SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
Colorado Health Benefit Exchange
 
Employer identification number

45-3733823
Return Reference Explanation
Form 990, Part VI, Section A, line 8b Committees do not have any delegated authority by the Board and can only discuss and make recommendations to the full Board for additional action.
Form 990, Part VI, Section B, line 11 The Form 990 is reviewed by all members of the finance committee and made available to the entire Board prior to filing.
Form 990, Part VI, Section B, line 12c All board members and employees complete conflict of interest declarations, that are updated annually, in July. The completed conflict of interest declarations are then reviewed by Human Resources and the CFO to determine if there are any risks associated with any of the disclosures.
Form 990, Part VI, Section B, line 15 Market research for the Denver area, non-profit organizations, and technology firms, as well as evaluation of salaries at comparable organizations (i.e. other state based exchanges, health IT organizations), have all been used to inform the compensation decisions of officers and employees.
Form 990, Part VI, Section C, line 19 The organization's governing documents, board policies, and financial statements are made available to the public via the Connect for Health Colorado website.
Form 990, Part XII, Line 2c There have been no changes to the audit oversight and selection process.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

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