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 MEMBERS ARE HMO HEALTH PLANS. THE FOUR TYPES OF MEMBERSHIP INCLUDE FULL ORGANIZATIONAL MEMBERS, ASSOCIATE ORGANIZATIONAL MEMBERS, LIMITED SERVICE MEMBERS, AND BUSINESS AFFILIATE MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBERS VOTING RIGHTS CONSIST OF APPROVING MAHP MATTERS SUCH AS THE BUDGET, AGENDA, ETC. THE ARTICLES OF INCORPORATION MAY BE AMENDED AT ANY REGULAR OR SPECIAL MEETING OF THE MEMBERS BY AN AFFIRMATIVE VOTE OF AT LEAST 75% OF THE FULL MEMBERSHIP OF THE CORPORATION PROVIDED THAT THE PROPOSED AMENDMENTS HAVE BEEN SUBMITTED IN WRITING TO ALL MEMBERS NOT LESS THAN FIVE (5) NOR MORE THAN FIFTEEN (15) DAYS BEFORE SUCH REGULAR OR SPECIAL MEETING. AN AFFIRMATIVE VOTE OF AT LEAST 75% OF THE MEMBERSHIP OF THE CORPORATION IS REQUIRED FOR DISSOLUTION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS RECEIVED BY THE ORGANIZATION'S EXECUTIVE DIRECTOR WHO REVIEWS THE RETURN FOR ACCURACY. THE 990 IS REVIEWED AND APPROVED BY THE AUDIT FINANCE COMMITTEE. UPON THE EXECUTIVE DIRECTOR'S AND AUDIT/FINANCE COMMITTEE APPROVAL, THE 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS. AFTER ANY ISSUES ARE ADDRESSED, THE EXECUTIVE DIRECTOR SIGNS AND FILES THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE EXECUTIVE COMMITTEE MEETS TO REVIEW THE PERFORMANCE OF THE EXECUTIVE DIRECTOR ANNUALLY AND DETERMINE THE COMPENSATION OF THE EXECUTIVE DIRECTOR. A RECORD OF THE MEETING AND DECISION BY THE EXECUTIVE COMMITTEE IS RETAINED BY THE ORGANIZATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL INFORMATION IS AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PAYROLL SERVICE EXPENSE 3,144. CONSULTING CONTRACT 346,279. |
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