2021-07-22T13:16:28-05:00 2020-12-31 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2020-01-01 526048633 Compass Rose Benefits Group % WILLIAM J SIMMONS COMP 5714021344 11490 COMMERCE PARK DRsuite 220 RESTON VA 20191 WILLIAM SIMMONS TREASURER/CFO 5714021344 2021-11-15 true WILLIAM SIMMONS XXX-XX-XXXX Michael J Engle P00482834 8162216300 2 2020 2022-09-23 18:48:47Z WILLIAM SIMMONS 11490 COMMERCE PARK DRsuite 220 RESTON VA 20191 238055293 false X WWW.COMPASSROSEBENEFITS.COM X 1948 DC PROVIDE HEALTH AND OTHER INSURANCE COVERAGE TO UNITED STATES GOVERNMENT EMPLOYEES AS WELL AS CIVILIAN AND RETIRED EMPLOYEES OF THE DEPARTMENT OF DEFENSE 9 9 30 9 0 0 20000 232021016 232407547 1958722 1667975 0 0 233979738 234095522 11227 27500 232651272 214273801 3537659 3657126 0 0 0 11286639 12175012 247486797 230133439 -13507059 3962083 104313086 118539407 77525495 89950910 26787591 28588497 PROVIDE HEALTH AND OTHER INSURANCE COVERAGE TO UNITED STATES GOVERNMENT EMPLOYEES false false COMPASS ROSE BENEFITS GROUP PROVIDES HEALTH AND OTHER SPECIALTY INSURANCE PRODUCTS AND SERVICES THAT ARE ONLY AVAILABLE TO CIVILIAN EMPLOYEES AND RETIREES OF THE DEPARTMENT OF DEFENSE, EMPLOYEES OF THE DEPARTMENT OF STATE AND THE INTELLIGENCE COMMUNITY. SPONSORSHIP OF A FEDERAL EMPLOYEE HEALTH BENEFIT PLAN ("FEHBP") AS AN EMPLOYEE ORGANIZATION PLAN UNDER THE FEHBP COVERING CERTAIN FEDERAL GOVERNMENAL EMPLOYEES AND ANNUITANTS. false true false false false false false false false true false false false true false true false false false false false false false false false false true false true false false false false false false false false false false false true false false true 121 0 true 30 true false false false false false false false false X 9 9 false false false false true true false true true false false true true true true true true true false false X WILLIAM J SIMMONS 5714021344 11490 COMMERCE PARK DRIVE SUITE 220 RESTON VA 20191 X RANDY STOUGHTON PRESIDENT 40.0 0.0 X 300935 0 13169 SHERRI HERBERT VICE PRESIDENT 40.0 0.0 X 262616 0 21963 PAUL GOVATOS CHIEF INNOVATION OFFICER 40.0 0.0 X 220162 0 26637 WILLIAM SIMMONS TREASURER/CFO 40.0 0.0 X 206473 0 28139 KEVIN LANNING DIRECTOR, PHARMACY BENEFITS 40.0 0.0 X 158087 0 26817 DHARTI DESAI CONTROLLER 40.0 0.0 X 148018 0 24851 PETER CHAN SYSTEM ARCHITECT 40.0 0.0 X 138655 0 30106 JONI HUBER DIRECTOR, HEALTH PLAN ADMIN 40.0 0.0 X 139523 0 23197 Zachary Rawn Manager, Pharmacy Benefits 40.0 0.0 X 104856 0 14741 KEVIN SMITH DIRECTOR/CHAIRMAN 1.0 0.0 X 0 0 0 BARBARA BLUFER DIRECTOR 1.0 0.0 X 0 0 0 BEVERLY CHRISTIANA DIRECTOR 1.0 0.0 X 0 0 0 ANN CROUCH DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL FORDE DIRECTOR 1.0 0.0 X 0 0 0 GWEN GASKINS DIRECTOR 1.0 0.0 X 0 0 0 HAL HARRISON DIRECTOR 1.0 0.0 X 0 0 0 Mark Williams DIRECTOR 1.0 0.0 X 0 0 0 TRACY GRIGGS DIRECTOR 1.0 0.0 X 0 0 0 1679325 0 209620 9 false true false UNITED HEALTHCARE 11 Scott Street WAUSAU WI 544034875 PPO NETWORK FEES 7053574 