2024-11-14T10:52:09-07:00 2023-12-31 990 2023-01-01 742615873 TEXAS MUTUAL INSURANCE COMPANY TEXA 8008595995 2200 Aldrich Street Austin TX 78723 Erica Sanchez VP Financial Services & Controller 5122247972 2024-11-06 1 2023 2024-10-15 13:58:12Z X Bill Potter 2200 Aldrich Street Austin TX 78723 5105465351 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 1091 0 7119412 6365151 0 0 1076017857 1115850503 222927619 269243531 1409781 1230574 1300355257 1386324608 11358371 15009450 0 0 144637852 161897783 0 0 0 1053919082 1108481362 1209915305 1285388595 90439952 100936013 8234972587 8419583416 3500176871 3541481691 4734795716 4878101725 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 1386324608 The Company wrote over 83,000 workers' compensation policies in 2023 covering approximately 1.7 million Texas employees. During the year, almost 47,000 claims were processed and approximately $430 million in medical and income benefits were paid out to injured workers. $340 million in dividends was distributed to approximately 69,000 policyholders and an additional $22 million in dividends was distributed to 27 safety groups. 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 1 1 0 0 1 5819 0 1 1091 1 1 1 0 0 0 0 0 1 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 Erica Sanchez 5122247328 2200 Aldrich Street Austin TX 78723 Brenda Ward President & CEO 40 X 1044088 0 140997 Richard Gergasko President & CEO 40 X 1037694 50000 26272 Michael Hernandez Chief Data Officer 40 X 767523 0 104553 Leonard Johnson SVP Investments 40 X 794541 0 52491 Willard Potter SVP & CFO 40 X 682776 0 113056 Paul Schlaud SVP Enterprise Affairs & General Counsel 40 X 621026 0 100812 Kim Haugaard SVP Policyholder Services 40 X 542533 0 107821 Jeffrey Lentz SVP Underwriting 40 X 524506 0 123614 Jeannette Sprague SVP & Chief Information Officer 40 X 577938 0 67651 Lawrence Martin SVP Human Resources 40 X 524182 0 101477 Jo Betsy Norton SVP Public Affairs 40 X 549905 0 52214 David John VP IT Infrastructure 40 X 425393 0 110282 Elise Teeter SVP & General Auditor 40 X 446803 0 88055 Nathan Scott VP Investments 40 X 419836 0 97795 Phoebe Murphy VP & Chief Actuary, Enterprise Analytics 40 X 413106 0 88455 Erica Sanchez VP & Controller 40 X 395003 0 90816 Edward Coates VP HR Employee Services 40 X 379053 0 106105 Richard Dabney VP Corporate Underwriting 40 X 384120 0 99637 Shannon Pounds VP & Associate General Counsel 40 X 396173 0 82761 Peppia Sherrouse VP Claim Operations 40 X 385797 0 90129 Beverly Harris VP Corporate Strategy & Product 40 X 389491 0 83417 David Morton VP Underwriting Operations 40 X 402444 0 68371 Lisa Evans VP Distribution & Customer Engagement 40 X 400060 0 68292 Amy Green-Hinojosa VP Project Management Office 40 X 362125 0 102248 Jeremiah Bentley VP Marketing & Community Affairs 40 X 357781 0 104935 Greta Gonzales VP & Chief Risk Officer 40 X 373601 0 82707 Roger Humecky VP Data Analytics & Business Intelligence 40 X 368522 0 80260 Anthony Seraphim VP Data Governance 40 X 359566 0 87432 Adrian Vanzulli VP Engineering 40 X 355734 0 88732 Toni Toliver VP Business Law 40 X 360673 0 80921 Billy Jackson VP Regional Operations 40 X 380294 0 60240 Eric Bourquin VP Safety Services 40 X 345328 0 94958 James Ziolkowski VP Regional Operations 40 X 375369 0 61790 Jackie Kenyon VP Special Litigation 40 X 341743 0 81429 Nicholas Tsourmas Medical Director 30.00 X 355012 0 58740 John Sapp VP Information Security 40 X 349435 0 58906 Rhonda Barker VP Premium Audit 