2023-11-15T09:03:29-06:00 2022-12-31 PwC US Tax LLP 101 SEAPORT BLVD SUITE 500 BOSTON MA 02210 990 2022-01-01 822604728 CAREPARTNERS OF CONNECTICUT INC % SCOTT WALKER CARE 6179729400 1 WELLNESS WAY CANTON MA 020211166 MARK PORTER CAO & Treasurer 4126447800 2023-11-12 true MARK PORTER 999009999 ANTONIO C RUSSO P00858539 6175305000 2023-11-10 3 2022 2023-04-26 12:10:37Z MARLA PANTANO 1 WELLNESS WAY CANTON MA 020211166 41668491 false X WWW.CAREPARTNERSCT.COM X 2017 CT CAREPARTNERS OF CONNECTICUT, INC. (CPCT) WAS CREATED AS A NOT-FOR-PROFIT CONNECTICUT CORPORATION LICENSED AS A HEALTH CARE CENTER (HMO) IN CONNECTICUT (SEE SCHEDULE O) 5 1 0 0 0 0 0 0 24412034 41325973 34196 342518 0 0 24446230 41668491 0 34500 25672275 41312690 12500 0 0 0 0 11759133 14181089 37443908 55528279 -12997678 -13859788 21597096 23631824 10329563 14953254 11267533 8678570 X AS DESCRIBED IN FURTHER DETAIL IN PART I, LINE I, CPCT IS A CONNECTICUT HEALTH CARE CENTER* (HMO) ESTABLISHED FOR THE PURPOSE OF ARRANGING FOR THE DELIVERY OF COMPREHENSIVE HEALTH CARE SERVICES, ON A PREPAID BASIS, TO SUBSCRIBING INDIVIDUALS AND GROUPS. CPCT'S AIM IS TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES IT SERVES BY ARRANGING FOR THE PROVISION OF COMPREHENSIVE HEALTH CARE SERVICES, INCLUDING PROVIDING COMMUNITY OUTREACH AND EDUCATION AND COORDINATING CARE TO ENSURE THAT THOSE WITH THE MOST CHALLENGING HEALTH NEEDS ARE BEST ABLE TO ACCESS THE CARE THEY NEED. CPCT AIMS TO IMPROVE THE LIVES OF OLDER CONNECTICUT RESIDENTS PRIMARILY THROUGH MANAGED CARE MEDICARE ADVANTAGE PROGRAMS WITH INTEGRATED, COORDINATED MEDICAL AND BEHAVIORAL HEALTH CARE FOR RESIDENTS OF THE STATE OF CONNECTICUT THAT ARE ELIGIBLE FOR MEDICARE (TYPICALLY THOSE THAT ARE AGE 65 OR OLDER). *IN CONNECTICUT, "HEALTH CARE CENTER" IS THE TERM USED TO DESCRIBE HEALTH MAINTENANCE ORGANIZATIONS. false false 41347190 34500 41325973 CPCT'S MEDICARE ADVANTAGE PLAN OFFERINGS ARE THE ORGANIZATION'S ONLY PROGRAM SERVICES PROVIDED IN 2022. CPCT FIRST ENROLLED SUBSCRIBERS FOR PLANS EFFECTIVE JANUARY 1, 2019. CPCT AND ITS AFFILIATES HAVE CONTRACTED WITH THOUSANDS OF PRIMARY CARE PHYSICIANS, SPECIALISTS, HOSPITALS AND COMMUNITY ORGANIZATIONS THROUGHOUT CONNECTICUT AND CURRENTLY OFFERS HEALTH COVERAGE IN HARTFORD, LITCHFIELD, NEW HAVEN, NEW LONDON, TOLLAND AND WINDHAM COUNTRIES. CPCT HAS DEVELOPED PROGRAMS TO INCREASE ACCESS TO CARE AND IMPROVE THE COORDINATION OF CARE FOR THOSE WHO NEED IT MOST. IN THE CASE OF MEDICARE ADVANTAGE MEMBERS, THOSE WITH CHRONIC CONDITIONS SUCH AS DIABETES, CHRONIC OBSTRUCTIVE PULMONARY DISORDER AND HEART FAILURE. CPCT PROVIDES HEALTH EDUCATION AND PROMOTION, COACHING, COMPLEX HEALTH ASSISTANCE, CONNECTION TO SOCIAL SERVICES AND PROGRAMS, COORDINATION OF ADDITIONAL SERVICES SUCH AS HOME CARE, AND CAREGIVER ASSISTANCE AND SUPPORT, FORMULATED TO TAKE ACCOUNT OF THE HEALTH RISKS AND CHALLENGES THAT PARTICULARLY AFFECTS SENIORS. 