2026-06-29T10:21:16-05:00 2025-12-31 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2025-01-01 020499340 New Hampshire Individual Health Plan Benefit Association NEWH 6032256633 1 Pillsbury Street 200 Concord NH 03301 Christopher Kennedy Chair 6032256633 2026-06-25 1 Joseph R Byrne P01289281 2077752387 2026-06-25 2025 2025-03-06 01:10:19Z Benefit Assoc Christopher Kennedy 1 Pillsbury Street 200 Concord NH 03301 65745175 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 primary 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, all health maintenance organizations, health service corporations and third party administrators licensed in the State of New Hampshire, and all entities providing group excess loss insurance to an employer with a principal place of business in the State or which covers lives in the State. 10 10 0 12 0 0 32044848 28035719 35355489 37042642 833410 666814 0 0 68233747 65745175 44618413 42326115 0 0 0 0 0 0 0 23624542 23419060 68242955 65745175 -9208 0 24310027 29706883 24310027 29706883 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 primary 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, all health maintenance organizations, health service corporations and third party administrators licensed in the State of New Hampshire, and all entities providing group excess loss insurance to an employer with a principal place of business in the State or which covers lives in the State. 0 1 22878450 26511389 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. 42563103 42326115 10531253 The Association collects assessments from its members on behalf of 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. 65441553 0 1 0 1 0 0 0 0 0 0 0 0 0 0 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 1 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 Brenda Golden Hallisey Board Member 1.00 X 0 0 0 Jon Hendrickson Board Member 1.00 X 0 0 0 Elaine Koskela Board Member 1.00 X 0 0 0 Tu Nguyen Board Member 1.00 X 0 0 0 David Trudo Board Member 1.00 X 0 0 0 Michelle Heaton Past Board Member 1.00 X 0 0 0 Bradley Long Past Board Member 1.00 X 0 0 0 J Michael Degnan Exective Director 15.00 X 0 0 0 Andrew Luce Chief Financial Officer 10.00 X 0 0 0 Mark McCue Assistant Secretary 1.00 X 0 0 0 0 0 0 0 0 0 0 Helms & Company 1 Pillsbury Street Suite 200 Concord NH 03301 Management Company 466420 Public Consulting Group Inc 148 State Street 10th Floor Boston MA 021092589 Application Renewal/Ongoing Reinsurance 192513 2 28035719 28035719 Member Assessments 524298 37042642 37042642 37042642 666814 666814 65745175 37042642 0 666814 42326115 42326115 460898 246250 214648 29123 29123 48330 48330 70467 70467 961 961 522 522 10957 10957 10038 10038 Remittance to NH Health 22787764 22787764 65745175 65441553 303622 0 11381560 15045028 9617640 10770116 9200 457060 3301627 3434679 24310027 29706883 354782 82998 23955245 29623885 24310027 29706883 X 0 0 24310027 29706883 0 0 X 0 1 X 1 1 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 X 65745175 0 65745175 0 65745175 65745175 0 65745175 0 65745175 Part X, Line 2: For the years ended December 31, 2025 and 2024, 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 it has 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, 2025 and 2024. 1 Centene Corporation 7700 Forsyth Boulevard St Louis MO 63105 060641618 11878414 0 NH Reinsurance Program Matthew Thornton Health Plan Inc 1155 Elm Street Suite 200 Manchester NH 03101 020494919 24997775 0 NH Reinsurance Program Harvard Pilgrim Health Care of NE 1 Wellness Way Canton MA 02021 042663394 501(c)(4) 4226911 0 NH Reinsurance Program Anthem Health Plans of New Hampshire Inc 1155 Elm Street Suite 200 Manchester NH 03101 020510530 1223014 0 NH Reinsurance Program 0 4 Part I, Line 2: Eligibility of grant funds is determined based on guidelines approved by the State of New Hampshire 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 New Hampshire 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 reinsurance grant allocations are calculated, they are reviewed and approved by the Subcontracted CFO and Executive Director 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 New Hampshire 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, in consultation with experts and legal counsel and the Insurance Commissioner, reviewed the actuarial analysis and proposed a state market stabilization program in conjunction with 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 Amended and Restated Plan of Operation (the "Second Amendment") 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 federal agency approval of the State's Section 1332 waiver application and its projected "pass-through savings." On September 30, 2020, the Insurance 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 Amended and Restated Plan of Operation (the "Third Amendment") 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. 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 established annually by the Association's Board of Directors and approved by the New Hampshire Insurance Department Commissioner by March 31 of the prior year. The Amended and Restated Plan of Operation, as further 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 State of New Hampshire initially was granted a Section 1332 Waiver under the Affordable Care Act, with the Association designated as the grantee responsible for its administration. The Waiver had an expiration date of December 31, 2025. In 2024 the Association filed an application with, and received from, the Centers for Medicare & Medicaid Services (CMS) an extension of the Section 1332 Waiver, ensuring the continued operation of the Reinsurance Program through December 31, 2030 absent subsequent federal administrative or legislative changes. In 2024, the Association consolidated all prior amendments to its Amended and Restated Plan of Operation and made additional amendments to conform to the revisions to RSA 404-G (which became effective January 1, 2024) by replacing its Amended and Restated Plan of Operation with a Second Amended and Restated Plan of Operation (sometimes referred to as the "Second Restated Plan"). The Second Restated Plan, as subsequently amended, governs the Association's administration of each of its programs. 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 III, line 3 The Ground Ambulance Study was substantially complete by the end of 2024. As a result, limited activity related to the Study was reported in 2025 and reference to the Study has been removed from the program service accomplishments described in Form 990. 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 2025, compensation paid to the management company by the Organization for these services totaled $466,420, 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 Association Board's Finance Committee before it is filed. The Finance Committee reviews the return for accuracy and reports its findings to the Board of Directors. After an opportunity to seek clarifications and recommend revisions, 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.