2018-11-14T17:02:10-06:00 2017-12-31 420714325 RSM US LLP 4 TIMES SQUARE NEW YORK NY 10036 990 2017-01-01 453366866 HEALTHYCT INC HEAL 2039491602 35 THORPE AVENUE NO 104 WALLINGFORD CT 06492 CHRISTOPHER MASI SPECIAL DEPUTY LIQUIDATOR 2039491602 2018-11-14 1 LYNNE JOHNSON P00757336 2123721000 108.171.131.171 2018-11-14 17:08:38 ES P 6D4E53EC5D36D0213EB1FA27F3D23FA2D8B2D981 D7668CACA2324E37644B507858CBB72F6C0D8D45 2017 2019-02-21 02:37:17Z MR DANIEL L WATKINS 35 THORPE AVENUE NO 104 WALLINGFORD CT 06492 5063060 0 X WWW.HEALTHYCT.ORG X 2011 CT TO OPERATE A MEMBER-GOVERNED HEALTH INSURANCE COMPANY X 0 0 25 0 0 0 0 0 220240346 1798995 617077 76446 24893043 3187619 245750466 5063060 0 0 0 0 7825109 1825063 0 0 0 255223151 37524998 263048260 39350061 -17297794 -34287001 24159210 15305926 35157415 17433791 -10998205 -2127865 X HEALTHYCT'S MISSION IS TO MAKE A UNIQUE, MEANINGFUL CONTRIBUTION TO THE HEALTH AND WELL-BEING OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. 0 1 ENTRY 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. 0 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 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1214 0 1 25 1 0 0 0 0 0 0 0 0 0 X 0 0 0 0 1 0 0 0 0 1 1 0 0 1 1 1 0 1 1 1 1 0 X DANIEL L WATKINS 7858430181 901 NEW HAMPSHIRE ST LAWRENCE KS 66044 CHRISTOPHER MF MASI CHIEF FINANCIAL OFFICER 40.00 X 332125 0 48419 TRACY CORRARO V.P. FINANCIAL OPERATIONS 40.00 X 271487 0 43869 SCOTT DOUCETTE MANAGER OF IT APPLICATION DEVELOPMENT AND DATA SOL 40.00 X 169957 0 9584 773569 0 101872 3 0 1 0 CONDUENT HEALTH ADMINISTRATION INC 4550 VICTORY LANE INDIANAPOLIS IN 46203 THIRD PARTY ADMINISTRATOR FOR CLAIMS OPE 2570596 MOSAIC INSURANCE EXCHANGE INC 554 MAIN ST WORCESTER MA 01608 THIRD PARTY ADMINISTRATOR FOR CUSTOMER S 753412 SPECTRUM VIRTUAL 35 THORPE AVENUE WALLINGFORD CT 06492 OUTSOURCE TECHNOLOGY INFRASTRUCTURE 605035 THE LAW OFFICES OF DANIEL L WATKINS 901 NEW HAMPSHIRE STREET SUITE 200 LAWRENCE KS 66044 HEALTHYCT LIQUIDATION SERVICES 408441 MORGAN LEWIS & BOCKIUS LLP ONE STATE STREET HARTFORD CT 061033178 LEGAL SERVICES 268870 7 NET PREMIUM INCOME 524114 1798995 1798995 1798995 76446 76446 REINSURANCE RECOVERIES 524114 1501848 1501848 HOSPITAL AND MEDICAL B 524114 1147490 1147490 PRESCRIPTION DRUGS 524114 420800 420800 117481 117481 3187619 5063060 4986614 0 76446 380544 1332965 111554 728039 173249 16380 3792701 575332 287178 15000 125716 LOSS ON SALE OF RISK CO 31227015 FEDERAL & STATUTORY FEE 584388 39350061 2763816 763368 11250124 8757623 0 15000 10103865 5778492 26405 6443 24159210 15305926 4668354 4821627 404469 30084592 12612164 35157415 17433791 X 0 0 0 0 -10998205 -2127865 -10998205 -2127865 24159210 15305926 X -34287001 43157341 X X 0 0 0 0 CLAIMS UNPAID 130155 CEDED REINSURANCE PAYABLE 1028131 RISK ADJUSTMENT PAYABLE 8161836 COST SHARING REDUCTION PAYABLE 2196425 CONNECTICUT HEALTH AND LIFE GUARANTY ASSOCIATION PAYABLE 1095617 12612164 0 0 0 CHRISTOPHER MF MASI CHIEF FINANCIAL OFFICER 332125 0 0 0 0 0 8100 0 40319 0 380544 0 0 0 TRACY CORRARO V.P. FINANCIAL OPERATIONS 271487 0 0 0 0 0 8100 0 35769 0 315356 0 0 0 SCOTT DOUCETTE MANAGER OF IT APPLICATION DEVELOPMEN 169957 0 0 0 0 0 0 0 9584 0 179541 0 0 0 RISK CORRIDOR RECEIVABLE 2017-09-06 10935000 271757243 JURIS CAPITAL LLC 440 NORTH WELLS STREET SUITE 410 CHICAGO IL 60654 0 0 0 0 0 0 0 0 0 FORM 990, PART I, LINE 6 ON 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 3 THE CONNECTICUT HEALTH AND LIFE GUARANTY ASSOCIATION ASSUMED RESPONSIBILITY FOR OUTSTANDING CLAIMS AND COVERAGE FOR EXISTED MEMBERS FOR JANUARY 2017. FORM 990, PART V, LINE 13A CT FORM 990, PART VI, SECTION A, LINE 4 UPON 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 11B MANAGEMENT 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 15 COMPENSATION 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 19 THE 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.