2025-05-28T17:14:55-05:00 2024-12-31 331498605 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2024-01-01 451294709 NEW MEXICO HEALTH CONNECTIONS C/O RISK & REGULATORY CONSULTING LLC NEWM 8666689002 20 BATTERSON PARK ROAD 380 FARMINGTON CT 06032 JAN M MOENCK SPECIAL DEPUTY RECEIVER 8666689002 2025-05-26 1 1 DAVID LOWENTHAL P00378651 3122071040 2025-05-26 2024 2025-03-06 01:10:19Z JAN M MOENCK 20 BATTERSON PARK ROAD 380 FARMINGTON CT 06032 723178 0 X WWW.MYNMHC.ORG X 2011 NM TO ESTABLISH A CONSUMER OPERATED AND ORIENTED PLAN (COOP) CONSISTENT WITH THE PROVISIONS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. NMHC WILL GENERATE FUNDING, ANALYSIS, AND SUSTAINABILITY CRITERIA FOR A COOP HEALTH PLAN, INCLUDING AN ORGANIZATIONAL MODEL THAT ACCOMMODATES REGIONAL AND POPULATION-SPECIFIC PLANS FOR DELIVERING AFFORDABLE, COMMUNITY-SPECIFIC HEALTH CARE ACROSS THE STATE. 1 0 0 0 0 0 0 0 0 0 524673 429222 507093 293956 1031766 723178 0 0 0 0 0 0 0 0 0 4442493 496062 4442493 496062 -3410727 227116 16067999 16108787 31657120 31650031 -15589121 -15541244 X TO ESTABLISH A CONSUMER OPERATED AND ORIENTED PLAN (COOP) CONSISTENT WITH THE PROVISIONS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. NMHC WILL GENERATE FUNDING, ANALYSIS, AND SUSTAINABILITY CRITERIA FOR A COOP HEALTH PLAN, INCLUDING AN ORGANIZATIONAL MODEL THAT ACCOMMODATES REGIONAL AND POPULATION-SPECIFIC PLANS FOR DELIVERING AFFORDABLE, COMMUNITY-SPECIFIC HEALTH CARE ACROSS THE STATE. 0 0 ON MARCH 19, 2021 THE SECOND JUDICIAL DISTRICT COURT, BERNALILLO COUNTY ORDERED NEW MEXICO HEALTH CONNECTIONS ("NMHC OR THE "COMPANY") INTO LIQUIDATION. RISK AND REGULATORY CONSULTING, LLC WAS APPOINTED AS SPECIAL DEPUTY RECEIVER. NEW MEXICO HEALTH CONNECTIONS IS A PRIVATE, NONPROFIT COMPANY ESTABLISHED UNDER INTERNAL REVENUE CODE 501(C)(29) THAT WAS INCORPORATED IN THE STATE OF NEW MEXICO IN FEBRUARY 2011. ON FEBRUARY 17, 2012, THE COMPANY BECAME A QUALIFIED NONPROFIT HEALTH INSURANCE ISSUER UNDER THE CONSUMER-OPERATED AND ORIENTED PLAN (CO-OP) PROGRAM ESTABLISHED BY SECTION 1322 OF THE AFFORDABLE CARE ACT AND APPLICABLE REGULATIONS. UNDER THIS PROGRAM, THE COMPANY RECEIVED STARTUP AND SOLVENCY LOANS FROM THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES, CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). THE COMPANY WAS GOVERNED BY ITS BOARD OF DIRECTORS, WHICH HAVE THE AUTHORITY AND RESPONSIBILITY FOR MANAGEMENT, CONTROL, AND ADMINISTRATION OF THE COMPANY. THE COMPANY RECEIVED ITS CERTIFICATE OF AUTHORITY FROM THE STATE OF NEW MEXICO PUBLIC REGULATION COMMISSION, INSURANCE DIVISION IN FEBRUARY 2013. THE PRIMARY MISSION OF THE COMPANY WAS TO PROVIDE AFFORDABLE COMMUNITY HEALTH CARE INSURANCE ACROSS THE STATE OF NEW MEXICO TO THE INDIVIDUAL AND SMALL GROUP MARKETS. THE COMPANY BEGAN OPEN ENROLLMENT IN OCTOBER 2013, FOR AN EFFECTIVE INSURANCE COVERAGE DATE OF JANUARY 1, 2014. THE COMPANY WAS FOCUSED ON THE WELL-BEING OF PARTIES BY MAKING