2025-07-18T09:36:19-05:00 2024-12-31 411489071 SMITH SCHAFER & ASSOCIATES LTD 7500 HIGHWAY 55 SUITE 350 MINNEAPOLIS MN 55427 990 2024-01-01 410417040 MINNESOTA WORKERS COMPENSATION INSURERS ASSOCIATION INC MINN 9528971737 7701 FRANCE AVENUE SOUTH 450 MINNEAPOLIS MN 55435 JENNIFER WOLF PRESIDENT 9528971737 2025-07-14 1 NATHAN AGRE CPA P01252840 9529201455 2025-07-14 2024 2025-03-06 01:10:19Z JENNIFER WOLF 7701 FRANCE AVE S STE 450 EDINA MN 55435 9538822 0 X WWW.MWCIA.ORG X 1983 MN TO PROVIDE TO ITS MEMBERS SERVICES AND INFORMATION REQUIRED UNDER PROVISIONS OF MN STATUTES. 11 11 41 0 0 0 0 0 8079582 7866171 166871 386729 0 0 8246453 8252900 0 0 0 0 4970275 5271561 0 0 0 2863437 2986811 7833712 8258372 412741 -5472 5344532 5211332 5029851 4892416 314681 318916 THE MINNESOTA WORKERS' COMPENSATION INSURERS ASSOCIATION, INC. IS A NOT-FOR-PROFIT CORPORATION FORMED TO PROVIDE TO ITS MEMBERS THOSE ACTIVITIES WHICH ARE REQUIRED AND PERMITTED OF A DATA SERVICE ORGANIZATION UNDER THE PROVISIONS OF MINNESOTA STATUTES. 0 0 5054069 7861596 PROVIDE SERVICES TO INSURANCE COMPANIES LICENSED TO WRITE WORKERS' COMPENSATION INSURANCE IN MINNESOTA TO ENABLE THEM TO COMPLY WITH STATUTORY REQUIREMENTS. 340 4575 COVER CLAIMS FOR INSURANCE COMPANIES THAT WENT INSOLVENT PRIOR TO 1983. 5054409 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 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 1 3 0 1 41 1 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X ANDREA EVERLING 9528976405 7701 FRANCE AVE SOUTH 450 MINNEAPOLIS MN 55435 JENNIFER WOLF PRESIDENT 36.00 X 299879 0 15749 KATHLEEN PETERSON SR. VP - OPERATIONS/TREASU 36.00 X 198097 0 21532 DOUG KOCH CHIEF TECHNOLOGY OFFICER 36.00 X 184996 0 5370 ANDREA EVERLING VICE PRESIDENT ACTUARIAL S 36.00 X 170788 0 15988 GREGG LUTZ VICE PRESIDENT DATA SERVICE 36.00 X 166009 0 20369 ALEXANDER BARDZILAUSKAS BUSINESS SOLUTIONS ARCHITECT 36.00 X 145075 0 25723 THOMAS GOODRICH BUSINESS ANALYST 36.00 X 119321 0 17657 AUNTARA DE SENIOR ACTUARIAL RESEARCHER 36.00 X 121120 0 10576 DEANNE REESE BUSINESS ANALYST LEAD 36.00 X 120492 0 4093 KATHI MOCOL OPERATIONS MANAGER 36.00 X 107159 0 15769 PAUL LARSON BOARD MEMBER 0.50 X 0 0 0 KAREN BETHEA BOARD MEMBER 0.50 X 0 0 0 ARYEH HASELKORN BOARD MEMBER 0.50 X 0 0 0 DIANA TRENT BOARD MEMBER 0.50 X 0 0 0 GARY THADEN BOARD MEMBER 0.50 X 0 0 0 AMANDA APONTE BOARD MEMBER 0.50 X 0 0 0 CHRIS WESTERMEYER BOARD MEMBER 0.50 X 0 0 0 PETE CORNING BOARD MEMBER 0.50 X 0 0 0 STACEY KURASH BOARD MEMBER 0.50 X 0 0 0 SANDY STODDARD BOARD MEMBER 0.50 X 0 0 0 SCOTT TRACY BOARD MEMBER 0.50 X 0 0 0 1632936 0 152826 14 0 1 0 SPECTRUM PARTNERS LLC 7701 FRANCE AVENUE SOUTH SUITE 450 MINNEAPOLIS MN 55435 DATABASE SUPPORT 287500 SLALOM CONSULTING 821 2ND