EXPRESS SCRIPTS 100 PARSONS POND DRIVE FRANKLIN LAKES NJ 07417 PBM ADMIN FEES 3796292 BEECHER EVERGREEN MANAGED CARE 6 Concourse Pkwy 2300 ATLANTA GA 30328 Stop Loss Insurance 451927 Mindgrub Technologies LLC 1215 E Fort ave 200 BALTIMORE MD 21230 Marketing 253967 Engaged Health Group LLC PO Box 592 MILLERSVILLE MD 21108 Case Management 343285 16 20000 20000 MEMBER INSURANCE PREMIUMS 525100 229530274 229530274 ADMINISTRATIVE SERVICE FEES 561000 2877273 2877273 232407547 900798 900798 0 0 0 0 0 4726948 3959771 767177 767177 767177 0 0 0 0 0 0 0 0 0 0 234095522 232407547 1667975 27500 0 0 214273801 1080094 0 2015486 80910 263770 216866 0 45124 186803 0 0 150328 8155942 271083 274932 306734 0 128413 21440 0 5421 0 0 179231 50209 Service Allowance 2170126 Taxes and Fees 87933 Subscriptions 44043 All other expenses 97250 230133439 5741570 5405025 40223439 52744327 0 0 25264163 25282324 0 0 0 0 0 0 0 0 263643 163178 3905452 1113970 2853751 2791482 29321693 31608789 491441 435364 0 0 0 0 153386 108918 104313086 118539407 391054 449917 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77134441 89500993 77525495 89950910 X 26787591 28588497 0 0 26787591 28588497 104313086 118539407 X 3962083 906062 -3067239 X false true X true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 3171976 558134 2613842 0 0 292640 174889 117751 0 440836 380947 59889 2791482 0 Special Reserve - OPM 52239699 Health Claims 22248300 Claims Reserves 14742315 Premiums Payable 270679 89500993 231934345 906062 -3067239 -2161177 234095522 234095522 230133439 230133439 230133439 SCHEDULE D, PART X, LINE 2 Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. SCHEDULE D, PART XI, LINE 2D CHANGE IN SPECIAL RESERVE $(17,576296) CONTINGENCY RESERVE TRANSFER $ 14,576,296 ----------- $(3,067,239) true UnitedHealthCare Children's Foundation MN017-W400 PO BOX 41 Minneapolis MN 554400041 522177891 501(c)(3) 15000 GENERAL SUPPORT Federal Employee Education & Assitance Fund 1641 Prince Street Alexandria VA 22134 521465583 501(C)(3) 10000 GENERAL SUPPORT 2 0 Schedule I, Part I, Line 2 THE ORGANIZATION DOES NOT HAVE A FORMAL MONITORING PROCESS FOR GRANT FUNDS. THE ORGANIZATION'S GRANT FUNDS ARE ONLY SENT TO 501(C)(3) TAX EXEMPT ORGANIZATION'S THAT THE ORGANIZATIONS MANAGEMENT IS FAMILIAR WITH AND HAS A RELATIONSHIP WITH. X X X false false false RANDY STOUGHTON PRESIDENT 274135 0 26800 0 0 0 11400 0 1769 0 314104 0 0 0 SHERRI HERBERT VICE PRESIDENT 239185 0 23431 0 0 0 10524 0 11439 0 284579 0 0 0 WILLIAM SIMMONS TREASURER/CFO 187937 0 18536 0 0 0 8325 0 19814 0 234612 0 0 0 PAUL GOVATOS CHIEF INNOVATION OFFICER 200162 0 20000 0 0 0 8778 0 17859 0 246799 0 0 0 DHARTI DESAI CONTROLLER 140018 0 8000 0 0 0 5931 0 18920 0 172869 0 0 0 PETER CHAN SYSTEM ARCHITECT 130655 0 8000 0 0 0 5765 0 24341 0 168761 0 0 0 KEVIN LANNING DIRECTOR, PHARMACY BENEFITS 149587 0 8500 0 0 0 6407 0 20410 0 184904 0 0 0 JONI HUBER DIRECTOR, HEALTH PLAN ADMIN 132023 0 7500 0 0 0 5569 0 17628 0 162720 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS IN INSURANCE PROGRAMS OFFERED BY COMPASS ROSE BENEFITS GROUP. