2020-11-12T15:38:40-07:00 2019-12-31 990 2019-01-01 742615873 TEXAS MUTUAL INSURANCE COMPANY TEXA 8008595995 2200 Aldrich Street Austin TX 78723 Mike Barron SVP & CFO 5122247972 2020-11-12 198.136.250.65 2019 2021-04-22 16:20:28Z Mike Barron 2200 Aldrich Street Austin TX 78723 6040860651 0 X www.texasmutual.com X Mutual 1991 TX Established by Texas statute to provide a stable, competitive source of workers' compensation insurance for Texas employers, acts as an insurer of last resort, and helps to prevent on-the-job injuries and illnesses and minimize their consequences. 9 9 1095 0 4787982 0 0 0 1108223596 1093530380 307890088 299916511 1114337 1141219 1417228021 1394588110 1624509 4435945 0 0 119464785 126787656 0 0 0 1110726571 1045540526 1231815865 1176764127 185412156 217823983 7177542373 7631590732 3611856729 3631588995 3565685644 4000001737 Established by Texas statute to provide a stable, competitive source of workers' compensation insurance for Texas employers, acts as an insurer of last resort, and helps to prevent on-the-job injuries and illnesses and minimize their consequences. 0 0 0 0 1394588110 The Company wrote over 79,000 workers' compensation policies in 2019 covering approximately 1.5 million Texas employees. During the year, over 51,000 claims were processed and approximately $446 million in medical and income benefits were paid out to injured workers. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7050 0 1 1095 1 1 1 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 0 X Mike Barron 5122247972 2200 Aldrich Street Austin TX 78723 Richard Gergasko President & CEO 40 0 X 996264 0 134729 Brenda Ward Chief Operating Officer 40 0 X 532201 0 80431 Leonard Johnson SVP Investments 40 0 X 508453 0 83395 William McLellan SVP Information Technology 40 0 X X 548189 0 43051 Perry Barron SVP & CFO 40 0 X 511359 0 51426 Mary Nichols SVP & General Counsel 40 0 X 499664 0 41588 Lynette Caldwell SVP Human Resources 40 0 X 386880 0 85739 Kim Haugaard SVP Policyholder Services 40 0 X 385288 0 72508 Michael Hernandez Chief Data Officer 40 0 X 386280 0 62157 Jo Betsy Norton SVP Public Affairs 40 0 X 338157 0 76287 David John VP IT Infrastructure 40 0 X 322718 0 89504 Martin Leifker VP IT Architecture & Digital Innovation 40 0 X 312210 0 87874 Phoebe Murphy VP & Chief Actuary 40 0 X 317177 0 74243 Jeffrey Lentz VP Underwriting 40 0 X 296682 0 84926 James Kohloff VP Regional Operations 40 0 X 292757 0 81531 Catherine Brown VP Facility Services 40 0 X 306800 0 54709 Nicholas Tsourmas VP & Medical Director 40 0 X 301519 0 47866 Jeannette Sprague VP Applications 40 0 X 290224 0 59038 Edward Coates VP HR Employee Services 40 0 X 258216 0 79527 Elise Teeter SVP & General Auditor 40 0 X 273674 0 62751 Woody Hill VP & Customer Experience Officer 40 0 X 281073 0 54637 Erica Sanchez VP & Controller 40 0 X 260451 0 68437 Amy Green-Hinojosa VP Project Management Office 40 0 X 261284 0 63107 Billy Jackson VP Regional Operations 40 0 X 277115 0 46412 Benjamin Siddons VP Business Development 40 0 X 259438 0 55481 Curtis Johnson VP Claim Operations 40 0 X 259641 0 54934 Beverly Harris VP Strategic Planning & Analysis 40 0 X 245520 0 60657 Jeremiah Bentley VP Marketing & Customer Engagement 40 0 X 227249 0 72788 Nathan Scott VP Investments 40 0 X 226456 0 69040 Shannon Pounds VP Claims Litigation 40 0 X 238695 0 54029 Lawrence Martin VP HR Consulting Services 40 0 X 237247 0 54639 Willard Potter VP Premium Audit 