2025-11-12T12:11:14-07:00 2024-12-31 990 2024-01-01 742615873 TEXAS MUTUAL INSURANCE COMPANY TEXA 8008595995 2200 Aldrich Street Austin TX 78723 Erica Sanchez VP Financial Services & Controller 5122247972 2025-11-12 1 2024 2025-03-06 01:10:19Z X Bill Potter 2200 Aldrich Street Austin TX 78723 5531742949 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 1102 0 6736012 5922435 0 0 1115850503 1083347155 269243531 447128373 1230574 1712285 1386324608 1532187813 15009450 17105929 0 0 161897783 171809594 0 0 0 1108481362 1127176844 1285388595 1316092367 100936013 216095446 8419583416 8566132270 3541481691 3519011475 4878101725 5047120795 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 help to prevent on-the-job injuries and illnesses and minimize their consequences. 0 0 1532187813 The Company wrote over 85,000 workers' compensation policies in 2024 covering approximately 1.7 million Texas employees. During the year, the Company processed just over 47,000 claims and paid out approximately $460 million in medical and income benefits to injured workers. $350 million in dividends was distributed to approximately 70,000 policyholders and an additional $23 million in dividends was distributed to 26 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 1 1 0 1 5667 0 1 1102 1 1 1 0 0 0 0 0 1 0 X 9 9 0 0 1 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 0 X 1548094 0 168649 Leonard Johnson SVP Investments 40 0 X 894839 0 51780 Paul Schlaud SVP Enterprise Affairs & General Counsel 40 0 X 818606 0 109174 Willard Potter SVP & CFO 40 0 X 763584 0 126014 Michael Hernandez Chief Data Officer 40 0 X 668030 0 65306 Jeffrey Lentz SVP Underwriting 40 0 X 590893 0 132678 Kim Haugaard SVP Policyholder Services 40 0 X 601452 0 114282 Lawrence Martin SVP Human Resources 40 0 X 568370 0 110748 Jeannette Sprague SVP & Chief Information Officer 40 0 X 617050 0 61792 Jo Betsy Norton SVP Public Affairs 40 0 X 587783 0 53780 Elise Teeter SVP & General Auditor 40 0 X 487942 0 101410 Nathan Scott VP Investments 40 0 X 457618 0 113656 Phoebe Murphy Chief Actuary & VP of Enterprise Analytics 40 0 X 454180 0 101382 Edward Coates VP HR Employee Services 40 0 X 418446 0 116370 Shannon Pounds VP & Associate General Counsel 40 0 X 443987 0 89800 Erica Sanchez VP & Controller 40 0 X 422072 0 105405 Peppia Sherrouse VP Claim Operations 40 0 X 431117 0 96100 Beverly Harris VP Corporate Strategy & Product 40 0 X 429062 0 97692 Anthony Seraphim VP Digital Transformation 40 0 X 423453 0 95540 Amy Green-Hinojosa VP Project Management Office 40 0 X 403457 0 110420 Lisa Evans VP Distribution & Customer Engagement 40 0 X 440227 0 73088 Richard Dabney VP Corporate Underwriting 40 0 X 422478 0 90651 David John VP IT Infrastructure 40 0 X 398777 0 112304 Roger Humecky VP Data Analytics & Business Intelligence 40 0 X 415048 0 92519 Jeremiah Bentley VP Marketing & Community Affairs 40 0 X 383586 0 113163 Greta Gonzales VP & Chief Risk Officer 40 0 X 405464 0 90408 David Morton VP Underwriting Operations 40 0 X 400974 0 93171 Toni Toliver VP Business Law 40 0 X 401008 0 88286 Eric Bourquin VP Safety Services 40 0 X 376800 0 106842 James Ziolkowski VP Regional Operations 40 0 X 415972 0 65306 Billy Jackson VP Regional Operations 40 0 X 409323 0 62310 Jackie Kenyon VP Special Litigation 40 0 X 374702 