2011-11-15T15:25:15-06:00 2010-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2010-01-01 550585592 The Health Plan of the Upper Ohio Valley Inc HEAL 7406953585 52160 National Road East St Clairsville OH 43950 JEFFREY KNIGHT 2011-11-15 3176817000 2010 2016-02-24 21:20:13Z Jeffrey M Knight 52160 National Rd East St Clairsville OH 43950 771389538 false X www.healthplan.org X 1979 WV THE HEALTH PLAN OF THE UPPER OHIO VALLEY, INC. PROVIDES HMO SERVICES TO MEMBERS. 15 14 444 0 3469945 0 0 0 399764451 383987912 -2125620 16304590 3345126 81958 400983957 400374460 0 92377 362768097 337713404 14712802 15351362 0 0 0 14116686 12802199 391597585 365959342 9386372 34415118 198053454 226841016 49951598 51152688 148101856 175688328 THE HEALTH PLAN OF THE UPPER OHIO VALLEY, INC. PROVIDES HMO SERVICES TO MEMBERS. false false 161039217 92377 158458855 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, 2010 WAS 40,517. 47311716 0 53962082 THE HEALTH PLAN CONTINUED TO OFFER THE MEDICAID PROGRAM SERVICING 27,564 MEMBERS AT DECEMBER 31, 2010. HEALTH COVERAGE INCLUDED INPATIENT, EMERGENCY ROOM, DOCTOR ORDERED, PHYSICIAN, AND VISION SERVICES. 155565570 0 168178989 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 14,651. 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. 0 0 0 363916503 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 11104 538 true 444 true true true false false false false false X 15 14 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 354638 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 D Holloway 1.0 X 4950 0 0 Frank Joanou 1.0 X 5400 0 0 Joseph Kurey 1.0 X 4400 0 0 Kiki Mehallis 1.0 X 4950 0 0 Charles Monfradi 1.0 X 6000 0 0 Charles Newmeyer 1.0 X 5450 0 0 James Newton 1.0 X 4950 0 0 Edward Polack 1.0 X 5400 0 0 John Schellhase 1.0 X 6000 0 0 John Wright IV 1.0 X 5400 0 0 Nick Zervos 1.0 X 6100 0 0 Jeffrey M Knight 40.0 X 165036 0 16623 Patricia M Fast 40.0 X 212835 0 20834 E David Mathieu 40.0 X 208818 0 20834 Robert C Kota 40.0 X 206139 0 19614 Robert Roset 40.0 X 207322 0 20796 Kenneth Allen 40.0 X 208961 0 20810 Carl Kite 40.0 X 126593 0 12659 Stephen Neal 40.0 X 118701 0 11987 John Strah 40.0 X 117892 0 10920 Steven Halverson 40.0 X 115256 0 10566 Norma Rodenbaugh 40.0 X 110639 0 10518 2228630 0 200661 16 false true false 0 0 Medicare Program 524114 168178988 168178988 HMO Program 524114 158376898 158376898 Medicaid Program 524114 53962081 53962081 Claims Processing 524292 3469945 3469945 383987912 5052891 5052891 0 0 54999 0 54999 54999 54999 382266777 371015078 11251699 11251699 11251699 0 0 0 Miscellaneous Revenue 900099 26959 26959 26959 400374460 380544926 3469945 16359589 0 92377 92377 0 337713404 337713404 1783560 1783560 0 6889908 4981025 1908883 1510377 1510377 3928729 3928729 1238788 1238788 0 219797 203966 15831 549274 549274 0 0 20651 20651 1682620 1611691 70929 1884598 1884598 2050821 2035278 15543 1800058 1774932 25126 0 785502 785502 334855 334855 0 139043 137866 1177 735769 735769 0 112950 107600 5350 362206 362206 Broker Commissions 1315013 1315013 Premium Tax 630221 630221 Loss Adjustment 178821 178821 365959342 363916503 2042839 0 36328396 35065989 5842261 7300813 10362890 3806952 6651418 6555938 148572167 176166556 659212 1751720 198053454 226841016 46469146 47007338 3023293 3570444 459159 574906 49951598 51152688 X 147551856 175138328 550000 550000 148101856 175688328 198053454 226841016 X 34415118 -6828646 X false true true X false 800000 800000 7582694 2183034 5399660 1980196 1623918 356278 6555938 0 POST RETIREMENT BENEFIT OBLIGATION 574906 574906 true Medical Student Scholarships 8 92377 Description of Organization's Procedures for Monitoring the Use of Grants Schedule I, Part I, Line 2 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 approves then 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 324964 0 26256 0 3418 0 0 0 24500 0 379138 0 0 0 Jeffrey M Knight 154508 0 10150 0 378 0 0 0 16623 0 181659 0 0 0 Patricia M Fast 193926 0 12839 0 6070 0 0 0 20834 0 233669 0 0 0 E David Mathieu 191431 0 12839 0 4548 0 0 0 20834 0 229652 0 0 0 Robert C Kota 182907 0 12113 0 11119 0 0 0 19614 0 225753 0 0 0 Robert Roset 192574 0 12816 0 1932 0 0 0 20796 0 228118 0 0 0 Kenneth Allen 203483 0 3500 0 1978 0 0 0 20810 0 229771 0 0 0 Describe the Process used by Management &/or Governing Body to Review 990 Form 990, Part VI, Question 11b 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 & 15b 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 committee 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 Form 990, Part XI, Line 5 Change in non-admitted assets: $(465,356) Unrealized loss on investments: $(6,363,290) Total: $(6,828,646) Hometown HealthPlan 100 Lillian Gish Blvd Massillon OH 44647 341523541 INSURANCE OH 501(C)(4) N/A NA THP Insurance Company 1137 VanVoorhis Rd Chelsea Square S Morgantown WV 26505 550765726 Insurance WV NA C CORP -3850748 25915096 1.00000 HP Agency Inc 52160 National Road East St Clairsville OH 43950 341764520 SVC TO SELF-INS OH NA C CORP 120051 398776 1.00000 HomeTown HHP Services Corp 100 Lillian Gish Blvd Massillon OH 44647 341588625 SVC TO SELF-INS OH NA C CORP 166008 962318 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 4330941 HP Agency Inc M / N 3177399 HomeTown HHP Services Corp M / N 182403