41347190 false false false false false false false false false false false false true true true true true false false false false false false false false false true false true false false false false false false false false false false false false false true false false true 782 0 0 false false false false false false false false X 5 1 true true false false true true true true true false false true true true true true true false false false X SCOTT WALKER 6179729400 1 WELLNESS WAY CANTON MA 02021 X DEREK ABRUZZESE SVP, CORP STRATEGY (END 4/15) 2.5 47.5 X 0 1573814 56051 PATRICIA BLAKE SVP, PRESIDENT MEDICARE 10.0 40.0 X 0 991394 156126 ADAM SCOTT SVP,PRES.DIVERS.BUS. (DR. 6/7) 2.5 47.5 X 0 857784 146793 ROLAND PRICE TREASURER 2.5 47.5 X 0 541488 110632 MARLA PANTANO PRESIDENT, CAREPARTNERS OF CT 50.0 0.0 X 0 570070 48537 MARC SPOONER FORMER COO 0.0 0.0 X 0 499935 0 DENISE DOUCETTE-GINISE DIRECTOR, CARE MGMT - SR. PROD 50.0 0.0 X 0 291857 37393 PAUL BERNSTEIN DIRECTOR, PROG MGMT 50.0 0.0 X 0 240675 41681 LYNNE OLSON SR. MANAGER, MARKETING 50.0 0.0 X 0 158478 27057 JESSE MEJIA DIRECTOR, SALES (START 5/16) 50.0 0.0 X 0 145457 25008 MAUREEN NEILLY SR. CARE MANAGER 50.0 0.0 X 0 125680 17290 JOHN DILLAWAY DIRECTOR 1.0 0.0 X 28500 0 0 GERALD BOISVERT DIRECTOR (END 2/28) 1.0 0.0 X 0 0 0 DEBRA HAYES DIRECTOR & SECRETARY 1.0 0.0 X X 0 0 0 CHIBUEZE OKEY AGBA DIRECTOR (START 2/28) 1.0 0.0 X 0 0 0 28500 5996632 666568 0 true true false 0 0 MEDICARE PREMIUMS 524114 41325973 41325973 0 0 41325973 342518 0 0 342518 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41668491 41325973 0 342518 34500 34500 0 0 0 0 41312690 41312690 0 0 0 0 0 0 12556882 0 12556882 0 0 0 0 0 0 105013 0 105013 0 0 0 0 0 54577 0 54577 0 0 0 0 0 0 26025 0 26025 0 0 PREMIUM BROKER FEES 960045 0 960045 0 COB FEES 287325 0 287325 0 OTHER TAXES & FEES 147217 0 147217 0 HONORARIA 11500 0 11500 0 32505 0 32505 0 55528279 41347190 14181089 0 1350444 683361 12575865 13035775 0 0 616203 982940 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5527284 5486334 0 0 0 0 0 0 1527300 3443414 21597096 23631824 248010 1573946 0 0 13692 8879 0 0 0 0 0 0 0 0 0 0 10067861 13370429 10329563 14953254 X 0 0 0 0 11267533 8678570 11267533 8678570 21597096 23631824 X -13859788 -40950 11311775 X X false true X true false RECEIVABLE FROM AFFILIATES 30 HEALTHCARE AND OTHER AR 2471780 ACCRUED RETROSPECTIVE PREMIUMS 946753 INVESTMENT SETTLEMENT REC. 24851 3443414 0 UNPAID CLAIMS 5638577 DUE TO AFFILIATES 2550852 PREMIUM DEFICIENCY RESERVE 5181000 13370429 X 41627541 -40950 -40950 