0 91275 John Sapp VP Information Security 40 0 X 384599 0 63032 Matthew Smith VP Engineering 40 0 X 360123 0 70116 Nicholas Tsourmas Medical Director 30 0 X 351155 0 62241 Rhonda Barker VP Premium Audit 40 0 X 338216 0 72241 Ronald Ellis Simmons Director 4 0 X 198000 30000 0 Gregory Carter Chief Transformation Officer 40 0 X 200000 0 0 Tommy Dan Phillips Director 4 0 X 135000 0 0 Alexia Selene Elliott Director 4 0 X 105000 30000 0 Steven Dudley Oldham Director 4 0 X 105000 30000 0 William Francis Quinn Director 4 0 X 130000 0 0 Kristina Rose Koncaba Director 4 0 X 120000 0 0 Brett Baker Flagg Director 4 0 X 120000 0 0 Gary Gibson Director 4 0 X 115000 0 0 Kevin Mart Robnett Director 4 0 X 105000 0 0 19641487 90000 3368931 556 0 1 0 OCCUPATIONAL HEALTH CENTERS OF PO BOX 75388 OKLAHOMA CITY OK 73147 Medical and Healthcare 16512441 TECHHEALTH INC PO BOX 206774 DALLAS TX 75320 Medical and Healthcare 13463253 MEMORIAL HERMANN HOSPITAL HEAL PO BOX 301208 DALLAS TX 75303 Medical and Healthcare 10521195 ALIGN NETWORKS INC PO BOX 105159 ATLANTA GA 30348 Medical and Healthcare 9130497 TMC PROVIDER GROUP PLLC 13722 EMBASSY ROW SAN ANTONIO TX 78216 Medical and Healthcare 3537358 375 0 Premiums Earned 524126 1083347155 1083347155 0 0 0 0 0 0 1083347155 328751955 0 62370 328689585 0 0 0 0 0 0 0 0 847825 0 0 0 847825 0 847825 0 0 847825 4117931554 0 3999555136 0 118376418 0 118376418 0 6673642 111702776 Finance and Service Charges 524126 833962 833962 0 0 Retroactive Reinsurance 524126 24800 24800 0 0 Shared Services Income 524126 5698 0 0 5698 0 0 0 0 864460 1532187813 1084205917 6736012 441245884 16597833 508096 23010418 111197216 11040438 17428118 9133404 295665 562646 680202 29389738 27381984 9929325 5068683 29403435 18596371 2560875 1045846 445787 3583451 1379653 Losses Incurred & Loss adjustment expense 446843583 Dividends to Policyholders 372249585 Net Commission and brokerage 145889074 Unrelated Business Income Tax 1507538 30363403 1316092367 0 0 0 -29234788 -29590726 119603019 163586605 478925051 480367510 119687413 28536241 93552706 91151172 5809735333 6041419005 1902403066 1768127464 44599029 51071240 8419583416 8566132270 126932442 113450155 534135691 536034419 0 0 2880413558 2869526901 3541481691 3519011475 X 0 0 0 0 4878101725 5047120795 4878101725 5047120795 8419583416 8566132270 X 216095446 -37360261 -9716115 X 0 1 X 1 0 8173406 0 8173406 100778265 0 18103762 82674503 0 0 0 0 10735742 0 10432479 303263 0 0 0 0 91151172 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STE 101 LUBBOCK TX 79401 752081274 501(c)3 88000 Workforce Development & Safety Training LONE STAR JUSTICE ALLIANCE 3809 S FIRST ST AUSTIN TX 78704 822345921 501(c)3 100000 Workforce Development & Safety Training JAIL TO JOBS PO BOX 2737 CEDAR PARK TX 78630 271601066 501(c)3 88000 Workforce Development & Safety Training GOODWILL INDUSTRIES OF CENTRAL TEXAS INC 1015 NORWOOD PARK BLVD AUSTIN TX 78753 741322808 501(c)3 75000 Workforce Development & Safety Training HOUSTONS CAPITAL INVESTING IN DEVELOPMENT AND EMPLOYMENT OF ADULTS INC 2101 CRAWFORD ST STE 211 HOUSTON TX 77002 472462360 501(c)3 100000 Workforce Development & Safety Training HOSPICE OF TEXARKANA INC 2407 GALLERIA OAKS DR TEXARKANA TX 75503 752025071 501(c)3 34000 Workforce Development & Safety Training TEXAS A&M UNIVERSITY - KINGSVILLE FOUNDATION 700 UNVERSITY BLVD MSC 173 KINGSVILLE TX 78363 237166534 501(c)3 65000 Workforce Development & Safety Training HOME BUILDERS INSTITUTE 1201 15TH ST NW 6TH FLOOR WASHINGTON DC 20005 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COUNTY EMPOWERMENT COUNCIL 11821 EAST FREEWAY SUITE STE 500 HOUSTON TX 77029 270377576 501(c)3 50000 Workforce Development & Safety Training THE GEORGETOWN PROJECT PO BOX 957 GEORGETOWN TX 78627 742807713 501(c)3 25000 Workforce Development & Safety Training MISSION ROAD DEVELOPMENTAL CENTER 8706 MISSION RD SAN ANTONIO TX 78214 746024405 501(c)3 32500 Workforce Development & Safety Training DRESS FOR SUCCESS AUSTIN 3000 S IH35 STE 180 AUSTIN TX 78704 134220559 501(c)3 50000 Workforce Development & Safety Training LATCHED SUPPORT INC 8102 MIDCROWN DRIVE WINDCREST TX 78239 822701432 501(c)3 100000 Workforce Development & Safety Training CRISTO REY FORT WORTH CATHOLIC HIGH SCHOOL 2633 ALTAMESA BLVD FORT WORTH TX 76133 474720831 501(c)3 50000 Workforce Development & Safety Training COMMUNITY FAMILY CENTERS 7524 AVENUE E HOUSTON TX 77012 741691632 501(c)3 44000 Workforce Development & Safety Training GREATER WACO COLLECTIVE IMPACT INITIATIVE 1105 WOODED ACRES DR STE 400 WACO TX 76710 465714986 501(c)3 95000 Workforce Development & Safety Training HOUSING AND COMMUNITY SERVICES INC 3419 NACOGDOCHES SAN ANTONIO TX 78217 742685268 501(c)3 30000 Workforce Development & Safety Training WORKFORCE SOLUTIONS SOUTHEAST TEXAS INC PO BOX 3607 BEAUMONT TX 77704 710890212 501(c)3 85000 Workforce Development & Safety Training TEXAS SOUTHMOST COLLEGE FOUNDATION 80 FORT BROWN BROWNSVILLE TX 78520 742338565 501(c)3 50000 Workforce Development & Safety Training NPOWER INC 1402 CORINTH ST STE 137 DALLAS TX 75215 134145441 501(c)3 45000 Workforce Development & Safety Training WILEY UNIVERSITY 711 WILEY AVE MARSHALL TX 75670 750818183 501(c)3 100000 Workforce Development & Safety Training TEACH FOR AMERICA INC PO BOX 843423 DALLAS TX 75284 133541913 501(c)3 100000 Workforce Development & Safety Training SAN ANTONIO LIGHTHOUSE FOR THE BLIND AND VISUALLY IMPAIRED 2305 ROOSEVELT AVE SAN ANTONIO TX 78210 741339051 501(c)3 60000 Workforce Development & Safety Training LUBBOCK AREA UNITED WAY 1655 MAIN ST STE 101 LUBBOCK TX 79401 750961812 501(c)3 100000 Workforce Development & Safety Training STATE FIREMENS AND FIRE MARSHALS ASSOCIATION OF TEXAS PO BOX 1709 MANCHACA TX 78652 741707516 501(c)3 300000 Workforce Development & Safety Training LAMAR INSTITUTE OF TECHNOLOGY 855 E LAVACA CECIL BEESON BLDG ROOM 249 BEAUMONT TX 77705 760694136 100000 College Safety Grant ODESSA COLLEGE 201 W UNIVERSITY ODESSA TX 79764 756002907 100000 College Safety Grant EL PASO COMMUNITY COLLEGE DIST PO BOX 20500 EL PASO TX 79998 741690850 100000 College Safety Grant KILGORE COLLEGE ATTN FINANCIAL AID AND SCHOLARSHIP 1100 BROADWAY LONGVIEW TX 75662 756001909 100000 College Safety Grant TEXARKANA COLLEGE ATTN PRESIDENT 2500 N ROBISON RD TEXARKANA TX 75501 756004413 100000 College Safety Grant MIDLAND COLLEGE DISTRICT 3600 N GARFIELD STREET MIDLAND TX 79705 751403958 100000 College Safety Grant COLLEGE OF THE MAINLAND 1200 AMBURN ROAD TEXAS CITY TX 77591 741555808 100000 College Safety Grant AMARILLO JUNIOR COLLEGE DISTRICT P O BOX 447 AMARILLO TX 79178 756000031 