40 0 X 231324 0 59245 Roger Humecky VP Data Analytics & Business Intelligence 40 0 X 245733 0 36416 Greta Gonzales VP & Chief Risk Officer 40 0 X 223102 0 53623 Lisa Evans VP Distribution & Customer Engagement 40 0 X 240777 0 35135 Peppia Gates VP Regional Operations 40 0 X 225607 0 45995 Michael Stubblefield SVP & Chief Information Officer 40 0 X 109477 0 15667 Ronald Ellis Simmons Director 4 0 X 104000 0 0 John Dayton Swanson Director 4 0 X 98250 0 0 Linda Foster-Smith Director 4 0 X 93250 0 0 Tommy Dan Philips Director 4 0 X 88750 0 0 Eric Lee Oliver Director 4 0 X 84750 0 0 Bernard Chevalier Francis Director 4 0 X 78000 0 0 Kristina Koncaba Director 4 0 X 76000 0 0 Paul Schlaud SVP & Special Counsel 40 0 X 58066 0 6820 Robert Charles Barnes Director 4 0 X X 60000 0 0 Brett Flagg Director 4 0 X 41500 0 0 John Hurschel Young Director 4 0 X X 39500 0 0 Steven Dudley Oldham Director 4 0 X 35500 0 0 Delia Maria Reyes Director 4 0 X X 16250 0 0 12988717 0 2360342 299 1 1 0 AMY WICK MARKETING COMMUNICATION 1524 IH-35 S STE 224 AUSTIN TX 78704 Professional Services 4396355 DELL FINANCIAL SERVICES LP PO BOX 6549 CAROL STREAM IL 60197 Professional Services 3650289 RULESWARE LLC 10 N MARTINGALE ROAD SUITE 400 SCHAUMBURG IL 60173 Professional Services 3244096 COMBINED AGENTS OF AMERICA 6805 N CAPITAL OF TEXAS HWY STE 250 AUSTIN TX 75731 Independent Agency 3128145 COVENTRY HEALTHCARE WORKERS CO PO BOX 660776 DALLAS TX 75266 Professional Services 2824951 124 0 Premiums Earned 524126 1093530380 1093530380 0 0 0 0 0 0 1093530380 241181709 0 0 241181709 0 0 0 0 0 0 0 0 336622 0 0 0 336622 0 336622 0 0 336622 4704469476 537867 4645593402 679139 58876074 -141272 58734802 0 4787982 53946820 Finance and Service Charges 524126 725196 725196 0 0 Retroactive Reinsurance 524126 79401 79401 0 0 0 0 0 0 804597 1394588110 1094334977 4787982 295465151 4234570 201375 0 0 13912324 0 85494315 8020114 12901371 6459532 0 187481 470038 468759 0 23061107 25180763 7098688 5477499 16958496 0 17898685 3060278 0 1055689 1313151 0 12815693 1206741 Loses Incurred & Loss Adjustment Expense 394973673 Dividends to Policyholders 347562715 Net Commission and Brokerage 145525869 Total Taxes, Licenses and Fees 26600252 14624949 1176764127 0 0 0 -25497087 -35591508 180361505 118704026 0 420412268 454478624 0 0 0 0 0 121396221 10179691 111852176 111216530 5506685403 5899934951 944821896 1045399774 0 0 38906212 37448335 7177542373 7631590732 130605185 109070866 0 0 511164296 524872092 0 0 0 0 0 0 0 50081572 0 0 2970087248 2947564465 3611856729 3631588995 X 0 0 0 0 3565685644 4000001737 3565685644 4000001737 7177542373 7631590732 X 217823983 213011977 0 0 0 3480133 X 0 1 1 0 0 8173406 8173406 0 99996059 4275181 95720878 0 0 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Relief PARDALIS INDUSTRIAL ENTERPRISES INC 3320 Longhorn Drive Houston TX 77084 202954139 10000 Tropical Storm Imelda Relief PAUL CORMIER WELL SERVICE CO 6289 Cormier Rd Orange TX 77630 741811577 10000 Tropical Storm Imelda Relief PERKINS BROWN CONSTRUCTION CO 1324 Burt St Beaumont TX 77701 861006235 10000 Tropical Storm Imelda Relief IHOP #1947 401 Marina Bay Dr Clear Lake Shores TX 77565 043717065 10000 Tropical Storm Imelda Relief PETEREIT INVESTMENTS INC 705733 West Davis Conroe TX 77301 742054509 10000 Tropical Storm Imelda Relief PINNACLE PROPERTY SERVICES LLC 4673 Washington Blvd D Beaumont TX 77707 275217388 10000 Tropical Storm Imelda Relief SONNY'S PLUMBING 2230 County