41668491 41668491 55256279 -272000 -272000 55528279 55528279 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 (FKA FIN 48) FOOTNOTE THIS ORGANIZATION IS AN AFFILIATE OF POINT32HEALTH, INC. (P32H). THE BELOW FOOTNOTE DERIVES FROM THE CONSOLIDATED AUDITED FINCIAL STATEMENTS OF POINT32HEALTH, INC. AND AFFILIATES. POINT32HEALTH, INC., TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC., TUFTS PUBLIC HEALTH PLANS, INC., AND HARVARD PILGRIM HEALTH CARE OF NEW ENGLAND, INC., ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE ("IRC"). HARVARD PILGRIM HEALTH CARE, INC. AND POINT32HEALTH FOUNDATION, INC. ARE RECOGNIZED AS TAX-EXEMPT ORGANIZATIONS UNDER IRC SECTION 501(C)(3). THE HARVARD PILGRIM HEALTH CARE INSTITUTE, LLC IS A DISREGARDED ENTITY FOR FEDERAL INCOME TAX PURPOSES AND, THEREFORE, FOLLOWS THE TAX-EXEMPT STATUS OF HARVARD PILGRIM HEALTH CARE, INC. AS ITS SOLE CORPORATE MEMBER. ACCORDINGLY, NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS. THE COMPANY BELIEVES THAT THE POSITIONS TAKEN ON ITS INCOME TAX RETURNS FOR OPEN TAX YEARS WILL BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE ("IRS"). THEREFORE, P32H HAS NOT RECORDED ANY LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740, INCOME TAXES. AS OF DECEMBER 31, 2022, THERE ARE NO UNRECOGNIZED TAX BENEFITS, AND THE COMPANY DOES NOT ANTICIPATE ANY SIGNIFICANT CHANGES IN THE AMOUNT OF UNRECOGNIZED TAX BENEFITS DURING THE NEXT TWELVE MONTHS. ---------- FORM 990, SCHEDULE D, PART XIII, LINE 2D DETAIL OF OTHER AMOUNTS NOT INCLUDED ON FORM 990, PART IX, LINE 25 CHANGE IN PREMIUM DEFICIENCY RESERVE $272,000 ---------- true HARTFORD MARATHON FOUNDATION 41 SEQUIN DR 1 GLASTONBURY CT 06033 061415320 501 (c)(3) 7500 N/A N/A GRAND MASTER AWARDS HARTFORD SYMPHONY ORCHESTRA 166 CAPITOL AVE HARTFORD CT 06106 060637319 501 (c)(3) 15000 N/A N/A TALCOTT MUSIC FESTIVAL HARTFORD YARD GOATS 1214 MAIN STREET HARTFORD CT 06103 161638341 501 (c)(3) 12000 N/A N/A HOME & RADIO NETWORK 3 0 PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANTS THE ORGANIZATION ONLY CONTRIBUTES TO TAX-EXEMPT ORGANIZATIONS UNDER 501(C) AND CERTAIN GOVERNMENTAL UNITS AS WELL AS SPONSORS EVENTS THAT BENEFIT THESE TYPES OF ORGANIZATIONS. THE ORGANIZATION CONTRIBUTES TO WELL ESTABLISHED, NON-PROFIT ORGANIZATIONS THAT HAVE ESTABLISHED POLICIES AND PROCEDURES FOR MONITORING THE USE OF FUNDS. true true false false false false false false false DEREK ABRUZZESE SVP, CORP STRATEGY (END 4/15) 0 102584 0 322799 0 1148431 0 48131 0 7920 0 1629865 0 67272 PATRICIA BLAKE SVP, PRESIDENT MEDICARE 0 424604 0 475315 0 91475 0 136148 0 19978 0 1147520 0 92548 ADAM SCOTT SVP,PRES.DIVERS.BUS. (DR. 6/7) 0 411817 0 404000 0 41967 0 119636 0 27157 0 1004577 0 41223 ROLAND PRICE