2024-10-02T12:05:08-05:00 2023-12-31 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2023-01-01 460418983 SOUTH DAKOTA LIFE AND HEALTH INSURANCE GUARANTY ASSOCIATION SOUT 6053362880 206 W 14TH ST SIOUX FALLS SD 57104 CHARLES GULLICKSON EXECUTIVE DIRECTOR 6053362880 2024-09-16 1 1 LAURIE HANSON CPA P00851848 6053391999 2024-09-04 2023 2024-10-15 13:58:12Z CHARLES GULLICKSON 206 W 14TH ST SIOUX FALLS SD 57104 2821369 0 X WWW.SDLIFEGA.ORG X 1989 SD PROVIDE BENEFITS TO POLICY OWNERS OF ANNUITY, LIFE, ACCIDENT AND HEALTH, AND SUPPLEMENTAL POLICIES OR CONTRACTS OF IMPAIRED OR INSOLVENT INSURER MEMBERS. 8 8 0 8 0 0 0 0 7775594 2768537 13474 52832 0 0 7789068 2821369 0 0 0 0 0 0 0 0 0 7310599 501111 7310599 501111 478469 2320258 1217935 3538193 0 0 1217935 3538193 X THE PURPOSE OF THE ASSOCIATION IS TO PROTECT RESIDENTS OF SOUTH DAKOTA, AND OTHERS UNDER CERTAIN CIRCUMSTANCES, AGAINST FAILURE IN THE PERFORMANCE OF CONTRACTUAL OBLIGATIONS UNDER LIFE AND HEALTH INSURANCE POLICIES AND ANNUITY CONTRACTS BECAUSE OF THE IMPAIRMENT OR INSOLVENCY OF A MEMBER INSURER THAT ISSUED SUCH POLICIES OR CONTRACTS. 0 0 THE SOUTH DAKOTA LIFE & HEALTH INSURANCE GUARANTY ASSOCIATION (THE "ASSOCIATION") WAS CREATED IN SEPTEMBER 1989 AS A NON-PROFIT LEGAL ENTITY UNDER SDCL CHAPTER 58-29C OF THE SOUTH DAKOTA CODE. THE ASSOCIATION PERFORMS ITS FUNCTIONS UNDER A PLAN OF OPERATION ESTABLISHED AND APPROVED UNDER SDCL 58-29C-53 AND EXERCISES ITS POWERS THROUGH A BOARD OF DIRECTORS. THE ASSOCIATION CONSISTS OF MEMBER INSURERS THAT ARE AUTHORIZED TO TRANSACT LIFE, ANNUITY, OR ACCIDENT AND HEALTH INSURANCE IN THE STATE OF SOUTH DAKOTA. ALL MEMBER INSURERS SHALL BE AND REMAIN MEMBERS OF THE ASSOCIATION AS A CONDITION OF THE INSURERS' AUTHORITY TO TRANSACT INSURANCE IN SOUTH DAKOTA. THE ASSOCIATION WAS ESTABLISHED TO PROVIDE BENEFITS TO POLICY OWNERS OF ANNUITY, LIFE, ACCIDENT AND HEALTH, AND SUPPLEMENTAL POLICIES OR CONTRACTS OF IMPAIRED OR INSOLVENT INSURER MEMBERS. 0 0 0 1 0 0 0 0 0 0 0 0 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 1 7 0 1 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 1 1 0 1 0 0 0 1 1 1 1 0 0 0 0 0 X DAVENPORT EVANS HURWITZ & SMITH LLP 6053362880 206 W 14TH ST SIOUX FALLS SD 57104 X ROBERT CORN - MUTUAL OF OMAHA CHAIRPERSON 2.00 X X 0 0 0 JAMES HARRISON - PRINCIPAL LIFE VICE CHAIR 1.00 X X 0 0 0 CHRISTA KUENNEN - WELLMARK OF SD SECRETARY/TREASURER 1.00 X X 0 0 0 ALEX D'AGOSTINO - NEW YORK LIFE DIRECTOR 1.00 X 0 0 0 EDWARD DONAHUE - AMERICAN FAMILY DIRECTOR 1.00 X 0 0 0 PAULA MINELLA - RIVERSOURCE LIFE DIRECTOR 1.00 X 0 0 0 ERIC DUPONT - THE GUARDIAN LIFE DIRECTOR 1.00 X 0 0 0 JESSICA DEWALD-SEVER - AMER MEMORIA DIRECTOR 1.00 X 0 0 0 CHARLES D GULLICKSON EXECUTIVE DIRECTOR 14.00 X 0 0 0 0 0 0 0 0 0 0 DAVENPORT EVANS HURWITZ AND SMITH L 206 WEST 14TH STREET SIOUX FALLS SD 57104 LEGAL 263152 1 LIQUIDATION RECEIPTS 524298 2612866 2612866 ASSESSMENTS 524298 150128 150128 INSURANCE PREMIUMS 524298 5543 5543 2768537 52832 52832 2821369 2768537 0 52832 X 263152 20599 74879 8030 13152 53803 INSOLVENCY CLAIMS 67496 501111 1217935 3066319 471874 1217935 3538193 0 0 X 1217935 3538193 1217935 3538193 1217935 3538193 2320258 0 X 0 1 X 1 0 0 1 0 SCHEDULE C, PART III-A THE ORGANIZATION HAD NO LOBBYING EXPENDITURES IN 2023. 