Road 124 Pearland TX 77581 273920447 10000 Tropical Storm Imelda Relief PRECISE SERVICES INC 22337 Sandy Ln Porter TX 77365 273682088 10000 Tropical Storm Imelda Relief CALIBER SOLUTIONS 4850 Lafin Drive Beaumont TX 77705 264751651 10000 Tropical Storm Imelda Relief PROSPERITY BANK 520 Main Street Liberty TX 77575 742139516 10000 Tropical Storm Imelda Relief PUMP TEX INC 715 Chamberlin Dr Beaumont TX 77707 760523644 10000 Tropical Storm Imelda Relief PURCELL CONSTRUCTION INC 277 DENNIS ST HUMBLE TX 77338 760316615 10000 Tropical Storm Imelda Relief RP EMPLOYER SOLUTIONS OF TEXAS INC 3280 Eastex Freeway Beaumont TX 77703 460646128 10000 Tropical Storm Imelda Relief TRI-SUPPLY INC 7220 Eastex Freeway Beaumont TX 77708 741947529 10000 Tropical Storm Imelda Relief TRIANGLE CLUTCH REBUILDERS 6330 Washington Blvd Beaumont TX 77707 760439132 10000 Tropical Storm Imelda Relief SOUTH EAST TEXAS COUNCIL ON ALCOHOL AND 46734675 Washington Blvd All Suites Beaumont TX 77707 741400228 10000 Tropical Storm Imelda Relief REED SERVICE COMPANY 4725 Washington Blvd Beaumont TX 77707 741831542 10000 Tropical Storm Imelda Relief REM SERVICES INC 3730 Kirby Drive Suite 1200 Houston TX 77098 760559237 10000 Tropical Storm Imelda Relief PEREZ CONSTRUCTION CO 11842 Vickery St houston TX 77039 202393140 10000 Tropical Storm Imelda Relief RESOURCE & CRISIS CENTER OF GALVESTON 1204 45th Street Galveston TX 77550 760121011 10000 Tropical Storm Imelda Relief Rhonda Brady property Prevation 824 Magnolia Avenue Crosby TX 77532 833532960 10000 Tropical Storm Imelda Relief RICHARD AUTOMATION LLC 9243 Gulf Beach Hwy Cameron LA 70631 274704623 10000 Tropical Storm Imelda Relief RICHARD CONSTRUCTION INC 13969 Hwy 90 Beaumont TX 77713 204181369 10000 Tropical Storm Imelda Relief RICHARD DESIGN SERVICES INC 750 pearl st beaumont TX 77701 202036476 10000 Tropical Storm Imelda Relief RICHARD L SHORKEY EDUCATION & 855 S 8th Street Beaumont TX 77701 741143063 10000 Tropical Storm Imelda Relief FIXTURES INTERNATIONAL 2301 Canada Dry St Houston TX 77023 471168235 10000 Tropical Storm Imelda Relief RISE CIL 755 S 11th St Ste 101 Beaumont TX 77701 760462862 10000 Tropical Storm Imelda Relief ROBERT BAUER & SONS INC 18623 George Bauer Lane Winnie TX 77665 742195644 10000 Tropical Storm Imelda Relief HARDY CONTRACTORS 1750 AVALON STREET BEAUMONT TX 77707 760434474 10000 Tropical Storm Imelda Relief ROGERS LUMBER COMPANY INC 8330 Old Hwy 90 Orange TX 77630 760557314 10000 Tropical Storm Imelda Relief RSFM Inc 15720 Park Row Suite 200 Houston TX 77084 204866401 10000 Tropical Storm Imelda Relief INSULATION INDUSTRIES 8480 Highway 87 North Orange TX 77632 752425783 10000 Tropical Storm Imelda Relief Baryam Engineering Inc 13911 Faber Street Houston TX 77037 264332606 10000 Tropical Storm Imelda Relief Waller Farms South Lawhorn Road China TX 77613 632019069 10000 Tropical Storm Imelda Relief SIP SERVICES LLC 16095 Sabine Consolidated Road Beaumont TX 77705 383919974 10000 Tropical Storm Imelda Relief SMART INTERNATIONAL INC 10570 Bissonnet St Suite 190 Houston TX 77099 760566044 10000 Tropical Storm Imelda Relief SOUTH EAST TEXAS BASEBALLSOFTBALL 4905 I10 South Beaumont TX 77705 760690878 10000 Tropical Storm Imelda Relief Specialty Sand Company 16601 Garrett Rd Houston TX 77044 741945426 10000 Tropical Storm Imelda Relief SPRINGER & SPRINGER INC 11799 Lena Lane Cleveland TX 77328 760552841 10000 Tropical Storm Imelda Relief SR TILLEY BUILDERS INC 