100000 College Safety Grant ANGELINA COUNTY JUNIOR COLLEGE VICE PRESIDENT OF BUSINESS 3500 SOUTH FIRST ST LUFKIN TX 75904 751244347 100000 College Safety Grant 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 ATTN UNIVERSITY ADVANCEMENT 3900 UNIVERSITY BLVD TYLER TX 75799 756001354 150000 Generational Learning TRIO EDUCATION LLC 11413 TODD STREET HOUSTON TX 77055 843902797 60000 Workforce Development & Safety Training TYLER JUNIOR COLLEGE PO BOX 9020 TYLER TX 75711 756002676 98000 Workforce Development & Safety Training LAMAR INSTITUTE OF TECHNOLOGY PO BOX 10043 BEAUMONT TX 77710 760694136 100000 Workforce Development & Safety Training UNITED WAY FOR GREATER AUSTIN 5930 Middle Fiskville Road 5th floor Room 505-4 Austin TX 78752 741193439 501(c)3 49932 Gross proceeds from sale and/or estimated fair market value Three vehicles donated American Heart Association Inc 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)3 78511 Estimated fair market value Three vehicles donated Texas Can Cars for Kids 7100 Marvin D Love Freeway Dallas TX 75237 462077931 501(c)3 48190 Estimated fair market value Two vehicles donated Literacy Coalition of the Permian Basin 3500 N A St Suite 2700 Midland TX 79705 871306190 501(c)3 22072 Estimated fair market value One vehicle donated 157 14 Scholarships for students attending ABILENE CHRISTIAN UNIVERSITY 1 13200 Scholarships for students attending BAYLOR UNIVERSITY 1 13200 Scholarships for students attending BLINN COLLEGE 2 13200 Scholarships for students attending COLLEGE OF SOUTHERN NEVADA 1 13200 Scholarships for students attending DEL MAR COLLEGE 1 6600 Scholarships for students attending HILLSBOROUGH COMMUNITY COLLEGE 1 13200 Scholarships for students attending HUSTON-TILLOTSON UNIVERSITY 1 13200 Scholarships for students attending KILGORE COLLEGE 1 6600 Scholarships for students attending LAMAR UNIVERSITY 1 13200 Scholarships for students attending LONE STAR COLLEGE 1 6600 Scholarships for students attending MIDWESTERN STATE UNIVERSITY 2 19800 Scholarships for students attending ODESSA COLLEGE 1 6339 Scholarships for students attending SALEM STATE UNIVERSITY 2 26400 Scholarships for students attending SAM HOUSTON STATE UNIVERSITY 1 13200 Scholarships for students attending SAN JACINTO COMMUNITY COLLEGE FOUNDATION PASADENA TX 2 12068 Scholarships for students attending SOUTH PLAINS COLLEGE 1 13127 Scholarships for students attending SOUTHWEST TEXAS JUNIOR COLLEGE 1 6600 Scholarships for students attending TARLETON STATE UNIVERSITY 2 13200 Scholarships for students attending TEXAS A&M UNIVERSITY 5 36775 Scholarships for students attending TEXAS A&M UNIVERSITY SAN ANTONIO 1 6600 Scholarships for students attending TEXAS STATE UNIVERSITY SAN MARCOS 2 26400 Scholarships for students attending TEXAS TECH UNIVERSITY 2 19800 Scholarships for students attending TEXAS WOMENS UNIVERSITY 1 16500 Scholarships for students attending The University of Texas at El Paso 1 13200 Scholarships for students attending UNIVERSITY OF HOUSTON 1 13200 Scholarships for students attending UNIVERSITY OF LOUISIANA AT LAFAYETTE 1 6600 Scholarships for students attending UNIVERSITY OF NORTH TEXAS 2 26400 Scholarships for students attending UNIVERSITY OF SOUTH FLORIDA 1 18150 Scholarships for students attending UNIVERSITY OF ST THOMAS 2 13200 Scholarships