| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS A SINGLE CLASS OF MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7A | EACH DUES PAYING MEMBER HEALTH PLAN SHALL ANNUALLY DESIGNATE IN WRITING ONE (1) VOTING MEMBER, PREFERABLY THE CHIEF EXECUTIVE OFFICER OF THE HEALTH PLAN, TO REPRESENT THE HEALTH PLAN AND ALL AFFILIATED ORGANIZATIONS ON THE BOARD OF DIRECTORS FOR THE ENSUING YEAR. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ASSOCIATION'S CEO 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 INQUIRES OF THE CEO 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 15A | THE COMPENSATION FOR THE CEO 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 CEO IS ENUMERATED BELOW: -THE CEO AND BOARD PRESIDENT AND VICE PRESIDENT DISCUSS THE CEO'S LEADERSHIP AND PERFORMANCE TOWARD ACHIEVING THE ANNUAL ASSOCIATION GOALS ESTABLISHED BY THE EXECUTIVE COMMITTEE AND THE BOARD. -THE CEO PROVIDES THE BOARD PRESIDENT AND EXECUTIVE COMMITTEE MEMBERS WITH THE MOST RECENT PUBLICLY AVAILABLE COMPENSATION OF OTHER 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 CEO. THE COMPARABLE COMPENSATION INFORMATION IS GATHERED USING THE PUBLICLY AVAILABLE 990 INFORMATION. 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. -THE BOARD PRESIDENT AND VICE PRESIDENT USES A PERFORMANCE MATRIX TO SOLICIT INPUT FOR THE MEMBERS OF THE EXECUTIVE COMMITTEE ON THE PERFORMANCE OF THE CEO. -THE EXECUTIVE COMMITTEE MEETS IN CLOSED SESSION OR BY CONFERENCE CALL TO REVIEW ALL DOCUMENTATION DEVELOPED BY THE CEO AND ANY DEVELOPED BY THE BOARD PRESIDENT AND VICE PRESIDENT. THE EXECUTIVE COMMITTEE DETERMINES ANY BONUSES FOR CURRENT YEAR PERFORMANCE; ESTABLISHES THE SALARY FOR NEXT YEAR; AND ESTABLISHES THE BONUS TARGET FOR THE NEXT YEAR. -AFTER THE EXECUTIVE COMMITTEE MEETS, THE BOARD PRESIDENT SPEAKS WITH THE CEO 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 CEO. THE SALARIES FOR KEY STAFF AND OTHER EMPLOYEES ARE DETERMINED ANNUALLY AS PART OF THE ASSOCIATION BUDGET PROCESS. THE CEO 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 CEO RECOMMENDS FOR EXECUTIVE COMMITTEE AND BOARD APPROVAL, THE GROSS SALARY AND BENEFIT BUDGET FIGURES TO COVER COMPENSATION FOR ALL STAFF. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES IS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
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