TREASURER 0 321763 0 160064 0 59661 0 97563 0 13069 0 652120 0 44856 MARLA PANTANO PRESIDENT, CAREPARTNERS OF CT 0 369390 0 198000 0 2680 0 47459 0 1078 0 618607 0 0 MARC SPOONER FORMER COO 0 0 0 499935 0 0 0 0 0 0 0 499935 0 0 DENISE DOUCETTE-GINISE DIRECTOR, CARE MGMT - SR. PROD 0 201688 0 88968 0 1201 0 36378 0 1015 0 329250 0 0 PAUL BERNSTEIN DIRECTOR, PROG MGMT 0 199113 0 40596 0 966 0 41558 0 123 0 282356 0 0 LYNNE OLSON SR. MANAGER, MARKETING 0 144370 0 13837 0 271 0 20410 0 6647 0 185535 0 0 JESSE MEJIA DIRECTOR, SALES (START 5/16) 0 95497 0 49960 0 0 0 24398 0 610 0 170465 0 0 FORM 990, SCHEDULE J, PART I, LINE 3 METHOD USED TO ESTABLISH CEO COMPENSATION CAREPARTNERS OF CONNECTICUT, INC. RELIES ON A RELATED ORGANIZATION TO ESTABLISH COMPENSATION FOR ITS CEO. THE METHODS USED ARE AS FOLLOWS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE -WRITTEN EMPLOYMENT AGREEMENT ---------- FORM 990, SCHEDULE J, PART I, LINE 4A DETAIL OF SEVERANCE PAYMENTS THE FOLLOWING SENIOR LEADER, WHO DEPARTED THE COMPANY FOLLOWING THE CLOSE OF THE TRANSACTION, RECEIVED SEVERANCE OR CHANGE IN CONTROL PAYMENTS IN A MANAGEMENT ROLE IN THE COMPANY RELATING TO THE COMBINATION OF HARVARD PILGRIM HEALTH CARE AND TUFTS HEALTH PLAN. THESE PAYMENTS WERE DESIGNED TO RETAIN LEADERS WITH SIGNIFICANT EXPERTISE IN KEY AREAS AND TO ENSURE CONTINUITY OF OPERATIONS FOR BOTH ORGANIZATIONS THROUGH A LENGTHY AND UNCERTAIN REGULATORY REVIEW PROCESS THAT SPANNED OVER A FIFTEEN MONTH PERIOD, AS WELL AS A GLOBAL PANDEMIC: DEREK ABRUZZESE = $1,088,000 ---------- FORM 990, SCHEDULE J, PART I, LINE 4B DISCRETIONARY RETIREMENT PLAN THE ORGANIZATION'S LEADERS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SPONSORED BY THEIR EMPLOYER, POINT32HEALTH SERVICES, INC., A RELATED PARTY. THE EMPLOYEES AND AMOUNTS LISTED ON SCHEDULE J, PART II, COLUMN C REFLECT EMPLOYER CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. ---------- FORM 990, PART I, LINE 1 DETAIL REGARDING THE ORGANIZATION'S MISSION CAREPARTNERS OF CONNECTICUT, INC. (CPCT) WAS CREATED AS A NOT-FOR-PROFIT CONNECTICUT CORPORATION, LICENSED AS A HEALTH CARE CENTER (HMO) IN CONNECTICUT, ESTABLISHED FOR THE PURPOSE OF ARRANGING FOR THE DELIVERY OF COMPREHENSIVE HEALTH CARE SERVICES ON A PREPAID BASIS TO SUBSCRIBING INDIVIDUALS AND GROUPS, INCLUDING PROVIDING COMMUNITY OUTREACH AND EDUCATION AND COORDINATING CARE TO ENSURE THAT THOSE WITH THE MOST CHALLENGING HEALTH NEEDS ARE BEST ABLE TO ACCESS THE CARE THEY NEED. CPCT AIMS TO IMPROVE THE LIVES OF OLDER CONNECTICUT RESIDENTS PRIMARILY THROUGH MANAGED CARE MEDICARE ADVANTAGE PROGRAMS WITH INTEGRATED, COORDINATED, MEDICAL AND BEHAVIORAL HEALTH CARE FOR RESIDENTS OF THE STATE OF CONNECTICUT WHO ARE ELIGIBLE FOR MEDICARE (TYPICALLY WHO ARE AGE 65 OR OLDER). CPCT IS PART OF THE POINT32HEALTH, INC. (P32H) FAMILY OF COMPANIES. ITS SOLE CORPORATE MEMBER IS CAREPARTNERS OF CONNECTICUT HOLDINGS LLC, A DELAWARE DOMICILED COMPANY. CAREPARTNERS OF CONNECTICUT HOLDINGS LLC IS OWNED AND CONTROLLED BY TWO NONPROFIT TAX-EXEMPT ORGANIZATIONS: TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. (TAHMO), A RECOGNIZED 501(C)(4) ORGANIZATION WHICH IS ALSO PART OF P32H FAMILY OF COMPANIES; AND HARTFORD HEALTHCARE CORPORATION (HHC), AN UNRELATED RECOGNIZED 501(C)(3) ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH AND HEALING OF THE PEOPLE AND COMMUNITIES THEY SERVE. ---------- FORM 990, PART VI, LINE 2 DETAIL OF FAMILY OR BUSINESS RELATIONSHIPS THE FOLLOWING PEOPLE SERVED BOTH AS DIRECTORS OF CPCT AND AS MANAGERS OF THE BOARD MANAGERS OF CAREPARTNERS OF CONNECTICUT HOLDINGS, LLC: DEREK ABRUZZESE (END 4/15/22) CHIBUEZE OKEY AGBA (START 2/28/22) PATRICIA BLAKE GERALD J. BOISVERT (END 2/28/22) JOHN DILLAWAY DEBRA K. HAYES ADAM SCOTT (START 6/7/22) ---------- FORM 990, PART VI, LINE 3 DELEGATION OF MANAGEMENT DUTIES CPCT CONTRACTS WITH ITS AFFILIATE, TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. (TAHMO), TO PROVIDE THE SERVICES ASSOCIATED WITH OPERATING A MEDICARE ADVANTAGE PLAN AND MANAGING CPCT MORE GENERALLY. TAHMO, IN TURN, CONTRACTS FOR CERTAIN MANAGEMENT AND ADMINISTRATIVE SERVICES WITH POINT32HEALTH SERVICES, INC., A WHOLLY OWNED SUBSIDIARY OF TAHMO THAT EMPLOYS PERSONNEL. ---------- FORM 990, PART VI, LINE 6 DETAIL OF MEMBERS OR STOCKHOLDERS CAREPARTNERS OF CONNECTICUT HOLDINGS, LLC ("CPCT HOLDINGS") IS THE SOLE CORPORATE MEMBER OF CPCT. ---------- FORM 990, PART VI, LINE 7A DETAIL OF MEMBERS OR STOCKHOLDERS CAREPARTNERS OF CONNECTICUT HOLDINGS, LLC (CPCT HOLDINGS) IS THE SOLE CORPORATE MEMBER OF CPCT AND ELECTS INDIVIDUALS TO SERVE AS DIRECTORS ON THE CPCT BOARD. ---------- FORM 990, PART VI, LINE 7B DETAIL OF MEMBERS OR STOCKHOLDERS AS THE SOLE CORPORATE MEMBER OF CPCT, CPCT HOLDINGS HAS THE POWERS AND RESPONSIBILITIES OUTLINED IN THE BYLAWS OF CPCT. THE MEMBER HAS THE SOLE POWER TO GOVERN, DIRECT AND OVERSEE THE PROPERTY AND AFFAIRS OF CPCT. POWER AND AUTHORITY TO MANAGE CPCT IS DELEGATED TO THE BOARD AS REASONABLY DETERMINED BY THE MEMBER'S BOARD. FURTHERMORE, THE MEMBER MAY EXERCISE APPROVAL RIGHTS OVER ANY MATTER BY PROVIDING NOTICE TO THE CPCT BOARD. CPCT HOLDINGS IN TURN HAS TWO MEMBERS, TAHMO AND HHC. CPCT HOLDINGS, UNDER THE CPCT HOLDINGS LIMITED LIABILITY COMPANY AGREEMENT, MAY ENGAGE IN ANY LAWFUL BUSINESS AND EXERCISE ANY POWER ACCORDED A LIMITED LIABILITY COMPANY PROVIDED "THE ACTIVITIES OF THE COMPANY SHALL BE RESTRICTED TO THOSE ACTIVITIES THAT FURTHER THE TAX-EXEMPT PURPOSE OF EACH