUSINESS, SHALL BE MEMBERS OF THE ASSOCIATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | PURSUANT TO MISSISSIPPI STATUTE THE MEMBERS OF THE ORGANIZATION ARE EVERY ENTITY AUTHORIZED TO WRITE HEALTH INSURANCE IN THE STATE OF MISSISSIPPI. THE MEMBERS OF THE ORGANIZATION APPOINT THREE (3) MEMBERS TO THE ORGANIZATION'S BOARD OF DIRECTORS (GOVERNING BODY). | |
| FORM 990, PART VI, SECTION A, LINE 7B | PURSUANT TO MISSISSIPPI STATUTE CERTAIN DECISIONS OF THE ORGANIZATION'S GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE MISSISSIPPI COMMISSIONER OF INSURANCE. FOR EXAMPLE, ADOPTION OF THE ORGANIZATION'S ARTICLES, BYLAWS AND OPERATING RULES, ADOPTION OF THE ORGANIZATION'S MAJOR MEDICAL EXPENSE COVERAGE AND AMENDMENTS THERETO, RATES FOR COVERAGE ISSUED BY THE ORGANIZATION, RESIDENCY REQUIREMENTS IN CONNECTION WITH ELIGIBILITY FOR COVERAGE, AND ENTERING INTO CONTRACTS WITH SIMILAR ORGANIZATIONS OF OTHER STATES FOR THE JOINT PERFORMANCE OF COMMON ADMINISTRATIVE FUNCTIONS OR WITH PERSONS OR OTHER ORGANIZATIONS FOR THE PERFORMANCE OF ADMINISTRATIVE FUNCTIONS ARE SUBJECT TO THE APPROVAL OF THE MISSISSIPPI COMMISSIONER OF INSURANCE. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS AND REVIEWED BY THE ORGANIZATION'S EXECUTIVE DIRECTOR. A COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) IS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY. THE ORGANIZATION'S GOVERNING BODY REVIEWS THE FORM 990, APPROVES THE FORM 990 FOR FILING WITH THE INTERNAL REVENUE SERVICE, AND AUTHORIZES OFFICERS OF THE ORGANIZATION TO EXECUTE THE FORM 990 ON BEHALF OF THE ORGANIZATION. | |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH DIRECTOR, PRINCIPAL OFFICER, MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, AND EXECUTIVE DIRECTOR SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST AND BUSINESS ETHICS POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THE ORGANIZATION IS A TAX EXEMPT ORGANIZATION AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ADDITION TO ANNUAL SIGNED STATEMENTS THE ORGANIZATION CONDUCTS PERIODIC REVIEWS TO ENSURE THE ORGANIZATION IS IN COMPLIANCE WITH ITS CONFLICT OF INTEREST AND BUSINESS ETHICS POLICY. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PROCESS FOR DETERMINING THE COMPENSATION OF THE EXECUTIVE DIRECTOR INCLUDES REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS OF THE ORGANIZATION, USE OF COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS OF THE BOARD REGARDING THE COMPENSATION AGREEMENT. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART XI, LINE 9: | CHANGE IN ACCOUNTING ESTIMATE FOR BENEFIT RESERVE 3,182,000. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C: | THE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR. |
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