990 Old Hwy 90 West Vidor TX 77662 460761761 10000 Tropical Storm Imelda Relief STAINLESS PLUS INC 14444 chrisman road houston TX 77039 760287382 10000 Tropical Storm Imelda Relief STEINHAGEN OIL COMPANY INC 3890 IH 10 S Beaumont TX 77705 760101497 10000 Tropical Storm Imelda Relief SOUTHEAST TEXAS INDUSTRIAL SERVICES INC 635 Old Hwy 90 Vidor TX 77662 742004513 10000 Tropical Storm Imelda Relief Storage Plus of Livingston LLC 18318 US 59Business New Caney TX 77357 833052026 10000 Tropical Storm Imelda Relief STRUTTON PLUMBING COMPANY INC 5805 Cypress Street Houston TX 77074 760332835 10000 Tropical Storm Imelda Relief SUPERIOR ENERGIES INC PO Box 386 Groves TX 77619 742037298 10000 Tropical Storm Imelda Relief PHILLIPS TRUCKING 12647 Hwy 90 Beaumont TX 77713 262865785 10000 Tropical Storm Imelda Relief Superior Pattern Works Inc 1524 Mesquite Stree Houston TX 77093 760159361 10000 Tropical Storm Imelda Relief SWICEGOOD MUSIC COMPANY INC 3685 College St Beaumont TX 77701 741312965 10000 Tropical Storm Imelda Relief F & F FARMS 2018 FM 1985 Anahuac TX 77514 800882629 10000 Tropical Storm Imelda Relief BETTER BUILT METAL BUILDINGS 7339 Cohenour Rd Orange TX 77632 760628665 10000 Tropical Storm Imelda Relief TCB SERVICES LLC 2626 south loop west 150 houston TX 77054 763845177 10000 Tropical Storm Imelda Relief TCT INDUSTRIES INC 2680 HIGHWAY 12 VIDOR TX 77662 760481556 10000 Tropical Storm Imelda Relief TEJAS TOYOTA INC 19011 Hwy 59 North Humble TX 77338 741785339 10000 Tropical Storm Imelda Relief SLACK FARMS 354 South Broadway China TX 77613 010631442 10000 Tropical Storm Imelda Relief TEXAS RICE IMPROVEMENT ASSOCIATION 1509 Aggie Drive Beaumont TX 77713 741242104 10000 Tropical Storm Imelda Relief THE FAY SCHOOL 105 N Post Oak Ln Houston TX 77024 760321325 10000 Tropical Storm Imelda Relief THE HEIGHTS GENERAL STORE LLC 350 W 19th Ste C Houston TX 77008 460820774 10000 Tropical Storm Imelda Relief GUARANTEED SERVICE 255 Interstate 10 South Beaumont TX 77702 760236452 10000 Tropical Storm Imelda Relief BALDEMAR BRAVO 193 Grammar Rd Houston TX 77047 833506828 10000 Tropical Storm Imelda Relief TOLUNAY-WONG ENGINEERS INC 2455 West Cardinal Drive A Beaumont TX 77705 760409302 10000 Tropical Storm Imelda Relief TONI SPENCER 9551 Gaulding Road Beaumont TX 77705 463298802 10000 Tropical Storm Imelda Relief TOP DECK INC 10861 Highway 62 N Orange TX 77626 270185627 10000 Tropical Storm Imelda Relief TORO DIRECTIONAL DRILLING 13625 Darjean St Houston TX 77039 824940358 10000 Tropical Storm Imelda Relief TRAVIS BROTHERS BUILDING AUTOMATION TEXAS LLC 1539 East Lane Suite 300 Beaumont TX 77713 562666045 10000 Tropical Storm Imelda Relief NOVROZSKY'S HAMBURGERS 144 south main Lumberton TX 77657 760620344 10000 Tropical Storm Imelda Relief EXXPRESS MART P O BOX 20555 BEAUMONT TX 77705 741647339 10000 Tropical Storm Imelda Relief TRICON PRECAST LTD 15055 Henry Road Houston TX 77060 760570916 10000 Tropical Storm Imelda Relief TRIDENT AQUATICS LLC 15802 mendocino Houston TX 77083 665888888 10000 Tropical Storm Imelda Relief TRIPLE C PROJECT SERVICES LLC 10908 HWY 146 N Baytown TX 77523 260047212 10000 Tropical Storm Imelda Relief TWIN COUNTY AIR-AG INC 214 Airport Rd Winnie TX 77665 760331899 10000 Tropical Storm Imelda Relief VAN & SONS DRILLING SERVICE INC 319 JOHN ALBER HOUSTON TX 77076 760030877 10000 Tropical Storm Imelda Relief VECTOR CONTRACTING INC 17691 Hwy 124 Beaumont TX 77705 760664731 10000 Tropical Storm