MEMBER, AND THE COMPANY SHALL NOT ENGAGE IN ACTIVITY THAT JEOPARDIZES ANY MEMBER'S TAX-EXEMPT STATUS." ---------- FORM 990, PART VI, LINE 8B CONTEMPORANEOUS BOARD MEETING DOCUMENTATION FOR A MAJORITY OF THE TIME, THE ORGANIZATION CONTEMPORANEOUSLY DOCUMENTS MEETINGS HELD AND WRITTEN ACTIONS UNDERTAKEN BY ITS GOVERNING BODY. HOWEVER, ON LIMITED OCCASIONS, THE GOVERNING BODY MAY HAVE A SERIES OF CONFERENCE CALLS AND MINUTES FOR THOSE CALLS ARE NOT APPROVED UNTIL THE NEXT MEETING. THE ORGANIZATION CURRENTLY DOES NOT HAVE ANY STANDING COMMITTEES. IF IN THE FUTURE THE ORGANIZATION WERE TO HOLD COMMITTEE MEETINGS, THEN THE ORGANIZATION WOULD ALSO CONTEMPORANEOUSLY DOCUMENT COMMITTEE MEETINGS HELD AND WRITTEN ACTIONS UNDERTAKEN BY ITS COMMITTEES. ---------- FORM 990, PART VI, LINE 11B PROCESS USED TO REVIEW THE FORM 990 THE ORGANIZATION'S FORM 990 WAS PREPARED BY POINT32HEALTH SERVICES, INC.'S EXTERNAL ACCOUNTANTS, PWC. AND REVIEWED BY POINT32HEALTH SERVICES, INC.'S FINANCE DEPARTMENT AND SUBJECT MATTER PERSONNEL IN OTHER DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE FILING. ---------- FORM 990, PART VI, LINE 12A & 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT-OF-INTEREST POLICY: THE CAREPARTNERS OF CONNECTICUT, INC.'S CONFLICT OF INTEREST (COI) POLICY AND PROCEDURES (P&P) IS REVIEWED ANNUALLY, REVISED AS NEEDED AND APPROVED UPON MATERIAL REVISIONS. THE POLICY REQUIRES OFFICERS AND GOVERNING BODY MEMBERS TO COMPLY WITH THE COI POLICY AND PROCESSES. THE COI P&P REQUIRES THE OFFICERS AND BOARD OF DIRECTORS TO COMPLETE AND SUBMIT AN ANNUAL DISCLOSURE SURVEY AND STATEMENT TO THE POINT32HEALTH LEGAL DEPARTMENT, WHICH PROVIDES LEGAL SERVICES TO ITS AFFILIATE CAREPARTNERS OF CONNECTICUT, LISTING ANY OUTSIDE RELATIONSHIPS, INCLUDING FINANCIAL AND/OR BOARD RELATIONSHIPS THAT THEY OR A FAMILY MEMBER HAVE WITH CAREPARTNERS OF CONNECTICUT'S SUPPLIERS, PURCHASERS, PROVIDERS AND/OR COMPETITORS. BY COMPLETING THE ANNUAL DISCLOSURE STATEMENT, THESE INDIVIDUALS ACKNOWLEDGE THE CAREPARTNERS OF CONNECTICUT COI P&P. THERE ARE PROTOCOLS AND PROCESSES TO REVIEW ANY DISCLOSURE THAT MIGHT BE A POTENTIAL CONFLICT OF INTEREST. BOARD MEMBERS AND OFFICERS' RESPONSES TO THE DISCLOSURE SURVEY AND STATEMENT ARE REVIEWED BY LEGAL DEPARTMENT LEADERSHIP WHO WILL DETERMINE EXPECTATIONS AND RECOMMENDED ACTIONS IF NEEDED. A SUMMARY REPORT OF ALL DISCLOSED ACTUAL OR POTENTIAL CONFLICTS ALONG WITH ANY RECOMMENDED ACTIONS TO ADDRESS A DISCLOSED ACTUAL OR POTENTIAL CONFLICT IS REVIEWED AND APPROVED BY THE CAREPARTNERS OF CONNECTICUT BOARD OF DIRECTORS. THE LEGAL DEPARTMENT COMMUNICATES THE RECOMMENDED ACTIONS TO INDIVIDUAL SURVEY RECIPIENTS. THE POINT32HEALTH CHIEF COMPLIANCE OFFICER IS CONSULTED AND INFORMED OF THE DECISIONS