Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: | WE ARE A MEMBERSHIP DRIVEN ORGANIZATION AND EXIST SOLELY TO EFFECTIVELY AND EFFICIENTLY SERVE OUR MEMBER'S RECOVERY AND RESOLUTION NEEDS. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS 4,739 MEMBERS CONSISTING SOLELY OF INSURERS AND SELF-INSUREDS AND THIRD PARTY ADMINISTRATORS (TPAS). |
| FORM 990, PART VI, SECTION A, LINE 7A | THE VOTING MEMBERS ELECT THE BOARD OF DIRECTORS (GOVERNING BODY). THE MEMBERS OF THE BOARD OF DIRECTORS FORM FOUR 4-MEMBER SUBCOMMITTEES (EXECUTIVE, COMPENSATION & BENEFITS, AUDIT AND NOMINATING). THE MEMBERS DO NOT APPROVE THE DECISIONS OF THE COMMITTEE OF THE GOVERNING BODY HOWEVER; A VOTE OF MORE THAN 50% OF THE MEMBERS CAN OVERTURN A BOARD DECISION. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE CFO SENDS THE 990 FORM TO THE AUDIT COMMITTEE BY EMAIL FOR THEIR REVIEW BEFORE THE FORM IS FILED THEN. IT IS THEN SHARED WITH THE REST OF THE BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 12C | DIRECTORS AND OFFICERS RECEIVE THE CONFLICT OF INTEREST POLICY AND PROCEDURES DISCLOSURE FORM AND ARE REQUIRED TO SIGN AND DATE THE POLICY DISCLOSURE FORM AT THE APRIL BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPANY USES AND INDEPENDENT PARTY, THE HAY GROUP, TO DETERMINE THE APPROPRIATE COMPENSATION AMOUNTS FOR THE EXECUTIVE DIRECTOR AND SENIOR MANAGERS. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS APPROVES THE COMPENSATION AND BENEFIT AMOUNTS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION A, LINE 9 | NAMES & ADDRESSES OF BOARD MEMBERS THAT CAN NOT BE REACHED AT THE ORGANIZATION: ARTHUR BECKMAN: ONE STATE FARM PLAZA; A2; BLOOMINGTON, IL 61710 JOSEPH CENTANNI: ONE NATIONWIDE PLAZA; 3-13-203; COLUMBUS, OH 43215 JOHN FOUERT: ONE STATE FARM PLAZA; A4; BLOOMINGTON, IL 61710 ELENA GERVINO: ONE TOWER SQUARE 5MS; HARTFORD, CT 06183 DANIEL HERDMANN: 210 SOUTH FOURTH STREET; PHILADELPHIA, PA 19106 KATHLEEN MAHNE: 2775 SANDERS ROAD, SUITE B7; NORTHBROOK, IL 60062 JAMES MCLAIN: 3426 TORINGDON WAY; SUITE 200; CHARLOTTE, NC 28277 TED MURPHY: 100 AMICA WAY LINCOLN, RI 02865 DAVID NARIGON: 970 SCALLON ROAD; DERIDDER, LA 70634 TOBY ROLLINS: 1001 4TH AVENUE, SUITE 1800, SEATTLE, WA 98154 WAYNE SMOLDA: 4850 E. STREET ROAD; #200; TREVOSE, PA 19053 MIKE FIATO:6055 PARKLAND BLVD., MAYFIELD HEIGHTS, OH 44124 |
| FORM 990, PART XI, LINE 9: | DEFINED BENEFIT ACCRUAL AS REQUIRED BY ASC 715 4,841,879. |
| Software ID: | |
| Software Version: |