| FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: |
THE MISSION OF AMERICA'S HEALTH INSURANCE PLANS (AHIP) AND ITS PLANS IS TO PROVIDE COVERAGE AND HEALTH-RELATED SERVICES THAT IMPROVE AND PROTECT THE HEALTH AND FINANCIAL SECURITY OF CONSUMERS, FAMILIES, BUSINESSES, COMMUNITIES, AND THE NATION. |
| FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: |
AHIP IS THE NATIONAL ASSOCIATION WHOSE MEMBERS PROVIDE HEALTH CARE COVERAGE, SERVICES, AND SOLUTIONS TO HUNDREDS OF MILLIONS OF AMERICANS EVERY DAY. WE ARE COMMITTED TO MARKET-BASED SOLUTIONS AND PUBLIC-PRIVATE PARTNERSHIPS THAT MAKE HEALTH CARE BETTER AND COVERAGE MORE AFFORDABLE AND ACCESSIBLE FOR EVERYONE. |
| FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: |
ADVOCACY: THE FEDERAL AFFAIRS TEAM DIRECTS THE ASSOCIATION'S LEGISLATIVE STRATEGY, ADVOCATES THE INDUSTRY'S POSITIONS, EDUCATES POLICYMAKERS ON INDUSTRY ISSUES AND MANAGES RELATIONSHIPS ON CAPITOL HILL AND WITH THE ADMINISTRATION. FEDERAL AFFAIRS ACTIVELY WORKS ON ALL SIGNIFICANT PIECES OF HEALTH CARE LEGISLATION, AS WELL AS COORDINATING THE INDUSTRY'S RESPONSE TO CONGRESSIONAL OVERSIGHT ACTIVITIES. AHIP'S STATE AFFAIRS TEAM COORDINATES THE INDUSTRY'S ADVOCACY EFFORTS ON LEGISLATION AND REGULATION IN ALL 50 STATES, DC AND PUERTO RICO, WORKING CLOSELY WITH MEMBER-COMPRISED STATE STRATEGY TEAMS, STATE-BASED HEALTH INSURANCE PLAN TRADE ASSOCIATIONS, AS WELL AS THE NAIC. AHIP'S STATE AFFAIRS MANAGES A NATIONAL NETWORK OF LOBBYING CONSULTANTS AND TRACKS MORE THAN 10,000 PIECES OF LEGISLATION AND REGULATIONS. |
| FORM 990, PART III, LINE 4B, PROGRAM SERVICE ACCOMPLISHMENTS: |
POLICY, REGULATORY AND INNOVATION, QUALITY AND PARTNERSHIP: AHIP'S ADVOCACY IS COMPLEMENTED BY A ROBUST POLICY, REGULATORY, CLINICAL AND LEGAL OPERATION. THE POLICY & REGULATORY AFFAIRS (PRA) TEAM LEADS THE INDUSTRY'S PUBLIC POLICY STRATEGY, PROVIDES ANALYSIS OF LEGISLATION AND POLICY PROPOSALS, AND DEVELOPS POLICY PROPOSALS. THE PRA OPERATION INCLUDES A TEAM OF EXPERTS DEVOTED TO SPECIFIC INSURANCE PRODUCTS AND CROSS-CUTTING ISSUES THAT AFFECT THE ENTIRE INDUSTRY. THIS TEAM BRINGS A SOLUTIONS-ORIENTED APPROACH TO ITS ANALYSIS OF PRIVATE MARKET REGULATION AND FUNDING TO FOSTER CHOICE AND COMPETITION FOR CONSUMERS. IT ALSO ENGAGES WITH ALL THE KEY FEDERAL AGENCIES AND STATE INSURANCE COMMISSIONERS. THE INNOVATION, QUALITY AND PARTNERSHIP TEAM WORKS CLOSELY WITH INDUSTRY CHIEF MEDICAL OFFICERS, CHIEF PHARMACY OFFICERS, MEDICAL DIRECTORS, AND OTHER CLINICAL STAFF TO SPEARHEAD A WIDE RANGE OF INITIATIVES RELATED TO THE INDUSTRY'S VALUE PROPOSITION, TRANSFORMATION OF THE DELIVERY SYSTEM, RECOGNITION AND ENHANCEMENT OF MEDICAL MANAGEMENT