for students attending UNIVERSITY OF TEXAS RIO GRANDE 1 13200 Scholarships for students attending UNIVERSITY OF THE INCARNATE WORD 1 13200 Scholarships for students attending UNIVERSITY OF UTAH 2 33000 Scholarships for students attending VICTORIA COLLEGE 1 6061 Scholarships for students attending WEATHERFORD COLLEGE 2 11700 Scholarships for students attending WHARTON COUNTY JUNIOR COLLEGE 1 6600 Schedule I, Part I, Line 2 Grantees are required to submit a 6 and/or 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 738821 0 712599 0 96674 0 158425 0 10224 0 1716743 0 78980 0 Leonard Johnson SVP Investments 520756 0 244709 0 129374 0 41556 0 10224 0 946619 0 0 0 Paul Schlaud SVP Enterprise Affairs & General Counsel 467536 0 339681 0 11389 0 78654 0 30520 0 927780 0 0 0 Willard Potter SVP & CFO 495674 0 230188 0 37722 0 94820 0 31194 0 889598 0 26090 0 Michael Hernandez Chief Data Officer 407521 0 196629 0 63880 0 41556 0 23750 0 733336 0 0 0 Jeannette Sprague SVP & Chief Information Officer 319504 0 183351 0 114194 0 41556 0 20236 0 678841 0 0 0 Kim Haugaard SVP Policyholder Services 362819 0 172480 0 66153 0 101008 0 13274 0 715734 0 52736 0 Jeffrey Lentz SVP Underwriting 350440 0 173722 0 66731 0 99273 0 33405 0 723571 0 53542 0 Jo Betsy Norton SVP Public Affairs 348111 0 163438 0 76234 0 41556 0 12224 0 641563 0 0 0 Lawrence Martin SVP Human Resources 354212 0 168776 0 45383 0 99524 0 11224 0 679119 0 33043 0 Elise Teeter SVP & General Auditor 299005 0 142266 0 46671 0 82630 0 18780 0 589352 0 35570 0 Gregory Carter Chief Transformation Officer 0 0 0 0 200000 0 0 0 0 0 200000 0 0 0 Nathan Scott VP Investments 312806 0 112435 0 32377 0 81086 0 32570 0 571274 0 19881 0 Phoebe Murphy Chief Actuary & VP of Enterprise Analytics 288899 0 105268 0 60014 0 78930 0 22452 0 555563 0 49162 0 Shannon Pounds VP & Associate General Counsel 295636 0 105105 0 43246 0 71020 0 18780 0 533787 0 32246 0 Lisa Evans VP Distribution & Customer Engagement 301255 0 107228 0 31744 0 71888 0 1200 0 513315 0 20604 0 Peppia Sherrouse VP Claim Operations 290212 0 99592 0 41314 0 76720 0 19380 0 527218 0 29153 0 Beverly Harris VP Corporate Strategy & Product 283885 0 104898 0 40279 0 76992 0 20700 0 526754 0 30257 0 Anthony Seraphim VP Digital Transformation 299901 0 102832 0 20720 0 70139 0 25401 0 518993 0 9580 0 Richard Dabney VP Corporate Underwriting 284195 0 101021 0 37261 0 58081 0 32570 0 513128 0 14310 0 Erica Sanchez VP & Controller 275664 0 96714 0 49694 0 83925 0 21480 0 527477 0 39025 0 Edward Coates VP HR Employee Services 277743 0 99079 0 41624 0 83800 0 32570 0 534816 0 29500 0 James Ziolkowski VP Regional Operations 265379 0 93639 0 56953 0 41556 0 23750 0 481277 0 0 0 Roger Humecky VP Data Analytics & Business Intelligence 282801 0 99363 0 32884 0 70689 0 21830 0 507567 0 21071 0 Billy Jackson VP Regional Operations 266661 0 90369 0 52293 0 41556 0 20754 0 471633 0 0 0 Greta Gonzales VP & Chief Risk Officer 274250 0 96296 0 34919 0 69300 0 21108 0 495873 0 22346 0 Amy Green-Hinojosa VP Project Management Office 256289 0 92881 0 54287 0 80900 0 29520 0 513877 0 42890 0 Toni Toliver VP Business Law 271249 0 94906 0 34852 0 68431 0 19855 0 489293 0 23848 0 David Morton VP Underwriting Operations 285342 0 104549 0 11083 0 60601 0 32570 0 494145 0 0 0 David John VP IT