Imelda Relief VICTORY TEMPLE 2630 South 11th Street Beaumont TX 77701 420534531 10000 Tropical Storm Imelda Relief VISA CORP 12270 fm 3083 conroe TX 77301 201999557 10000 Tropical Storm Imelda Relief VOLUNTEERS OF AMERICA TEXAS INC 4808 Yale Street Houston TX 77018 750827469 10000 Tropical Storm Imelda Relief W M DEWEY & SON INC 1101 McCarty Drive Houston TX 77029 741224201 10000 Tropical Storm Imelda Relief WEBER-BALKE FOUNDATION CO INC 9830 Synott Houston TX 77083 760330487 10000 Tropical Storm Imelda Relief WEST JEFFERSON COUNTY MUNICIPAL WATER 7824 Glenbrook Dr Beaumont TX 77705 741969787 10000 Tropical Storm Imelda Relief CLEAR ROW 14200 S Mansfield Ferry Road Orange TX 77630 451356067 10000 Tropical Storm Imelda Relief RICELAND MEDICAL CENTER 538 BROADWAY AVE WINNIE TX 77665 752922928 10000 Tropical Storm Imelda Relief WINSTON ALDRICH 5218 FM 1009 Nome TX 77629 630289611 10000 Tropical Storm Imelda Relief WOODLANDS MECHANICAL GROUP LLC 27622 Commerce Oaks Drive Oak Ridge North TX 77385 460663852 10000 Tropical Storm Imelda Relief WRIGHTS SCRAP AND RECYCLING 5802 WASHINGTON BEAUMONT TX 77707 741619542 10000 Tropical Storm Imelda Relief YUPPIE DOG LLC 2203 Durham Dr houston TX 77007 261979895 10000 Tropical Storm Imelda Relief Jewish Community Center of Dallas 7900 Northaven Dallas TX 75230 751461847 10000 October Storms Relief Star Tire Company Inc PO Box 541508 Dallas TX 75354 751502226 10000 October Storms Relief 25 250 Provision of books 21 11431 0 Scholarships for students attending Cameron University 1 2915 0 Scholarships for students attending College of Southern Nevada 1 3201 0 Scholarships for students attending Del Mar College 1 1140 0 Scholarships for students attending Hardin-Simmons University 1 8773 0 Scholarships for students attending Hill College 1 5590 0 Scholarships for students attending Hillsborough Community College 1 3069 0 Scholarships for students attending Huntington University 1 4157 0 Scholarships for students attending Jarvis Christian College 1 1850 0 Scholarships for students attending Laredo College 1 1685 0 Scholarships for students attending Midland College District 1 1726 0 Scholarships for students attending Midwestern State University 2 8890 0 Scholarships for students attending Navarro College 1 2392 0 Scholarships for students attending Prairie View A&M 1 5266 0 Scholarships for students attending Sam Houston State University 1 4650 0 Scholarships for students attending Southeastern Oklahoma State University 1 5580 0 Scholarships for students attending St Louis University 1 6000 0 Scholarships for students attending Stephen F Austin University 1 2337 0 Schoalrships for students attending Tarrant County College Northwest 1 4602 0 Scholarhsips for students attending Texas A&M International University 1 9048 0 Scholarships for students attending Texas A&M Kingsville 1 440 0 Scholarships for students attending Texas A&M University 3 18993 0 Scholarships for students attending Texas Tech University 4 46400 0 Scholarships for students attending The University of Texas at Arlington 1 3182 0 Scholarships for students attending The University of Texas at Austin 1 5056 0 Scholarhsips for students attending The University of Texas Rio Grande Valley 2 8474 0 Scholarships for students attending Tyler Junior College 1 3382 0 Scholarships for students attending University of North Texas 1 13073 0 Scholarships for students attending Vernon College 1 3033 0 Scholarships for