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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 990-EZ 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
2014
Open to Public
Inspection
Inspection
Name of the organization
NEW HAMPSHIRE INDIVIDUAL HEALTH
PLAN BENEFIT ASSOCIATION
PLAN BENEFIT ASSOCIATION
Employer identification number
02-0499340
02-0499340
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE ORGANIZATION WAS ESTABLISHED BY STATE STATUTE TO FACILITATE THE AVAILABILITY OF, AND PROVIDE ACCESS TO, AFFORDABLE INDIVIDUAL HEALTH INSURANCE THROUGH A) THE SUBSIDIZATION OF CARRIERS FOR CERTAIN CLAIMS EXPERIENCED IN THE INDIVIDUAL HEALTH INSURANCE MARKET, AND B) THE PROVISION OF INDIVIDUAL HEALTH INSURANCE TO NH RESIDENTS DECLINED OR UNABLE TO OBTAIN COVERAGE IN THE COMMERCIAL MARKET. |
| FORM 990 | NEW HAMPSHIRE INDIVIDUAL HEALTH PLAN WAS CONTRACTED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO ADMINISTER A FEDERAL HIGH RISK POOL INSURANCE PROGRAM. THE PROGRAM WAS FULLY FUNDED BY THE HEALTH AND HUMAN SERVICES AND FROM PREMIUMS. NEW HAMPSHIRE INDIVIDUAL HEALTH PLAN HAS NO LIABILITY ASSOCIATED WITH THE FEDERAL HIGH RISK POOL FOR COSTS THAT ARE IN EXCESS OF FUNDING. IN JUNE 2013 ALL FEDERAL ENROLLEMENT WAS TERMINATED BY THE DEPART OF HEALTH AND HUMAN SERVICES AND THE FEDERAL HIGH RISK POOL PLAN WAS TERMINATED EFFECTIVE DECEMBER 31, 2014. THE NEW HAMPSHIRE LEGISLATURE AND INSURANCE COMMISSIONER CEASED ENROLLMENT IN NEW NEW HAMPSHIRE HEALTH PLAN'S STATE HIGH RISK POOL EFFECTIVE JUNE 30, 2014, AND THE ORGANIZATION HAS BEEN PAYING CLAIMS INCURRED BEFORE THE TERMINATION DATE. THERE WERE NO ASSESSMENTS IN 2014 BECAUSE IT WAS DETERMINED THAT THERE WAS ENOUGH IN RESERVES TO COVER THE REMAINING CLAIMS AND COSTS REQUIRED TO CONTINUE OPERATIONS UNTIL DISSOLUTION. |
| FORM 990, PAGE 1, PART I, LINE 6 | VOLUNTEERS ARE ON THE BOARD OF DIRECTORS AND PERFORM EXECUTIVE DUTIES. |
| FORM 990, PAGE 2, PART III, LINE 3 | THE FEDERAL PROGRAM WAS DISCONTINUED AT JUNE 2013 AND DURING 2014 INCURRED DECREASED OPERATING EXPENSES AND FINAL CLAIMS (INCURRED FOR THE PERIOD PRIOR TO JUNE 2013). THE NEW HAMPSHIRE LEGISLATURE AND INSURANCE COMMISSIONER TERMINATED ENROLLMENT AND ONGOING COVERAGE IN THE NEW HAMPSHIRE HEALTH PLAN AS OF JUNE 30, 2014, AND THERE IS NO ADDITIONAL PREMIUM REVENUE. REVENUES AND EXPENSES RELATED TO THESE PROGRAMS HAVE DECREASED SIGNIFICANTLY. ON SEPTEMBER 30, 2013 THE ORGANIZATION WAS AWARDED A GRANT FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, CENTERS FOR MEDICARE AND MEDICAID SERVICES, TO EDUCATE INSURANCE CONSUMERS IN NEW HAMPSHIRE AND PROVIDE THEM WITH ASSISTANCE IN ASSESSING THE BENEFITS AVAILABLE UNDER, AND ENROLLING IN, THE NEW HAMPSHIRE INDIVIDUAL HEALTH BENEFITS MARKETPLACE ESTABLISHED UNDER THE AFFORDABLE CARE ACT. THE ORGANIZATION'S BOARD OF DIRECTORS