2011-07-15T10:05:44-05:00 2010-08-31 PricewaterhouseCoopers LLP 1201 Louisiana Suite 2900 Houston TX 77002 990 2009-09-01 760480012 UTMB HEALTH PLANS INC UTMB 4097664000 301 University Boulevard Rt 0985 GALVESTON TX 775550985 DAVID M CONNAUGHTON 2011-07-14 7133564000 2009 2016-02-24 21:20:13Z DAVID M CONNAUGHTON 301 UNIV BLVD RT 0128 GALVESTON TX 77555 958375 false X UTMBHCS.ORG X 2000 TX SEE ATTACHMENT 3 3 0 0 0 0 0 0 0 1143548 946416 83757 11959 27149 0 1254454 958375 0 0 0 0 0 0 0 0 0 1497626 1435440 1497626 1435440 -243172 -477065 13724741 9877600 11841776 8441547 1882965 1436053 UTMB HEALTH PLANS, INC. WAS ESTABLISHED TO HELP THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON FULFILL THE MISSION OF EDUCATION, RESEARCH, AND PATIENT CARE. FULFILLING THE MISSION OF PATIENT CARE INCLUDES MAINTENANCE OF A MEDICARE SELECT INSURANCE PROGRAM. MEDICARE SELECT IS A MEDICARE SUPPLEMENTAL POLICY AVAILABLE TO RESIDENTS OF GALVESTON COUNTY. false false 1327730 946416 HMO AND MANAGED CARE CONTRACTING FOR THE UNIVERSITY OF TEXAS MEDICAL BRANCH HOSPITALS AND CLINICS AND OTHER SUCH PROVIDERS AS MAY BE NECESSARY AND APPROPRIATE TO ENABLE UTMB TO FULFILL ITS MISSION. 1327730 true false false false false 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 false false false false false true true false false true 37 0 true 0 false false false false false false false false false false 3 0 false false false false false false false true true false false false true true true true true true true false TX X SANDRA Y BENIGAR 4097664082 123 25TH STREET 9TH FLOOR GALVESTON TX 77550 X DAVID L CALLENDER MD 1.0 X 0 809586 68418 WILLIAM ELGER 1.0 X X 0 430180 25998 GARLAND D ANDERSON MD 1.0 X 0 601278 61217 DAVID M CONNAUGHTON 4.0 X 0 322024 41951 MELBA STIEFEL 10.0 X 0 111459 2441 SANDRA Y BENIGAR 10.0 X 0 53181 1004 0 2327708 201029 0 false true false COVENANT MANAGMENT SYSTEMS LP PO BOX 26726 AUSTIN TX 78755 CLAIMS PROCESSING 111665 MILLIMAN 333 CLAY STREET SUITE 4330 HOUSTON TX 770027338 ACTUARIAL SERVICES 123397 2 0 MANAGED CARE 900099 946416 946416 946416 11959 11959 0 0 0 0 0 0 0 958375 946416 11959 0 0 0 0 0 0 0 0 0 0 199097 159278 39819 1321 1057 264 -388 -310 -78 0 0 0 966530 952602 13928 3385 2708 677 10069 8055 2014 809 647 162 0 9395 7516 1879 1573 1258 315 0 0 197390 157912 39478 0 11328 9062 2266 19757 15806 3951 DUES AND PUBLICATIONS 336 269 67 PREMIUM TAX 14838 11870 2968 1435440 1327730 107710 0 10905823 251128 516221 9610989 2289725 4830 12972 10653 13724741 9877600 2429315 2501751 23041 6715296 5916755 2697165 0 11841776 8441547 X 1882965 1436053 1882965 1436053 13724741 9877600 X false false false X X false false false THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON 746000949 06 true true true 1397737 1 1397737 false false false false false false false false false DAVID L CALLENDER MD 0 807786 0 0 0 1800 0 5500 0 62918 0 878004 0 0 WILLIAM ELGER 0 411069 0 0 0 19111 0 0 0 25998 0 456178 0 0 GARLAND D ANDERSON MD 0 598978 0 0 0 2300 0 5500 0 55717 0 662495 0 0 DAVID M CONNAUGHTON 0 319044 0 1000 0 1980 0 5500 0 36451 0 363975 0 0 COMPENSATION PROCEDURES OF RELATED ORGANIZATION SCH. J, PART I, QUESTION 3 THE CEO RECEIVES NO COMPENSATION FROM UTMB HEALTH PLANS, INC. HE IS COMPENSATED BY THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON. THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON USES AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, AND A COMPENSATION SURVEY TO ESTABLISH THE COMPENSATION OF THE CEO. CONFLICT OF INTEREST POLICY PART VI, SECTION B, 12C THE CORPORATE SECRETARY REVIEWS THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE RESPONSES. UTMB'S INTERNAL AUDIT DEPARTMENT PERIODICALLY REVIEWS THE ORGANIZATION FOR COMPLIANCE. TO DATE THERE HAVE BEEN NO CONFLICTS OF INTEREST. EXECUTIVE COMPENSATION PART VI, SECTION B, 15A THE CEO RECEIVES NO COMPENSATION FROM UTMB HEALTH PLANS, INC. HE IS COMPENSATED BY THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON. OFFICER COMPENSATION PART VI, SECTION B, 15B OTHER OFFICERS OR KEY EMPLOYEES RECEIVE NO COMPENSATION FROM UTMB HEALTH PLANS, INC. THEY ARE COMPENSATED BY THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON OR BY UTMB HEALTHCARE SERVICES INC. DOCUMENT AVAILABILITY PART VI, SECTION C, 19 THE ORGANIZATION MAKES ITS GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST ONLY. COMPENSATION PART V, 2A ALL COMPENSATION IS PAID BY THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON (EIN: 74-6000949) OFFICER RELATIONS THE FOLLOWING OFFICERS AND DIRECTORS HAVE COMMON BOARD MEMBERSHIP WITH THE UTMB HEALTHCARE SYSTEMS, INC. (EIN: 76-0682238): DAVID L. CALLENDER, MD DAVID M. CONNAUGHTON WILLIAM ELGER GARLAND D. ANDERSON, MD MELBA STIEFEL SANDRA Y. BENIGAR THE FOLLOWING OFFICERS AND DIRECTORS HAVE A BUSINESS RELATIONSHIP WITH UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON (EIN: 74-6000949): DAVID L. CALLENDER, MD DAVID M. CONNAUGHTON WILLIAM ELGER GARLAND D. ANDERSON, MD MELBA STIEFEL SANDRA Y. 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