TIN:
SCHEDULE O
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Inspection
Name of the organization
CarePartners of Connecticut Inc
Employer identification number
82-2604728
82-2604728
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1 | IN LINE WITH THE MISSIONS OF THE TWO NON-PROFIT ORGANIZATIONS THAT FORMED IT, TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANZATIONS, INC. ("TAHMO"), A RECOGNIZED SECTION 501(C)(4) ORGANIZATION, AND HARTFORD HEALTHCARE CORPORATION ("HHC"), A RECOGNIZED SECTION 501(C)(3) ORGANIZATION, THE PURPOSE OF CPCT IS TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES IT SERVES BY ARRANGING FOR THE PROVISION OF COMPREHENSIVE HEALTH CARE SERVICES, INCLUDING PROVIDING COMMUNITY OUTREACH AND EDUCATION AND COORDINATING CARE TO ENSURE THAT THOSE WITH THE MOST CHALLENGING HEALTH NEEDS ARE BEST ABLE TO ACCESS THE CARE THEY NEED.CPCT AIMS TO IMPROVE THE LIVES OF OLDER CONNECTICUT RESIDENTS PRIMARILY THROUGH MANAGED CARE MEDICARE ADVANTAGE PROGRAMS WITH INTEGRATED, COORDINATED MEDICAL AND BEHAVIORAL HEALTH CARE FOR RESIDENTS OF THE STATE OF CONNECTICUT WHO ARE ELIGIBLE FOR MEDICARE (TYPICALLY WHO ARE AGE 65 OR OLDER). FORM 990, PART III, LINE 1 CPCT IS A CONNECTICUT HEALTH CARE CENTER.* CPCT'S SOLE CORPORATE MEMBER IS CAREPARTNERS OF CONNECTICUT HOLDINGS, LLC, WHICH IN TURN IS OWNED AND CONTROLLED BY TWO NONPROFIT TAX EXEMPT ORGANIZATIONS, TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANZATIONS, INC. ("TAHMO"), A RECOGNIZED SECTION 501(C)(4) ORGANIZATION, AND HARTFORD HEALTHCARE CORPORATION ("HHC"), A RECOGNIZED SECTION 501(C)(3) ORGANIZATION. THE MISSION OF TAHMO IS "TO IMPROVE THE HEALTH AND WELLNESS OF THE DIVERSE COMMUNITIES WE SERVE." THE MISSION OF HHC IS "TO IMPROVE THE HEALTH AND HEALING OF THE PEOPLE AND COMMUNITIES WE SERVE." BY PARTNERING TO FORM CPCT, TAHMO AND HHC BELIEVE THAT THEY CAN BETTER SERVE SENIOR RESIDENTS OF CONNECTICUT BY PROVIDING A HIGH-QUALITY HEALTH PLAN THAT MEETS THE NEEDS AND CONCERNS OF THE ELDERLY, ESPECIALLY THOSE WITH CHRONIC ILLNESS OR COMPLEX MEDICAL CONDITIONS, BY HELPING OLDER INDIVIDUALS ACCESS AND COORDINATE THE CARE THEY NEED FROM PROVIDERS WHO ARE HIGH QUALITY AND WITH SERVICES TARGETED TO THE NEEDS OF AN AGING POPULATION. IN LINE WITH THE MISSIONS OF THE TWO NON-PROFIT ORGANIZATIONS THAT FORMED IT, THE PURPOSE OF CPCT IS TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES IT SERVES BY ARRANGING FOR THE PROVISION OF COMPREHENSIVE HEALTH CARE SERVICES, INCLUDING PROVIDING COMMUNITY OUTREACH AND EDUCATION AND COORDINATING CARE TO ENSURE THAT THOSE WITH THE MOST CHALLENGING HEALTH NEEDS ARE BEST ABLE TO ACCESS THE CARE THEY NEED. CPCT AIMS TO IMPROVE THE LIVES OF OLDER CONNECTICUT RESIDENTS PRIMARILY THROUGH MANAGED CARE MEDICARE ADVANTAGE PROGRAMS WITH INTEGRATED, COORDINATED