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 VI, Section A, Line 6 | A regular member and enrollee members. |
| Form 990, Part VI, Section A, Line 7a | The sole regular member BCBSM, Inc. elects regular directors. Enrollee members elect enrollee directors which comprise at least 40 of the board of directors. |
| Form 990, Part VI, Section B, Line 11b | Copies of the Form 990 were distributed in advance to members of the Blue Plus Board of Directors for review and discussion at their meeting prior to filing with the IRS. |
| Form 990, Part VI, Section B, Line 12c | Annually directors and officers of HMO Minnesota and others who provide services pursuant to the administrative services agreement between HMO Minnesota and BCBSM, Inc. are required to complete a detailed questionnaire asking for information that could give rise to potential conflicts. All those persons are advised to provide updates with respect to circumstances that could give rise to potential conflicts. Information is reveiwed by the Board chair, legal counsel and the full Board of Directors to determine if conflicts exist and if any safeguards need to be taken. If conflicts were to be found, the person would recuse himself/herself from any board discussions and/or board actions if it became a board related matter and the corporation would follow applicable law for Minnesota nonprofit corporations in dealing with the situation. |
| Form 990, Part VI, Section B, Line 15a 15b | HMO Minnesota does not pay any direct compensation to its officers except for outside directors whose compensation is established by the HMO Minnesota Board of Directors for their service as directors. |
| Form 990, Part VI, Section C, Line 19 | The following documents and information about the organization are available to the general public through the website maintained by the Minnesota Department of Health Form 990 and executive compensation financial examinations by state regulators annual statement of revenue, expenses, and net income quality and performace measurements. The general conflict of interest policy within the Code of Conduct is available on the BCBSM, Inc. website. Articles of Incorporation are available through the Minnesota Secretary of States office. Other governing documents, such as corporate bylaws, are not available to the public. |
| Form 990, Part VII, Section A, Line 1a | The remaining balance of all current officers average hours per week worked are allocated to the related organization. |
| Form 990, Part XI, Line 9 | 6,717,299 represents a decrease in non-admitted assets. |
| Software ID: | 14000292 |
| Software Version: | 14.4.1.0 |