2024-11-15T08:26:51-06:00 2023-12-31 135565207 KPMG LLP 350 NORTH 5TH ST STE 600 MINNEAPOLIS MN 55401 990 2023-01-01 831979548 MEDICA CENTRAL HEALTH PLAN MEDI 3149947800 10101 WOODFIELD LANE ST LOUIS MO 63132 KRISTA DUSIL CFO 3149947800 2024-11-14 1 0 HOLLY MOEN P01800653 6123055000 2024-11-12 2023 2024-10-15 13:58:12Z X WELLFIRST HEALTH DAVID DOCHERTY 10101 WOODFIELD LANE ST LOUIS MO 63132 13610949 0 X HTTS://MO-CENTRAL.MEDICA.COM X 2018 MO TO BE THE TRUSTED HEALTH PLAN OF CHOICE FOR CUSTOMERS, MEMBERS, PARTNERS AND OUR EMPLOYEES 8 0 0 0 0 0 0 0 13178845 13360669 91712 250280 0 0 13270557 13610949 0 0 0 0 4462913 814027 0 0 0 13125363 12284826 17588276 13098853 -4317719 512096 9724325 8911525 3065715 1991490 6658610 6920035 TO BE THE TRUSTED HEALTH PLAN OF CHOICE FOR CUSTOMERS, MEMBERS, PARTNERS AND OUR EMPLOYEES 0 0 12062402 0 13360669 MEDICA CENTRAL HEALTH PLAN IS A NONPROFIT HEALTH MAINTENANCE ORGANIZATION (HMO) DOMICILED IN THE STATE OF MISSOURI. THE HMO OFFERS MEDICARE ADVANTAGE PRODUCT IN MISSOURI AND ILLINOIS AND INDIVIDUAL PRODUCT IN ILLINOIS. 12062402 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 8 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X KRISTA DUSIL 9529922753 401 CARLSON PARKWAY CP 330 MINNETONKA MN 55305 X MARY P QUIST TREASURER/INTERIM CFO(THRU 4/23) 0.00 40.00 X 0 808429 49529 DAVID H ELLENBOGEN SVP SEC & GEN COUNSEL (THRU 12/23) 0.00 40.00 X X 0 773584 45018 ELIZABETH F ERICKSON PRESIDENT & CEO & CFO 0.00 40.00 X X 0 1203089 39039 DAVID S DOCHERTY DHP PRESIDENT & MARKET LEADER 0.00 40.00 X X 0 903100 47654 RANDY COMBS CFO AT SSM HEALTH (THRU 11/23) 1.00 40.00 X 0 2182354 1238074 KAREN REWERTS VP-FINANCIAL OPERATIONS 1.00 50.00 X 0 801332 287514 MATTHEW KINSELLA REGIONAL CP FINANCE - WISCONSIN 1.00 40.00 X 0 532042 201905 TIMOTHY JOHNSON VP - MEDICAL GROUP OPERATIONS 1.00 40.00 X 0 749701 300989 DAVID WEBSTER CHIEF CLINICAL OFFICER 0.00 40.00 X 0 1070048 53957 JOHN NAYLOR PRESIDENT & CEO (THRU 9/23) 0.00 40.00 X 0 2577014 28672 RANDY J RUPLINGER SVP FP&A & DHP CFO 0.00 40.00 X 0 874375 43495 DEAN SUTTON VP & DEPUTY GEN COUNSEL 0.00 40.00 X 0 433187 43614 MARK L BAIRD FORMER SVP & CFO 0.00 0.00 X 0 552044 0 JAMES P JACOBSON FORMER SVP SEC & GEN COUNSEL 0.00 0.00 X 0 448077 0 0 13908376 2379460 0 1 1 0 0 PREMIUM REVENUE 524114 13360669 13360669 13360669 250280 250280 13610949 13360669 0 250280 X 668242 668242 30159 30159 77335 77335 38291 38291 6660 6660 1800 1800 1625 1625 11417098 11408430 8668 24643 24643 26109 26109 172121 172121 101355 101355 2071 2071 1148 1148 72018 72018 7215 7215 OTHER EXPENSES 281796 271935 9861 TAXES 163895 163895 LICENSES 3579 3579 BOOKS/SUBSCRIPTIONS 1693 1693 13098853 12062402 1036451 0 8367836 7484210 71136 0 0 0 224188 134380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 924804 928017 0 0 0 0 0 0 136361 364918 9724325 8911525 2229194 1802965 0 0 98405 13793 0 0 0 0 0 0 0 0 0 0 738116 174732 3065715 1991490 X 0 0 0 0 6658610 6920035 6658610 6920035 9724325 8911525 X 512096 -250671 X 0 1 X 1 0 0 DUE TO AFFILIATES 130168 ACCRUED EXPENSES 44564 174732 X 13610949 0 13610949 0 13610949 13098853 0 13098853 0 13098853 PART X, LINE 2: MEDICAL CENTRAL HEALTH PLAN'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF A RELATED ORGANIZATION, MS COMMUNITY NFP JV, LLC (MSJV). MSJV EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2023 OR 2022. 