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 - ORGANIZATION'S MISSION | TO ESTABLISH A CONSUMER OPERATED AND ORIENTED PLAN (COOP) CONSISTENT WITH THE PROVISIONS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. NMHC WILL GENERATE FUNDING, ANALYSIS, AND SUSTAINABILITY CRITERIA FOR A NEW COOP HEALTH PLAN, INCLUDING AN ORGANIZATIONAL MODEL THAT ACCOMMODATES REGIONAL AND POPULATION-SPECIFIC PLANS FOR DELIVERING AFFORDABLE, COMMUNITY-SPECIFIC HEALTH CARE ACROSS THE STATE. |
| FORM 990, PAGE 2, PART III, LINE 4A | CERTIFICATE OF AUTHORITY FROM THE STATE OF NEW MEXICO PUBLIC REGULATION COMMISSION, INSURANCE DIVISION IN FEBRUARY 2013. THE PRIMARY MISSION OF THE COMPANY IS TO PROVIDE AFFORDABLE COMMUNITY HEALTH CARE INSURANCE ACROSS THE STATE OF NEW MEXICO TO THE INDIVIDUAL AND SMALL GROUP MARKETS. THE COMPANY BEGAN OPEN ENROLLMENT IN OCTOBER 2013, FOR AN EFFECTIVE INSURANCE COVERAGE DATE OF JANUARY 1, 2014. THE COMPANY IS FOCUSED ON THE WELL-BEING OF PARTIES BY MAKING SURE THEIR HEALTH CARE IS COORDINATED AT EVERY LEVEL AND THAT A STRONG NETWORK OF PRIMARY-CARE PROVIDERS IS AVAILABLE TO ENSURE GOOD HEALTH OF OUR MEMBERS. THE COMPANY'S PRIORITY IS TO KEEP MEMBERS HEALTHY, LOWERING PREMIUM COSTS AND DELIVERING APPROPRIATE LEVELS OF CARE AT THE RIGHT TIME TO KEEP MEMBERS HOME AND OUT OF UNNECESSARY HOSPITAL STAYS. THIS WILL BE ACCOMPLISHED BY PROVIDING COMMUNITY-BASED CASE MANAGEMENT TO ENSURE THE MEMBERS ARE WELL CARED FOR. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE CFO AND CCAO REVIEW THE FORM 990 UPON COMPLETION. AFTER APPLICABLE CHANGES ARE MADE, IF ANY, THE UPDATED FORM 990 IS GIVEN TO THE FINANCE COMMITTEE FOR REVIEW. IF THERE ARE NO CHANGES, THE FORM 990 IS APPROVED FOR FILING. IF THE FINANCE COMMITTEE DOES REQUEST CHANGES TO THE FORM 990, THE CHANGES WILL BE MADE AND A NEW COPY WILL BE PROVIDED TO THE FINANCE COMMITTEE FOR REVIEW AND APPROVAL. THE FORM 990 IS ULTIMATELY APPROVED BY BOTH THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY UPON EMPLOYMENT OR POSITION ON THE BOARD. ON AN ANNUAL BASIS, ALL KEY EMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO CERTIFY THAT NO CONFLICT OF INTEREST HAS ARISEN. IF A CONFLICT ARISES, THE PERSON WITH SUCH CONFLICT IS NOT ALLOWED TO VOTE ON THE TRANSACTION. THERE HAVE BEEN NO INCIDENCES OF CONFLICT DURING THE REPORTING YEAR. |
| FORM 990, PAGE 6, PART VI, LINE 15A | IN MAY 2014, MARTY KATZ OF FREDERICK W. COOK & COMPANY, INC. WAS RETAINED BY THE NEW MEXICO BOARD OF DIRECTORS TO PROVIDE ADVICE AND COUNSEL REGARDING ITS EXECUTIVE COMPENSATION POLICIES AND PRACTICES. THE PRIMARY ROLE OF MR. KATZ WAS TO PROVIDE OBJECTIVE, THIRD-PARTY ADVICE ON THE REASONABLENESS OF COMPENSATION FOR NEW MEXICO HEALTH CONNECTIONS' SENIOR EXECUTIVE TEAM AND BENEFIT LEVELS IN COMPARISON WITH THOSE OF OTHER SIMILARLY SITUATED ORGANIZATIONS, AND THE APPROPRIATENESS OF THE OVERALL COMPENSATION PROGRAM IN LIGHT OF THE ORGANIZATION'S PERFORMANCE AND OTHER RELEVANT FACTORS USED IN DETERMINING THE REASONABLENESS OF COMPENSATION. THE COMPENSATION REVIEW AND ULTIMATE RECOMMENDATIONS WERE SPECIFIC TO THE FOLLOWING SENIOR EXECUTIVE TEAM POSITIONS: 1.CHIEF EXECUTIVE OFFICER 2.CHIEF OPERATING OFFICER 3.CHIEF MEDICAL OFFICER 4.CHIEF FINANCIAL OFFICER 5.CHIEF COMPLIANCE AND ADMINISTRATIVE OFFICER 6.CHIEF INFORMATION OFFICER 7.CHIEF PROGRAM MANAGEMENT AND PLANNING OFFICER THE COMPENSATION FOR THE POSITIONS NOTED ABOVE WERE APPROVED BY THE COMPANY'S COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS, AS WELL AS THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE STATEMENT FOR FORM 990, PART VI, LINE 15A - COMPENSATION PROCESS FOR TOP OFFICAL ABOVE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS ARE ALSO FILED WITH THE OFFICE OF THE SECRETARY OF STATE AND ARE AVAILABLE FOR PUBLIC INSPECTION. |
| FORM 990, PART XI, LINE 9 | CHANGE IN SURPLUS NOTES 32,513,770 CHANGE IN NONADMITTED ASSETS -1,313,749 ROUNDING -1 TOTAL 31,200,020 |
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