TIN:
SCHEDULE O
(Form 990)
Department of the Treasury
Internal Revenue Service
(Form 990)
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
2021
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 | CarePartners of Connecticut, Inc. (CPCT) was created as a not-for-profit Connecticut corporation licensed as a health care center (HMO) in Connecticut established for the purpose of arranging for the delivery of comprehensive health care services, on a prepaid basis, to subscribing individuals and groups 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). Point32Health was formerly known as Health Plan Holdings, Inc., which was the parent entity of the Tufts Health Plan family of companies. Effective January 1, 2021, P32H and Harvard Pilgrim Health Care, Inc. (HPHC), combined their respective nonprofit organizations and the net assets of HPHC were contributed to P32H. HPHC is a not-for-profit Massachusetts corporation providing comprehensive health benefits insurance, access to health care, and other related services in Massachusetts, Maine, and Connecticut to group, individual, and Medicare members through contracts with physicians, established primary care and multispecialty physician groups, hospitals, and other health care providers. As a result of the combination, P32H became the direct corporate parent of HPHC, and ultimate corporate parent for Harvard Pilgrim's affiliates. CPCT is part of the Point32Health, Inc. (P32H) family of companies. Its sole corporate member is CarePartners of Connecticut Holdings LLC, a Delaware domiciled company. CarePartners of Connecticut Holdings LLC is owned and controlled by two nonprofit tax-exempt organizations: Tufts Associated Health Maintenance Organization, Inc. (TAHMO), a recognized 501(C)(4) organization which is also part of P32H family of companies; and Hartford Healthcare Corporation (HHC), an unrelated recognized 501(C)(3) organization whose mission is to improve the health and healing of the people and communities they serve. |
| FORM 990, PART III, LINE 4A | CPCT'S MEDICARE ADVANTAGE PLAN OFFERINGS ARE ITS ONLY PROGRAM FOR 2021. CPCT FIRST ENROLLED SUBSCRIBERS FOR PLANS EFFECTIVE JANUARY 1, 2019. CPCT AND ITS AFFILIATES HAVE CONTRACTED WITH THOUSANDS OF PRIMARY CARE PHYSICIANS, SPECIALISTS, HOSPITALS AND COMMUNITY ORGANIZATIONS THROUGHOUT CONNECTICUT 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 AND HEART FAILURE. CPCT 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 PATRICIA BLAKE GERALD J. BOISVERT (START 7/5/21) JOHN DILLAWAY DEBRA K. HAYES CHARLES L. JOHNSON III (END 4/14/21) |
| FORM 990, PART VI, LINE 3 | CPCT CONTRACTS WITH ITS AFFILIATE TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. (TAHMO) TO PROVIDE THE SERVICES ASSOCIATED WITH OPERATING A MEDICARE ADVANTAGE PLAN AND MANAGING CPCT MORE GENERALLY. TAHMO IN TURN CONTRACTS FOR CERTAIN MANAGEMENT AND ADMINISTRATIVE SERVICES WITH POINT32HEALTH SERVICES, INC., A WHOLLY OWNED SUBSIDIARY OF TAHMO THAT EMPLOYS PERSONNEL. |
| FORM 990, PART VI, LINE 4 | The bylaws were amended and restated in connection with the combination of the Health Plan Holdings, Inc (now Point32Health, Inc.). and Harvard Pilgrim Health Care, Inc. organizations. Some examples of updates to the bylaws include but are not limited to board composition, banking authority, and other governance processes. |
| 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) IS THE SOLE CORPORATE MEMBER OF CPCT. |
| 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 "THE 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 TO REVIEW THE FORM 990: THE ORGANIZATION'S FORM 990 WAS PREPARED AND REVIEWED BY THE POINT32HEALTH SERVICES, INC.'S FINANCE DEPARTMENT WITH ASSISTANCE FROM EXTERNAL ACCOUNTANTS, PWC. CERTAIN SECTIONS ARE REVIEWED FOR INPUT BY SUBJECT MATTER PERSONNEL IN OTHER DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE FILING. |