students attending Weatherford College 1 3543 0 Scholarships for students attending Wharton County Junior College 1 1498 0 Schedule I, Part I, Line 2 Students qualify for the scholarship if they are a dependent of an individual that has had a death or life time benefits claim with Texas Mutual. The number of applicants is driven by the number of those types of workers compensation claims with dependents, and is not preset. Schedule I, Part III Students quality for the scholarship if they are dependent of an individual that has had a death or life time benefit claim with Texas Mutual. The number of applicants is driven by the number of those types of workers compensation claims with dependents, and is not a preset. X X 1 1 0 Richard Gergasko President & CEO 579756 0 343647 0 72862 0 119117 0 15612 0 1130994 0 55318 0 William McLellan SVP Information Technology 192855 0 101910 0 253424 0 33884 0 9167 0 591240 0 0 0 Brenda Ward Chief Operating Officer 341810 0 141504 0 48887 0 74227 0 6204 0 612632 0 38501 0 Perry Barron SVP & CFO 329034 0 112590 0 69734 0 33884 0 17542 0 562784 0 0 0 Leonard Johnson SVP Investments 340934 0 119227 0 48292 0 77191 0 6204 0 591848 0 35628 0 Mary Nichols SVP & General Counsel 317636 0 110708 0 71320 0 33884 0 7704 0 541252 0 0 0 Lynette Caldwell SVP Human Resources 251088 0 90578 0 45214 0 66490 0 19249 0 472619 0 34321 0 Michael Hernandez Chief Data Officer 312391 0 62630 0 11259 0 44615 0 17542 0 448437 0 0 0 Kim Haugaard SVP Policyholder Services 265562 0 88080 0 31646 0 64386 0 8122 0 457796 0 21100 0 Jo Betsy Norton SVP Public Affairs 230762 0 73562 0 33833 0 60257 0 16030 0 414444 0 23353 0 Elise Teeter SVP & General Auditor 195835 0 62970 0 14869 0 49371 0 13380 0 336425 0 5421 0 Michael Stubblefield SVP & Chief Information Officer 105718 0 0 0 3759 0 10300 0 5367 0 125144 0 0 0 Paul Schlaud SVP & Special Counsel 56196 0 0 0 1869 0 2307 0 4512 0 64884 0 0 David John VP IT Infrastructure 221012 0 66526 0 35180 0 61774 0 27730 0 412222 0 25257 0 Phoebe Murphy VP & Chief Actuary 223867 0 59565 0 33745 0 55363 0 18880 0 391420 0 24386 0 Martin Leifker VP IT Architecture & Digital Innovation 228186 0 63202 0 20823 0 61152 0 26722 0 400085 0 11452 0 Catherine Brown VP Facility Services 167540 0 48675 0 90585 0 46047 0 8662 0 361509 0 53849 0 Nicholas Tsourmas VP & Medical Director 208157 0 58597 0 34765 0 32974 0 14892 0 349385 0 0 0 Jeffrey Lentz VP Underwriting 198674 0 58264 0 39744 0 57370 0 27557 0 381609 0 29911 0 James Kohloff VP Regional Operations 207218 0 61371 0 24168 0 54809 0 26722 0 374288 0 13896 0 Jeannette Sprague VP Applications 196463 0 54743 0 39018 0 31481 0 27557 0 349262 0 0 0 Woody Hill VP & Customer Experience Officer 199910 0 56805 0 24359 0 51255 0 3382 0 335711 0 14139 0 Billy Jackson VP Regional Operations 190502 0 55517 0 31097 0 30020 0 16392 0 323528 0 0 0 Amy Green-Hinojosa VP Project Management Office 193989 0 47570 0 19725 0 49727 0 13380 0 324391 0 9942 0 Erica Sanchez VP & Controller 188461 0 54133 0 17857 0 53057 0 15380 0 328888 0 8568 0 Curtis Johnson VP Claim Operations 177211 0 53218 0 29212 0 28212 0 26722 0 314575 0 0 0 Benjamin Siddons VP Business Development 199189 0 50943 0 9306 0 41301 0 14180 0 314919 0 0 0 Edward Coates VP HR Employee Services 181488 0 56880 0 19847 0 52805 0 26722 0 337742 0 10510 0 Roger Humecky VP Data Analytics & Business Intelligence 186292 0 0 0 59441 0 22508 0 13908 0 282149 0 0 0 Beverly Harris