DETERMINED THAT THIS ACTIVITY WOULD BE INTEGRAL TO THE TRANSITION OF ENROLLEES FROM THE DISCONTINUED STATE HIGH RISK POOL COVERAGE TO THE NEWLY-ESTABLISHED INDIVIDUAL MARKETPLACE. THESE GRANT ACTIVITIES CONTINUED IN 2014. EFFECTIVE MAY 2, 2014 THE ORGANIZATION WAS AWARDED A SIMILAR, SECOND GRANT OF 3,218,753. ON DECEMBER 17, 2014 THE ORGANIZATION WAS AWARDED A SIMILAR, THIRD GRANT OF 3,385,882 TO CONTINUE SUPPORTING THE ESTABLISHMENT OF THE AFFORDABLE CARE ACT THROUGH 2015. THE SECOND AND THIRD GRANTS ARE COST REIMBURSEMENT GRANTS. THE ORGANIZATION HAS NOT FULLY INCURRED COST TO RECEIVE REIMBURSEMENT FOR THESE GRANTS AS OF DECEMBER 31, 2014 BUT EXPECTS TO RECEIVE REIMBURSEMENT DURING 2015. AT DECEMBER 31, 2013 THE ORGANIZATION HELD INVESTMENTS OF 4,414,045. THE INVESTMENTS WERE CERTIFICATES OF DEPOSIT (CD'S) WITH A GREATER THAN ONE YEAR TERM. BY DECEMBER 31, 2014 THESE CD'S HAD EITHER MATURED OR WERE CLASSIFIED AS TEMPORARY CASH INVESTMENTS. THEREFORE, THERE WERE NO SECURITY SALES TO REPORT AND PART X, LINE 11 IS ZERO. |
| FORM 990, PAGE 2, PART III, LINE 4A | (THIS IS A CONTINUATION FROM PART III, LINE 4A) AS FURTHER OUTLINED ELSEWHERE IN SCHEDULE O, THE ORGANIZATION RECENTLY HAS BEEN THE RECIPIENT OF THREE SIGNIFICANT FEDERAL CONSUMER ASSISTANCE GRANTS TO PROVIDE EDUCATIONAL AND ENROLLMENT ASSISTANCE TO NEW HAMPSHIRE RESIDENTS EVALUATING COVERAGE THROUGH THE NEW HAMPSHIRE INDIVIDUAL HEALTH INSURANCE MARKETPLACE ESTABLISHED UNDER THE AFFORDABLE CARE ACT. THESE ACTIVITIES ALSO FACILITATED THE TRANSITION OF THE ENROLLEES IN THE STATE HIGH RISK POOL TO THE NEW INDIVIDUAL HEALTH INSURANCE MARKETPLACE. |
| FORM 990, PAGE 6, PART VI, LINE 3 | THE ORGANIZATION HIRES A MANAGEMENT COMPANY TO RUN ALL OF THE PROGRAMS IN THE HEALTH PLAN. THE TRUSTEES OVERSEE THE OPERATIONS OF THE MANAGEMENT COMPANY. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PRESENTED TO THE FINANCE COMMITTEE BEFORE IT IS FILED. THE FINANCE COMMITTEE REVIEWS THE RETURN FOR ACCURACY AND REPORTS ITS FINDINGS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS APPROVES THE 990 BEFORE IT IS FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE CONFLICT OF INTEREST POLICY IS PART OF THE ETHICS POLICY WHICH REQUIRES THE ORGANIZATION TO PERFORM AN ANNUAL UPDATE AND DISCLOSURE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE HELD IN CARE OF HELMS & CO., CONCORD, NH AND ARE AVAILABLE UPON REQUEST. FORM 990 IS AVAILABLE ON NHHP WEBSITE. |
| FORM 990, PART IX, LINE 11G | ACTUARIAL FEES 48,995 0 0 ADMIN FEES - BMI 562,844 0 0 AGENT REFERRAL FEES 2,800 0 0 ADMIN - CAG GRANT 1,708,877 0 0 |
| FORM 990, PART XI, LINE 9 | CHANGE IN CD VALUE 12 |
| FORM 990, PART XI, LINE 9 | ADJUSTMENT TO CD ASSET VALUE 47 |
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014
Additional Data
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