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 2 | 1. FAMILY MEMBER: JESSICA LEGG RELATED OFFICER: RICHARD LEGG TITLE: PROVIDER RELATIONS REP COMPENSATION: 22,794 2. FAMILY MEMBER: RICHARD LEGG RELATED OFFICER: JAMES M. PENNINGTON TITLE: VP - BENEFIT SERVICES COMPENSATION: 279,292 |
| FORM 990, PART VI, SECTION B, LINE 11 | THE CFO AND THE CONTROLLER REVIEW THE FORM 990 FOR REASONABLENESS COMPARED TO THE INTERNAL FINANCIAL STATEMENTS. THE CFO PORVIDES COPIES TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST STATEMENTS ARE SIGNED ON AN ANNUAL BASIS AND MAINTAINED BY THE HUMAN RESOURCES DEPARTMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS AND/OR IMMEDIATE SUPERVISOR REVIEWS PERFORMANCE. THE BOARD APPROVES COMPENSATION FOR THE CEO, THE CEO APPROVES ALL OTHERS' COMPENSATION. OUTSIDE SURVEY TOOLS HAVE BEEN REFERENCED TO AID IN COMPENSATION DETERMINATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THESE DOCUMENTS ARE FILED WITH THE DEPARTMENT OF INSURANCE AND ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN NONADMITTED ASSETS 1,220,543. ASSET ASSIGNMENT -4,482,002. CHANGE IN RESERVES -9,291,270. |
| FORM 990, PART XII, LINE 2C: | PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |
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