2021-10-29T12:29:50-05:00 2020-12-31 382157642 MANER COSTERISAN PC 2425 E GRAND RIVER SUITE 1 LANSING MI 489123291 990 2020-01-01 381641634 MICHIGAN EDUCATION SPECIAL SERVICES ASSN MICH 5173326551 1475 KENDALE BLVD EAST LANSING MI 48823 ROSS WILSON EXECUTIVE DIRECTOR 5173326551 2021-10-29 1 ROSS WILSON 999009999 BRANDY L MIKULA CPA P00645694 5173237500 2021-10-30 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ROSS WILSON 1475 KENDALE BLVD EAST LANSING MI 48823 1358812108 0 X WWW.MESSA.ORG X 1960 MI TO PROVIDE MEMBERS WITH GROUP INSURANCE BENEFITS. 11 11 0 11 47019003 0 0 0 1115390107 1116649960 14498289 47019003 0 0 1129888396 1163668963 0 0 1050541886 1034994011 36936110 27727580 0 0 0 18958728 17842094 1106436724 1080563685 23451672 83105278 733822981 824142549 138770486 142278716 595052495 681863833 TO EXCEED THE EXPECTATIONS OF OUR CUSTOMERS BY PROVIDING EXTRAORDINARY SERVICE AND A SUPERIOR HEALTHCARE EXPERIENCE. 0 0 MEDICAL, VISION, DENTAL, DISABILITY, AND VARIOUS OTHER HEALTH RELATED INSURANCE BENEFITS WERE PROVIDED TO THE 64,041 MEMBERS. 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 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 1 358 0 1 0 1 1 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X MATT DEWOLF 5173326551 1475 KENDALE BLVD EAST LANSING MI 48823 DR CHARLES R BACON TRUSTEE 5.00 X 0 0 0 SARAH CARTER TRUSTEE 5.00 X 0 0 0 ROBERT HANCHEK TRUSTEE 5.00 X 0 0 0 TAMARA LEWIS TRUSTEE 5.00 X 0 0 0 LIZA PARKINSON TRUSTEE 5.00 X 0 0 0 LISA WELCH TRUSTEE 5.00 X 0 0 0 BRETT SMITH TRUSTEE 5.00 X 0 0 0 PAULA HERBART TRUSTEE 5.00 X 0 0 0 CHANDRA MADAFFERI TRUSTEE 5.00 X 0 0 0 JENNIFER JONES VICE PRESIDENT 5.00 X X 0 0 0 MICHELLE CHASE PRESIDENT 5.00 X X 0 0 0 MICHAEL SHOUDY EXECUTIVE SECRETARY 5.00 X 0 0 0 ROSS WILSON EXECUTIVE DIRECTOR 40.00 X 262913 0 91586 LISA J ALLEN CFO 40.00 X 234184 0 86776 ARJAY PATRICK DIRECTOR OF IT SERVICES 40.00 X 223337 0 56457 MATT NYQUIST DIRECTOR OF HEALTH PLAN OPERATIONS 40.00 X 212040 0 82410 TANYA PRATT DIRECTOR OF FIELD SERVICES 40.00 X 208957 0 55550 KAREN SCHULZ DIRECTOR OF MEMBER SERVICE 40.00 X 206839 0 82410 1348270 0 455189 74 0 1 0 BSWIFT LLC 10 S RIVERSIDE PLAZA STE 1100 CHICAGO IL 60606 ONLINE TECHNOLOGY 1390109 PREFERRED CASE MANAGEMENT 139 W LAKE LANSING RD STE 100 EAST LANSING MI 48823 CASE MANAGEMENT 1084152 ENTECH MEDICAL STAFFING 1800 CROOKS RD TROY MI 48084 HOME HEALTH CARE 696214 MAXIM HEALTHCARE SERVICES INC 7227 LEE DEFOREST DR COLUMBIA MD 21046 HOME HEALTH CARE 409725 HEALTH PARTNERS INC PO BOX 772284 DETROIT MI 482772284 HOME HEALTH CARE 396646 17 MEMBER CONTRIBUTIONS 900099 1034053453 1034053453 CLAIMS PROCEESSING FEES 900099 80955801 80955801 SHARED SERVICES 900099 1591372 1591372 MISCELLANEOUS REVENUE 900099 49334 49334 1116649960 14210576 14210576 227951572 195143145 32808427 32808427 32808427 1163668963 1115058588 47019003 1591372 X 1034994011 354499 23877059 -3855203 5556704 1794521 49556 574217 1077697 1413736 984028 3964169 45399 2452965 939317 181122 38655 1483646 290999 MARKETING & RESEARCH 3483869 ADMINISTRATIVE SERVICES 512303 STAFF DEV. & TRAINING 174639 MISCELLANEOUS 118172 57605 1080563685 2620095 3842045 128421714 155755245 71684217 85640516 49016637 36768568 13243267 12248069 433935391 487459366 83918297 79197308 733822981 824142549 1566352 1476677 40945042 43369295 96259092 97432744 138770486 142278716 X 0 0 0 0 595052495 681863833 595052495 681863833 733822981 824142549 X 83105278 3052733 653327 X 0 1 X 1 0 718340 718340 15829460 7320293 8509167 31419636 28399074 3020562 1049201 1049201 0 12248069 STABILIZATION