2024-02-15T07:48:19-06:00 2023-12-31 611064249 DEMING MALONE LIVESAY & OSTROFF PSC 9300 SHELBYVILLE ROAD SUITE 1100 LOUISVILLE KY 402225187 990 2023-01-01 510150466 KENTUCKY ASSIGNED CLAIMS PLAN KENT 5023278909 PO BOX 437249 LOUISVILLE KY 40243 STEPHEN HILLIS EXECUTIVE DIRECTOR 5023278909 2024-02-14 1 STEPHEN HILLIS 999009999 0 SARAH K ANTLE P01391676 5024269660 2024-02-12 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z STEPHEN HILLIS PO BOX 437249 LOUISVILLE KY 40243 4425968 0 X WWW.KYINSPLANS.ORG X 1980 KY TO ASSIGN CLAIMS TO SERVICING INSURERS FOR CLAIMANTS UNDER KY REVISED STATUTES 304 SUB 39. 9 9 0 0 0 0 0 0 2529752 4412318 7244 13650 0 0 2536996 4425968 0 0 0 0 276540 311142 0 0 0 3684180 3965131 3960720 4276273 -1423724 149695 5807533 5482946 981846 507564 4825687 4975382 X THE PLAN ASSIGNS CLAIMS FROM PERSONS CLAIMING AN ENTITLEMENT PURSUANT TO KY RS 304 SUB 39 TO SERVICING INSURERS. THE SERVICING INSURER INVESTIGATES AND PAYS VALID CLAIMS. THE PLAN REIMBURSES THE SERVICING INSURERS FOR CLAIM PAYMENTS PLUS EXPENSES. (SEE SCHEDULE O)MEMBER COMPANIES ARE ASSESSED ON AN ANNUAL BASIS FOR THE AGGREGATION OF CLAIM PAYMENTS PLUS EXPENSES. 0 0 ASSIGNS CLAIMS FROM PERSONS CLAIMING AN ENTITLEMENT PURSUANT TO KY RS 304 SUB 39 TO SERVICING INSURERS. 0 0 0 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 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X STEPHEN HILLIS 5023278909 PO BOX 437249 LOUISVILLE KY 40243 OWEN CASTER CHAIRPERSON 1.00 1.00 X X 0 0 0 ALLISON MCNEIL VICE-CHAIRPERSON 1.00 1.00 X X 0 0 0 SCOT MCFARLAND DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL THOMPSON DIRECTOR 1.00 1.00 X 0 0 0 STEPHEN HILLIS SECRETARY-TREASURER/EXECUTIVE DIRECTOR 4.00 36.00 X X 28209 253877 76181 TAYLOR MARTIN DIRECTOR 1.00 1.00 X 0 0 0 KIMBERLY MCCOLLOM DIRECTOR 1.00 1.00 X 0 0 0 ERICKA GOCKE DIRECTOR 1.00 1.00 X 0 0 0 VIVIAN JUDY DIRECTOR 1.00 1.00 X 0 0 0 BRAD ERDMAN DIRECTOR 1.00 X 0 0 0 28209 253877 76181 0 0 1 0 0 ASSESSMENTS 900099 2890668 2890668 SUBROGATION RECOVERY 900099 1520650 1520650 MEMBERSHIP FEES 900099 1000 1000 4412318 13650 13650 4425968 4412318 0 13650 36890 187870 27352 43928 15102 19 5112 948 11745 59560 11200 2689 9889 CLAIMS PAID 3857350 MISCELLANEOUS 6619 4276273 2429396 1396710 3298590 3812240 79547 273996 5807533 5482946 981846 507564 981846 507564 X 0 0 0 0 4825687 4975382 4825687 4975382 5807533 5482946 149695 0 X 0 0 0 0 1 0 0 X PART X, LINE 2: THE PLAN IS EXEMPT FROM FEDERAL, STATE AND LOCAL INCOME TAXES AS A NOT-FOR-PROFIT ENTITY AS DESCRIBED UNDER INTERNAL REVENUE CODE SECTION 501(C)(6). THE PLAN FILES AN INFORMATION RETURN IN THE U.S. FEDERAL JURISDICTION. AS OF DECEMBER 31, 2023 AND 2022, THE PLAN DID NOT HAVE ANY ACCRUED INTEREST OR PENALTIES RELATED TO INCOME TAX LIABILITIES, AND NO INTEREST OR PENALTIES HAVE BEEN CHARGED TO OPERATIONS FOR THE YEARS THEN ENDED. X X 0 0 0 STEPHEN HILLIS SECRETARY-TREASURER/EXECUTIVE DIRECT 22406 201655 5689 51198 114 1024 4787 43079 3895 24420 36891 321376 0 0 FORM 990, PART IV, LINE 11F AND 12 AND PART XII, LINE 2B: THE PLAN OBTAINED A SEPARATE, INDEPENDENT AUDITED STATEMENT OF CASH RECEIPTS AND DISBURSEMENTS FOR THE YEAR WHICH WAS PREPARED ON THE CASH BASIS OF ACCOUNTING, WHICH IS A COMPREHENSIVE BASIS OF ACCOUNTING OTHER THAN GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. FORM 990, PART V, LINE 2A AND 2B: THE PLAN'S EMPLOYEES ARE REPORTED ON THE PAYROLL REPORT OF A RELATED ORGANIZATION UNDER A COST SHARING AGREEMENT. THUS, NO FORM W-3 OR PAYROLL TAX RETURNS WERE FILED IN THE PLAN'S NAME. THESE FORMS WERE APPROPRIATELY FILED IN THE NAME OF THE RELATED ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE DIRECTOR REVIEWS THE 990 AND SHARES A COPY OF THE 990 WITH THE GOVERNING COMMITTEE AS APPROPRIATE DUE TO THE MAKE UP OF THE GOVERNING COMMITTEE CONSISTING OF INSURANCE REPRESENTATIVES. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE GOVERNING COMMITTEE ARE REQUIRED ANNUALLY TO SUBMIT A COMPLETED CONFLICT OF INTEREST POLICY TO THE PLAN. FORM 990, PART VI, SECTION B, LINE 15A AN EXECUTIVE COMMITTEE COMPOSED OF INDEPENDENT GOVERNING COMMITTEE MEMBERS MEET ON AN ANNUAL BASIS TO DETERMINE THE SALARY ADJUSTMENT FOR THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 THE PLAN DETERMINES WHETHER OR NOT TO MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. KENTUCKY AUTOMOBILE INSURANCE PLAN 327 TOWNEPARK CIRCLE LOUISVILLE KY 40243 610408077 ASSIST HIGH RISK MOTORISTS IN OBTAINING AUTO INSURANCE KY 501(C)6 N/A 0 KENTUCKY INSURANCE ARBITRATION ASSOCIATION 327 TOWNEPARK CIRCLE LOUISVILLE KY 40243 510150478 ARBITRATES DISPUTES REGARDING THE SUBROGATION OF NO-FAULT BENEFITS KY 501(C)6 N/A 0 KENTUCKY FAIR PLAN REINSURANCE ASSOCIATION 327 TOWNEPARK CIRCLE LOUISVILLE KY 40243 611181778 PROVIDES INSURANCE COVERAGE TO THOSE OTHERWISE UNINSURABLE KY N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0