2012-11-15T16:20:37-06:00 2011-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2011-01-01 550585592 The Health Plan of the Upper Ohio Valley Inc % Jeffrey Knight HEAL 7406953585 52160 National Road East St Clairsville OH 43950 JEFF KNIGHT 2012-11-15 3176817000 2011 2016-02-24 21:20:13Z Jeffrey M Knight 52160 National Rd East St Clairsville OH 43950 758734867 false X www.healthplan.org X 1979 WV THE HEALTH PLAN OF THE UPPER OHIO VALLEY, INC. PROVIDES HMO SERVICES TO MEMBERS. 14 13 443 0 3539687 0 0 383987912 386827828 16304590 9665124 81958 5571104 400374460 402064056 92377 187820 337713404 348015397 15351362 17090680 0 0 0 12802199 14326047 365959342 379619944 34415118 22444112 226841016 235646427 51152688 55924258 175688328 179722169 THE HEALTH PLAN OF THE UPPER OHIO VALLEY, INC. PROVIDES HMO SERVICES TO MEMBERS. false false 176200566 187820 167980162 THE PRIMARY EXEMPT PURPOSE OF THE HEALTH PLAN OF THE UPPER OHIO VALLEY IS TO OPERATE A STATE CERTIFIED, FEDERALLY QUALIFIED HEALTH MAINTENANCE ORGANIZATION (HMO) WHICH PROVIDES COMPREHENSIVE HEALTH CARE SERVICES ON A PREPAID BASIS. HEALTH COVERAGE INCLUDED INPATIENT, EMERGENCY ROOM, OUTPATIENT, DOCTOR ORDERED, PHYSICIAN, PHARMACEUTICAL, MENTAL HEALTH AND VISION SERVICES. THE NUMBER OF HMO MEMBERS AT DECEMBER 31, 2011 WAS 40,255 50356750 52647795 THE HEALTH PLAN CONTINUED TO OFFER THE MEDICAID PROGRAM SERVICING 27,092 MEMBERS AT DECEMBER 31, 2011. HEALTH COVERAGE INCLUDED INPATIENT, EMERGENCY ROOM, DOCTOR ORDERED, PHYSICIAN, AND VISION SERVICES. 150891893 162660184 THE HEALTH PLAN OF THE UPPER OHIO VALLEY CONTINUES TO OFFER A MEDICARE ADVANTAGE PROGRAM KNOWN AS SECURE CARE. THIS PRODUCT ENABLES THE MEDICARE AGE POPULATION TO SELECT SUPPLEMENTAL MEDICARE COVERAGE AT A MUCH LOWER PRICE BECAUSE THEY AGREE TO UTILIZE THE HEALTH PLAN NETWORK. THE ENROLLMENT AT YEAR END WAS 13,922. HEALTH COVERAGE INCLUDES INPATIENT, EMERGENCY ROOM, OUTPATIENT, DOCTOR ORDERED, AND PHYSICIAN. PHARMACEUTICAL AND VISION SERVICES WERE OFFERED AS OPTIONS IN ADDITION TO THE SERVICES LISTED ABOVE. 377449209 false false false false false false false false false true false false false true false false false false false false false false false false false false false true true false false false false false false false false false false false false false true true true false true 11172 0 true 443 true true true false false false false false X 14 13 false false false false false false false true true false false true true true true false true true true false X Jeffrey Knight 7406957585 52160 National Road East St Clairsville OH 43950 Philip D Wright 40.0 X X 420635 0 24500 Robert Dunlevy 1.0 X 6000 0 0 JERRY FISHER 1.0 X 5400 0 0 Roland Hobbs 1.0 X 5400 0 0 John Holloway 1.0 X 5400 0 0 Frank Joanou 1.0 X 5400 0 0 Kiki Mehallis 1.0 X 4950 0 0 Charles Monfradi 1.0 X 6000 0 0 Charles Newmeyer 1.0 X 5500 0 0 James Newton 1.0 X 5400 0 0 E Phillip Polack MD 1.0 X 4950 0 0 John Schellhase 1.0 X 6000 0 0 John Wright IV 1.0 X 5400 0 0 Nick Zervos 1.0 X 6600 0 0 Jeffrey M Knight 40.0 X 190500 0 19173 Patricia M Fast 40.0 X 246110 0 24021 E David Mathieu 40.0 X 241222 0 24021 Robert C Kota 40.0 X 236855 0 22661 Robert Roset 40.0 X 239215 0 23978 Kenneth Allen 40.0 X 252346 0 24500 Mark Kenamond 40.0 X 214724 0 21530 Stephen Neal 40.0 X 133182 0 13335 John Strah 40.0 X 129082 0 13110 Steven Halverson 40.0 X 128115 0 12253 Thomas Samol 40.0 X 121385 0 11802 Denise Knight 40.0 X 117349 0 12043 2743120 0 246927 13 false true false 0 0 HMO Program 524114 167980162 167980162 Medicaid Program 524114 52647795 52647795 Medicare Program 524114 162660184 162660184 CLAIMS PROCESSING 524292 3539687 3539687 386827828 5740942 5740942 0 0 54999 54999 54999 54999 360597287 356670811 3926476 3924182 3924182 0 0 0 MISCELLANEOUS REVENUE 900099 5516105 5516105 5516105 402064056 388859245 3539687 9665124 0 187820 187820 0 348015397 348015397 2041607 2041607 0 8280330 6291361 1988969 1479048 1479048 4087626 4087626 1202069 1202069 0 338345 323613 14732 723206 723206 0 0 21130 21130 2049924 1930181 119743 2435255 2435255 2115877 2106979 8898 1904499 