2012-10-09T15:51:42-05:00 2011-12-31 BKD LLP 201 N Illinois Street Indianapolis IN 46204 990 2011-01-01 204372643 LIONS INSURANCE COMPANY INC % DANIEL SELLERS LION 3172212309 3838 NORTH RURAL STREET INDIANAPOLIS IN 46205 DANIEL E SELLERS 3172212309 2012-11-15 true NICOLE B FISHBACK 3173834000 2011 2016-02-24 21:20:13Z NORMAN ARANDA 3838 NORTH RURAL STREET INDIANAPOLIS IN 46205 3892640 false X N/A X 2005 IN TO PROVIDE INSURANCE COVERING THE PROFESSIONAL (MALPRACTICE) AND GENERAL LIABILITY EXPOSURES OF THE NURSING HOMES OPERATED BY HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY (HHC). 4 2 1 4 0 0 0 0 3491648 3849645 52438 42995 0 0 3544086 3892640 0 0 0 0 0 0 0 0 0 3098446 2118674 3098446 2118674 445640 1773966 14344824 17074330 10205361 11160901 4139463 5913429 X TO PROVIDE INSURANCE COVERING THE PROFESSIONAL (MALPRACTICE) AND GENERAL LIABILITY EXPOSURES OF THE NURSING HOMES OPERATED BY HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY (HHC); TO PROVIDE TAIL COVERAGE RELATING TO POTENTIAL EXPOSURE FOR PROFESSIONAL AND GENERAL CLAIMS INCURRED PRIOR TO THE INCEPTION OF LIONS INSURANCE COMPANY. false false 2089335 3849645 LIONS INSURANCE COMPANY IS A WHOLLY OWNED ENTITY OF HEALTH & HOSPITAL CORPORATION OF MARION COUNTY (HHC). HHC IS A MUNICIPAL ENTITY CREATED BY STATE STATUTE, INDIANA CODE SECTION 16-22-8 ET SEQ. LIONS INSURANCE COMPANY IS PURE CAPTIVE INSURER ORGANIZED AS A NONPROFIT CORPORATION THAT PROVIDES INSURANCE AND REINSURANCE COVERAGE FOR HHC'S NURSING HOMES. DURING 2011 LIONS INSURANCE COMPANY CLOSED 13 CLAIMS MADE BY OR ON BEHALF OF HHC NURSING HOME RESIDENTS. LIONS INSURANCE PAID $282,026 IN CLAIMS DURING 2011. 2089335 true false false false false false false false false false false 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 false true 0 0 0 true false false false false false false false false false false X 4 2 false false false false false false false true true false false true true true true true false false false false IN X DANIEL SELLERS 3172212309 3838 N RURAL ST INDIANAPOLIS IN 46205 X NORMAN ARANDA 20.0 X X 0 141175 4703 DANIEL E SELLERS 10.0 X X 0 185512 11283 JEFF WEBSTER 1.0 X 0 0 0 JAMES MINER MD 1.0 X 0 0 0 0 326687 15986 0 false true false RILEY BENNETT EGLOFF LLP 141 E WASHINGTON ST 4TH FLOOR INDIANAPOLIS IN 46204 LEGAL SERVICES 590265 FAEGRE BAKER DANIELS LLP 1050 K ST NW STE 400 WASHINGTON DC 20001 LEGAL SERVICES 137099 2 0 PREMIUMS COLLECTED 524298 3849645 3849645 3849645 42995 42995 0 0 0 0 0 0 0 3892640 3849645 42995 0 0 0 0 0 0 0 0 0 0 0 99145 70484 28661 0 0 0 0 36000 36000 0 56 56 125 125 0 0 497 497 0 0 0 0 0 0 CLAIMS EXPENSE 1982851 1982851 0 0 2118674 2089335 29339 0 0 0 14067606 17074330 0 0 277218 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14344824 17074330 77228 36725 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10128133 11124176 10205361 11160901 X 4139463 5913429 0 0 0 0 4139463 5913429 14344824 17074330 1773966 X false true true X false X X X false false false HEALTH & HOSPITAL CORPORATION OF MARION COUNTY 356005697 06 true true true 0 1 0 0 CLAIMS PAYABLE 11124176 11124176 3892640 2118674 1773966 1773966 3892640 3892640 3892640 2118674 2118674 2118674 FIN 48 DISCLOSURE SCHEDULE D, PART X MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. false false false false false false DANIEL E SELLERS 0 185512 0 0 0 0 0 0 0 11283 0 196795 0 0 DEFERRED COMPENSATION SCH J, PART II DEFERRED COMPENSATION IS INCLUDED IN DANIEL E SELLERS' BASE COMPENSATION OF $185,512. NUMBER OF EMPLOYEES ON FORM W-3 FORM 990, PART V, QUESTION 2A THE EMPLOYEES OF LIONS INSURANCE COMPANY ARE PAID USING A COMMON PAYMASTER, AND THEREFORE ARE NOT REPORTED ON FORM W-3. THE NUMBER OF EMPLOYEES SHOWN IN PART I, LINE 5 REPRESENTS THE NUMBER OF EMPLOYEES DURING THE YEAR. PROCESS TO REVIEW THE FORM 990 FORM 990, PART VI, QUESTION 11B A COPY IS SENT TO EACH BOARD MEMBER PRIOR TO FILING AND THEY ARE GIVEN A WEEK TO RESPOND WITH QUESTIONS AND COMMENTS. A DETAIL REVIEW IS DONE BY MARY KITCHEN, THE ASSISTANT TREASURER OF HEALTH & HOSPITAL CORPORATION, PRIOR TO THE REPORT BEING FILED. PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, QUESTION 12C THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY THE BOARD MEMBERS ONCE A YEAR AT THE ANNUAL BOARD MEETING. IT IS REVIEWED BY THE CAPTIVE MANAGER FROM THE ORGANIZATION'S LAW FIRM. THERE HAVE BEEN NO CONFLICTS YET. WE WOULD ASK FOR ABSTENTION FOR THE SPECIFIC TOPIC. IF THE CONFLICT WAS LARGE, WE WOULD ASK THE MEMBER TO REMOVE HIMSELF FROM THE BOARD. WHISTLEBLOWER POLICY FORM 990, PART VI, QUESTION 13 THE ORGANIZATION FOLLOWS HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY'S (HHC) WHISTLEBLOWER POLICY, SINCE THE EMPLOYEES ARE EMPLOYEES OF HHC. PROCESS TO DETERMINE CEO, OFFICE, & KEY EMPLOYEE COMPENSATION FORM 990, PART VI, QUESTIONS 15A & 15B THE ABOVE-REFERENCED QUESTIONS ARE ANSWERED NO BECAUSE THE ORGANIZATION DID NOT COMPENSATE ANYONE. AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, & FS FORM 990, PART VI, QUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:NORMAN ARANDA TITLE:PRESIDENT HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DANIEL E. SELLERS TITLE:VP, SECRETARY AND TREASURER HOURS:30 HEALTH & HOSPITAL CORP OF MARION COUNTY 3838 N RURAL ST INDIANAPOLIS IN 46205 356005697 HEALTH CARE IN 501(c)(3) 6 NA false false false false false false false false false false false false false true true false false false false