2021-09-20T15:30:14-05:00 2020-12-31 390758449 WIPFLI LLP 101 EAST FRONT STREET 301 MISSOULA MT 59802 990 2020-01-01 451295465 MONTANA HEALTH COOPERATIVE MONT 4064479510 PO BOX 5358 HELENA MT 59604 DAVID SLONAKER CFO 4064479510 2021-09-07 1 DAVID SLONAKER 999009999 PHILIP L YASENAK CPA P01248379 4067281800 2021-09-07 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DAVID SLONAKER PO BOX 5358 HELENA MT 59604 323250410 0 X WWW.MHC.COOP X 2010 MT THE ORGANIZATION OFFERS TRUE NON-PROFIT MEMBER GOVERNED HEALTH INSURANCE THAT PROMOTES MEMBER ENGAGEMENT AND PROVIDES ACCESS TO HIGH QUALITY HEALTH CARE. 17 17 46 0 0 0 0 0 251199573 225311018 3666910 9211030 0 1315 254866483 234523363 0 0 0 0 3694119 4570080 0 0 0 236000440 184340666 239694559 188910746 15171924 45612617 145412106 167525981 82015720 55904359 63396386 111621622 X THE ORGANIZATION OFFERS TRUE NON-PROFIT MEMBER GOVERNED HEALTH INSURANCE THAT PROMOTES MEMBER ENGAGEMENT AND PROVIDES ACCESS TO HIGH QUALITY HEALTH CARE. 1 0 THE ORGANIZATION'S LARGEST PROGRAM SERVICE ACCOMPLISHMENT IS THE SALE OF INSURANCE WHILE SUPPORTING THEIR MEMBERS AND ADHERING TO FEDERAL AND STATE GUIDELINES AS REQUIRED UNDER THEIR ORGANIZATIONAL STRUCTURE.MEDICARE SUPPLEMENT POLICY SALES BEGAN IN JUNE 2020. 0 0 0 0 0 0 0 0 0 1 1 0 0 0 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 0 0 1 X 3910 0 1 46 1 0 0 0 0 0 1 5000000 111621621 0 0 0 X 17 17 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MONTANA HEALTH CO-OP 4064473309 PO BOX 5358 HELENA MT 59604 RAYMOND ROGERS CHAIRMAN 1.00 X X 21900 0 0 MAUREEN O'KEEFFE-WING VICE CHAIR 1.00 X X 8200 0 0 MICHAEL MCMURRAY TREASURER 1.00 X X 11600 0 0 JEREMY JOHNSON SECRETARY 1.00 X X 11600 0 0 TARA BEAM DIRECTOR 1.00 X 7200 0 0 JOAN MILES DIRECTOR 1.00 X 13100 0 0 THOMAS GOOCH DIRECTOR 1.00 X 7200 0 0 TOM BASSLER DIRECTOR 1.00 X 8500 0 0 DR JANE GILLETTE DIRECTOR 1.00 X 7200 0 0 GARY GUNDERSON DIRECTOR 1.00 X 10600 0 0 KEVIN JOPLIN DIRECTOR 1.00 X 9900 0 0 DIANE OLSEN DIRECTOR 1.00 X 9450 0 0 MARK REINSEL DIRECTOR 1.00 X 9800 0 0 LISA BALLARD DIRECTOR 1.00 X 7700 0 0 CHRISTINA GOE DIRECTOR 1.00 X 6300 0 0 SCOT SCHERMERHORN DIRECTOR 1.00 X 12700 0 0 JAMES STOGSDILL DIRECTOR 1.00 X 11150 0 0 RICHARD MILTENBERGER CEO 40.00 X 381221 0 38246 DAVID SLONAKER CFO 30.00 X 239145 0 30649 RONDA MCMILLAN CEAO 40.00 X 271858 0 16453 HILLARY GALYEAN VPCS 40.00 X 157763 0 28628 BLAIR FJESETH ASSISTANT VP OF GOVERNMENT 40.00 X 142745 0 25316 JEFFREY SWINGLEY VP SALES 40.00 X 171768 0 22382 MELISSA MCVAUGH CLINICAL DIRECTOR 40.00 X 161473 0 24474 MARK EICHLER PHARMACY DIRECTOR 40.00 X 145350 0 20443 ED VOZZO EVP 40.00 X 139616 0 19949 JEFF CROUCH FORMER VP & EXECUTIVE DIRECTOR 40.00 X 143987 0 0 2129026 0 226540 10 1 1 0 UNIVERSITY OF UTAH HEALTH PLANS 50 NORTH MEDICAL DRIVE SALT LAKE CITY UT 84132 CLAIMS PROCESSING ADMINISTRATOR 7665587 COMMISSIONER OF INSURANCE 840 HELENA AVE HELENA MT 59601 MONTANA HIGH RISK REINSURANCE PREMIUM 3261249 YOUR HEALTH IDAHO 1010 W JEFFERSON ST STE 200 BOISE ID 83702 STATE BASED HEALTH EXCHANGE ASSESSMENT F 1620505 IDAHO DEPARTMENT OF INSURANCE PO BOX 83720 BOISE ID 83702 IDAHO PREMIUM TAX & IMMUNIZATION ASSESSM 1330067 IDAHO HIGH RISK REINSURANCE POOL 11545 KUNA ROAD KUNA ID 83634 IDAHO HIGH RISK REINSURANCE PREMIUM 1183536 8 INSURANCE PREMIUM INCOME 524298 215126534 215126534 REINSURANCE RECOVERIES 524298 10184484 10184484 225311018 2585892 2585892 95352185 88727047 6625138 6625138 6625138 MISCELLANEOUS REVENUE 900099 1315 1315 1315 234523363 234523363 0 0 1338064 2533557 116367 314794 267298 244967 103662 7500 13842953 1219733 186013 184407 254847 58744 375 30868 127169 CLAIMS 154933803 CLAIMS ADJUSTMENT EXPEN 4423571 REINSURANCE PREMIUM