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 2 | THE ASSOCIATION ESTABLISHED THE ASSOCIATION DONATION PROGRAM IN 2022 TO SUPPORT COMMITTEES AND ORGANIZATIONS THAT PROMOTE STATE POLICIES AND REGULATORY APPROACHES THAT ALLOW FOR A COMPETITIVE MARKET, AND INCREASE AFFORDABILITY OF AND ACCESS TO HIGH-QUALITY HEALTH INSURANCE AND HEALTH CARE. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE ASSOCIATION'S BYLAWS WERE CHANGED TO REFLECT THE EXPANSION OF MEMBERSHIP CRITERIA TO INCLUDE CARE MANAGEMENT ORGANIZATIONS (CMOS) THAT SERVE MEDICAID LONG-TERM CARE PROGRAMS, AND TO MORE CLOSELY ALIGN WITH CURRENT ASSOCIATION PRACTICE REGARDING MEMBERSHIP APPLICATIONS. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ASSOCIATION HAS MEMBERS, ALL OF WHICH COMPRISE THE ASSOCIATION'S GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ASSOCIATION'S EXECUTIVE DIRECTOR 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 FORM 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 EXECUTIVE DIRECTOR 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, LINE 15 | THE COMPENSATION FOR THE EXECUTIVE DIRECTOR 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 EXECUTIVE DIRECTOR IS ENUMERATED BELOW: - THE EXECUTIVE DIRECTOR AND BOARD PRESIDENT DISCUSS THE EXECUTIVE DIRECTOR'S LEADERSHIP AND PERFORMANCE TOWARD ACHIEVING THE ANNUAL ASSOCIATION PRIORITY GOALS ESTABLISHED BY THE EXECUTIVE COMMITTEE AND THE BOARD. - THE EXECUTIVE DIRECTOR PROVIDES THE BOARD 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 EXECUTIVE DIRECTOR. THE COMPARABLE COMPENSATION INFORMATION IS GATHERED USING THE PUBLIC WEBSITE OF THE WISCONSIN ETHICS COMMISSION. IN ADDITION, WHEN AVAILABLE, OTHER SOURCES ARE USED FOR COMPARABLE SALARY CEO SALARY INFORMATION. THIS MAY INCLUDE CEO SURVEY DATA COLLECTED BY HEALTH PLAN ASSOCIATIONS IN OTHER STATES AND THE FORMS 990 OF OTHER ORGANIZATIONS. - THE EXECUTIVE DIRECTOR ALSO PRODUCES A COMPENSATION HISTORY DOCUMENT WHICH PROVIDES BASE SALARY AND BONUS HISTORY INFORMATION FOR THE EXECUTIVE DIRECTOR. - THE BOARD PRESIDENT USES A PERFORMANCE MATRIX TO SOLICIT INPUT FORM THE MEMBERS OF THE EXECUTIVE COMMITTEE ON THE PERFORMANCE OF THE EXECUTIVE DIRECTOR. - THE EXECTIVE COMMITTEE MEETS IN CLOSED SESSION OR BY CONFERENCE CALL TO REVIEW ALL DOCUMENTATION DEVELOPED BY THE EXECUTIVE DIRECTOR AND ANY DEVELOPED BY THE BOARD PRESIDENT. THE EXECUTIVE COMMITTEE DETERMINES ANY BONUS FOR CURRENT YEAR PERFORMANCE; ESTABLISHES THE SALARY FOR NEXT YEAR; AND ESTABLISHES THE BONUS TARGET FOR THE NEXT YEAR. - AFTER THE EXECTUIVE COMMITTEE MEETS, THE BOARD PRESIDENT SPEAKS WITH THE EXECUTIVE DIRECTOR 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 EXECUTIVE DIRECTOR. THE SALARIES FOR KEY STAFF AND OTHER EMPLOYEES ARE DETERMINED ANNUALLY AS PART OF THE ASSOCIATION BUDGET PROCESS. THE EXECUTIVE DIRECTOR IS RESPONSIBLE FOR USING A VARIETY OF WEB-BASED SOURCES TO RESEARCH SALARIES FOR COMPARABLE POSITION IN STATE-BASED ASSOCIATIONS AND THE MADISON MARKET. ANNUALLY, THE EXECUTIVE DIRECTOR RECOMMENDS FOR EXECUTIVE COMMITTEE AND BOARD APPROVAL, THE GROSS SALARY AND BENEFIT BUDGET FIGURES TO COVER COMPENSATION FOR ALL STAFF. INDIVIDUAL SALARIES AND BONUSES ARE DETERMINED BY THE EXECUTIVE DIRECTOR 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 REQEUST. |
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