Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| PART VI, LINE 2: | BUSINESS RELATIONSHIP - THE FOLLOWING INDIVIDUALS SERVE AS OFFICERS AND/OR ARE ON THE BOARD OF ONE OR MORE FOR PROFIT ORGANIZATIONS RELATED TO HPHC-NE, INC.: ERIC H. SCHULTZ - PRESIDENT AND DIRECTOR (AS OF 3/1/10) JAMES W. DUCHARME - CFO/TREASURER/DIRECTOR LAURA S. PEABODY - CLERK AND DIRECTOR BRUCE M. BULLEN - INTERIM PRESIDENT AND DIRECTOR (UNTIL 3/1/10) | |
| PART VI, LINE 3: | HARVARD PILGRIM HEALTH CARE OF NEW ENGLAND, INC. (HPHC-NE, INC.) DOES NOT HAVE ITS OWN EMPLOYEES. HPHC-NE, INC. PAYS HARVARD PILGRIM HEALTH CARE, INC. (HPHC, INC.) FOR SERVICES PROVIDED BY ITS EMPLOYEES. UNDER A MANAGEMENT AND MEDICAL SERVICES AGREEMENT BETWEEN HPHC-NE, INC. AND HPHC, INC., HPHC, INC. PROVIDES ADMINISTRATIVE AND OPERATIONAL MANANGEMENT SERVICES TO HPHC-NE, INC. | |
| PART VI, LINE 6: | HPHC, INC. IS THE PARENT AND SOLE MEMBER OF HPHC-NE, INC. | |
| PART VI, LINE 7A: | HPHC, INC. IS THE SOLE MEMBER OF HPHC-NE, INC. THE HPHC, INC. BOARD OF DIRECTORS ELECTS THE APPROPRIATE NUMBER OF HPHC-NE, INC. DIRECTORS DURING THE HPHC, INC. BOARD OF DIRECTORS ANNUAL MEETING. | |
| PART VI, LINE 7B: | HPHC-NE'S BYLAWS SET FORTH THE POWER OF THE SOLE MEMBER, HPHC, INC. TO AMEND, REPEAL, OR ADOPT NEW BYLAWS. | |
| PART VI, LINE 11B: | ONCE HPHC-NE, INC.'S FORM 990 IS COMPLETED WITH THE ASSISTANCE OF ITS OUTSIDE TAX ACCOUNTANTS, IT IS FIRST REVIEWED BY HARVARD PILGRIM'S INTERNAL MANAGEMENT AND THEN HARVARD PILGRIM'S AUDIT COMMITTEE CHAIRPERSON (AN INDEPENDENT MEMBER OF THE BOARD OF DIRECTORS OF THE ORGANIZATION). FOLLOWING THAT REVIEW, THE AUDIT COMMITTEE CHAIR AND OUTSIDE TAX ADVISORS PRESENT THE FORM 990 TO THE AUDIT COMMITTEE. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS. | |
| PART VI, LINE 12C: | HPHC-NE, INC. OFFICERS AND DIRECTORS ARE EMPLOYEES OF ITS PARENT, HPHC, INC. HPHC, INC. EMPLOYEES ARE SUBJECT TO THE HARVARD PILGRIM HEALTH CARE CONFLICT OF INTEREST POLICY, WHICH REQUIRES THEM TO COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE FORM ON AN ANNUAL BASIS. IN ADDITION TO BEING SUBJECT TO HPHC, INC.'S CONFLICT OF INTEREST POLICY, HPHC, INC'S BOARD OF DIRECTORS AND BOARD COMMITTEE MEMBERS ARE ANNUALLY REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE FORM WHICH IS REPORTED TO THE HPHC, INC. BOARD OF DIRECTORS IN ACCORDANCE WITH THE DISCLOSURES AND REVIEW PROCESS SET FORTH IN HPHC, INC.'S BYLAWS. IN ADDITION, ROUGHLY HALF OF HPHC, INC.'S EMPLOYEES WHO MAKE DECISIONS ON BEHALF OF THE ORGANIZATION, OR ARE IN A POSITION TO INFLUENCE DECISIONS MADE ON BEHALF OF HPHC, INC., ARE SURVEYED ON AN ANNUAL BASIS. THESE EMPLOYEES MUST COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE FORM AND SUBMIT IT TO THE VICE PRESIDENT OF CORPORATE COMPLIANCE PROGRAMS (COMPLIANCE OFFICER). THESE FORMS ARE THEN REVIEWED BY THE COMPLIANCE OFFICER AND AN ATTORNEY IN HPHC, INC.'S