MEDICAL AND BEHAVIORAL HEALTH CARE FOR RESIDENTS OF THE STATE OF CONNECTICUT THAT ARE ELIGIBLE FOR MEDICARE (TYPICALLY THOSE THAT ARE AGE 65 OR OLDER). *IN CONNECTICUT, "HEALTH CARE CENTER" IS THE TERM USED TO DESCRIBE HEALTH MAINTENANCE ORGANIZATIONS. FORM 990, PART III, LINE 4A CURRENTLY, CPCT'S MEDICARE ADVANTAGE PLAN IS ITS ONLY PROGRAM. CPCT FIRST ENROLLED SUBSCRIBERS FOR PLANS EFFECTIVE JANUARY 1, 2019. CPCT HAS CONTRACTED WITH THOUSANDS OF PRIMARY CARE PHYSICIANS, SPECIALISTS, HOSPITALS AND COMMUNITY ORGANIZATIONS THROUGHOUT THE STATE AND CURRENTLY OFFERS HEALTH COVERAGE IN ALL BUT TWO COUNTIES. CPCT HAS DEVELOPED PROGRAMS TO INCREASE ACCESS TO CARE AND IMPROVE THE COORDINATION OF CARE FOR THOSE WHO NEED IT MOST -- IN THE CASE OF MEDICARE ADVANTAGE MEMBERS, THOSE WITH CHRONIC CONDITIONS SUCH AS DIABETES, CHRONIC OBSTRUCTIVE PULMONARY DISORDER (COPD) AND HEART FAILURE (HF). THE CPCT TEAM PROVIDES HEALTH EDUCATION AND PROMOTION, COACHING, COMPLEX HEALTH ASSISTANCE, CONNECTION TO SOCIAL SERVICES AND PROGRAMS, COORDINATION OF ADDITIONAL SERVICES SUCH AS HOME CARE, AND CAREGIVER ASSISTANCE AND SUPPORT, FORMULATED TO TAKE ACCOUNT OF THE HEALTH RISKS AND CHALLENGES THAT PARTICULARLY AFFECTS SENIORS. |
| FORM 990, PART VI, LINE 2 | FAMILY OR BUSINESS RELATIONSHIPS THE FOLLOWING PEOPLE SERVED BOTH AS DIRECTORS OF CPCT AND AS MANAGERS OF THE BOARD MANAGERS OF CAREPARTNERS OF CONNECTICUT HOLDINGS, LLC: DEREK ABRUZZESE DEBRA HAYES JOHN DILLAWAY CHARLES L. JOHNSON, III MARC SPOONER (through 8/17/20) PATTY BLAKE (beginning 8/17/20) |
| FORM 990, PART VI, LINE 3 | CPCT CONTRACTS WITH TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. ("TAHMO") TO PROVIDE THE SERVICES ASSOCIATED WITH RUNNING A MEDICARE ADVANTAGE PLAN AND MANAGING CPCT MORE GENERALLY. TAHMO IN TURN CONTRACTS FOR CERTAIN MANAGEMENT AND ADMINISTRATIVE SERVICES WITH TUFTS ASSOCIATED HEALTH PLANS, INC. ("TAHP"), A WHOLLY OWNED SUBSIDIARY OF TAHMO THAT EMPLOYS PERSONNEL. |
| FORM 990, PART VI, LINE 6 | CAREPARTNERS OF CONNECTICUT HOLDINGS, LLC ("CPCT HOLDINGS") IS THE SOLE CORPORATE MEMBER OF CPCT. |
| FORM 990, PART VI, LINE 7A | CAREPARTNERS OF CONNECTICUT HOLDINGS, LLC ("CPCT HOLDINGS"), AS THE SOLE CORPORATE MEMBER OF CPCT, ELECTS THE MEMBERS OF CPCT'S GOVERNING BODY. |
| FORM 990, PART VI, LINE 7B | AS THE SOLE CORPORATE MEMBER OF CPCT, CPCT HOLDINGS HAS THOSE POWERS AND RESPONSIBILITIES OUTLINED IN THE BYLAWS OF CPCT. THE MEMBER HAS THE SOLE POWER TO GOVERN, DIRECT AND OVERSEE THE PROPERTY AND AFFAIRS OF CPCT. POWER AND AUTHORITY TO MANAGE CPCT IS DELEGATED TO THE BOARD AS REASONABLY DETERMINED BY THE MEMBER'S BOARD. FURTHERMORE, THE MEMBER MAY EXERCISE APPROVAL RIGHTS OVER ANY MATTER BY PROVIDING NOTICE TO THE CPCT BOARD. CPCT HOLDINGS IN TURN HAS TWO MEMBERS, TAHMO AND HHC. CPCT HOLDINGS, UNDER THE CPCT HOLDINGS LIMITED LIABILITY COMPANY AGREEMENT, MAY ENGAGE IN ANY LAWFUL BUSINESS AND EXERCISE ANY POWER ACCORDED A LIMITED LIABILITY COMPANY PROVIDED "[T]HE ACTIVITIES OF THE COMPANY SHALL BE RESTRICTED TO THOSE ACTIVITIES THAT FURTHER THE TAX-EXEMPT PURPOSE OF EACH MEMBER, AND THE COMPANY SHALL NOT ENGAGE IN ACTIVITY THAT JEOPARDIZES ANY MEMBER'S TAX EXEMPT STATUS." |
