2024-09-26T11:59:03-05:00 2023-12-31 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2023-01-01 020499340 New Hampshire Individual Health Plan Benefit Association NEWH 6032256633 1 Pillsbury Street 200 Concord NH 03301 Christopher Kennedy Chair 6032256633 2024-06-14 1 1 Joseph R Byrne P01289281 2077752387 2024-06-14 2023 2024-08-08 14:25:15Z Benefit Assoc Christopher Kennedy 1 Pillsbury Street 200 Concord NH 03301 68023523 0 X www.nhhp.org X 1997 NH See Schedule O The Association was created pursuant to the order of the New Hampshire insurance commissioner with the purpose of supporting the State's individual health plan programs. The purpose of the Association is to protect the residents of New Hampshire who participate in the individual health insurance market by providing a mechanism to equitably distribute the excess risk associated with this market. The Association's membership consists, by statute, of all insurers licensed to transact health insurance in the State of New Hampshire that offer policies for major medical coverage of an expense-incurred basis and all licensed hospitals, medical service corporations, or other organizers, if any, in the state that offer subscriber contacts for major medical coverage. 10 10 0 11 0 0 31544102 26565613 34657695 35803750 150660 759699 0 0 66352457 63129062 45030249 39790021 0 0 0 0 0 0 0 21300713 23350724 66330962 63140745 21495 -11683 24479679 22694901 24479679 22694901 0 0 X See Schedule O The Association was created pursuant to the order of the New Hampshire insurance commissioner with the purpose of supporting the State's individual health plan programs. The purpose of the Association is to protect the residents of New Hampshire who participate in the individual health insurance market by providing a mechanism to equitably distribute the excess risk associated with this market. The Association's membership consists, by statute, of all insurers licensed to transact health insurance in the State of New Hampshire that offer policies for major medical coverage of an expense-incurred basis and all licensed hospitals, medical service corporations, or other organizers, if any, in the state that offer subscriber contacts for major medical coverage. 0 0 22835279 22759728 The Association collects assessments from its members on behalf of the State of New Hampshire to support its current Medicaid Expansion Program, known as the Granite Advantage Health Care Program. The funds are then used by the State as required by statute to support the State's expansion of Medicaid services to a broader segment of the underserved population in New Hampshire. 39999775 39790021 13044022 The Association collects assessments from its members on behalf the State of New Hampshire to support its New Hampshire Reinsurance Program, which was established as a mechanism to equitably distribute the excess risk associated with the individual health insurance market and to support the affordability and accessibility of health insurance in New Hampshire's individual health insurance market. The reinsurance program reimburses health plan issuers who offer comprehensive, major medical plans in New Hampshire's individual market that are part of a single-risk pool based on a percentage of annual claims that issuers incur for coverage under such plans. 62835054 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 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 0 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X X Helms & Company 6032256633 1 Pillsbury Street 200 Concord NH 03301 X Christopher Kennedy Chair 1.00 X X 0 0 0 Kathryn Skouteris Vice-Chair 1.00 X X 0 0 0 Martha McLeod Secretary 1.00 X X 0 0 0 Bruce King Treasurer 1.00 X X 0 0 0 Gregg Daly Board Member 1.00 X 0 0 0 David Ellis Board Member 1.00 X 0 0 0 Michelle Heaton Board Member 1.00 X 0 0 0 Bradley Long Board Member 1.00 X 0 0 0 Steve Phillips Board Member 1.00 X 0 0 0 David Trudo Board Member 1.00 X 0 0 0 Mark McCue Assistant Secretary 1.00 X 0 0 0 J Michael Degnan Executive Director 15.00 X 0 0 0 Andrew Luce Chief Financial Officer 10.00 X 0 0 0 0 0 0 0 0 0 0 Helms & Company 1 Pillsbury Street Suite 200 Concord NH 03301 Management Company 389126 1 26565613 26565613 Member Assessments 524298 35803146 35803146 Miscellaneous Income 524298 604 604 35803750 635001 635001 5019159 4894461 124698 124698 124698 63129062 35803750 0 759699 39790021 39790021 421553 227276 194277 31725 31725 58016 58016 10954 10954 57979 57979 854 854 8857 8857 9865 9865 Remittance to NH Health 22750921 22750921 63140745 62835054 305691 0 751224 160071 8191253 10588634 8135928 8641600 1110123 156977 6291151 3147619 24479679 22694901 47069 70508 24242373 22434156 190237 190237 24479679 22694901 X 0 0 0 0 0 0 24479679 22694901 -11683 11683 0 X 0 1 X 1 1 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 Other Liabilities 190237 190237 X 63129791 11683 11683 63118108 10954 10954 63129062 63129791 0 63129791 10954 10954 63140745 Part X, Line 2: For the years ended December 31, 2023 and 2022, management has evaluated its tax positions in accordance with FASB ASC 740-10, Accounting for Uncertain Tax Positions. The Association's management does not believe they have taken uncertain tax positions; therefore, a liability for income taxes associated with uncertain tax positions has not been recognized. Additionally, the Association did not recognize interest or penalties resulting from tax liabilities associated with recognizing uncertain tax positions for the years ended December 31, 2023 and 2022. 