Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 1 (Continued) | health care quality. The Association also promotes the education of consumers, the media, and opinion leaders about the high quality, cost effective health care delivered by Wisconsin's community-based health plans. Association member plans also benefit from: managed care quality networking through participation in association meetings; timely and concise information on common legislative/regulatory issues affecting the industry; and relevant educational opportunities. |
| Form 990, Part VI, Section A, Line 6 | THE ASSOCIATION HAS MEMEBERS, ALL OF WHICH COMPRISE THE ASSOCIATIONS GOVERNING BODY. |
| Form 990, Part VI, Section B, Line 11b | The Association's CEO will confirm the accuracy of the Form 990 by comparing it to the Association's financial records. Association board members are provided a copy of the 990, asked to review it and respond with questions. The treasurer will also review the Form 990 before signing the form and will make inquiries of the CEO regarding any questions. |
| Form 990, Part VI, Section B, Line 12c | The Association requests that all officers, directors, and all employees annually review the conflict of interest policy and sign the conflict of interest disclosure statement, which provides an opportunity to disclose conflicts of interest and is an agreement to disclose any future, potential conflicts of interest. |
| Form 990, Part VI, Section B, Lines 15a/15b | The compensation for the CEO of the Association is set annually by the executive committee of the Association. The annual process used to review and determine the salary and any bonus for the CEO is enumerated below. - The CEO and board president discuss the CEO's leadership and performance toward achieving the annual association priority goals established by the executive committee and the board. - The CEO provides the Association president and executive committee members with the most recent publicly available compensation of other Wisconsin Association CEO's whose organizations work on health care and insurance related matters or whose responsibilities and tenure are comparable to that of the Association's CEO. The comparable compensation information is gathered using the public web site of the Wisconsin Ethics Commission. In addition, when available, other sources are used for comparable CEO salary information. This may include CEO survey data collected by health plan associations in other states and the 990s of other organizations. - The CEO also produces a compensation history document which provides base salary and bonus history information for the CEO. - The board president uses a performance matrix to solicit input from members of the executive committee on the performance of the CEO. - The executive committee meets in closed session or by conference call to review all documentation developed by the CEO and any developed by the board president. The executive committee determines any bonus for current year performance; establishes the salary for the next year; and, establishes the bonus target for the next year. - After the executive committee meets, the board president speaks with the CEO to provide a recap of the committee's discussion. - The compensation action of the executive committee is confirmed in writing by the association president and placed in the personnel file of the CEO. The salaries for key staff and other employees are determined annually as part of the Association budget process. The CEO is responsible for using a variety of web-based sources to research salaries for comparable positions in state-based associations and the Madison market. Annually, the CEO recommends for executive committee and board review and approval, the gross salary and benefit budget figures to cover compensation for all staff. Individual salaries and bonuses are determined by the CEO based on position comparability data and individual staff performance toward reaching association priority goals. |
| Form 990, Part VI, Section C, Line 19 | The Association makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. |
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