MADE BY THE LEGAL DEPARTMENT LEADERSHIP. ---------- FORM 990, PART VI, LINE 13 WRITTEN WHISTLEBLOWER/NON-RETALIATION POLICY THE FILING ORGANIZATION IS SUBJECT TO THE WRITTEN DOCUMENT RETENTION POLICY AND RECORD RETENTION SCHEDULE OF POINT32HEALTH, INC. ---------- FORM 990, PART VI, LINE 14 WRITTEN DOCUMENT RETENTION POLICY CPCT IS SUBJECT TO THE WRITTEN DOCUMENT RETENTION POLICY AND RECORD RETENTION SCHEDULE THAT WERE APPROVED BY A COMPLIANCE SUB-COMMITTEE OF POINT32HEALTH, INC. ---------- FORM 990, PART VI, LINE 15A AND 15B COMPENSATION REVIEW AND APPROVAL CPCT CONTRACTS WITH ITS AFFILIATE, TAHMO, TO PROVIDE THE SERVICES ASSOCIATED WITH OPERATING A MEDICARE ADVANTAGE PLAN AND MANAGING CPCT MORE GENERALLY. TAHMO, IN TURN, CONTRACTS FOR CERTAIN MANAGEMENT AND ADMINISTRTIVE SERVICES WITH POINT32HEALTH SERVICES, INC., A WHOLLY OWNED SUBSIDIARY OF TAHMO THAT EMPLOYS PERSONNEL. THE INDEPENDENT BOARD OF DIRECTORS OF POINT32HEALTH, INC., WHICH IS THE TAX-EXEMPT, NON-PROFIT PARENT OF TAHMO AND ULTIMATE PARENT OF POINT32HEALTH SERVICES, INC. HAS AN INDEPENDENT HUMAN RESOURCES COMMITTEE (THE "COMMITTEE") THAT ANNUALLY REVIEWS THE TOTAL REMUNERATION OPPORTUNITIES, POLICIES AND PROGRAMS OF THE CEO AND CERTAIN EXECUTIVES, INCLUDING OTHER OFFICERS AND KEY EMPLOYEES AS WELL AS INDIVIDUALS THE COMMITTEE DEEMS APPROPRIATE TO REVIEW. THE COMMITTEE IS COMPRISED OF INDEPENDENT DIRECTORS OF THE COMPANY. THE COMMITTEE CONSIDERS MARKET DATA AND ANALYSES ASSEMBLED BY INDEPENDENT AND INTERNAL COMPENSATION CONSULTANTS WITH THE GOAL TO DETERMINE EXECUTIVE TOTAL REMUNERATION THAT IS REASONABLE AND COMPETITIVE WITHIN THE INDUSTRY AND GEOGRAPHY IN WHICH POINT32HEALTH, INC. OPERATES. THE CORPORATE MEMBERS OF CPCT HOLDINGS REVIEW AND APPROVE THE HIRING OF THE PRESIDENT OF CPCT, AND THE BOARD OF MANAGER OF CPCT HOLDINGS ANNUALLY APPROVES THE COMPENSATION OF THE CPCT PRESIDENT. ---------- FORM 990, PART VI, LINE 19 PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND ANNUAL FINANCIAL REPORT AND QUARTERLY FINANCIAL UPDATES ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. ---------- FORM 990, PART XI, LINE 9 DETAIL OF OTHER CHANGES IN NET ASSETS CHANGE IN NONADMITTED ASSETS $ (460,225) CHANGE IN PREMIUM DEFICIENCY RESERVE 272,000 CAPITAL CONTRIBUTIONS 11,500,000 ___________ TOTAL $11,311,775 ---------- FORM 990, PART XII, LINE 1 ACCOUNTING METHOD USED TO PREPARE FORM 990 CAREPARTNERS OF CONNECTICUT, INC. FOLLOWS THE STATUTORY ACCOUNTING METHOD PRESCRIBED BY THE CONNECTICUT DEPARTMENT OF INSURANCE. ---------- HPHC FOUNDATION INC 1 WELLNESS WAY CANTON MA 02021 042708004 COMMUNITY SVC MA 501(C)(3) 12A-I HPHCINC true HPHC OF NEW ENGLAND INC 1 WELLNESS WAY CANTON MA 02021 042663394 HEALTH INSURA MA 501(C)(4) N/A