1 1 0 0 0 1 1 0 0 RANDY COMBS CFO AT SSM HEALTH (THRU 11/23) 0 1242308 0 669269 0 270777 0 1203989 0 34085 0 3420428 0 669269 JOHN NAYLOR PRESIDENT & CEO (THRU 9/23) 0 745040 0 1498719 0 333255 0 10532 0 18140 0 2605686 0 212534 ELIZABETH F ERICKSON PRESIDENT & CEO & CFO 0 487530 0 600051 0 115508 0 13200 0 25839 0 1242128 0 109692 DAVID WEBSTER CHIEF CLINICAL OFFICER 0 492632 0 428833 0 148583 0 13200 0 40757 0 1124005 0 101612 KAREN REWERTS VP-FINANCIAL OPERATIONS 0 589021 0 154022 0 58289 0 253200 0 34314 0 1088846 0 205965 TIMOTHY JOHNSON VP - MEDICAL GROUP OPERATIONS 0 546303 0 162711 0 40687 0 266170 0 34819 0 1050690 0 162711 DAVID S DOCHERTY DHP PRESIDENT & MARKET LEADER 0 388015 0 439531 0 75554 0 13200 0 34454 0 950754 0 70469 RANDY J RUPLINGER SVP FP&A & DHP CFO 0 309908 0 488920 0 75547 0 13200 0 30295 0 917870 0 57642 MARY P QUIST TREASURER/INTERIM CFO(THRU 4/23) 0 342386 0 349158 0 116885 0 13200 0 36329 0 857958 0 65748 DAVID H ELLENBOGEN SVP SEC & GEN COUNSEL (THRU 12/23) 0 407024 0 249087 0 117473 0 13200 0 31818 0 818602 0 62813 MATTHEW KINSELLA REGIONAL CP FINANCE - WISCONSIN 0 405421 0 105716 0 20905 0 160100 0 41805 0 733947 0 114535 MARK L BAIRD FORMER SVP & CFO 0 0 0 329888 0 222156 0 0 0 0 0 552044 0 32279 DEAN SUTTON VP & DEPUTY GEN COUNSEL 0 235787 0 131926 0 65474 0 13200 0 30414 0 476801 0 37352 JAMES P JACOBSON FORMER SVP SEC & GEN COUNSEL 0 0 0 129138 0 318939 0 0 0 0 0 448077 0 91442 PART I, LINE 3 THE CEO IS COMPENSATED BY MEDICA SERVICES COMPANY, A RELATED ORGANIZATION. WHEN ESTABLISHING COMPENSATION MEDICA SERVICES COMPANY USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY/STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINES 4A-B RANDY RUPLINGER RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $13,720. PART I, LINE 6 MANAGEMENT INCENTIVE COMPENSATION INCLUDES COMPONENTS RELATED TO THE ORGANIZATION'S OPERATING EARNINGS. PART-I LINE-4B THE FOLLOWING RECEIVED A SUPPLEMENT NONQUALIFIED RETIREMENT PLAN PAYMENT FROM MEDICA SERVICES COMPANY, A RELATED ORGANIZATION: MARY P. QUIST - $65,748 MARK L. BAIRD - $32,279 JOHN W. NAYLOR - $212,534 DAVID H. ELLENBOGEN - $62,813 KAREN DENISE REWERTS - $205,965 TIMOTHY ALLEN JOHNSON - $162,711 RANDALL J. COMBS - $669,269 MATTHEW NAMMACK KINSELLA - $114,535 ELIZABETH ERICKSON - 109,692 DAVID DOUCHERTY - $70,469 RANDY RUPLINGER - $57,642 DEAN SUTTON - $37,352 JAMES P. JACOBSON - $91,442 DAVID WEBSTER - $101,612 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS MS COMMUNITY NFP JV, LLC, A DELAWARE LIMITED LIABILITY COMPANY. BOTH MEDICA CENTRAL HEALTH PLAN AND MS COMMUNITY NFP JV, LLC ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS MEDICA HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND APPOINT AND REMOVE DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION; B.TO APPROVE ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS; C. TO APPOINT AND REMOVE THE DIRECTORS; D. TO APPOINT AND REMOVE THE PRESIDENT AND OTHER OFFICERS OF THE CORPORATION AND THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION; E. TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN; F. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION; G. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; H. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY; I. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; J. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY; K. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY; L. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS; TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS; AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS; M. TO APPROVE THE ANNUAL BUDGET AND STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION; N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION; O. TO AUTHORIZE AND APPROVE THE BORROWING OF MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTERESTS IN THE PROPERTY OF THE CORPORATION; P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER OR TO ANY OTHER ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS AND OBJECTIVES OF THE MEMBER AS DETERMINED BY THE MEMBER; Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND R. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY; S. TO APPROVE ANY FINANCIAL STATEMENTS FOR ANY FISCAL YEAR, CHANGE THE FISCAL YEAR OF THE CORPORATION OR CHANGE THE BASIS OF THE CORPORATION'S ACCOUNTING POLICIES, OTHER THAN AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, AS APPLICABLE; T. TO ENTER INTO, EXTEND, RENEW OR MODIFY ANY MATERIAL CONTRACT OR MAKE ANY CAPITAL EXPENDITURE WHICH INVOLVES PAYMENTS EXCEEDING $500,000, OTHER THAN CONTRACTS OR TRANSACTIONS INCLUDED IN THE ANNUAL BUDGET OR AN APPROVED VARIANCE THEREFROM; U. TO EXECUTE OR OTHERWISE ENTER INTO ANY EMPLOYMENT AGREEMENT, HIRE OR FIRE (WITH OR WITHOUT CAUSE) OR SET OR AMEND THE COMPENSATION LEVEL OF ANY OFFICER OF THE CORPORATION OR OTHER SIMILARLY COMPENSATED PERSON; V. TO FILE ANY CLAIM OR LAWSUIT AGAINST ANY PERSON EXCEPT WHERE THE AMOUNT CLAIMED IS LESS THAN $500,000 OR SETTLE ANY CLAIM OR LAWSUIT OR RELEASE ANY DEBT OWED THE CORPORATION EXCEPT WHERE THE AMOUNT IS LESS THAN $500,000; W. TO CONFESS A JUDGMENT AGAINST THE CORPORATION OR ALLOW A JUDGMENT BY DEFAULT TO BE RENDERED AGAINST THE CORPORATION WITHOUT ENGAGING LEGAL COUNSEL TO PROVIDE THE CORPORATION WITH AN OPPORTUNITY TO DEFEND AGAINST SUCH JUDGMENT; X. TO PAY THE DEBTS OF ANY OTHER PERSON (OTHER THAN INTER-COMPANY TRANSFERS OF MONEY AMONG THE CORPORATION AND ITS COMMONLY CONTROLLED AFFILIATES), FURNISH ANY SURETYSHIP OR GUARANTEE FOR THE OBLIGATIONS OF ANY THIRD PARTY OR INDEMNIFY ANY PERSON EXCEPT AS SPECIFICALLY PROVIDED IN THESE BYLAWS; OR Y. TO CHANGE THE NAME OF THE CORPORATION OR ANY BRAND NAMES USED BY THE CORPORATION Z. UPDATING THE MEMBER OF SHP TO MS COMMUNITY NFP JV, LLC; AA. CHANGES TO RESERVE POWERS OF THE MEMBER; AND AB. UPDATING DIRECTOR NUMBERS AND TERM LENGTH. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B MEDICA'S TAX ADVISORS COMPLETE THE RETURN, MEDICA'S FINANCE STAFF REVIEW THE RETURN BEFORE IT IS SIGNED BY THE CFO. A COPY WILL BE PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY ALL EMPLOYEES OF MEDICA SERVICES COMPANY AND DIRECTORS OF ALL MEDICA ENTITIES COMPLETE A CONFLICT-OF-INTEREST DISCLOSURE AND ARE REQUIRED TO REVIEW THE CURRENT POLICY. ALL POTENTIAL CONFLICTS ARE REVIEWED BY LEGAL/COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15 A RELATED ORGANIZATION UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 MEDICA DOES NOT CONSIDER