Infrastructure 283246 0 106107 0 9424 0 88178 0 24126 0 511081 0 0 0 John Sapp VP Information Security 277196 0 96132 0 11271 0 51808 0 11224 0 447631 0 0 0 Jeremiah Bentley VP Marketing & Community Affairs 249253 0 88903 0 45430 0 80593 0 32570 0 496749 0 34375 0 Eric Bourquin VP Safety Services 247430 0 91802 0 37567 0 72565 0 34277 0 483641 0 26952 0 Jackie Kenyon VP Special Litigation 242024 0 85402 0 47276 0 70840 0 20435 0 465977 0 34972 0 Matthew Smith VP Engineering 255264 0 55731 0 49128 0 46366 0 23750 0 430239 0 17162 0 Nicholas Tsourmas Medical Director 276243 0 64507 0 10405 0 41541 0 20700 0 413396 0 0 0 Rhonda Barker VP Premium Audit 236336 0 84094 0 17787 0 62017 0 10224 0 410458 0 6799 0 Schedule J, Part I, Line 1a Social Club memberships were paid for Brenda Ward, Jo Betsy Norton, James Ziolkowski, Jeffrey Lentz, and Leonard Johnson. The memberships are used for marketing and lobbying purposes. Schedule J, Part I, Line 4 a) Severance payment (separation agreement voluntarily entered into by both parties) paid to Jeannette Sprague in the amount of $99,652; b) Texas Mutual Insurance Company manages a non-qualified deferred compensation plan for managers and highly compensated employees. Contributions are considered vested 5 years after the contribution date or when the participant reaches age 62. Amounts are as follows: Brenda Ward $78,980; Willard Potter $26,090; Kim Haugaard $52,736; Jeffrey Lentz $53,542; Lawrence Martin $33,043; Elise Teeter $35,570; Nathan Scott $19,881; Phoebe Murphy $49,162; Shannon Pounds $32,246; Lisa Evans $20,604; Peppia Sherrouse $29,153; Beverly Harris $30,257; Anthony Seraphim $9,580; Richard Dabney $14,310; Erica Sanchez $39,025; Edward Coates $29,500; Roger Humecky $21,071; Greta Gonzales $22,346; Amy Green-Hinojosa $42,890; Toni Toliver $23,848; Jeremiah Bentley $34,375; Eric Bourquin $26,952; Jackie Kenyon $34,972; Matthew Smith $17,162; Rhonda Barker $6,799 Form 990, Part VI, Section A, Line 4 There were changes made to the bylaws that included the movement of some conflict of interest details to a separate, more detailed Code of Conduct. The bylaws also now authorize the Nominating and Governance Committee to review potential interested party transactions. Additional changes to governance documents include authority given to the Audit Committee Charter to approve the engagement of an independent external auditor to perform the audits of TXM's retirement plans. 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 $(9,713,115); Change in Provision for Reinsurance $(3,000). Carlyle Credit Opportunities TX Co-Invest LLC 1001 Pennsylvania Avenue NW Suite 220 South Washington DC 20004 920327395 Generate investment income DE 966438 12633692 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 1235607 21255038 0 0 1 TXM Holdings LLC 2200 Aldrich Street Austin TX 78723 920522011 Holding company for healthcare subsidiary TX Texas Mutual Insurance Company C 489696 18162408 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 Audax DLS Co-Investment Fund 5 LP b 13366577 Schedule K-1 TXM Holdings LLC a-iv 27833 Monthly invoice detail TXM Holdings LLC b 21500000 Form 1120 TXM Holdings LLC l 78494 Monthly invoice detail TXM Holdings LLC o 125821 Monthly invoice detail TXM Holdings LLC q 499222 Monthly invoice detail