2024-11-08T11:28:23-06:00 2023-12-31 135565207 KPMG LLP 191 W NATIONWIDE BLVD STE 500 COLUMBUS OH 43215 990 2023-01-01 454749718 COLORADO HEALTH INSURANCE COOPERATIVE INC COLO 4156762126 100 PINE STREET 725 SAN FRANCISCO CA 94111 JOSEPH B HOLLOWAY JR CEO 4156762126 2024-11-08 1 0 MOLLIE LONGHOUSE P00294881 6142491929 2023 2024-10-15 13:58:12Z COLORADO HEALTHOP JOSEPH B HOLLOWAY JR 100 PINE ST SAN FRANCISCO CA 94111 36761317 0 X HTTP://RSGCA.ORG/CHIC.HTML X 2012 CO COLORADO HEALTHOP IS A CONSUMER GOVERNED AND OPERATED, NONPROFIT INSURANCE COMPANY THAT AIMS TO OFFER AFFORDABLE, HIGH QUALITY HEALTH COVERAGE TO INDIVIDUALS AND SMALL BUSINESSES. 0 0 0 0 0 0 0 0 0 0 -825339 388279 0 36373038 -825339 36761317 0 0 0 0 0 0 0 0 0 109925 5586278 109925 5586278 -935264 31175039 4168692 9353464 143722408 117720927 -139553716 -108367463 X TO IMPROVE THE HEALTH OF INDIVIDUALS AND COMMUNITIES THROUGH TRUSTED PARTNERSHIPS WITH MEMBERS, EMPLOYERS AND PROVIDERS. 0 0 SEE SCHEDULE O 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 1 1 0 0 0 X JOSEPH B HOLLOWAY JR 4156762126 100 PINE STREET STE 725 SAN FRANCISCO CA 94111 X NONE DIRECTOR 1.00 0.00 X 0 0 0 0 0 0 0 0 0 0 0 378316 378316 9963 0 9963 9963 9963 NET RISK ADJUSTMENT PROCEEDS 459900 36373038 36373038 36373038 36761317 0 0 36761317 5530505 15578 7086 32288 821 5586278 126572 126572 83740 16930 66810 66810 3754199 8869775 221111 290307 4168692 9353464 1481 116926 116926 72835129 72835129 70768872 44768872 143722408 117720927 X -139553716 -108367463 -139553716 -108367463 4168692 9353464 31175039 11214 0 X X 1 X 0 0 0 83740 16930 66810 66810 GUARANTEE FUND PAYMENTS 16862135 ALL OTHER CLAIMS 27906737 44768872 PART III, LINE 4A: PROGRAM SERVICE ACCOMPLISHMENTS COLORADO HEALTHOP WAS FORMED AND GRANTED A FEDERAL START-UP LOAN TO START A HEALTH INSURANCE COOPERATIVE UNDER THE AFFORDABLE CARE ACT IN 2012. ACTIVITIES OF THE ORGANIZATION IN 2012 AND 2013 WERE FUNDED THROUGH THE FEDERAL START-UP LOAN AND INCLUDED BUILDING THE OPERATIONAL INFRASTRUCTURE, OBTAINING A CERTIFICATE OF AUTHORITY FROM THE COLORADO DIVISION OF INSURANCE, DESIGNING BENEFIT PLANS, ESTABLISHING NETWORK ADEQUACY, AND PERFORMING OUTREACH AND AWARENESS OF A NEW HEALTH INSURANCE COMPANY IN THE COLORADO MARKET. COLORADO HEALTHOP BEGAN SELLING INDIVIDUAL AND SMALL GROUP INSURANCE POLICIES ON OCTOBER 1, 2013 WITH EFFECTIVE DATES OF JANUARY 1, 2014 AND CONTINUED TO SELL INDIVIDUAL AND SMALL GROUP HEALTH INSURANCE POLICIES ON AND OFF THE