Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS TWO TYPES OF MEMBERS: INSURER MEMBER: A PROPERTY OR CASUALTY INSURANCE COMPANY THAT UTILIZES THE INSURANCE ARBITRATION SERVICES OF THE ORGANIZATION OR INDIVIDUAL WHO IS EMPLOYED BY A PROPERTY OR CASUALTY INSURANCE COMPANY. NON-INSURER MEMBER: A COMPANY OR INDIVIDUAL WHO IS NOT AN INSURER MEMBER. A NON-INSURER MEMBER WOULD INCLUDE SELF-INSUREDS, TPAS (THIRD PART ADMINISTRATORS) AND ANY OTHER PERSON OR ENTITY THAT IS AUTHORIZED TO AND DOES UTILIZE THE SERVICES OF THE ORGANIZATION. AS OF DECEMBER 31, 2019, THE ORGANIZATION HAS 5,100 MEMBERS CONSISTING SOLELY OF INSURERS, SELF-INSUREDS, AND TPAS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE VOTING MEMBERS ELECT THE BOARD OF DIRECTORS (GOVERNING BODY). THE MEMBER COMPANIES DO NOT APPROVE THE DECISIONS OF THE GOVERNING BODY; HOWEVER, A VOTE OF MORE THAN 50% OF THE MEMBER COMPANIES OPPOSING THE DECISION CAN OVERTURN A BOARD DECISION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE SECRETARY/TREASURER SENDS THE FORM 990 TO THE ENTIRE BOARD OF DIRECTORS FOR APPROVAL PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS ONE OF SEVERAL THAT THE COMPANY UPLOADS TO THE ADP SYSTEM. ALL EMPLOYEES MUST ACKNOWLEDGE IN THE ADP PAYROLL SYSTEM THAT THEY READ AND UNDERSTOOD THE POLICY. THE CFO RECEIVES A SUMMARY REPORT WHICH IS SHARED WITH THE AUDIT COMMITTEE. DIRECTORS AND OFFICERS RECEIVE THE CONFLICT OF INTEREST POLICY AND PROCEDURES DISCLOSURE FORM AND ARE REQUIRED TO SIGN AND DATE THE POLICY DISCLOSURE FORM PRIOR TO THE CONCLUSION OF THE APRIL BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 15 | THR ORGANIZATION USES AN INDEPENDENT THIRD PARTY TO DETERMINE THE APPROPRIATE COMPENSATION AMOUNTS FOR THE CEO AND SENIOR MANAGERS. THIS INFORMATION IS SHARED WITH THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, WHO APPROVES THE COMPENSATION AND BENEFITS AMOUNTS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC | CHRIS WOLF - 6055 PARKLAND BOULEVARD, MAYFIELD VILLAGE, OH 44124. ELENA GERVINO - ONE TOWER SQUARE 5MS, HARTFORD, CT 06183. SETH INGALL - ONE GEICO PLAZA, WASHINGTON, DC 20076. BRENDON KELLY - ONE HARTFORD PLAZA, HARTFORD, CT 06155. SEAN WELCH - 100 AMICA WAY, LINCOLN, RI 02865. SEJUNG KIM - 175 BERKELEY STREET, MS: T13-A, BOSTON, MA 02116. PAUL DIEMER - 600 CORPORATE PARK DRIVE, SAINT LOUIS, MO 63105. SUE MURRAY - ONE STATE FARM DRIVE, CONCORDVILLE, PA 19339. ANNMARIE SIMONSON - 9800 FREDERICKSBURG ROAD, SAN ANTONIO, TX 78288. JOHN MICHELI - 2775 SANDERS ROAD, B1W 8C, NORTHBROOK, IL 60062. ROBERT HOWARD - 6301 OWENSMOUTH AVENUE, WOODLAND HILLS, CA 91367. TIM CONSTIEN - 6000 AMERICAN PARKWAY, MADISON, WI 53783. CHAD ZIERKE - ONE NATIONWIDE PLAZA, 3-13-103, COLUMBUS, OH 43215. |
| FORM 990, PART XI, LINE 9: | REVENUE RECOGNITION POLICY CHANGE ADJUSTMENT -503,882. NET PERIODIC PENSION COST -421,004. OTHER PENSION RELATED CHANGES -2,994,893. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION'S AUDIT COMMITTEE, COMPRISED OF FOUR DIRECTORS INDEPENDENT OF MANAGEMENT, ASSISTS THE BOARD IN CARRYING OUT ITS FIDUCIARY RESPONSIBILITIES RELATING TO ACCOUNTING AND REPORTING PRACTICES. THE COMMITTEE REVIEWS, APPRAISES, AND REPORTS TO THE BOARD ON THE FOLLOWING MATTERS: - THE INDEPENDENT AUDITORS RETAINED BY THE COMPANY; - THE QUALITY OF THE ACCOUNTING AND INTERNAL CONTROL SYSTEM; - THE ACCOUNTING PRINCIPLES ADOPTED BY MANAGEMENT AND ACCEPTED BY THE INDEPENDENT AUDITORS; - ANY CHANGES IN ACCOUNTING PRINCIPLES AND THEIR AFFECT UPON THE CORPORATION; AND - ANY SIGNIFICANT DIFFICULTIES ENCOUNTERED OR IMPORTANT DISCOVERIES MADE BY THE INDEPENDENT AUDITORS. |
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