PAY 3930500 PREMIUM TAX EXPENSE 2303972 2487582 188910746 598181 549321 50180171 13209558 22266907 12396373 514407 0 525318 514407 71841529 140856322 145412106 167525981 82015720 55904359 82015720 55904359 X 63396386 111621622 63396386 111621622 145412106 167525981 X 45612617 2820615 -207996 X X 0 1 X 1 1 1 514407 514407 514407 INVESTMENTS 140856322 F 140856322 X 220381749 0 220381749 26627 14114987 14141614 234523363 174769130 -2 -2 174769132 26627 14114987 14141614 188910746 PART X, LINE 2: THE COMPANY IS A QUALIFIED NONPROFIT HEALTH INSURER AS DESCRIBED IN SECTION 501(C)(29) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AS A MATTER OF LAW, THE COMPANY IS SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES FOR THE LAST THREE YEARS. ALTHOUGH MANAGEMENT BELIEVES THAT THE AMOUNTS REFLECTED IN THE TAX RETURNS SUBSTANTIALLY COMPLY WITH THE APPLICABLE FEDERAL AND STATE TAX REGULATIONS, BOTH THE IRS AND THE VARIOUS STATE TAXING AUTHORITIES CAN TAKE POSITIONS CONTRARY TO MANAGEMENT'S POSITION BASED ON THEIR INTERPRETATION OF THE LAW. ANY PENALTIES AND INTEREST WOULD BE CHARGED TO INTEREST EXPENSE IN THE YEAR ASSESSED. PART XI, LINE 4B - OTHER ADJUSTMENTS: REINSURANCE PREMIUM PAYMENT 3,930,503. REINSURANCE RECOVERIES 10,184,484. PART XII, LINE 4B - OTHER ADJUSTMENTS: REINSURANCE PREMIUM PAYMENT 3,930,503. REINSURANCE RECOVERIES 10,184,484. X X 0 0 0 RICHARD MILTENBERGER CEO 273111 0 108110 0 0 0 17100 0 21146 0 419467 0 0 0 RONDA MCMILLAN CEAO 210256 0 61602 0 0 0 16311 0 142 0 288311 0 0 0 DAVID SLONAKER CFO 193332 0 45813 0 0 0 14720 0 15929 0 269794 0 0 0 JEFFREY SWINGLEY VP SALES 105982 0 65786 0 0 0 0 0 22382 0 194150 0 0 0 HILLARY GALYEAN VPCS 132803 0 24960 0 0 0 9874 0 18754 0 186391 0 0 0 MELISSA MCVAUGH CLINICAL DIRECTOR 142993 0 18480 0 0 0 10002 0 14472 0 185947 0 0 0 BLAIR FJESETH ASSISTANT VP OF GOVERNMENT 130555 0 12190 0 0 0 8797 0 16519 0 168061 0 0 0 MARK EICHLER PHARMACY DIRECTOR 134430 0 10920 0 0 0 8235 0 12208 0 165793 0 0 0 ED VOZZO EVP 139616 0 0 0 0 0 4283 0 15666 0 159565 0 0 0 JEFF CROUCH FORMER VP & EXECUTIVE DIRECTOR 12329 0 51450 0 80208 0 0 0 0 0 143987 0 0 0 PART I, LINE 3 CEO COMPENSATION IS REVIEWED ANNUALLY BY THE MONTANA HEALTH CO-OP COMPENSATION COMMITTEE. FORM 990, PART III, LINE 2 MEDICARE SUPPLEMENT POLICY SALES BEGAN IN JUNE 2020. FORM 990, PART V, LINE 13A ID,MT FORM 990, PART V, LINE 13A RESERVES REQUIRED BY EACH STATE: ID - $5,000,000 MT - $750,000 RESERVES MAINTAINED AND REPORTED TO EACH STATE: ID - $111,621,621 MT - $111,621,621 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS ELECT THE GOVERNING BODY BUT ARE NOT GRANTED OTHER POWERS PER THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ELECT THE GOVERNING BODY BUT ARE NOT GRANTED OTHER POWERS PER THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 HAS BEEN REVIEWED BY MHC EXECUTIVE STAFF AND THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 CEO COMPENSATION IS REVIEWED ANNUALLY BY THE MHC COMPENSATION COMMITTEE. ADDITTIONALLY, AN OUTSIDE HUMAN RESOURCE CONSULTING FIRM REVIEWED ALL KEY POSITIONS IN THE COMPANY BASED ON JOB DESCRIPTION AND RETURNED COMPARABLE SALARY RANGES. ALL KEY POSITIONS WERE REVIEWED TO ENSURE THEY WERE WITHIN THE RANGES PROVIDED. FORM 990, PART VI, SECTION C, LINE 19 ANY DOCUMENTS REQUIRED TO BE AVAILABLE TO THE PUBLIC CAN BE REQUESTED AT THE ORGANIZATION'S HOME OFFICE. FORM 990, PART XI, LINE 9: CHANGE IN NON-ADMITTED ASSETS -207,996. CHANGE IN SURPLUS NOTES PART XII LINE 1 THIS FORM 990 WAS PREPARED ON THE STATUTORY BASIS OF ACCCOUNTING TO CONFORM WITH THE BASIS OF ACCOUNTING USED ON THE AUDITED FINANCIAL STATEMENTS. PART XII LINE 2C THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.