VP Strategic Planning & Analysis 179420 0 51563 0 14537 0 45525 0 15132 0 306177 0 5220 0 Lisa Evans VP Distribution & Customer Engagement 197346 0 33973 0 9458 0 34635 0 500 0 275912 0 0 0 Shannon Pounds VP Claims Litigation 177331 0 52026 0 9338 0 40649 0 13380 0 292724 0 0 0 Lawrence Martin VP HR Consulting Services 170201 0 51358 0 15688 0 47427 0 7212 0 291886 0 6371 0 Willard Potter VP Premium Audit 184447 0 37607 0 9270 0 34673 0 24572 0 290569 0 0 0 Jeremiah Bentley VP Marketing & Customer Engagement 161752 0 48062 0 17435 0 46066 0 26722 0 300037 0 7992 0 Nathan Scott VP Investments 161467 0 50279 0 14710 0 42318 0 26722 0 295496 0 5400 0 Peppia Gates VP Regional Operations 175854 0 34341 0 15411 0 31865 0 14130 0 271601 0 5804 0 Greta Gonzales VP & Chief Risk Officer 164962 0 48047 0 10093 0 37593 0 16030 0 276725 0 0 0 Schedule J, Part I, Line 4 Question 4a: William McLellan $159,910. Question 4b: Richard Gergasko $140,551; Brenda Ward $78,844; Perry Barron $53,810; Leonard Johnson $78,935; Mary Nichols $51,672; Lynette Caldwell $66,927; Michael Hernandez $10,731; Kim Haugaard $51,602; Jo Betsy Norton $49,726; Elise Teeter $23,141; David John $53,146; Phoebe Murphy $45,864; Martin Leifker $38,720; Catherine Brown $99,527; Nicholas Tsourmas $21,672; Jeffrey Lentz $55,160; James Kohloff $35,100; Jeannette Sprague $26,067; Woody Hill $34,122; Billy Jackson $20,133; Amy Green-Hinojosa $30,558; Erica Sanchez $32,021; Curtis Johnson $19,124; Benjamin Siddons; $10,846; Edward Coates $33,915; Beverly Harris $22,939; Lisa Evans $7,145; Shannon Pounds $13,175; Lawrence Martin $27,480; Willard Potter $7,685; Jeremiah Bentley $28,522; Nathan Scott $21,998; Peppia Gates $12,634; Greta Gonzales $11,980 Form 990, Part VI, Section A, Line 7a The Company was established by Texas statute. The Company has a nine-member Board of Directors consisting of Texas business employers. Five members, including the chair are appointed by the Governor of Texas and confirmed by the Senate. The remaining four board members are elected by the policyholders. Form 990, Part VI, Section A, Line 7b Legislation prohibits the appointment or election of any person who has the potential conflict of interest because of other involvement in the insurance industry. Form 990, Part VI, Section B, Line 11b The 990 Tax Return is completed by an accountant in the Financial Reporting department using work papers and verification to the Company's Annual Statement and Audited Statutory annual report. The return is reviewed by management prior to filing the return. Form 990, Part VI, Section B, Line 12c The Company's Conflict of Interest Policy is reviewed annually. The policy is distributed to all employees annually and all employees are required to acknowledge receipt. Form 990, Part VI, Section B, Line 15 An annual compensation review is performed by the Company's Human Resources Department for all benchmark positions, including executive positions. The Board of Directors reviews and approves the compensation package for the President and General Auditor. The President or his designee approves the pay for all employees. Form 990, Part VI, Section C, Line 19 All external request for organizational information can be obtained through written requests. Additionally, certain financial information is available on the Company's website. Form 990, Part XI, Line 9 Change in Nonadmitted Assets $3,495,204; Change in Provision for Reinsurance -$15,071