40 X 313706 0 66623 Ronald Ellis Simmons Director 4 X 186000 22500 0 Tommy Dan Phillips Director 4 X 131250 0 0 Kristina Rose Koncaba Director 4 X 130000 0 0 Alexia Selene Elliott Director 4 X 105000 22500 0 Steven Dudley Oldham Director 4 X 105000 22500 0 Brett Baker Flagg Director 4 X 127000 0 0 William Francis Quinn Director 4 X 105750 0 0 John Dayton Swanson Director 4 X 104500 0 0 Kevin Mart Robnett Director 4 X 102000 0 0 Gary Gibson Director 4 X 25500 0 0 18624880 117500 3174994 475 0 1 0 OCCUPATIONAL HEALTH CENTERS OF PO BOX 75388 OKLAHOMA CITY OK 73147 Medical and Healthcare 15688887 MEMORIAL HERMANN HOSPITAL HEAL PO BOX 301208 DALLAS TX 75303 Medical and Healthcare 14836552 TECHHEALTH INC PO BOX 206774 DALLAS TX 75320 Medical and Healthcare 10332108 ALIGN NETWORKS INC PO BOX 105159 ATLANTA GA 30348 Medical and Healthcare 6707699 TMESYS LLC PO BOX 850001 DEPT 0559 ORLANDO FL 32885 Medical and Healthcare 3352328 374 0 Premiums Earned 524126 1115850503 1115850503 0 0 0 0 0 0 1115850503 284188929 0 -653703 284842632 0 0 0 0 0 0 0 0 776169 0 0 0 776169 0 776169 0 0 776169 3684858887 19336458 3699627210 19513533 -14768323 -177075 -14945398 0 7773115 -22718513 Finance and Service Charges 524126 454405 454405 0 0 0 0 0 0 454405 1386324608 1116304908 7119412 262900288 14531171 478279 21799874 107202049 10103488 13995298 8797074 252665 582866 627784 27013958 24936027 9297879 4292457 26044538 19490012 2170398 748838 70634 4765517 1368947 Losses Incurred & Loss adjustment expense 433567103 Dividends to Policyholder 361652075 Net Commission and brokerage 155702904 Total taxes, licenses and fees 27024801 8871959 1285388595 0 0 0 -30721234 -29234788 142055396 119603019 446583722 478925051 119055905 25503199 98032387 93552706 5823686093 5809735333 1702426936 1902403066 52909287 44599029 8234972587 8419583416 138437427 126932442 507349014 534135691 0 0 2854390430 2880413558 3500176871 3541481691 X 0 0 0 0 4734795716 4878101725 4734795716 4878101725 8234972587 8419583416 X 100936013 47829813 -5459817 X 0 1 X 1 0 8173406 0 8173406 100146757 0 15356122 84790635 0 0 0 0 10735742 0 10147077 588665 0 0 0 0 93552706 ARES GLOBAL MULTI-ASSET CREDIT FD 46834574 F AUDAX DLS FUND II B-1 FEEDER LLC 23075373 F CHURCHILL MID MKT SR LN FUND IV LP 167587939 F CHURCHILL MID MKT SR LN 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756005352 501(c)3 100000 Workforce Development & Safety Training VALLEY INITIATIVE FOR DEVELOPMENT AND ADVANCEMENT 417 SO OHIO AVE MERCEDES TX 78570 742768931 501(c)3 100000 Workforce Development & Safety Training WAYSIDE SCHOOLS ATTN FINANCE ADMINNISTRATION 6215 MENCHACA RD AUSTIN TX 78745 742869144 501(c)3 85000 Workforce Development & Safety Training WILKINSON CENTER 8344 E RL THORNTON FREEWAY STE 235 DALLAS TX 75228 752712117 501(c)3 85000 Workforce Development & Safety Training WORKSOURCE GREATER AUSTIN AREA WORKFORCE BOARD 9001 N IH 35 110 AUSTIN TX 78753 742327454 501(c)3 85000 Workforce Development & Safety Training AMARILLO JUNIOR COLLEGE DISTRICT P O BOX 447 AMARILLO TX 79178 756000031 100000 College Safety Grants ANGELINA COUNTY JUNIOR COLLEGE VICE PRESIDENT OF BUSINESS 3500 SOUTH FIRST ST LUFKIN TX 75904 751244347 100000 College Safety Grants COLLEGE OF THE MAINLAND 1200 AMBURN ROAD TEXAS CITY TX 77591 741555808 100000 College Safety Grants EL PASO COMMUNITY COLLEGE DIST PO BOX 20500 EL PASO TX 79998 741690850 100000 College Safety Grants KILGORE COLLEGE ATTN FINANCIAL AID AND SCHOLARSHIP 1100 BROADWAY LONGVIEW TX 