Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INVESTMENT INCOME. AMOUNT: 139. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: LATE FEES. AMOUNT: 350. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: UNDERWRITING EXPENSES. AMOUNT: 12,395. |
| FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS | DESCRIPTION: PRIOR PERIOD ADJUSTMENT FOR COVERSION TO STATUTORY BASIS FINANCIAL STATEMENT. AMOUNT: 166,777. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: PREMIUMS RECEIVABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 1,557. DESCRIPTION: OTHER RECEIVABLES. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 52,805. DESCRIPTION: ASSESSMENT RECEIVABLES. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 108,863. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 5,381. DESCRIPTION: INSURANCE RESERVES. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 6,771. DESCRIPTION: ACCRUED EXPENSES. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 2,342. |
| FORM 990-EZ, PART V, LINE 33 | EFFECTIVE JANUARY 1, 2020, THE PLAN BEGAN WRITING POLICIES FOR THIER PERSONAL VEHICLE COMPONENT, PERSONAL AUTO INSURANCE PROCEDURE (PAIP). THE PLAN UTILIZES A FRONTING COMPANY FOR ISSUANCE OF THE POLICIES, AND AUTOMOBILE INSURANCE PLAN SERVICE OFFICE (AIPSO) ACTS AS SERVICE PROVIDER THAT HANDLES ALL POLICY ISSUANCE, COMMISSION PAYMENT, UNDERWRITING, POLICY BILLING, CLAIMS MANAGEMENT AND STATISTICAL REPOTING ON BEHALF OF THE FRONTING COMPANY AND THE PLAN. PRIOR TO JANUARY 1, 2020, THE PAIP PROGRAM OPERATED ON ASSIGNMENT BASIS. THE PLAN RECEIVED APPLICATIONS AND FORWARDED APPLICATIONS TO MEMBER INSURANCE COMPANIES. EACH MEMBER COMPANY WROTE ITS OWN POLICIES FOR THE APPLICANTS ASSIGNED. THERE HAVE BEEN NO CHANGES IN SERVICES PROVIDED BY THE PLAN. THERE WERE ONLY CHANGES IN THE PLATFORM USED BY THE PLAN TO ADMINISTER THOSE SERVICES, RESULTING IN CHANGES IN ACTIVITY REPORTED ON THE PLAN'S FINANCIAL STATEMENTS AND FORM 990. |
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