0 2821369 0 2821369 0 2821369 501111 0 501111 0 501111 FORM 990, PART VI, SECTION A, LINE 3 THE EXECUTIVE DIRECTOR PROVIDES MANAGEMENT DUTIES ON THE DAY-TO-DAY ACTIVITIES. THE GOVERNING BOARD IS INFORMED OF ACTIVITIES ON AN ONGOING BASIS. THE MANAGEMENT DUTIES PERFORMED BY THE EXECUTIVE DIRECTOR AND HIS ASSISTANT ARE BILLED TO THE ASSOCIATION ON AN HOURLY BASIS QUARTERLY BY THE LAW FIRM IN WHICH THE EXECUTIVE DIRECTOR IS A PARTNER. FORM 990, PART VI, SECTION A, LINE 6 INSURERS THAT ARE AUTHORIZED TO TRANSACT LIFE, ANNUITY, OR ACCIDENT AND HEALTH INSURANCE IN THE STATE OF SOUTH DAKOTA ARE CONSIDERED MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS SHALL BE ELECTED BY MEMBER INSURERS BY VOTES CAST. EACH MEMBER INSURER SHALL HAVE ONE VOTE IN PERSON OR BY PROXY FOR EACH MEMBER OF THE BOARD OF DIRECTORS TO BE ELECTED. FORM 990, PART VI, SECTION A, LINE 8B THE ASSOCIATION'S COMMITTEES REQUIRE THE GOVERNING BODY'S APPROVAL PRIOR TO ANY ACTION BEING TAKEN. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE DISTRIBUTED TO THE GOVERNING BODY AT LEAST FIVE DAYS PRIOR TO FILING AND THE FORM 990 WILL BE REVIEWED IN DETAIL BY THE EXECUTIVE DIRECTOR AND CHAIR OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS AND OFFICERS. A REQUEST IS MADE ANNUALLY FOR ALL BOARD MEMBERS TO REVIEW AND DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. THE BOARD MAKES A DETERMINATION OF WHETHER THERE IS A CONFLICT OF INTEREST AND IF SO, IMPLEMENTS THE PROCEDURE FOR EVALUATING THE ISSUE OR TRANSACTION INVOLVED. THE BOARD MEMBER OR OFFICER WITH THE CONFLICT MUST REPORT SUCH CONFLICT IN WRITING TO THE CHAIRMAN OF THE ASSOCIATION, ABSTAIN FROM FURTHER PARTICIPATION IN THE PARTICULAR TRANSACTION WHICH CREATES THE CONFLICT, AND REFRAIN FROM USING INFORMATION OR DOCUMENTS OF THE ASSOCIATION FOR THE BENEFIT OF THE OTHER PERSON(S) INVOLVED IN THE MATTER. FORM 990, PART VI, SECTION C, LINE 19 THE ASSOCIATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC ROBERT CORN - MUTUAL OF OMAHA - 3301 DODGE ST, 11TH FLOOR, OMAHA, NE 68175. JAMES HARRISON - PRINCIPAL LIFE - 5600 BLAZER PARKWAY SUITE 300, DUBLIN, OH 43017. CHRISTA KUENNEN - WELLMARK OF SD - 1331 GRAND AVENUE, STATION 4W529, DES MOINES, IA 50309. ALEX D'AGOSTINO - NEW YORK LIFE - 5101 S NEVADA AVE, SUITE 200, SIOUX FALLS, SD 57108. EDWARD DONAHUE - AMERICAN FAMILY - 1932 WYNNTON ROAD, 17TH FLOOR, COLUMBUS, GA 31999. PAULA MINELLA - RIVERSOURCE LIFE - 225 FRANKLIN STREET, BOSTON, MA 02110. ERIC DUPONT - THE GUARDIAN LIFE - 7 HANOVER SQUARE, 23RD FLOOR, NEW YORK, NY 10004. JESSICA DEWALD-SEVER - AMER. MEMORIAL - 440 MT. RUSHMORE ROAD, RAPID CITY, SD 57701. CHARLES D. GULLICKSON - PO BOX 1030, SIOUX FALLS, SD 57101-1030. FORM 990, PART IX, LINE 11G SERVICE FEES 74,879.