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT THE BOARD OF DIRECTORS FROM PERSONS NOMINATED BY THE MEMBERS. THE NEW DIRECTOR'S FIRST MEETING IS THE ANNUAL MEETING IN JANUARY. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE FORM 990 IS THEN REVIEWED BY SENIOR MANAGEMENT. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S SENIOR MANAGEMENT HAVE ARE ADDRESSED. THE 990 IS THEN PROVIDED TO THE MEMBERS OF THE AUDIT AND FINANCE COMMITTEE. AFTER THEIR REVIEW AND APPROVAL, THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS PROVIDED TO THE FULL BOARD. THE AUDIT AND FINANCE COMMITTEE WILL MAKE A MOTION TO THE FULL BOARD TO APPROVE THE FORM 990 FOR SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C A COMMITTEE WITHIN THE BOARD OF DIRECTORS HAS BEEN ESTABLISHED TO OVERSEE AND ADDRESS CONFLICTS OF INTEREST (COI). ANNUALLY, BOARD MEMBERS AND KEY COMPASS ROSE EMPLOYEES SIGN ACKNOWLEDGEMENT THAT THEY HAVE RECEIVED, READ, AND WILL ADHERE TO COMPASS ROSE'S COI POLICY. THE VICE PRESIDENT, IN CONSULTATION WITH EXECUTIVE TEAM, WILL ADDRESS CONFLICTS OF INTEREST. A. BEFORE THE VICE PRESIDENT TAKES ACTION ON A CONTRACT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST, THE VICE PRESIDENT SHALL DISCLOSE ALL FACTS MATERIAL TO THE CONFLICT OF INTEREST. SUCH DISCLOSURE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. B. A PERSON WHO HAS A CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN OR BE PERMITTED TO HEAR THE VICE PRESIDENTS DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS. C. THE PERSON HAVING A CONFLICT OF INTEREST SHALL NOT BE PRESENT IN THE MEETING ROOM AND SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. D. IN THE EVENT IT IS NOT ENTIRELY CLEAR THAT A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE POTENTIAL CONFLICT SHALL DISCLOSE THE CIRCUMSTANCES TO THE VICE PRESIDENT, WHO SHALL DETERMINE WHETHER THERE EXISTS A CONFLICT OF INTEREST THAT IS SUBJECT TO THIS POLICY. FORM 990, PART VI, SECTION B, LINES 15A & 15B ANNUALLY THE COMPENSATION OF THE PRESIDENT IS VOTED UPON AND APPROVED BY A COMPENSATION COMMITTEE MADE UP OF BOARD MEMBERS. THE COMPENSATION COMMITTEE USES THE FORM 990 OF OTHER ORGANIZATIONS OF SIMILAR TYPE AND SIZE. OTHER EMPLOYEE COMPENSATION IS SET BY SENIOR MANAGEMENT (PRESIDENT, VICE PRESIDENT, TREASURER). FORM 990, PART VI, SECTION C, LINE 19 OTHER THAN FORM 990, ALL OTHER GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE ONLY MADE AVAILABLE TO THE PUBLIC UPON U.S. GOVERNMENT SECURITY APPROVAL. FORM 990, PART XI, LINE 9 CHANGE IN SPECIAL RESERVE $(17,576296) CONTINGENCY RESERVE TRANSFER $ 14,576,296 ----------- $(3,067,239) UNITED STATES GOVERNMENT 1900 E STREET NW WASHINGTON DC 20415 GOVERNMENT DC GOVERNMENT N/A NA false false false false false false false false false false true false false false false false false true