SURE THEIR HEALTH CARE WAS COORDINATED AT EVERY LEVEL AND THAT A STRONG NETWORK OF PRIMARY-CARE PROVIDERS WAS AVAILABLE TO ENSURE GOOD HEALTH OF OUR MEMBERS. THE COMPANY'S PRIORITY WAS TO KEEP MEMBERS HEALTHY, LOWERING PREMIUM COSTS AND DELIVERING APPROPRIATE LEVELS OF CARE AT THE RIGHT TIME TO KEEP MEMBERS HOME AND OUT OF UNNECESSARY HOSPITAL STAYS. THIS WAS ACCOMPLISHED BY PROVIDING COMMUNITY-BASED CASE MANAGEMENT TO ENSURE THE MEMBERS WERE WELL CARED FOR. 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 1 0 0 1 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 0 0 0 X RISK & REGULATORY CONSULTING LLC 8666689002 20 BATTERSON PARK ROAD SUITE 380 FARMINGTON CT 06032 RISK REGULATORY CONSULTING LLC SPECIAL DEPUTY RECEIVER 8.00 0.00 X 70979 0 0 70979 0 0 0 0 0 0 DELOITTE CONSULTING LLP PO BOX 844717 DALLAS TX 752844717 PROFESSIONAL SERVICES 325817 1 429222 429222 SUBROGATION RECOVERIES 524114 291966 291966 PROVIDER REFUND 524114 1990 1990 293956 723178 0 0 723178 X 38299 28679 428634 BANK CHARGES 450 496062 380831 15570622 107165 107165 15580003 431000 16067999 16108787 1579326 1571109 3910484 3910484 26167310 26168438 31657120 31650031 X 0 0 79056071 79056071 -94645192 -94597315 -15589121 -15541244 16067999 16108787 X 227116 -186303 7064 X 0 0 0 0 CLAIMS UNPAID 26139187 LATE FILED CLAIMS 29251 26168438 FORM 990, PART V, LINE 13A NM FORM 990, PART VI, SECTION A, LINE 3 ON MARCH 19, 2021 THE SECOND JUDICIAL DISTRICT COURT, BERNALILLO COUNTY ORDERED NEW MEXICO HEALTH CONNECTIONS INTO LIQUIDATION. RISK AND REGULATORY CONSULTING, LLC WAS APPOINTED AS SPECIAL DEPUTY RECEIVER. AS A RESULT, ALL GOVERNANCE DECISIONS ARE MADE BY RISK AND REGULATORY CONSULTING, LLC IN CONJUNCTION WITH THE NEW MEXICO OFFICE OF SUPERINTENDENT OF INSURANCE. FORM 990, PART VI, SECTION A, LINE 8B THIS QUESTION IS NOT APPLICABLE AS THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B STAFF OF THE COURT APPOINTED SPECIAL DEPUTY RECEIVER REVIEWS THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C RISK & REGULATORY CONSULTING LLC HAS AN INTERNAL CONFLICT OF INTEREST POLICY THAT APPLIES TO ALL OF ITS STAFF. ANY POTENTIAL CONFLICTS THAT OCCUR WOULD BE DISCLOSED TO THE NEW MEXICO SUPERINTENDENT OF INSURANCE. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DID NOT HAVE ANY EMPLOYEES DURING THE CALENDAR YEAR 2024. THE ORGANIZATION COMPENSATED A COURT APPOINTED DEPUTY RECEIVER FOR SERVICES RELATED TO THE MATTER OF LIQUIDATION OF NEW MEXICO HEALTH CONNECTIONS. THE SERVICE AGREEMENT WITH THE DEPUTY RECEIVER WAS REVIEWED AND APPROVED BY THE NEW MEXICO SUPERINTENDENT OF INSURANCE AND SUBSEQUENTLY APPROVED BY THE SECOND JUDICIAL DISTRICT COURT OF BERNALILLO COUNTY, NEW MEXICO. THE COMPENSATION IS REPORTED ON FORM 990, PART VII, SECTION A. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G RECEIVER SERVICE FEES 85,142. CONSULTING-OTHER 337,892. OUTSOURCED SERVICES 5,600. FORM 990, PART XI, LINE 9: OTHER ADJUSTMENT 7,064.