TOOLS AND IMPROVING THE OVERALL QUALITY OF HEALTH CARE AND BETTER HEALTH OUTCOMES FOR THEIR MEMBERS. AFFAIRS AND RESEARCH: AHIP CONDUCTS AND PUBLISHES ORIGINAL RESEARCH AND PROVIDES ANALYSIS AND COMMENTARY ON THE RESEARCH OF OTHERS. THEY SEEK TO DEMONSTRATE THE VALUE PROPOSITION OF PRIVATE HEALTH INSURANCE PLANS, AND EDUCATE THE POLICY COMMUNITY AND NEWS MEDIA ABOUT KEY PROGRAMS, PRODUCTS AND MARKET SEGMENTS THAT ARE OF INTEREST TO POLICYMAKERS. AHIP'S PUBLIC AFFAIRS STAFF WORKS PROACTIVELY TO SHAPE MEDIA COVERAGE AND OPINION LEADER DIALOGUE AROUND IMPORTANT HEALTH POLICY AND INDUSTRY SPECIFIC ISSUES. PUBLIC AFFAIRS STAFF CONDUCTS PUBLIC OPINION RESEARCH TO MONITOR INDUSTRY ISSUES AND DEVELOP EFFECTIVE MESSAGES, WHILE ALSO UTILIZING NEW MEDIA TOOLS FOR RAPID RESPONSE AND FACT CHECKING. IN ADDITION, PUBLIC AFFAIRS ENGAGES IN COALITION BUILDING WITH ORGANIZATIONS THAT ARE ALLIED WITH AHIP ON KEY ISSUES AND TOPICS. |
| FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS: |
CONFERENCES AND EDUCATION: FOR MORE THAN 50 YEARS, AMERICA'S HEALTH INSURANCE PLANS HAS BEEN EDUCATING HEALTH CARE PROFESSIONALS FOCUSED ON CONTINUOUSLY IMPROVING OUR HEALTH CARE SYSTEM. AHIP'S UNIQUE COMBINATION OF CONFERENCES, SELF STUDY COURSES, MULTIMEDIA, WHITE PAPERS, AND DESIGNATION PROGRAMS PROVIDE THE FLEXIBILITY TO MEET THE DIVERSE NEEDS OF PROFESSIONALS OF ALL LEVELS. OUR EDUCATIONAL PROGRAMS FOCUS ON THE NEWEST APPROACHES, TRENDS AND EMERGING ISSUES. THE CONFERENCES AND EDUCATION STAFF CONTINUOUSLY UPDATE PROGRAMS TO ENSURE THEY ARE RELEVANT AND BENEFICIAL TO THE EVOLVING HEALTH CARE SYSTEM. |
| FORM 990, PART VI, SECTION A, LINE 6 |
THE ORGANIZATION HAS MAJOR MEDICAL AND NON-MAJOR MEDICAL MEMBERS WITH VOTING RIGHTS. |
| FORM 990, PART VI, SECTION A, LINE 7A |
THE ORGANIZATION'S MAJOR MEDICAL AND NON-MAJOR MEDICAL MEMBERS HAVE THE POWER TO ELECT DIRECTORS OF THE ORGANIZATION AND THE ORGANIZATION'S EXECUTIVE COMMITTEE HAS THE POWER TO APPOINT A DIRECTOR TO FILL A VACANCY AND MANAGE THE AFFAIRS OF THE CORPORATION AS DELEGATED BY THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B |
THE ORGANIZATION'S MAJOR MEDICAL AND NON-MAJOR MEDICAL MEMBERS HAVE APPROVAL RIGHTS OVER CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION AND THE ORGANIZATION'S EXECUTIVE COMMITTEE HAS THE AUTHORITY TO MAKE DECISIONS ON THE BOARD'S BEHALF IN CERTAIN MATTERS. |
| FORM 990, PART VI, SECTION B, LINE 11B |
THE FORM 990 IS REVIEWED BY CFO, GENERAL COUNSEL AND AHIP MANAGEMENT PRIOR TO FILING. RESPONSES TO QUESTIONS AND ADDITIONAL INFORMATION ARE REVIEWED FOR APPROPRIATENESS. ADDITIONALLY, FORM 990 IS REVIEWED AND APPROVED BY CEO AND AHIP BOARD CHAIR PRIOR TO FINAL FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C |