COLORADO HEALTH EXCHANGE (CONNECT FOR HEALTH COLORADO) DURING 2015. IN 2016, THE COMPANY WAS DECLARED INSOLVENT AND PLACED INTO COURT ORDERED LIQUIDATION. IN 2019, THE COMPANY RECEIVED BOTH A REINSURANCE RECOVERY AND PROCEEDS FROM THE SALE OF THE RISK CORRIDOR RECEIVABLE THAT WILL BE USED TO PAY OUTSTANDING CLAIMS. OTHER DISTRIBUTIONS WERE RECEIVED IN 2022 AND 2023. PART V, QUESTION 13A: STATEMENTS REGARDING OTHER IRS FILINGS COLORADO HEALTH INSURANCE COOPERATIVE WAS LICENSED TO ISSUE QUALIFIED HEALTH PLANS IN COLORADO IN 2014 AND 2015. THE COMPANY WAS DECLARED INSOLVENT ON JANUARY 4, 2016 AND PLACED INTO COURT ORDERED LIQUIDATION. THE PREVIOUSLY HELD RESERVES OF $1,500,000 WERE LIQUIDATED AND USED TO PAY POLICYHOLDER CLAIMS. FORM 990, PART VI, SECTION A, LINE 1A ALL OF COLORADO HEALTHOP'S BOARD MEMBERS TERMINATED ON OR BEFORE 12/31/2015 AS THE ORGANIZATION IS IN THE PROCESS OF SHUTTING DOWN. COLORADO HEALTHOP IS CURRENTLY UNDER THE CONTROL OF THE INSURANCE COMMISSIONER AS PERMANENT LIQUIDATOR. FORM 990, PART VI, SECTION A, LINE 6 THE ROCKY MOUNTAIN FARMERS UNION EDUCATIONAL AND CHARITABLE FOUNDATION, INC. ("RMFU FOUNDATION") HAS ACTED AS THE "INITIAL MEMBER" OF THE ORGANIZATION, WITH THE POWER TO APPOINT THE INITIAL GOVERNING BODY; HOWEVER, IT HAS NO CONTINUING RIGHTS TO ELECT MEMBERS OF THE GOVERNING BODY, NOR TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY, NOR TO RECEIVE A SHARE OF THE ORGANIZATION'S DUES OR ASSETS UPON DISSOLUTION. OTHER THAN RMFU FOUNDATION, THE ORGANIZATION HAD NO MEMBERS IN 2013; HOWEVER, IN 2014, POLICY HOLDERS BECAME MEMBERS OF THE ORGANIZATION WITH THE RIGHT TO ELECT THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7A THE ROCKY MOUNTAIN FARMERS UNION EDUCATIONAL AND CHARITABLE FOUNDATION, INC. ("RMFU FOUNDATION") HAS ACTED AS THE "INITIAL MEMBER" OF THE ORGANIZATION, WITH THE POWER TO APPOINT THE INITIAL GOVERNING BODY; HOWEVER, IT HAS NO CONTINUING RIGHTS TO ELECT MEMBERS OF THE GOVERNING BODY, NOR TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY, NOR TO RECEIVE A SHARE OF THE ORGANIZATION'S DUES OR ASSETS UPON DISSOLUTION. OTHER THAN RMFU FOUNDATION, THE ORGANIZATION HAD NO MEMBERS IN 2013; HOWEVER, IN 2014, POLICY HOLDERS BECAME MEMBERS OF THE ORGANIZATION WITH THE RIGHT TO ELECT THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 8A ALL OF COLORADO HEALTHOP'S BOARD MEMBERS AND EMPLOYEES TERMINATED PRIOR TO 2017. AS SUCH, THERE WERE NO BOARD MEMBER OR COMMITTEE MEETINGS IN 