75662 756001909 100000 College Safety Grants LAMAR INSTITUTE OF TECHNOLOGY 855 E LAVACA CECIL BEESON BLDG ROOM 249 BEAUMONT TX 77705 760694136 200000 College Safety Grants MIDLAND COLLEGE DISTRICT 3600 N GARFIELD STREET MIDLAND TX 79705 751403958 100000 College Safety Grants ODESSA COLLEGE 201 W UNIVERSITY ODESSA TX 79764 756002907 100000 College Safety Grants TEXARKANA COLLEGE ATTN PRESIDENT 2500 N ROBISON RD TEXARKANA TX 75501 756004413 100000 College Safety Grants INDEPENDENT INSURANCE AGENTS OF THE PANHANDLE PO BOX 945 AMARILLO TX 79105 756035761 20000 Disaster Relief Funds AVANCE NORTH TEXAS 2060 SINGLETON BLVD 103 DALLAS TX 75212 752699260 100000 Generational Learning AVANCEAUSTIN PO BOX 19105 AUSTIN TX 78760 911916705 100000 Generational Learning CMC FOUNDATION OF CENTRAL TEXAS 4900 MUELLER BLVD AUSTIN TX 78723 200468031 100000 Generational Learning THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON 700 FANNIN STREET HOUSTON TX 77030 741761309 150000 Generational Learning UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER 11937 US HIGHWAY 271 TYLER TX 75708 756001354 150000 Generational Learning DEL VALLE INDEPENDENT SCHOOL DISTRICT 5301 ROSS RD DEL VALLE TX 78617 741472531 100000 Workforce Development & Safety Training STATE FIREMENS AND FIRE MARSHALS ASSOCIATION OF TEXAS PO BOX 1709 MANCHACA TX 78652 741707516 300000 Workforce Development & Safety Training TRIO EDUCATION LLC 11413 TODD STREET HOUSTON TX 77055 843902797 90000 Workforce Development & Safety Training AMERICAN HEART ASSOCIATION INC 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)3 28727 Three vehicles donated UNITED WAY FOR GREATER AUSTIN 5930 Middle Fiskville Road 5th floor Room 505-4 Austin TX 78752 741193439 501(c)3 44675 Four vehicles donated 129 18 Scholarships for students attending ABILENE CHRISTIAN UNIVERSITY 1 6600 Scholarships for students attending BLINN COLLEGE 2 13200 Scholarships for students attending CLARK ATLANTA UNIVERSITY 1 6600 Scholarships for students attending COLLEGE OF SOUTHERN NEVADA 1 13200 Scholarships for students attending HUSTON-TILLOTSON UNIVERSITY 1 6600 Scholarships for students attending KILGORE COLLEGE 1 6600 Scholarships for students attending LAMAR STATE COLLEGE 1 9900 Scholarships for students attending LAMAR UNIVERSITY 1 13200 Scholarships for students attending LONE STAR COLLEGE 1 19800 Scholarships for students attending MIDWESTERN STATE UNIVERSITY 2 19800 Scholarships for students attending OKLAHOMA STATE UNIVERSITY 1 6600 Scholarships for students attending PIMA MEDICAL INSTITUTE 1 6600 Scholarships for students attending SALEM STATE UNIVERSITY 2 13200 Scholarships for students attending SAM HOUSTON STATE UNIVERSITY 1 13200 Scholarships for students attending SOUTH EDUCATION OF TEXAS - MEMBER LLC 1 6600 Scholarships for students attending SOUTH PLAINS COLLEGE 1 6600 Scholarships for students attending SOUTHWEST TEXAS JUNIOR COLLEGE 1 9900 Scholarships for students attending TARLETON STATE UNIVERSITY 4 48846 Scholarships for students attending TEXAS A&M INTERNATIONAL UNIVERSITY 1 6600 Scholarships for students attending TEXAS A&M UNIVERSITY 3 32320 Scholarships for students attending TEXAS A&M UNIVERSITY SAN ANTONIO 1 6600 Scholarships for students attending TEXAS STATE UNIVERSITY SAN MARCOS 5 59400 Scholarships for students attending TEXAS TECH UNIVERSITY 1 6600 Scholarships for students attending TEXAS WOMENS UNIVERSITY 1 9900 Scholarships for students attending THE UNIVERSITY OF TEXAS AT ARLINGTON 1 