THE FOLLOWING IS A SUMMARY OF HOW THE ORGANIZATION MONITORS AND ENFORCES CONFLICTS OF INTEREST AS IT APPLIES TO OFFICERS AND DIRECTORS ("AHIP INDIVIDUALS"): 1. MONITORING. THE SECRETARY AND/OR CEO WILL BE RESPONSIBLE FOR MONITORING THE COMPLIANCE WITH AND THE EFFECTIVENESS OF THE CONFLICTS OF INTEREST POLICY FOR AHIP OFFICERS AND DIRECTORS AND SHALL PROVIDE REGULAR REPORTS TO THE ADMINISTRATIVE COMMITTEE CONCERNING THE SAME. AS PART OF SUCH RESPONSIBILITIES, THE SECRETARY AND/OR THE CEO SHALL UNDERTAKE OR SUPERVISE THE UNDERTAKING OF THE FOLLOWING ACTIONS: (A) ANNUALLY PREPARE THE LIST OF AHIP INDIVIDUALS WHO SHALL BE SUBJECT TO THE REPORTING REQUIREMENTS OF THE ANNUAL DISCLOSURE FORM; (B) SUPERVISE THE DISTRIBUTION, COLLECTION AND REVIEW OF FORMS; (C) PREPARE THE LISTS TO TRACK AND ORGANIZE THE INFORMATION GATHERED ON THE FORMS SUBMITTED AND TAKE OTHER NECESSARY MEASURES TO FACILITATE THE TIMELY IDENTIFICATION OF CONFLICTS AND ACCURATE REPORTING ON AHIP'S ANNUAL IRS FORM 990 INFORMATION RETURN; (D) PREPARE AN UPDATE FORM TO ALLOW FOR CHANGES OR UPDATES TO THE ANNUAL FORM TO BE RETURNED WITHIN 60 DAYS OF ANY SUCH CHANGE OR UPDATE; (E) MONITOR PROCEDURES TO ENSURE THAT ONCE A CONFLICT OF INTEREST IS IDENTIFIED, PROCEEDINGS COMPLY WITH THE PROCEDURES SET FORTH IN SECTIONS 2, 3, AND 4 BELOW; AND (F) ADDRESS ANY DEFICIENCIES OR MEASURES FOR IMPROVEMENT OF THE PROCEDURES UNDER THIS POLICY WITH THE EXECUTIVE COMMITTEE. 2. RESOLUTION OF CONFLICTS BY AHIP CEO AND SECRETARY. WHEN CONFLICTS OR POTENTIAL CONFLICTS ARISE, THEY SHOULD BE EVALUATED THOROUGHLY BY THE SECRETARY AND/OR CEO. CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST SHOULD BE RESOLVED, IF POSSIBLE, BY THE AHIP INDIVIDUAL INVOLVED AND THE SECRETARY AND/OR THE CEO. RESOLUTIONS COULD INCLUDE: (A) TAKING NO ACTION; (B) ASSURING FULL DISCLOSURE TO THE BOARD OF DIRECTORS ("BOARD") AND OTHER INDIVIDUALS COVERED BY THIS POLICY; (C) ASKING THE PERSON TO RECUSE HIMSELF OR HERSELF FROM PARTICIPATION IN RELATED DISCUSSIONS OR DECISIONS WITHIN AHIP; OR (D) ASKING THE PERSON TO RESIGN FROM HIS OR HER AHIP POSITION, OR IF THE PERSON REFUSES TO RESIGN, SUBJECTING HIM OR HER TO REMOVAL PROCEDURES. 3. CONFLICTS WHICH CANNOT BE RESOLVED BY AHIP CEO AND SECRETARY. IF ANY CONFLICT OR POTENTIAL CONFLICT CANNOT BE RESOLVED BY THE AHIP INDIVIDUAL INVOLVED AND THE SECRETARY AND THE CEO, THE MATTER SHALL BE RESOLVED BY THE EXECUTIVE COMMITTEE, WHICH SHOULD REPORT ANY SUCH CONFLICT OR POTENTIAL CONFLICT AND ITS RESOLUTION TO THE BOARD AS SOON AS PRACTICABLE. THE BOARD SHALL RATIFY OR ALTER THE ACTION OF THE EXECUTIVE COMMITTEE WITH RESPECT TO ANY CONFLICT OR POTENTIAL CONFLICT. 