| FORM 990, PART VI, LINE 11B | PROCESS USED BY GOVERNING BODY TO REVIEW THE FORM 990 THE FORM 990 IS PREPARED IN THE TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC.'S FINANCE DEPARTMENT, WITH ASSISTANCE FROM CPCT'S EXTERNAL ACCOUNTANTS, ERNST & YOUNG. INFORMATION IS PROVIDED BY STAFF THAT WORK ON CPCT MATTERS, FINANCE DEPARTMENT, HUMAN RESOURCES DEPARTMENT, GOVERNANCE MANAGER, COMPLIANCE & PRIVACY OFFICER, AND INTERNAL LEGAL COUNSEL. CERTAIN SECTIONS OF THE FORM ARE REVIEWED BY A NUMBER OF SENIOR MANAGERS; THE CHIEF FINANCIAL OFFICER REVIEWS THE FORM IN ITS ENTIRETY. ONCE THE FORM IS COMPLETE, IN NOVEMBER 2020, IT IS FORWARDED ON TO THE BOARD OF DIRECTORS AND IT IS THEN SUBMITTED FOR FILING. |
| FORM 990, PART VI, LINE 12C | MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY CPCT HAS A CONFLICT OF INTEREST POLICY, WHICH IS REVIEWED ANNUALLY AND REVISED AS NEEDED. THE POLICY REQUIRES CPCT BOARD MEMBERS AND EMPLOYEES, IF ANY, OF CPCT TO DISCLOSE INTERESTS THAT PRESENT AN ACTUAL CONFLICT OF INTEREST OR THE POTENTIAL APPEARANCE OF A CONFLICT AND RECUSE THEMSELVES FROM MATTERS WITH RESPECT TO WHICH THEY HAVE A CONFLICT. TUFTS HEALTH PLAN ALSO HAS A CONFLICT OF INTEREST POLICY THAT PLACES THE SAME REQUIREMENTS ON BOARD MEMBERS AND EMPLOYEES OF TUFTS HEALTH PLAN ENTITIES, INCLUDING TAHP AND TAHMO. TAHP AND TAHMO EMPLOYEES PERFORMING SERVICES FOR CPCT ARE EXPECTED TO DISCLOSE INTERESTS THAT PRESENT ACTUAL CONFLICTS OR THE POTENTIAL APPEARANCE OF CONFLICTS OF INTEREST FOR CPCT AND RECUSE THEMSELVES AS NECESSARY PURSUANT TO THE TUFTS HEALTH PLAN CONFLICTS OF INTEREST POLICY. THE POLICIES NOTED ABOVE REQUIRE MANAGERS AND ABOVE, AND THE BOARD OF DIRECTORS, TO ATTEST ANNUALLY THAT THEY WILL ABIDE BY THE POLICY. IT ALSO REQUIRES THEM TO SUBMIT AN ANNUAL DISCLOSURE STATEMENT TO THE CORPORATE COMPLIANCE OFFICER, LISTING ANY OUTSIDE RELATIONSHIPS, INCLUDING FINANCIAL AND/OR BOARD RELATIONSHIPS, THAT THEY OR A FAMILY MEMBER HAVE WITH THP'S SUPPLIERS, PURCHASERS, PROVIDERS AND/OR COMPETITORS. THERE IS A PROTOCOL TO REVIEW ANY DISCLOSURE THAT MIGHT BE A POTENTIAL CONFLICT OF INTEREST. ALSO, ALL EMPLOYEES ARE REQUIRED TO REPORT THE OFFER BY AN OUTSIDE ENTITY OF GIFTS OVER $100, HONORARIA OR COVERAGE OF BUSINESS EXPENSES TO THE CORPORATE COMPLIANCE OFFICER AND A SENIOR LEADER. BOTH MUST APPROVE BEFORE ACCEPTANCE IS ALLOWED. THE LEVELS OF REVIEW ARE: - FOR BOARD MEMBERS, THE PRESIDENT AND THE CHIEF LEGAL