STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

HEALTHYCT INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
HEALTHYCT INC (EIN 45-3366866)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-14
IRS object ID
201843189349311814
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-14T17:02:10-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14 TIMES SQUAREAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10036ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN453366866EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTHYCT INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone2039491602PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line135 THORPE AVENUE NO 104AddressLine1Txt
CityWALLINGFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06492ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISTOPHER MASIPersonNm
Person TitleSPECIAL DEPUTY LIQUIDATORPersonTitleTxt
Phone2039491602PhoneNum
Signature2018-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLYNNE JOHNSONPreparerPersonNm
PTINP00757336PTIN
Phone2123721000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address108.171.131.171IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-14IPDt
IP Tm17:08:38IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6D4E53EC5D36D0213EB1FA27F3D23FA2D8B2D981AtSubmissionCreationDeviceId
At Submission Filing Device IdD7668CACA2324E37644B507858CBB72F6C0D8D45AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMR DANIEL L WATKINSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line135 THORPE AVENUE NO 104AddressLine1Txt
CityWALLINGFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06492ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,063,060GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.HEALTHYCT.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTO OPERATE A MEMBER-GOVERNED HEALTH INSURANCE COMPANYActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body0VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee25TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$220,240,346PYProgramServiceRevenueAmt
CY Program Service Revenue$1,798,995CYProgramServiceRevenueAmt
PY Investment Income$617,077PYInvestmentIncomeAmt
CY Investment Income$76,446CYInvestmentIncomeAmt
PY Other Revenue$24,893,043PYOtherRevenueAmt
CY Other Revenue$3,187,619CYOtherRevenueAmt
PY Total Revenue$245,750,466PYTotalRevenueAmt
CY Total Revenue$5,063,060CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,825,109PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,825,063CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$255,223,151PYOtherExpensesAmt
CY Other Expenses$37,524,998CYOtherExpensesAmt
PY Total Expenses$263,048,260PYTotalExpensesAmt
CY Total Expenses$39,350,061CYTotalExpensesAmt
PY Revenues Less Expenses-$17,297,794PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$34,287,001CYRevenuesLessExpensesAmt
Total Assets BOY$24,159,210TotalAssetsBOYAmt
Total Assets EOY$15,305,926TotalAssetsEOYAmt
Total Liabilities BOY$35,157,415TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,433,791TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$10,998,205NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$2,127,865NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHEALTHYCT'S MISSION IS TO MAKE A UNIQUE, MEANINGFUL CONTRIBUTION TO THE HEALTH AND WELL-BEING OF OUR MEMBERS AND THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
DescENTRY OF THE LIQUIDATION ORDER AND ITS FINDING OF INSOLVENCY ACTIVATED CERTAIN OBLIGATIONS REGARDING HEALTH INSURANCE COVERAGE AND PAYMENT OF HEALTHYCT INSUREDS' COVERED CLAIMS UNDER ITS HEALTH PLAN POLICIES BY THE CONNECTICUT LIFE AND HEALTH INSURANCE GUARANTY ASSOCIATION ("CLHIGA"). HEALTH INSURANCE COVERAGE WAS PROVIDED BY CLHIGA TO ELIGIBLE HEALTHYCT INSUREDS UNDER HEALTHYCT'S REMAINING GROUP POLICIES FOR THE PERIOD COMMENCING JANUARY 1, 2017 THROUGH JANUARY 31, 2017 AT WHICH TIME ALL COVERAGE UNDER HEALTHYCT POLICIES TERMINATED PURSUANT TO CLHIGA'S GOVERNING STATUTE. NO FURTHER COVERAGE IS AVAILABLE FROM HEALTHYCT OR CLHIGA AFTER JANUARY 31, 2017.PURSUANT TO ITS GOVERNING STATUTES CLHIGA ASSESSED ITS MEMBERS TO COVERED CLAIMS OF HEALTHYCT INSUREDS, INCLUDING CLAIMS INCURRED PRIOR TO JANUARY 1, 2017 NOT YET PAID BY HEALTHYCT. CLHIGA IS ENTITLED TO RECEIVE JANUARY PREMIUM FROM THE REMAINING GROUP PLANS AND WILL PAY THE COVERED CLAIMS INCURRED BY THOSE INSUREDS DURING JANUARY 2017. CLHIGA ENTERED INTO A SERVICE AGREEMENT WITH HEALTHYCT'S REHABILITATOR ON DECEMBER 30, 2016 UNDER WHICH CLHIGA RETAINED HEALTHYCT AS ITS SERVICING AGENT WITH RESPECT TO ITS POLICY AND CLAIM PAYMENT OBLIGATIONS. UNDER THE AGREEMENT, HEALTHYCT CONTINUES TO ADMINISTER THE POLICIES AND PROCESS CLAIMS IN ACCORDANCE WITH THE TERMS OF THE POLICIES AND CLHIGA'S $500,000/PERSON STATUTORY LIMIT.