LEGAL DEPARTMENT. IF A DISCLOSURE OF A CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST IS MADE, THE COMPLIANCE OFFICER AND COUNSEL MAKE A DETERMINATION IF SUCH DISCLOSURE IS MATERIAL AND NEEDS TO BE MANAGED, MITIGATED OR ELIMINATED. THE COMPLIANCE OFFICER INFORMS EACH DEPARTMENTAL VICE PRESIDENT RESPONSIBLE FOR THE DISCLOSING EMPLOYEE OF THE DISCLOSURE. HPHC, INC. ALSO HAS MORE STRINGENT CONFLICT OF INTEREST POLICIES AND PROCEDURES FOR CERTAIN DEPARTMENTS WHERE CONFLICTS OR THE APPEARANCE OF CONFLICTS, ARE MORE LIKELY TO EXIST. FOR EXAMPLE, THE PHARMACY DEPARTMENT, PROVIDER CONTRACTING DEPARTMENT, AND MEDICAL MANAGEMENT DEPARTMENT ARE SUBJECT TO MORE STRINGENT POLICIES GOVERNING THE OFFER OR ACCEPTANCE OF ANY REMUNERATION, IN CASH OR IN KIND, FROM INDUSTRIES RELATED TO THEIR FUNCTION (E.G. PHARMACEUTICAL MANUFACTURERS AND HEATH CARE DELIVERY ENTITIES). AS A GENERAL RULE, CONFLICTS OF INTEREST ARE NOT PERMITTED. HOWEVER, IN CERTAIN AREAS, IF THE CONFLICT IS NOT MATERIAL AND IS PROMPTLY AND FULLY DISCLOSED TO THE EMPLOYEE'S MANAGER AND VICE PRESIDENT OF THE EMPLOYEE'S DEPARTMENT, AND IS APPROVED BY THE COMPLIANCE OFFICER, A WAIVER OF THE CONFLICT MAY BE GRANTED AND APPROPRIATE STEPS WILL BE TAKEN TO MITIGATE THE CONFLICT. | |
| PART VI, LINE 19: | THE ORGANIZATION FURNISHES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY TO THE PUBLIC UPON REQUEST. THE STATUTORY FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS (NAIC) WEB SITE. COMBINED FINANCIAL STATEMENTS OF HPHC AND ITS SUBSIDIARIES ARE INCLUDED IN THE COMPANY'S ANNUAL REPORT WHICH IS SENT TO OUR EMPLOYER GROUPS, MEMBERS, PROVIDER ENTITIES AND BOARD OF DIRECTORS. | |
| PART VII, SECTION B, LINE 1: | ANY INDEPENDENT CONTRACTORS ARE RETAINED BY THE PARENT COMPANY, HPHC, INC. | |
| PART XI, LINE 5: | OTHER CHANGES IN FUND BALANCES: NON-ADMITTED ASSETS (1,150,545); UNREALIZED GAIN ON INVESTMENTS 238,470; TOTAL PART XI, LINE 5 (912,078) | |
| PART XII, LINE 1: | HARVARD PILGRIM HEALTH CARE OF NEW ENGLAND FOLLOWS THE STATUTORY ACCOUNTING METHOD PRESCRIBED BY THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS ACCOUNTING PRACTICES AND PROCEDURES MANUAL FOR STATUTORY ACCOUNTING PRINCIPLES. | |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ERIC H. SCHULTZ TITLE:PRES & DIRECTOR (AS OF 3/1/10) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JAMES W. DUCHARME TITLE:CFO/TREASURER/DIRECTOR HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LAURA S. PEABODY TITLE:CLERK & DIRECTOR HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BRUCE M. BULLEN TITLE:INTRM PRES/DIR (UNTIL 4/30/10) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BETH ANN ROBERTS TITLE:EXECUTIVE DIR (AS OF 5/12/10) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROBERTA H. HERMAN, M.D. TITLE:MEDICAL DIR (AS OF 5/12/10) HOURS:50 |
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