2023. FORM 990, PART VI, SECTION A, LINE 8B ALL OF COLORADO HEALTHOP'S BOARD MEMBERS AND EMPLOYEES TERMINATED PRIOR TO 2017. AS SUCH, THERE WERE NO BOARD MEMBER OR COMMITTEE MEETINGS IN 2023. FORM 990, PART VI, SECTION B, LINE 11B ALL OF COLORADO HEALTHOP'S BOARD MEMBERS AND EMPLOYEES TERMINATED PRIOR TO 2017 AS THE ORGANIZATION IS IN THE PROCESS OF SHUTTING DOWN. THE RECEIVERSHIP SUPERVISOR AND RECEIVERSHIP MANAGER, APPOINTED BY THE INSURANCE COMMISSIONER, REVIEWED THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12 ALL OF COLORADO HEALTHOP'S BOARD MEMBERS AND EMPLOYEES TERMINATED PRIOR TO 2017 AS THE ORGANIZATION IS IN THE PROCESS OF SHUTTING DOWN. AS SUCH, THERE WERE NO INDIVIDUALS WITH POTENTIAL OR ACTUAL CONFLICTS OF INTEREST FOR WHICH THE ORGANIZATION WAS REQUIRED TO MONITOR OR ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE ON REQUEST. PART XII, LINES 2A & 2C: FINANCIAL STATEMENTS AND REPORTING THE COMPANY IS CURRENTLY BEING SHUT DOWN UNDER SUPERVISION OF THE DOI. COLORADO HEALTHOP'S 2023 FINANCIAL STATEMENTS WERE SUBJECT TO AN INDEPENDENT REVIEW BY THE CALIFORNIA DEPARTMENT OF FINANCE, OFFICE OF STATE AUDITS AND EVALUATIONS, PURSUANT TO THE ORDER OF LIQUIDATION. SECTION 1.263(A)-3(N) ELECTION - BOOK CONFORMITY ELECTION COLORADO HEALTH INSURANCE COOPERATIVE, INC. IS MAKING THE ELECTION UNDER TREAS. REG. 1.263(A)-3(N) TO CAPITALIZE THOSE REPAIR AND MAINTENANCE COSTS THAT IT TREATS AS CAPITAL EXPENDITURES ON ITS BOOKS AND RECORDS FOR THE TAX YEAR ENDED DECEMBER 31, 2023. TAXPAYER NAME: COLORADO HEALTH INSURANCE COOPERATIVE, INC. ADDRESS: 100 PINE STREET, SUITE 725 SAN FRANCISCO, CA 94111 TAXPAYER IDENTIFICATION NUMBER: 45-4749718 SECTION 1.263(A)-1(F) DE MINIMIS SAFE HARBOR ELECTION COLORADO HEALTH INSURANCE COOPERATIVE, INC. HEREBY MAKES THE DE MINIMIS SAFE HARBOR ELECTION UNDER SECTION 1.263(A)-1(F) OF THE TREASURY REGULATIONS, EFFECTIVE FOR THE TAX YEAR ENDING DECEMBER 31, 2023. TAXPAYER DOES NOT HAVE AN APPLICABLE FINANCIAL STATEMENT FOR THE YEAR OF THE ELECTION. THIS ELECTION PERMITS THE TAXPAYER TO DEDUCT FOR TAX PURPOSES ANY ITEM DEDUCTED UNDER ITS BOOK POLICY THAT DOES NOT EXCEED $2,500 PER INVOICE (OR PER ITEM, AS SUBSTANTIATED BY THE INVOICE) OR ITEMS HAVING AN ECONOMIC USEFUL LIFE OF TWELVE MONTHS OR LESS AS DESCRIBED IN SECTION 1.263(A)-1(F)(1)(II). TAXPAYER NAME: COLORADO HEALTH INSURANCE COOPERATIVE, INC. ADDRESS: 100 PINE STREET, SUITE 725 SAN FRANCISCO, CA 94111 TAXPAYER IDENTIFICATION NUMBER: 45-4749718