6600 Scholarships for students attending THE UNIVERSITY OF TEXAS RIO GRANDE VALLEY 1 8601 Scholarships for students attending TYLER JUNIOR COLLEGE 1 13200 Scholarships for students attending UNIVERSITY OF HOUSTON 1 6600 Scholarships for students attending UNIVERSITY OF NORTH TEXAS 2 26400 Scholarships for students attending UNIVERSITY OF SOUTH FLORIDA 1 6600 Scholarships for students attending UNIVERSITY OF ST THOMAS 1 13200 Scholarships for students attending UNIVERSITY OF TEXAS AT EL PASO 1 13200 Scholarships for students attending UNIVERSITY OF THE INCARNATE WORD 1 6600 Scholarships for students attending UNIVERSITY OF UTAH 1 6600 Scholarships for students attending WEST TEXAS A&M UNIVERSTY 1 11390 Schedule I, Part I, Line 2 Grantees are required to submit a 6 and 12 month report outlining their progress towards goals articulated in their application. TXM staff reviews all reports and creates an action plan for any partners not meeting expectations. Any grantee who does not submit proper reporting is not eligible for future grants. Schedule I, Part III Students qualify for the scholarship if they are a dependent of an individual that has had a death or lifetime 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. X 1 1 X 1 1 0 Brenda Ward President & CEO 660806 0 312349 0 70933 0 131625 0 9372 0 1185085 0 56354 0 Richard Gergasko President & CEO 197540 50000 0 0 840154 0 21410 0 4862 0 1063966 50000 0 0 Leonard Johnson SVP Investments 491302 0 202566 0 100673 0 39792 0 12699 0 847032 0 0 0 Michael Hernandez Chief Data Officer 390863 0 169645 0 207015 0 82555 0 21998 0 872076 0 147631 0 Willard Potter SVP & CFO 474614 0 183539 0 24623 0 84358 0 28698 0 795832 0 13044 0 Paul Schlaud SVP Enterprise Affairs & General Counsel 435493 0 174830 0 10702 0 71788 0 29024 0 721837 0 0 0 Jeannette Sprague SVP & Chief Information Officer 377326 0 117405 0 83207 0 39792 0 27859 0 645589 0 0 0 Jo Betsy Norton SVP Public Affairs 336151 0 141562 0 72193 0 39792 0 12422 0 602120 0 0 0 Kim Haugaard SVP Policyholder Services 345361 0 146271 0 50902 0 95399 0 12422 0 650355 0 36430 0 Jeffrey Lentz SVP Underwriting 330341 0 140773 0 53391 0 92705 0 30909 0 648119 0 42213 0 Lawrence Martin SVP Human Resources 339914 0 141398 0 42870 0 91105 0 10372 0 625659 0 31349 0 Elise Teeter SVP & General Auditor 284605 0 122741 0 39458 0 70859 0 17196 0 534859 0 28731 0 David John VP IT Infrastructure 284856 0 92119 0 48418 0 82610 0 27672 0 535675 0 37638 0 Nathan Scott VP Investments 294458 0 91811 0 33567 0 67721 0 30074 0 517631 0 21094 0 Phoebe Murphy VP & Chief Actuary, Enterprise Analytics 278783 0 89603 0 44721 0 74483 0 13972 0 501562 0 33901 0 David Morton VP Underwriting Operations 273171 0 35219 0 94054 0 38297 0 30074 0 470815 0 0 0 Lisa Evans VP Distribution & Customer Engagement 288831 0 89720 0 21509 0 67692 0 600 0 468352 0 10454 0 Shannon Pounds VP & Associate General Counsel 280300 0 84605 0 31267 0 65565 0 17196 0 478933 0 21193 0 Erica Sanchez VP & Controller 264766 0 82914 0 47324 0 71620 0 19196 0 485820 0 36684 0 Beverly Harris VP Corporate Strategy & Product 269759 0 80464 0 39267 0 64469 0 18948 0 472907 0 28355 0 Peppia Sherrouse VP Claim Operations 264412 0 82821 0 38564 0 71925 0 18204 0 475926 0 11528 0 Richard Dabney VP Corporate Underwriting 273171 0 74758 0 36191 0 69563 0 30074 0 483757 0 13281 0 Billy Jackson VP Regional Operations 253474 0 76934 0 49886 0 39792 0 20448 0 440534 0 0 0 Edward Coates VP HR Employee Services 267747 0 