OFFICER - ONCE DISCLOSURES ARE REVIEWED AND APPROVED, THEY ARE COMMUNICATED TO THE GOVERNANCE MANAGER AND TO THE CORPORATE COMPLIANCE OFFICER. - FOR MANAGEMENT, THE CORPORATE COMPLIANCE OFFICER, CHIEF COMPLIANCE & ETHICS OFFICER, AND CHIEF LEGAL OFFICER. DISCLOSURES THAT NEED FURTHER REVIEW ARE BROUGHT TO THE BOARD CHAIR. IF A CONFLICT OF INTEREST DOES EXIST, A TRANSACTION WITH THE ENTITY WITH WHICH THERE IS A CONFLICT MAY BE UNDERTAKEN ONLY IF ALL OF THE FOLLOWING ARE OBSERVED: 1. THE CONFLICTING INTEREST IS FULLY DISCLOSED; 2. THE PERSON WITH THE CONFLICT OF INTEREST MAY PRESENT INFORMATION, BUT THEN SHALL BE EXCUSED FROM FURTHER DISCUSSION AND FROM THE DECISION REGARDING APPROVING SUCH TRANSACTION; 3. IF PRACTICAL, A COMPETITIVE BID OR COMPARABLE VALUATION EXISTS; AND 4. THE BOARD (OR A DULY CONSTITUTED COMMITTEE THEREOF OR BOARD APPOINTEE) OR THE CHIEF COMPLIANCE & ETHICS OFFICER HAS DETERMINED THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. ALL NEW HIRES, AND ALL EMPLOYEES ON AN ANNUAL BASIS, COMPLETE COMPLIANCE TRAINING THAT ADDRESSES CONFLICT OF INTEREST AND REQUIRES THE EMPLOYEE TO ATTEST THAT THEY DO NOT HAVE ANY POTENTIAL CONFLICTING RELATIONSHIPS THAT THEY HAVE NOT DISCLOSED TO THE PROPER LEVEL OF MANAGEMENT AND TO THE CORPORATE COMPLIANCE OFFICER. |
| FORM 990, PART VI, LINE 13 | CPCT IS SUBJECT TO THE WRITTEN WHISTLEBLOWER POLICY THAT WAS APPROVED BY THE BOARD OF DIRECTORS OF HEALTH PLAN HOLDINGS, INC. |
| FORM 990, PART VI, LINE 14 | CPCT IS SUBJECT TO THE WRITTEN DOCUMENT RETENTION POLICY THAT WAS APPROVED BY THE BOARD OF DIRECTORS OF HEALTH PLAN HOLDINGS, INC. |
| FORM 990, PART VI, LINE 15A AND 15B | CPCT CONTRACTS WITH TAHMO TO PROVIDE THE SERVICES ASSOCIATED WITH RUNNING A MEDICARE ADVANTAGE PLAN AND MANAGING CPCT MORE GENERALLY. TAHMO IN TURN CONTRACTS FOR CERTAIN MANAGEMENT AND ADMINISTRATIVE SERVICES WITH TUFTS ASSOCIATED HEALTH PLANS, INC. ("TAHP"), A WHOLLY OWNED SUBSIDIARY OF TAHMO THAT EMPLOYS PERSONNEL. THE INDEPENDENT BOARD OF DIRECTORS OF HEALTH PLAN HOLDINGS, INC., WHICH IS THE TAX-EXEMPT, NON-PROFIT PARENT OF TAHMO AND ULTIMATE PARENT OF TAHP, PERFORMS A DETAILED COMPENSATION ANALYSIS TO ENSURE THAT ALL COMPENSATION TO TAHP OFFICERS AND EXECUTIVES FOR SERVICES THEY PROVIDE TO TAHMO AND AFFILIATES IS REASONABLE, IN ACCORDANCE WITH THE PROCEDURES FOR SECURING A REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER SECTION 4958 OF THE CODE. IN ESTABLISHING THE PRESUMPTION OF REASONABLENESS, THE PROFESSIONAL SERVICES OF INDEPENDENT LEGAL COUNSEL, COMPENSATION EXPERTS, ACCOUNTANTS, AND OTHER EXPERTS AND ADVISORS ARE UTILIZED. THE FEE THAT TAHMO PAYS TAHP PURSUANT TO THEIR CONTRACT, DETERMINED USING A DEFINED FEE METHODOLOGY CONSISTENT WITH U.S. TRANSFER PRICING REGULATIONS, INCLUDES THE COMPENSATION FOR TAHP EMPLOYEES WHO SERVE