| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE COMPANY HAS POLICYHOLDERS WHO ARE ALSO THE OWNERS OF THE COMPANY. IT IS A MUTUAL COMPANY. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE POLICYHOLDERS/OWNERS ELECT THE BOARD MEMBERS AND OFFICERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY COMPANY MANAGEMENT AND STAFF. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE COMPANY REQUIRES DISCLOSURE OF CONFLICTS AND POTENTIAL CONFLICTS ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION IS DETERMINED BY THE NUMBER OF MEETINGS ATTENDED BY THE BOARD MEMBER. THE BOARD DETERMINES MANAGEMENT AND STAFF SALARIES BASED ON EXPERIENCE AND QUALIFICATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). |
| FORM 990, PART XI, LINE 9: | CHANGE IN NON-ADMITTED ASSETS -3,223. |
| PART XII, RESPONSE TO NOTE OR ANY LINE IN PART XII | LINE 1 AS A REGULATED ENTITY, THE ORGANIZATION IS REQUIRED TO REPORT USING STATUTORY ACCOUNTING RULES AS CODIFIED IN MINNESOTA STATUTE 67A AND AS PROMULGATED BY THE DEPARTMENT OF COMMERCE OF THE STATE OF MINNESOTA. THE MOST SIGNIFICANT ITEM OF THIS STATUTORY BASIS OF ACCOUNTING IS THE EXCLUSION OF "NON-ADMITTED ASSETS" (AS DESCRIBED IN PART XI) FROM THE REPORTED ASSETS. |
| PART XI, LINE 9 | LINE 9 : OTHER CHANGES IN NET ASSETS OR FUND BALANCES THE FOLLOWING ASSETS (NET OF ACCUMULATED DEPRECIATION) ARE EXCLUDED FROM PART X AS REQUIRED BY STATUTORY ACCOUNTING RULES AND MINNESOTA STATUTE 67A DUE TO NON-ADMITTED CLASSIFICATION: PREMIUMS RECEIVABLE OVER 90 DAYS PAST DUE 3,623 TOTAL NON-ADMITTED ASSETS AT THE END OF THE YEAR 3,623 TOTAL NON-ADMITTED ASSETS AT THE BEGINNING OF THE YEAR 400 CHANGE IN NON-ADMITTED ASSETS -3,223 |
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