75260 0 36045 0 76031 0 30074 0 485157 0 23955 0 James Ziolkowski VP Regional Operations 254384 0 73864 0 47122 0 39792 0 21998 0 437160 0 0 0 Greta Gonzales VP & Chief Risk Officer 263802 0 77801 0 31998 0 63711 0 18996 0 456308 0 20220 0 Roger Humecky VP Data Analytics & Business Intelligence 271117 0 83911 0 13494 0 60014 0 20246 0 448782 0 0 0 Amy Green-Hinojosa VP Project Management Office 244730 0 77160 0 40235 0 75224 0 27024 0 464373 0 29866 0 Toni Toliver VP Business Law 259656 0 70815 0 30202 0 61661 0 19260 0 441594 0 19241 0 Anthony Seraphim VP Data Governance 269189 0 79723 0 10654 0 58008 0 29424 0 446998 0 0 0 Jeremiah Bentley VP Marketing & Community Affairs 239319 0 76967 0 41496 0 74861 0 30074 0 462717 0 32112 0 Adrian Vanzulli VP Engineering 265304 0 80078 0 10352 0 58658 0 30074 0 444466 0 0 0 Nicholas Tsourmas Medical Director 269610 0 65886 0 19516 0 39792 0 18948 0 413752 0 0 0 John Sapp VP Information Security 257981 0 79667 0 11788 0 38237 0 20669 0 408342 0 0 0 Eric Bourquin VP Safety Services 236410 0 76233 0 32685 0 62527 0 32431 0 440286 0 22337 0 Jackie Kenyon VP Special Litigation 232817 0 69320 0 39607 0 63969 0 17460 0 423173 0 28208 0 Rhonda Barker VP Premium Audit 226227 0 70446 0 17033 0 57251 0 9372 0 380329 0 6229 0 Schedule J, Part I, Line 1a Social Club Memberships were paid for Brenda Ward, Jo Norton, Jeffrey Lentz, and James Ziolkowski. The memberships are used for marketing and lobbying purposes. Schedule J, Part I, Line 4 a) Richard Gergasko $836,009; b) Brenda Ward $56,354; Leonard Johnson $83,754; Michael Hernandez $193,047; Willard Potter $13,044; Jeannette Sprague $60,185; Jo Betsy Norton $58,077; Kim Haugaard $36,430; Jeffrey Lentz $42,213; Lawrence Martin $31,349; Elise Teeter $28,731; David John $37,638; Nathan Scott $21,094; Phoebe Murphy $33,901; Lisa Evans $10,454; Shannon Pounds $21,193; Erica Sanchez $36,684; Beverly Harris $28,355; Peppia Sherrouse $11,528; Richard Dabney $13,281; Billy Jackson $33,851; Edward Coates $23,955; James Ziolkowski $26,835; Greta Gonzales $20,220; Amy Green-Hinojosa $29,866; Toni Toliver $19,241; Jeremiah Bentley $32,112; Eric Bourquin $22,337; Jackie Kenyon $28,208; Rhonda Barker $6,229 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 a 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, General Counsel, and General Auditor. The President or their designee approves the pay for all other employees. Form 990, Part VI, Section C, Line 19 All external requests for the 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 $(5,460,017); Change in Provision for Reinsurance $200. Carlyle Credit Opportunities TX Co-Invest LLC 1001 Pennsylvania Avenue NW Suite 220 South Washington DC 20004 920327395 Generate investment income DE 531000 16284414 Texas Mutual Insurance Company Audax DLS Co-Investment Fund 5 LP 101 Huntington Avenue 24th Floor Boston MA 02199 921050021 Generate investment income DE Texas Mutual Insurance Company Excluded 418653 6196858 0 0 1 TXM Holdings LLC 2200 Aldrich Street Austin TX 78723 920522011 Holding company for future healthcare subsidiary TX Texas Mutual Insurance Company C 65200 5947374 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 Audax DLS Co-Investment Fund 5 LP b 6051207 Schedule K-1 TXM Holdings LLC a-iv 22018 Monthly invoice detail TXM Holdings LLC b 11600000 Form 1120 TXM Holdings LLC l 51056 Monthly invoice detail TXM Holdings LLC o 179308 Monthly invoice detail TXM Holdings LLC q 479272 Monthly invoice detail