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TIN:
SCHEDULE O
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is atwww.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Inspection
Name of the organization
HEALTH BENEFITS HOLDINGS INC
Employer identification number
06-1559155
06-1559155
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DAVID F. SWENSEN AND ROBERT J. HERR WERE OFFICERS OF THE SAME CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | YALE UNIVERSITY RETIREE HEALTH BENEFITS COVERAGE TRUST IS THE CORPORATION'S SOLE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7A | YALE UNIVERSITY RETIREE HEALTH BENEFITS COVERAGE TRUST, AS THE CORPORATION'S SOLE MEMBER, ELECTS DIRECTORS OF HEALTH BENEFITS HOLDINGS, INC. TO SUCCEED THE DIRECTORS WHOSE TERMS ARE EXPIRING. |
| FORM 990, PART VI, SECTION A, LINE 7B | YALE UNIVERSITY RETIREE HEALTH BENEFITS COVERAGE TRUST, AS THE CORPORATION'S SOLE MEMBER, HAS ALL RIGHTS, POWERS AND PRIVILEGES USUALLY OR BY LAW ACCORDED TO THE MEMBERS OF A NONSTOCK NONPROFIT CORPORATION. IN ADDITION TO SUCH OTHER RIGHTS, POWERS, AND PRIVILEGES IT MAY HAVE BY LAW, YALE UNIVERSITY RETIREE HEALTH BENEFITS COVERAGE TRUST HAS THE FOLLOWING RIGHTS, POWERS, AND PRIVILEGES: I.) TO APPROVE THE ACQUISITION BY THE CORPORATION OF ANY PROPERTY AND THE INCURRING OF ANY INDEBTEDNESS FOR BORROWED MONEY; II.) TO REMOVE ANY MEMBER OF THE BOARD OF DIRECTORS AT ANY TIME, REGARDLESS OF THE TERM FOR WHICH SUCH MEMBER MAY HAVE BEEN ELECTED; III.) TO VOTE UPON ALL MATTERS ON WHICH MEMBERS ARE ENTITLED TO VOTE UNDER THE CONNECTICUT REVISED NONSTOCK CORPORATION ACT; AND IV.) TO ACT ON ANY OTHER MATTERS ON WHICH ACTION BY MEMBERS IS REQUIRED OR PERMITTED BY ITS BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE FORM 990 IS SENT TO EACH OFFICER AND DIRECTOR PRIOR TO FILING IN ORDER TO SOLICIT COMMENTS AND QUESTIONS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CORPORATION'S CONFLICT OF INTEREST POLICY OBLIGATES EACH CURRENT AND COVERED FORMER DIRECTOR, OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS TO PROMPTLY DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST AS DEFINED IN THE POLICY. EACH SUCH PERSON MUST SIGN A STATEMENT AFFIRMING THAT HE OR SHE HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, AGREES TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE CORPORATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTOR AND MEMBERS OF THE COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF A POTENTIAL CONFLICT OF INTEREST, THE INTERESTED PERSON IS EXCUSED FROM THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS MADE, AND IS RECUSED FROM PARTICIPATING IN ANY VOTE ON THE MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | HEALTH BENEFITS HOLDINGS, INC. DOES NOT HAVE ANY EMPLOYEES. THE OFFICERS AND DIRECTORS ARE NOT COMPENSATED BY HEALTH BENEFITS HOLDINGS, INC. ALL COMPENSATION REPORTED ON PART VII PERTAINS TO OFFICERS AND DIRECTORS COMPENSATED BY YALE UNIVERSITY (A RELATED TAX EXEMPT ORGANIZATION) AS EMPLOYESS OF YALE UNIVERSITY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, INCLUDING ANY AMENDMENTS, AND FINANCIAL STATEMENTS, TO THE EXTENT PROVIDED AS A PART OF ITS EXEMPTION APPLICATION OR ANNUAL FORM 990, ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS NOT CURRENTLY MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VII, SECTION A, COLUMN (A) AND (B): | INDIVIDUALS LISTED IN PART VII WITH COMPENSATION REPORTED IN COLUMN (E) RECEIVED COMPENSATION FROM YALE UNIVERSITY, A RELATED ORGANIZATION, FOR THEIR SERVICES AS YALE UNIVERSITY EMPLOYEES. THE AVERAGE HOURS PER WEEK DEVOTED TO YALE UNIVERSITY FOR EACH OF THESE EMPLOYEES IS 50. THESE INDIVIDUALS ARE NOT COMPENSATED IN THEIR CAPACITY AS OFFICERS OR DIRECTORS OF HEALTH BENEFITS HOLDINGS, INC. |
| FORM 990, PART XI, LINE 9: | CAPITAL DISTRIBUTIONS -2,191,901. |
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013
Additional Data
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