AS CPCT'S OFFICERS. WITH THE EXCEPTION OF DEBRA HAYES, WHO IS EMPLOYED BY HARTFORD HEALTHCARE AND DOES NOT RECEIVE SEPARATE COMPENSATION FOR HER ROLE AS SECRETARY OF CPCT, IN 2020 ALL OF THE OFFICERS OF CPCT WERE EMPLOYEES OF TAHMO OR TAHP. AS THEY ARE PAID BY TAHMO OR TAHP, NONE OF THE ABOVE MENTIONED INDIVIDUALS DIRECTLY RECEIVED COMPENSATION FROM CPCT FOR THEIR SERVICES. THE COMPENSATION COMMITTEE (THE "COMMITTEE") OF THE BOARD OF DIRECTORS (THE "BOARD") OF HEALTH PLAN HOLDINGS, INC. (HPHI OR THE "COMPANY"), THE SOLE CORPORATE MEMBER OF TAHMO, REVIEWS AND ADMINISTERS TOTAL REMUNERATION OPPORTUNITIES, POLICIES, PROGRAMS, AND MAJOR CHANGES IN HPHI'S BENEFIT PLANS THAT ARE APPLICABLE TO THE OFFICERS AND EXECUTIVES OF THE COMPANY AND ITS SUBSIDIARIES (THE "EXECUTIVES" - THESE INCLUDE THE CEO AND ALL SENIOR VICE PRESIDENTS), AS WELL AS TO THE GENERAL AUDITOR, CHIEF COMPLIANCE & ETHICS OFFICER, AND ANY OTHER INDIVIDUAL OR GROUPS THE COMMITTEE DEEMS APPROPRIATE BASED ON ITS INTERPRETATION OF THE DEFINITION OF "DISQUALIFIED PERSONS" IN SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986. THE COMMITTEE IS COMPRISED OF INDEPENDENT DIRECTORS OF THE COMPANY. TIMING EXECUTIVE BENCHMARKING IS COMPLETED EVERY TWO YEARS FOR THOSE INDIVIDUALS UNDER THE COMPENSATION COMMITTEE'S PURVIEW BY THE EXTERNAL CONSULTANT ENGAGED BY THE COMPENSATION COMMITTEE. TO COMPLETE THE ANALYSIS, THE CONSULTANT: - COLLECTED RELEVANT INFORMATION REGARDING THE COMPANY'S OPERATIONS, COMPLEXITY, STRUCTURE, SIZE, AND SCOPE, AS WELL AS RELEVANT BACKGROUND ON THE EXECUTIVES' DUTIES AND SCOPE OF RESPONSIBILITIES; - DETERMINED THE SURVEY SOURCES TO USE IN THE ANALYSIS, BASED ON THE COMPANY'S COMPETITIVE MARKET FOR EXECUTIVE POSITIONS (AS DESCRIBED ABOVE); - MATCHED THE COMPANY'S EXECUTIVE POSITIONS IN THE SURVEYS BASED ON THE COMPANY'S SIZE, COMPLEXITY, AND SCOPE, AS WELL AS ACCORDING TO SPECIFIC POSITION RESPONSIBILITIES AND REPORTING RELATIONSHIPS; - VALIDATED THE SURVEY SOURCES AND MARKET MATCHES WITH THE INTERNAL COMPENSATION TEAM TO ENSURE CONSISTENCY; - REVIEWED, COMPILED, AND SUMMARIZED THE DATA IN REPORT FORM. THE REPORT SUMMARIZING THE RESULTS OF THE ANALYSIS WAS PRESENTED TO THE COMPENSATION COMMITTEE FOR DISCUSSION AND DELIBERATION. DOCUMENTATION A SUMMARY OF THE DISCUSSIONS AND DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN THE MEETING MINUTES, WHICH ARE REVIEWED AND APPROVED BY THE COMMITTEE. COPIES OF ALL MEETING MATERIALS DISTRIBUTED PRIOR TO AND DURING THE MEETING ARE MAINTAINED IN THE CORPORATE RECORDS ALONG WITH MEETING MINUTES. |
| Form 990, Part XI, Line 9 | CHANGE IN NONADMITTED ASSETS -615,556 SURPLUS ADJUSTMENTS PAID IN 12,000,000 TOTAL 11,384,444 |
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020
Additional Data
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