RESERVE 75097231 CONTRIBUTIONS RECEIVABLE FROM OR ON BEHALF OF MEMBERS 4100077 79197308 ACCRUED PAYROLL AND RELATED ITEMS 2778107 ACCRUED CLAIMS PROCESSING EXPENSES 1370000 ACCRUED PENSION COST 87184134 DUE TO INSURANCE COMPANIES 6100503 97432744 X 1220742289 3052733 55225704 58278437 1162463852 1077697 127414 1205111 1163668963 1209681509 130322935 130322935 1079358574 1077697 127414 1205111 1080563685 PART X, LINE 2: IN THE PREPARATION OF TAX RETURNS, TAX POSITIONS ARE TAKEN BASED ON INTERPRETATION OF FEDERAL, STATE AND LOCAL INCOME TAX LAWS. MANAGEMENT PERIODICALLY REVIEWS AND EVALUATES THE STATUS OF UNCERTAIN TAX POSITIONS AND MAKES ESTIMATES OF AMOUNTS, INCLUDING INTEREST AND PENALTIES, ULTIMATELY DUE OR OWED. NO AMOUNTS HAVE BEEN IDENTIFIED, OR RECORDED, AS UNCERTAIN TAX POSITIONS. FEDERAL, STATE AND LOCAL TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES FOR A PERIOD OF THREE TO FOUR YEARS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CUSTOMER SAVINGS REFUND 991,873. PHARMACY REBATES 50,851,903. PHARMACY REBATE GUARANTEE 3,381,928. PART XI, LINE 4B - OTHER ADJUSTMENTS: RATE STABILIZATION RESERVE INTEREST 127,414. PART XII, LINE 2D - OTHER ADJUSTMENTS: CUSTOMER SAVINGS REFUND 991,873. PHARMACY REBATES 50,851,903. PHARMACY REBATE GUARANTEE 3,381,928. RATE STABILIZATION EXCESS 75,097,231. PART XII, LINE 4B - OTHER ADJUSTMENTS: RATE STABILIZATION RESERVE INTEREST 127,414. X 1 1 X 0 0 0 ROSS WILSON EXECUTIVE DIRECTOR 262913 0 0 0 0 0 53174 0 38412 0 354499 0 0 0 LISA J ALLEN CFO 234184 0 0 0 0 0 48364 0 38412 0 320960 0 0 0 ARJAY PATRICK DIRECTOR OF IT SERVICES 223337 0 0 0 0 0 43998 0 12459 0 279794 0 0 0 MATT NYQUIST DIRECTOR OF HEALTH PLAN OPERATIONS 212040 0 0 0 0 0 43998 0 38412 0 294450 0 0 0 TANYA PRATT DIRECTOR OF FIELD SERVICES 208957 0 0 0 0 0 40019 0 15531 0 264507 0 0 0 KAREN SCHULZ DIRECTOR OF MEMBER SERVICE 206839 0 0 0 0 0 43998 0 38412 0 289249 0 0 0 PART I, LINE 1A AMOUNTS PAID FOR SOCIAL CLUB DUES ARE INCLUDED IN RECIPIENTS' TAXABLE WAGES. COMMON PAYMASTER IN ORDER TO MINIMIZE ADMINISTRATIVE COSTS MESSA PARTICIPATES WITH MEA AND OTHER RELATED ENTITIES IN A COMMON PAYMASTER AGREEMENT WHEREBY MEA PROCESSES PERIODIC PAYROLLS AND REMITS RELATED PAYROLL TAXES UNDER ITS EIN 38-0827000. MESSA REIMBURSES MEA FOR THESE EXPENSES AS THEY OCCUR. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS PER BYLAWS FORM 990, PART VI, SECTION A, LINE 7A MESSA BOARD IS ELECTED BY THE GENERAL MEMBERSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE CONTROLLER REVIEWS THE FORM 990. THE MESSA CHIEF FINANCIAL OFFICER REVIEWS THE FORM 990 NEXT. AFTER REVIEW AND APPROVAL THE FORM 990 THEN GOES TO THE EXECUTIVE DIRECTOR FOR FINAL REVIEW AND SIGNATURE. THE RETURN IS THEN FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE MESSA BOARD OF TRUSTEES ADOPTED A CONFLICT OF INTEREST POLICY AND EACH TRUSTEE SIGNS A STATEMENT. THE POLICY WILL BE REVIEWED WITH THE BOARD OF TRUSTEES ANNUALLY AND AN UPDATED STATEMENT WILL BE SIGNED BY EACH TRUSTEE AT THAT TIME. THE POLICY IS REVIEWED WITH NEW BOARD OF TRUSTEE MEMBERS AT THE START OF HIS/HER TERM AND A STATEMENT IS SIGNED BY THE NEW TRUSTEE AT THAT TIME. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE SET BY BOARD APPROVED SALARY SCHEDULES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST TO MESSA ADMINISTRATION FORM 990, PART IX, LINE 8 DECREASE DUE TO ACTUARIAL ASSUMPTIONS REFLECTED THROUGH THE NET PERIODIC BENEFIT COST CAUSED PENSION EXPENSE FOR THE CURRENT YEAR TO BE NEGATIVE. FORM 990, PART XI, LINE 9: ADJUSTMENT FOR MINIMUM PENSION LIABILILTY 653,327.