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate OperationsYes (1)TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1214IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee25EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Licensed More Than One State0LicensedMoreThanOneStateInd
State Required Reserves$0StateRequiredReservesAmt
Reserves Maintained$0ReservesMaintainedAmt
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members0GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DANIEL L WATKINSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7858430181PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1901 NEW HAMPSHIRE STAddressLine1Txt
CityLAWRENCECityNm
State AbbreviationKSStateAbbreviationCd
ZIP66044ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHRISTOPHER MF MASI
CHIEF FINANCIAL OFFICER40.00Yes (X)$332,125$0$48,419
TRACY CORRARO
V.P. FINANCIAL OPERATIONS40.00$271,487$0$43,869Yes (X)
SCOTT DOUCETTE
MANAGER OF IT APPLICATION DEVELOPMENT AND DATA SOL40.00$169,957$0$9,584Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$773,569TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$101,872TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CONDUENT HEALTH ADMINISTRATION INC
4550 VICTORY LANEINDIANAPOLISIN46203THIRD PARTY ADMINISTRATOR FOR CLAIMS OPE$2,570,596
MOSAIC INSURANCE EXCHANGE INC
554 MAIN STWORCESTERMA01608THIRD PARTY ADMINISTRATOR FOR CUSTOMER S$753,412
SPECTRUM VIRTUAL
35 THORPE AVENUEWALLINGFORDCT06492OUTSOURCE TECHNOLOGY INFRASTRUCTURE$605,035
THE LAW OFFICES OF DANIEL L WATKINS
901 NEW HAMPSHIRE STREET SUITE 200LAWRENCEKS66044HEALTHYCT LIQUIDATION SERVICES$408,441
MORGAN LEWIS & BOCKIUS LLP
ONE STATE STREETHARTFORDCT061033178LEGAL SERVICES$268,870
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PREMIUM INCOMEDesc
Business524114BusinessCd
Total Revenue Column$1,798,995TotalRevenueColumnAmt
Related Or Exempt Func Income$1,798,995RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,798,995TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$76,446TotalRevenueColumnAmt
Exclusion$76,446ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REINSURANCE RECOVERIES524114$1,501,848$1,501,848
HOSPITAL AND MEDICAL B524114$1,147,490$1,147,490
PRESCRIPTION DRUGS524114$420,800$420,800

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$117,481TotalRevenueColumnAmt
Related Or Exempt Func Income$117,481RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,187,619OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,063,060TotalRevenueColumnAmt
Related Or Exempt Func Income$4,986,614RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$76,446ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$380,544TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,332,965TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$111,554TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$728,039TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$173,249TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$16,380TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,792,701TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$575,332TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$287,178TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,000TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$125,716TotalAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmt
LOSS ON SALE OF RISK CO$31,227,015
FEDERAL & STATUTORY FEE$584,388

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$39,350,061TotalAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,763,816BOYAmt
EOY$763,368EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,250,124BOYAmt
EOY$8,757,623EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$15,000BOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,103,865BOYAmt
