Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | THE ASSOCIATION'S BYLAWS WERE AMENDED IN 2010 IN RELATION TO MEMBERSHIP AND THE INAUGURAL DUES POLICY FOR NEWLY ELIGIBLE PLANS. THE AMENDMENTS WERE APPROVED BY THE ASSOCIATION BOARD OF DIRECTORS IN NOVEMBER 2010. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ASSOCIATION HAS MEMBERS, ALL OF WHICH COMPRISE THE ASSOCIATION'S GOVERNING BODY. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ASSOCIATION'S CEO AND DIRECTOR OF ADMINISTRATION WILL CONFIRM THE ACCURACY OF THE FORM 990 BY COMPARING IT TO THE ASSOCIATION'S FINANCIAL RECORDS. THE TREASURER WILL ALSO REVIEW THE FORM 990 BEFORE SIGNING THE FORM AND WILL MAKE INQUIRIES OF THE CEO REGARDING ANY QUESTIONS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ASSOCIATION REQUESTS THAT ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN THE CONFLICT OF INTEREST DISCLOSURE STATEMENT, WHICH PROVIDES AN OPPORTUNITY TO DISCLOSE CONFLICTS OF INTEREST AND IS AN AGREEMENT TO DISCLOSE ANY FUTURE, POTENTIAL CONFLICTS OF INTEREST. | |
| FORM 990, PART VI, SECTION B, LINE 15A | THE COMPENSATION FOR THE CEO OF THE ASSOCIATION IS SET ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE ASSOCIATION. THE ANNUAL PROCESS USED TO REVIEW AND DETERMINE THE SALARY AND ANY BONUS FOR THE CEO IS ENUMERATED BELOW. -THE CEO FIRST DRAFTS A SELF-EVALUATION OF PERFORMANCE BASED ON THE ANNUAL GOALS ESTABLISHED BY THE EXECUTIVE COMMITTEE AND THE BOARD. -THE CEO PROVIDES THE ASSOCIATION PRESIDENT AND EXECUTIVE COMMITTEE MEMBERS WITH THE MOST RECENT PUBLICLY AVAILABLE COMPENSATION OF OTHER WISCONSIN ASSOCIATION CEOS WHOSE ORGANIZATIONS WORK ON HEALTH CARE AND INSURANCE RELATED MATTERS OR WHOSE RESPONSIBILITIES AND TENURE ARE COMPARABLE TO THAT OF THE ASSOCIATION'S CEO. THE COMPARABLE COMPENSATION INFORMATION IS GATHERED USING THE PUBLIC WEB SITE OF THE WISCONSIN GOVERNMENT ACCOUNTABILITY BOARD. IN ADDITION, WHEN AVAILABLE, OTHER SOURCES ARE USED FOR COMPARABLE CEO SALARY INFORMATION. THIS MAY INCLUDE CEO SURVEY DATA COLLECTED BY HEALTH PLAN ASSOCIATIONS IN OTHER STATES. -THE CEO ALSO PRODUCES A COMPENSATION HISTORY DOCUMENT WHICH PROVIDES BASE SALARY AND BONUS HISTORY INFORMATION FOR THE CEO. -THE CEO AND THE ASSOCIATION PRESIDENT MEET BEFORE THE OCTOBER EXECUTIVE COMMITTEE MEETING TO REVIEW AND DISCUSS THE PERFORMANCE OF THE CEO. -IN OCTOBER, THE EXECUTIVE COMMITTEE MEETS IN CLOSED SESSION TO REVIEW ALL DOCUMENTATION DEVELOPED BY THE CEO AND ANY DEVELOPED BY THE BOARD PRESIDENT. THE EXECUTIVE COMMITTEE DETERMINES ANY BONUS FOR CURRENT YEAR PERFORMANCE; ESTABLISHES THE SALARY FOR THE NEXT YEAR; AND, ESTABLISHES THE BONUS TARGET FOR THE NEXT YEAR. -AFTER THEIR CLOSED SESSION, EXECUTIVE COMMITTEE MEMBERS BRIEFLY MEET WITH THE CEO TO PROVIDE A RECAP OF THEIR DISUCSSION. -THE COMPENSATION ACTION OF THE EXECUTIVE COMMITTEE IN CLOSED SESSION IS CONFIRMED IN WRITING BY THE ASSOCIATION PRESIDENT AND PLACED IN THE PERSONNEL FILE OF THE CEO. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ASSOCIATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART XII, LINE 2: | THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR THE REVIEW OF THE ASSOCIATION'S FINANCIAL STATEMENTS AND THIS PROCESS IS CONSISTENT WITH PRIOR YEARS. |
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