4. CONFLICTS INVOLVING AHIP CEO. IF ANY CONFLICT OR POTENTIAL CONFLICT OF INTEREST INVOLVES THE CEO, THE MATTER IN THE FIRST INSTANCE SHALL BE REFERRED TO AND RESOLVED BY THE EXECUTIVE COMMITTEE, WITH REVIEW BY THE BOARD. 5. COMPLIANCE. IF THE BOARD HAS REASONABLE CAUSE TO BELIEVE THAT AN AHIP INDIVIDUAL HAS FAILED TO COMPLY WITH THIS POLICY, THE BOARD MAY COUNSEL THE AHIP INDIVIDUAL REGARDING SUCH FAILURE AND, IF THE ISSUE IS NOT RESOLVED TO THE BOARD'S SATISFACTION, MAY CONSIDER ADDITIONAL CORRECTIVE ACTION AS APPROPRIATE. |
| FORM 990, PART VI, SECTION B, LINE 15A |
THE BOARD MAINTAINS FORMAL PROCESSES AND PROCEDURES FOR DETERMINING COMPENSATION FOR THE PRESIDENT OF THE ORGANIZATION. COMPARATIVE SALARY INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD, PAST CHAIRMAN OF THE BOARD, & INCOMING CHAIRMAN OF THE BOARD. WHEN MAJOR CHANGES ARE MADE, THESE INDIVIDUALS HAVE DEEMED IT NECESSARY TO EMPLOY OUTSIDE COMPENSATION CONSULTANTS TO REVIEW AND MAKE RECOMMENDATIONS BASED ON THEIR FINDINGS. |
| FORM 990, PART VI, SECTION C, LINE 19 |
THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND IRS FORM 990 TAX RETURN ARE AVAILABLE UPON REQUEST BY TELEPHONE OR IN WRITING. THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. |
| FORM 990, PART IX, LINE 11G |
CONSULTANT & CONTRACT SERVICES 18,479,559. |
| FORM 990, PART IX, LINE 24B: |
AHIP INCURRED EXPENSES TO ORGANIZATIONS AS PART OF ITS ADVOCACY EFFORTS ON HEALTH CARE ISSUES ASSOCIATED WITH ENSURING ACCESSIBLE, AFFORDABLE AND SUSTAINABLE HEALTH INSURANCE COVERAGE FOR ALL AMERICANS. EXPENSES WERE INCURRED TO ORGANIZATIONS THAT GENERALLY ALIGNED WITH AHIP'S VIEWS ON ISSUES FACING THE HEALTH INSURANCE INDUSTRY - NAMELY, THAT POLICIES, REGULATIONS, AND LAWS MUST BUILD ON THE EXISTING COMPETITIVE MARKETS; MAKE HEALTH CARE COVERAGE MORE AFFORDABLE FOR INDIVIDUALS, FAMILIES AND EMPLOYERS; RESTRUCTURE HEALTH CARE DELIVERY TO PROMOTE QUALITY, VALUE AND BETTER HEALTH OUTCOMES; AND PUT THE HEALTH CARE SYSTEM ON A PATH THAT IS FISCALLY RESPONSIBLE AND SUSTAINABLE. ACTIVITIES PERFORMED BY ORGANIZATIONS TO WHICH AHIP INCURRED EXPENSES INCLUDED GRASSROOTS OUTREACH, EDUCATION AND MOBILIZATION; PRINT, ONLINE, AND BROADCAST ADVERTISING; AND COALITION BUILDING EFFORTS. AHIP DID NOT CONTROL OR DIRECT ANY OF THESE ACTIVITIES. AHIP HAS DISCLOSED THESE EXPENSES ON PART IX, LINE 24B - ADVOCACY, IN ORDER TO MAKE CLEAR THAT THESE EXPENSES WERE UNENCUMBERED; ACCORDINGLY AHIP IS NOT REPORTING THESE EXPENSES ON PART IX, LINE 1 AS GRANT OR OTHER ASSISTANCE, OR ON PART IX, LINE 11D AS A LOBBYING FEE. |
Attach to Form 990 or 990-EZ.