1 Centene Corporation 7700 Forsyth Boulevard St Louis MO 63105 060641618 16737277 0 NH Reinsurance Program Matthew Thornton Health Plan Inc 1155 Elm Street Suite 200 Machester NH 03101 020494919 13132670 0 NH Reinsurance Program Harvard Pilgram Health Care of NE 1 Wellness Way Canton MA 02021 042663394 501(3)(4) 9920074 0 NH Reinsurance Program 0 3 Part I, Line 2: Eligibility of grant funds is determined based on guidelines approved by the State of NH under the State Innovation Waiver under Section 1332 of the Affordable Care Act through the NH Reinsurance Program. The allocation of grant funds to participating health insurance carriers is based on reinsurance parameters established each year by the NH Insurance Department based on recommendations from the Board of Directors and the Commission of the Status of Health Coverage Markets for Individual and Small Employers. Once the allocation of grant funds are calculated, the Board of Directors is responsible for reviewing and approving the funds prior to disbursement. Form 990 - Additional Information In its 2019 session, the New Hampshire Legislature amended Section 12 of the New Hampshire Revised Statutes annotated to permit the insurance commissioner, if supported by the recommendation of actuarial experts, to request that the Association propose a plan of operation for risk sharing program, reinsurance program, or other program that will best support the availability and affordability of the individual insurance market in the State. Pursuant to the 2019 statutory amendments and based on the report of his actuarial experts, the insurance commissioner issued an order on February 25, 2020 requiring the Association to assess and develop a proposal for a reinsurance program with support of federal funding in the form of shared savings under a state innovation waiver under Section 1332 of the Affordable Care Act. In response to the insurance commissioner's order, the Association engaged its management team, in consultation with experts and legal counsel and the insurance commissioner, to review the actuarial analysis and determine the components of a proposed state market stabilization program and its anticipated costs and operational procedures and to develop a related Section 1332 waiver application. To document its proposed program pursuant to Section 12 of this statute, the Association adopted a second amendment to its restarted plan on March 11, 2020. During 2020, all of the conditions to the implementation of the proposed program known as the "New Hampshire Reinsurance Program" (The "Reinsurance Program") were met, including approval by the US Department of Health and Human Services and the US Department of the Treasury of the State's Section 1332 waiver application and its projected "pass-through savings." On September 30,2020, the insurance of commissioner issued a supplemental order directing that the Association, as administrator of the reinsurance program, receive the federal grant monies under the Section 1332 waiver. The Association adopted a third amendment to its restarted plan on October 20, 2020, which allows and directs the Association to become the grantee of record under the Section 1332 waiver. The reinsurance program commenced operation on January 1, 2021, and is administered by the Association on behalf of the New Hampshire Department of Insurance. The Reinsurance program reimburses issuers who offer comprehensive, major medical plans in New Hampshire's individual market that are part of the single-risk pool. Payments to carriers are to be calculated based on a percentage (Coinsurance percentage) of the annual claims that issuers incur for coverage under such plans between a specified lower threshold (attachment points) and under threshold (reinsurance cap). The reinsurance parameters are to be determined each year the insurance department by March 31st of the prior year based on recommendations of the board of directors of the Association and the commission of the status of health coverage markets for individual and small employers. The restated plan, as amended, requires that all funding collected for the reinsurance program will be paid out (for payments to issuers and for program administration) for the year for which it is collected, but no additional state funds will be provided for the reinsurance program. The Association's obligation to make payments to issuers under the reinsurance program is limited to the extent of funding received by the Association in connection with the reinsurance program. The Association received exemption for the IRS as a tax exempt social service organization as described under Section 501(C)(4) effective June 24, 2021. Form 990, Part VI, Section A, line 3 During the year, J. Michael Degnan, Executive Director, and Andrew Luce, CFO, provided services to the Organization through an independent management company, Helms & Company, who appoints individuals to perform these roles. Services provided by the management company include overseeing and managing business and financial operations for the Organization. The Board of Directors selects and approves the management company and provides oversight to the services provided to the Organization. During 2023, compensation paid to the management company by the Organization for these services totaled $389,126 and is reported on Form 990, Part VII, Section B. The amounts of reportable or other compensation received by Mr. Degnan or Mr. Luce for services provided are not known by the Organization. Form 990, Part VI, Section A, line 7a The compostion of the board of directors is established by the following: (I) 3 directors elected by writers of group health insurance; (II) 2 directors elected by writers of individual health insurance; (III) 2 additional directors if elected by both the group health insurance writers and individual health insurance writers; and (IV) 4 directors appointed by the insurance commissioner Form 990, Part VI, Section B, line 11b A copy of the Form 990 is presented to the finance committee before it is filed. The finance committee reviews the return for accuracy and reports its findings to the board of directors. The board of directors approves the Form 990 before it is filed. Form 990, Part VI, Section B, line 12c The conflict of interest policy is part of the ethics policy which requires the organization to perform an annual update and disclosure. Form 990, Part VI, Section C, line 19 Governing documents are held in care of Helms & Company in Concord, NH and are available upon request. Form 990 is available on the NHHP website.