1873865 30634 0 855786 855786 301476 301476 0 144340 139965 4375 697098 697098 0 123210 118930 4280 346083 346083 Broker Expense 1590951 1590951 Premium Tax Expense 688057 688057 Loss Adjustment Expense -9190 -8294 -896 All other expenses 379619944 377449209 2170735 0 0 0 35065989 11935577 0 0 7300813 5975181 0 0 0 0 0 0 0 0 0 0 9904065 3529505 6555938 6374560 176166556 209782606 0 0 0 0 0 0 1751720 1578503 226841016 235646427 47007338 52004927 0 0 3570444 3108358 0 0 0 0 0 0 0 0 0 0 574906 810973 51152688 55924258 X 175138328 179172169 0 0 550000 550000 175688328 179722169 226841016 235646427 X 22444112 -18410271 X false true true X false 800000 800000 7466192 1627265 5115060 1790426 1482278 459500 6374560 0 POST RETIREMENT BENEFIT OBLIGATION 810973 810973 true MEDICAL STUDENT SCHOLARSHIPS 14 17163 170657 actual cost tuition paid Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants The HPUOV medical student (doctors/nurses) scholarship program began in the fall of 2009. Medical students submit scholarship applications to a sub-committee of the board. These applications are reviewed by the sub-committee based on the student's financial needs. The preferred applicants are recommended to the full board, which then approves any scholarship awards. The tuition payments are made directly to the school and book expense reimbursements are made directly to the student. The grant term is open until the student graduates. X X X false false false false false false false false false Philip D Wright 334678 0 81250 0 4707 0 0 0 24500 0 445135 0 0 0 Jeffrey M Knight 159122 0 31000 0 378 0 0 0 19173 0 209673 0 0 0 Patricia M Fast 199722 0 38884 0 7504 0 0 0 24021 0 270131 0 0 0 E David Mathieu 197676 0 38884 0 4662 0 0 0 24021 0 265243 0 0 0 Robert C Kota 188774 0 36685 0 11396 0 0 0 22661 0 259516 0 0 0 Robert Roset 198360 0 38813 0 2042 0 0 0 23978 0 263193 0 0 0 Kenneth Allen 209568 0 40800 0 1978 0 0 0 24500 0 276846 0 0 0 Mark Kenamond 195724 0 19000 0 0 0 0 0 21530 0 236254 0 0 0 Describe the Process used by Management &/or Governing Body to Review 990 Form 990, Part VI, Question 11 The CFO and Controller will review the 990 for reasonableness compared to the internal financial statements. The CFO will provide copies to the Finance Committee which is a subset of the Board of Directors prior to filing the return. Description of Process to Monitor Transactions for Conflicts of Interest Form 990, Part VI, Question 12c Conflict of interest statements are signed on an annual basis and maintained by the Human Resources Department. Offices & Positions for Which Process was Used, & Year Process was Begun Form 990, Part VI, Question 15a Compensation is reviewed annually by the President. He utilizes the Warren Survey information by position for executive and senior management and makes recommendations to the personnel committee. The compensation committe then presents the preferred compensation changes to the Board of Directors for approval. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public Form 990, Part VI, Question 19 These documents are available upon request to the CFO. Other changes in net assets or fund balances (explain in Schedule O) Form 990, Part X, Balance Sheet (Part XI - Recon of Net Assets) Change in non-admitted assets: (2,935,654) and change in net unrealized capital gains/loses (15,474,617). Hometown HealthPlan 100 Lillian Gish Blvd Massillon OH 44647 341523541 INSURANCE OH 501(C)(4) N/A HPUOV true THP Insurance Company 1137 VanVoorhis Rd Chelsea Square S Morgantown WV 26505 550765726 Insurance WV NA C CORP -10394308 31083368 1.00000 HP Agency Inc 52160 National Road East St Clairsville OH 43950 341764520 SVC TO SELF-INS OH NA C CORP -59162 106122 1.00000 HomeTown HHP Services Corp 100 Lillian Gish Blvd Massillon OH 44647 341588625 SVC TO SELF-INS OH NA C CORP 23141 1052351 1.00000 false false false false false false false false false false false false true true false false false false THP Insurance Company M / N 4147391 ADMIN ALLOC. HP Agency Inc M / N 3382904 ADMIN ALLOC. HomeTown HHP Services Corp M / N 208473 ADMIN ALLOC.