EOY$5,778,492EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$26,405BOYAmt
EOY$6,443EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$24,159,210BOYAmt
EOY$15,305,926EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,668,354BOYAmt
EOY$4,821,627EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$404,469BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,084,592BOYAmt
EOY$12,612,164EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$35,157,415BOYAmt
EOY$17,433,791EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY-$10,998,205BOYAmt
EOY-$2,127,865EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$10,998,205BOYAmt
EOY-$2,127,865EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,159,210BOYAmt
EOY$15,305,926EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$34,287,001ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$43,157,341OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
CLAIMS UNPAID$130,155
CEDED REINSURANCE PAYABLE$1,028,131
RISK ADJUSTMENT PAYABLE$8,161,836
COST SHARING REDUCTION PAYABLE$2,196,425
CONNECTICUT HEALTH AND LIFE GUARANTY ASSOCIATION PAYABLE$1,095,617
FieldValueIRS element (for citing)
Total Liability$12,612,164TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTOPHER MF MASI
CHIEF FINANCIAL OFFICER$332,125$0$0$0$0$0$8,100$0$40,319$0$380,544$0$0$0
TRACY CORRARO
V.P. FINANCIAL OPERATIONS$271,487$0$0$0$0$0$8,100$0$35,769$0$315,356$0$0$0
SCOTT DOUCETTE
MANAGER OF IT APPLICATION DEVELOPMEN$169,957$0$0$0$0$0$0$0$9,584$0$179,541$0$0$0

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidRISK CORRIDOR RECEIVABLEAssetsDistriOrExpnssPaidDesc
Distribution2017-09-06DistributionDt
Fair Market Value Of Asset$10,935,000FairMarketValueOfAssetAmt
EIN271757243EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JURIS CAPITAL LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1440 NORTH WELLS STREET SUITE 410AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60654ZIPCd
FieldValueIRS element (for citing)
Director Of Successor0DirectorOfSuccessorInd
Employee Of Successor0EmployeeOfSuccessorInd
Owner Of Successor0OwnerOfSuccessorInd
Receive Compensation0ReceiveCompensationInd
Assets Distributed0AssetsDistributedInd
Required To Notify AG0RequiredToNotifyAGInd
Attorney General Notified0AttorneyGeneralNotifiedInd
Liabilities Paid0LiabilitiesPaidInd
Bonds Outstanding0BondsOutstandingInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6ON NOVEMBER 1, 2016, WHEN THE CONNECTICUT SUPERIOR COURT, JUDICIAL DISTRICT OF HARTFORD, ENTERED AN ORDER OF REHABILITATION PLACING HEALTHYCT INTO REHABILITATION AND APPOINTING THE COMMISSIONER OF THE DEPARTMENT, AS REHABILITATOR OF HEALTHYCT THE HEALTHYCT BOARD OF DIRECTORS AND MANAGEMENT FORFEITED AUTHORITY AND CONTROL OF THE BUSINESS TO THE REHABILITATOR IN CONJUNCTION WITH THE ORDER OF REHABILITATION. THE BOARD OF DIRECTORS WERE DISBANDED.
FORM 990, PART III, LINE 3THE CONNECTICUT HEALTH AND LIFE GUARANTY ASSOCIATION ASSUMED RESPONSIBILITY FOR OUTSTANDING CLAIMS AND COVERAGE FOR EXISTED MEMBERS FOR JANUARY 2017.
FORM 990, PART V, LINE 13ACT
FORM 990, PART VI, SECTION A, LINE 4UPON THE ORDER OF LIQUIDATION, HEALTHYCT IS UNDER THE JURISIDICTION, AND OF GOVERNANCE BY, THE CONNECTICUT INSURANCE DEPARTMENT AND THE CONNECTICUT SUPERIOR COURT, JUDICIAL DISTRICT OF HARTFORD.
FORM 990, PART VI, SECTION B, LINE 11BMANAGEMENT IS CLOSELY ENGAGED IN COMPILING AND ANALYZING THE UNDERLYING INFORMATION REQUIRED TO PREPARE THE FORM 990. A SUBSTANTIVELY COMPLETE DRAFT OF THE FORM 990 IS PROVIDED TO THE GOVERNING BODY (THE HEALTHYCT ESTATE LIQUIDATOR/SPECIAL DEPUTY LIQUIDATOR) AND THE CONNECTICUT INSURANCE DEPARTMENT PRIOR TO ITS FILING, FOR REVIEW AND FEEDBACK, AND THE FINAL VERSION OF THE SUBMISSION IS DISTRIBUTED TO THE GOVERNING BODY PRIOR TO ITS FILING.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION OF KEY EMPLOYEES / EMPLOYEES NEEDED TO WIND DOWN OPERATIONS DETERMINED BY SPECIAL DEPUTY LIQUIDATOR AND APPROVED BY THE CONNECTICUT INSURANCE DEPARTMENT AND THE CONNECTICUT SUPERIOR COURT, JUDICIAL DISTRICT OF HARTFORD.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND 990 ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).
FORM 990, PART XI, LINE 9:CHANGE IN NONADMITTED ASSETS 43,157,341.