| FORM 990, PART VI, LINE 12C | MONITORING AND ENFORCEMENT OF COMPLIANCE WITH COI POLICY The CarePartners of Connecticut, Inc.'s Conflict of Interest (COI) Policy and Procedures (P&P) is reviewed annually, revised as needed and approved upon material revisions. The Policy requires officers and governing body members to comply with the COI policy and processes. The COI P&P requires the officers and board of directors to complete and submit an annual disclosure survey and statement to the Point32Health Legal Department, which provides legal services to its affiliate CarePartners of Connecticut, listing any outside relationships, including financial and/or board relationships that they or a family member have with CarePartners of Connecticut's suppliers, purchasers, providers and/or competitors. By completing the annual disclosure statement, these individuals acknowledge the CarePartners of Connecticut COI P&P. There are protocols and processes to review any disclosure that might be a potential conflict of interest. Board members and officers' responses to the disclosure survey and statement are reviewed by Legal Department Leadership who will determine expectations and recommended actions if needed. A summary report of all disclosed actual or potential conflicts along with any recommended actions to address a disclosed actual or potential conflict is reviewed and approved by the CarePartners of Connecticut Board of Directors. The Legal Department communicates the recommended actions to individual survey recipients. The Point32Health Chief Compliance Officer is consulted and informed of the decisions made by the Legal Department Leadership. |
| FORM 990, PART VI, LINE 13 | CPCT IS SUBJECT TO THE WRITTEN WHISTLEBLOWER POLICY THAT WAS APPROVED BY THE BOARD OF DIRECTORS OF POINT32HEALTH, 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 POINT32HEALTH, INC. |
| FORM 990, PART VI, LINE 15A AND 15B | CPCT CONTRACTS WITH TAHMO TO PROVIDE THE SERVICES ASSOCIATED WITH OPERATING A MEDICARE ADVANTAGE PLAN AND MANAGING CPCT MORE GENERALLY. TAHMO IN TURN CONTRACTS FOR CERTAIN MANAGEMENT AND ADMINISTRTIVE SERVICES WITH POINT32HEALTH SERVICES, INC., A WHOLLY OWNED SUBSIDIARY OF TAHMO THAT EMPLOYS PERSONNEL. THE INDEPENDENT BOARD OF DIRECTORS OF POINT32HEALTH, INC., WHICH IS THE TAX-EXEMPT, NON-PROFIT PARENT OF TAHMO AND ULTIMATE PARENT OF POINT32HEALTH SERVICES, INC. HAS AN INDEPENDENT HUMAN RESOURCES COMMITTEE (THE "COMMITTEE") THAT ANNUALLY REVIEWS THE TOTAL REMUNERATION OPPORTUNITIES, POLICIES AND PROGRAMS OF THE CEO AND CERTAIN EXECUTIVES, INCLUDING OTHER OFFICERS AND KEY EMPLOYEES AS WELL AS INDIVIDUALS THE COMMITTEE DEEMS APPROPRIATE TO REVIEW. THE COMMITTEE IS COMPRISED OF INDEPENDENT DIRECTORS OF THE COMPANY. THE COMMITTEE CONSIDERS MARKET DATA AND ANALYSES ASSEMBLED BY INDEPENDENT AND INTERNAL COMPENSATION CONSULTANTS WITH THE GOAL TO DETERMINE EXECUTIVE TOTAL REMUNERATION THAT IS REASONABLE AND COMPETITIVE WITHIN THE INDUSTRY AND GEOGRAPHY IN WHICH POINT32HEALTH, INC. OPERATES. THE CORPORATE MEMBERS OF CPCT HOLDINGS REVIEW AND APPROVE THE HIRING OF THE PRESIDENT OF CPCT, AND THE BOARD OF MANAGER OF CPCT HOLDINGS ANNUALLY APPROVES THE COMPENSATION OF THE CPCT PRESIDENT. |
| FORM 990, PART VI, LINE 19 | PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND ANNUAL FINANCIAL REPORT AND QUARTERLY FINANCIAL UPDATES ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | CHANGE IN NONADMITTED ASSETS 214,510 CHANGE IN PREMIUM DEFICIENCY 467,000 CAPITAL CONTRIBUTIONS 18,000,000 __________ TOTAL 18,681,510 |
| FORM 990, PART XII, LINE 1 | CarePartners of Connecticut, Inc. follows the statutory accounting method prescribed by the Connecticut Department of Insurance. |
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021
Additional Data
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