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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
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OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
MVP HEALTH PLAN INC
 
Employer identification number

14-1640868
Return Reference Explanation
FORM 990, PART VI, SECTION A, QUESTION 4 The governing body (Board of Directors) approved the revision of the Bylaws to include modifications related to frequency of the executive committee meetings and to allow separate persons to serve as president and CEO and to allow the CEO to be a voting member of the board of directors if so appointed.
FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B The organization is a membership (not a stock) corporation under New York State Law. The organization's sole corporate member is MVPHP Holding Company, Inc.
FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE GOVERNING BODY (BOARD OF DIRECTORS) ELECT THE MEMBERS OF THE GOVERNING BODY ANNUALLY.
FORM 990, PART VI, SECTION B, QUESTION 11B The form 990 is reviewed by the organization's management team (i.e. a team comprised of representatives of the Finance, Human Resources, and Legal Affairs departments) in consultation with the organization's tax accountants at KPMG. The financial review is based on the organization's audited financial statements for the relevant time period. Before the form 990 is filed with the IRS, the audit committee of the board of directors reviews the form 990 and provides a copy of the same to the organization's full board of directors.
FORM 990, PART VI, SECTION B, LINE 12C As a term and condition of employment/appointment, upon employment/appointment and annually thereafter, each employee and officer of the organization is required to complete a conflict of interest disclosure form, providing management with sufficient information about their personal interests and relationships so that management can: 1) make a determination as to whether an actual or perceived conflict of interest exists, and 2) monitor work assignments/responsibilities to avoid placing the individual in a position where there may be a question as to objectivity and to avoid any appearance of impropriety. Employees and officers are also obligated to promptly notify their managers of any changes to their disclosures throughout the year. Also, the legal affairs department submits a copy of employees' (VP and higher) completed disclosure conflict of interest forms to the audit committee of the board. Directors of the organization are also required to complete a conflict of interest disclosure form upon appointment/election and annually thereafter. Director's conflict of interest disclosure forms are submitted to the legal affairs department. The legal affairs department tracks these forms to ensure that each and every director completes one. The legal affairs department then reviews the directors' disclosures, prepares a chart listing each one and provides a copy of the chart to the audit committee of the board of directors and each director so that all directors are made aware of all directors' potential conflicts of interest. When an issue which presents a potential conflict of interest comes before the board of directors, the affected director must recuse himself/herself from all related votes or approvals.
FORM 990, PART VI, SECTION B, QUESTION 15 A AND B An independent consultant is hired annually to evaluate the compensation arrangements for the CEO and the CEO's direct reports and compare them to the industry standards to determine/confirm that the compensation structure is reasonable. Such compensation arrangements are subject to the final approval of the compensation committee of the organization's board of directors. This process meets the requirements of the rebuttable presumption standard.
FORM 990, PART VI, SECTION C, QUESTION 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public (upon request) in accordance with applicable law and regulation.
FORM 990, PART VII, LINE 2 The number of individuals reported only includes directors, officers, key employees, and highest compensated employees that received greater than or equal to $100,000 in reportable compensation during the year. All employee compensation except for director compensation is recorded in the management allocation and this allocation does not include detail by employee. For Form 990 reporting purposes, the organization tracks allocated compensation for select individuals, including directors, officers, key employees, and highest compensated employees.
FORM 990, PART XI, LINE 9, OTHER CHANGES IN NET ASSETS BAD DEBT EXPENSE: (11,996,425) CHANGE IN INVESTMENT IN HHP: ( 1,706,816) PRIOR YEAR ADJUSTMENT - HHP: ( 1,836,904) ----------------- TOTAL OTHER CHANGES IN NET ASSETS: (15,540,145)
FORM 990, PART V, LINE 4B ADDITIONAL FOREIGN COUNTRIES: Netherlands Norway Portugal Sweden South Korea Spain Switzerland United Kingdom
FORM 990, PART I, LINE 7B UNRELATED BUSINESS TAXABLE INCOME MVP HEALTH PLAN'S UNRELATED BUSINESS TAXABLE INCOME FOR TAX YEAR 2018 INCLUDED $353,556 IN EXPENSES INCURRED TO MAINTAIN EMPLOYEE PARKING SPACES. UNDER INTERNAL REVENUE CODE SECTION 512(A)(7), SUCH EXPENSES ARE INCLUDED IN UNRELATED BUSINESS TAXABLE INCOME AS AMOUNTS PAID FOR DISALLOWED FRINGES AND ARE THEREFORE REFLECTED IN PART I, LINE 7B. PART I, LINE 7A INCLUDES ONLY REVENUES REPORTED ON PART VIII, COLUMN (C) AS UNRELATED BUSINESS REVENUE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


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