ITS CONFLICT-OF-INTEREST POLICY TO BE A CONFIDENTIAL OR PROPRIETARY DOCUMENT. THEREFORE, MEDICA WOULD MAKE THIS POLICY AVAILABLE TO ANYONE WHO REQUESTS IT. CERTAIN MEDICA ENTITIES ARE REQUIRED TO FILE ANNUAL FINANCIAL STATEMENTS WITH THE REGULATORS. MEDICA CONSIDERS FINANCIAL STATEMENTS THAT ARE FILED WITH THE REGULATORS TO BE PUBLIC DOCUMENTS. ARTICLES AND BYLAWS, CONFLICT OF INTEREST POLICY, AND FORM 990S ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A, LINE 1: CERTAIN INDIVIDUALS REPORTED ON FORM 990, PART VII SPLIT THEIR TIME BETWEEN ALL ENTITIES UNDER MEDICA HOLDING COMPANY. THE AVERAGE HOURS PER WEEK REPORTED IN PART VII ARE THE TOTAL HOURS PER WEEK FOR ALL MEDICA ORGANIZATIONS. THE FOLLOWING CHANGES TO THE OFFICERS OF MEDICA CENTRAL HEALTH PLAN OCCURRED DURING THE TAXABLE PERIOD: IN APRIL OF 2023 ELIZABETH F. ERICKSON WAS ELECTED CHIEF FINANCIAL OFFICER AND TREASURER, SUCCEEDING MARY P. QUIST AS FORMER INTERIM CHIEF FINANCIAL OFFICER AND TREASURER. ELIZABETH F. ERICKSON WAS SUBSEQUENTLY ELECTED INTERIM PRESIDENT IN SEPTEMBER OF 2023, AND ELECTED PRESIDENT AND CHIEF EXECUTIVE OFFICER IN NOVEMBER OF 2023. IN 2024 KRISTA DUSIL WAS APPOINTED AS CHIEF FINANCIAL OFFICER OF THE ORGANIZATION. FORM 990, PART IX, LINE 11G OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 11,408,430. MANAGEMENT AND GENERAL EXPENSES 8,668. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,417,098. FORM 990, PART XI, LINE 9: CHANGE IN NONADMITTED ASSETS -250,671. MEDICA FOUNDATION 401 CARLSON PARKWAY MINNETONKA MN 55305 411812461 FOUNDATION MN 501(C)(3) LINE 12B MHC 0 MEDICA COMMUNITY HEALTH PLAN 401 CARLSON PARKWAY MINNETONKA MN 55305 411843804 HEALTH COVERAGE MN 501(C)(4) N/A MHC 0 MEDICA HOLDING COMPANY 401 CARLSON PARKWAY MINNETONKA MN 55305 010571840 HOLDING COMPANY MN 501(C)(4) N/A N/A 0 MEDICA HEALTH PLANS 401 CARLSON PARKWAY MINNETONKA MN 55305 411242261 HEALTH COVERAGE MN 501(C)(4) N/A MHC 0 MS COMMUNITY NFP JV (MFCJVN) LLC 401 CARLSON PARKWAY MINNETONKA MN 55305 873268926 MN MHC 0 0 0 MEDICA INSURANCE COMPANY 401 CARLSON PARKWAY MINNETONKA MN 55305 411490988 HEALTH INSURANCE MN MAS C 0 MEDICA SELF-INSURED 401 CARLSON PARKWAY MINNETONKA MN 55305 411479417 THIRD PARTY ADMIN MN MAS C 0 MEDICA AFFILIATED SERVICES (MAS) 401 CARLSON PARKWAY MINNETONKA MN 55305 411716415 HOLDING COMPANY MN MHC C 0 MEDICA HEALTH MANAGEMENT 401 CARLSON PARKWAY MINNETONKA MN 55305 208005519 HEALTH MANAGEMENT MN MAS C 0 MMSI INC 401 CARLSON PARKWAY MINNETONKA MN 55305 411547003 HEALTH INSURANCE MN MAS C 0 MEDICA SERVICES COMPANY LLC 401 CARLSON PARKWAY MINNETONKA MN 55305 852902940 ADMIN SERVICES MN MAS C 0 DEAN HEALTH PLAN INC 1277 DEMING WAY MADISON WI 53717 391535024 HEALTH INSURANCE WI DHI C 0 DEAN HEALTH INSURANCE INC (DHI) PO BOX 56099 MADISON WI 53705 391830837 HEALTH INSURANCE WI MSCJV C 0 SSM HEALTH INSURANCE COMPANY 10101 WOODFIELD LANE ST LOUIS MO 63132 834718249 HEALTH INSURANCE MO MSCJV C 0 DEAN HEALTH SERVICES COMPANY LLC 1277 DEMING WAY MADISON WI 53717 842933639 ADMIN SERVICES WI MSCJV C 0 MS COMMUNITY JV LLC (MSCJV) 401 CARLSON PARKWAY MINNETONKA MN 55305 873240022 HOLDING COMPANY MN MHC C 0 MEDICA REGIONAL INSURANCE COMPANY 401 CARLSON PARKWAY MINNETONKA MN 55305 854111612 HEALTH INSURANCE MN MAS C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1