HPHCINC true POINT32HEALTH FOUNDATION INC 1 WELLNESS WAY CANTON MA 02021 261374263 GRANT MAKING MA 501 (C)(3) 12A TAHMO true TUFTS HEALTH PUBLIC PLANS INC 1 WELLNESS WAY CANTON MA 02021 800721489 HMO MA 501(C)(4) N/A P32H true POINT32HEALTH INC 1 WELLNESS WAY CANTON MA 02021 814089215 HEALTHCARE MA 501(C)(4) N/A NA false TUFTS ASSOC HEALTH MAINTEN ORG INC 1 WELLNESS WAY CANTON MA 02021 042674079 HMO MA 501(C)(4) N/A P32H true HPHC INC 1 WELLNESS WAY CANTON MA 02021 042452600 HEALTH INSURA MA 501(C)(3) 10 P32H true CAREPARTNERS OF CT HOLDINGS LLC 1 WELLNESS WAY CANTON MA 02021 823129930 HOLDING COMPANY CT TAHMO N/A EMPLOYERS HEALTH NEXUS LLC 1212 CORPORATE DRIVE SUITE 225 IRVING TX 75038 882938454 SELF INSURANCE DE POINT32HEALTH N/A EMPLOYERS HEALTH NETWORK LLC 1212 CORPORATE DRIVE SUITE 225 IRVING TX 75038 471678150 DEVELPMNT CONSULT DE POINT32HEALTH N/A CLARION MANAGEMENT SOLUTIONS LLC 1500 W PARK DRIVE SUITE 330 WESTBOROUGH MA 01581 822713764 PARENT COMPANY MA POINT32HEALTH N/A KP VENTURES LLC SERIES B 1 KAISER PLAZA OAKLAND CA 94612 273339892 HEALTHCARE CA TAHMO N/A KP VENTURES LLC SERIES D 1 KAISER PLAZA OAKLAND CA 94612 471874366 HEALTHCARE CA TAHMO N/A HPHC INSURANCE COMPANY INC 1 WELLNESS WAY CANTON MA 020211166 043149694 HEALTH INSURANCE MA NEW HPHC HOLDCO C CORP true PLAN MARKETING INSURANCE AGENCY INC 1500 W PARK DRIVE STE 330 WESTBOROUGH MA 01581 042734281 BROKERAGE MA HEALTH PLANS C CORP true HPHC INSURANCE AGENCY INC 1 WELLNESS WAY CANTON MA 020211166 043016201 BROKERAGE MA NEW HPHC HOLDCO C CORP true HEALTH PLANS INC 1500 W PARK DRIVE STE 330 WESTBOROUGH MA 01581 042734278 TPA MA NEW HPHC HOLDCO C CORP true CARE MANAGEMENT SERVICES INC 1500 W PARK DRIVE STE 330 WESTBOROUGH MA 01581 043438779 CARE MANAGEMENT MA HEALTH PLANS C CORP true NEW HPHC HOLDING CORPORATION 1 WELLNESS WAY CANTON MA 020211166 815340662 HOLDING COMPANY DE HPHC INC C corp 1.00000 true POINT32HEALTH SERVICES INC 1 WELLNESS WAY CANTON MA 02021 042985923 MANAGEMENT SVCS DE TAHMO C CORP true TUFTS INSURANCE COMPANY 1 WELLNESS WAY CANTON MA 02021 043319729 INSURANCE MA P32H SRVCS C CORP true TUFTS BENEFIT ADMINISTRATORS INC 1 WELLNESS WAY CANTON MA 02021 043270923 TPA MA P32H SRVCS C CORP true TOTAL HEALTH PLAN INC 1 WELLNESS WAY CANTON MA 02021 042918943 TPA MA P32H SRVCS C CORP true TAHP BROKERAGE CORPORATION 1 WELLNESS WAY CANTON MA 02021 043072692 BROKERAGE MA P32H SRVCS C CORP true INTEGRA PARTNERS HOLDINGS INC 100 WALL ST STE 2502 NEW YORK NY 10005 453032233 MED EQUIPT & SVCS NY TAHMO C CORP true false false true false false false false false false false false false true true true false false false false TUFTS ASSOC HEALTH MAINTEN PLAN INC M 12401000 FMV CAREPARTNERS OF CONNECTICUT HOLDINGS LLC C 11500000 FMV