AVENUE SUITE 1900 SEATTLE WA 98104 SOFTWARE DEVELOPMENT 188529 ONENECK 525 JUNCTION ROAD MADISON WI 53717 WEBSITE HOSTING/IT SERVICES 140463 SOUND ACTUARIAL CONSULTING 403-2 EAST MAIN STREET PORT JEFFERSON NY 11777 ACTUARIAL CONSULTING 121725 STINSON LEONARD STREET LLP PO BOX 843052 KANSAS CITY MO 641843052 LEGAL 106673 5 MEMBER ASSESSMENTS 518210 6506410 6506410 SPECIAL ASSESSMENTS 518210 625000 625000 ASSIGNED RISK SERVICE 518210 539847 539847 U.S.P. FINES 518210 100930 100930 SERVICES & OTHER INC 518210 91940 91940 2044 2044 7866171 88315 88315 1584336 1285922 298414 298414 298414 8252900 7866171 0 386729 1785762 1082172 703590 2087265 1264726 822539 689338 417739 271599 439527 266353 173174 269669 163419 106250 151738 75839 75899 107041 53499 53542 134405 94026 40379 922009 778347 143662 486970 324018 162952 75779 54255 21524 POST RETIREMENT MEDICAL 475000 475000 RESEARCH INSTITUTE DATA 205000 205000 OTHER EXPENSES 179980 54443 125537 RATEMAKING CONSULTING 163930 163930 84959 56643 28316 8258372 5054409 3203963 0 1656714 2369753 3553446 2815767 134372 25812 5344532 5211332 5029851 4892416 5029851 4892416 X 314681 318916 314681 318916 5344532 5211332 -5472 9707 0 X X 0 1 X 1 0 0 MEMBER CASH RESERVE ASSESS PAYABLE 2541699 DEFERRED COMPENSATION OBLIGATION 1051610 MEMBERS' ASSESMENT REAPPORTIONMENT PAYABLE 1299107 4892416 X 8258032 9707 9707 8248325 4575 4575 8252900 8258032 0 8258032 340 340 8258372 PART X, LINE 2: THE ASSOCIATION IS EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE. AS A RESULT, THE ASSOCIATION DOES NOT PAY FEDERAL OR STATE INCOME TAXES. THEREFORE, NO PROVISION OR LIABILITY FOR FEDERAL OR STATE INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. MANAGEMENT HAS DETERMINED THAT THE ASSOCIATION DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AND ASSOCIATED UNRECOGNIZED BENEFITS THAT MATERIALLY IMPACT THE FINANCIAL STATEMENTS OR RELATED DISCLOSURES. THE ASSOCIATION'S FEDERAL INFORMATIONAL RETURNS ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT INCOME 4,575. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES RELATED TO INSOLVENT FUND 340. X X X X 1 0 0 JENNIFER WOLF PRESIDENT 261629 0 38250 0 0 0 7662 0 8087 0 315628 0 0 0 KATHLEEN PETERSON SR. VP - OPERATIONS/TREASU 198097 0 0 0 0 0 6885 0 14647 0 219629 0 0 0 DOUG KOCH CHIEF TECHNOLOGY OFFICER 184996 0 0 0 0 0 3206 0 2164 0 190366 0 0 0 ANDREA EVERLING VICE PRESIDENT ACTUARIAL S 170288 0 500 0 0 0 5883 0 10105 0 186776 0 0 0 GREGG LUTZ VICE PRESIDENT DATA SERVICE 166009 0 0 0 0 0 5674 0 14695 0 186378 0 0 0 ALEXANDER BARDZILAUSKAS BUSINESS SOLUTIONS ARCHITECT 145075 0 0 0 0 0 5118 0 20605 0 170798 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 ANY ENTITY THAT IS LICENSED THROUGH MN DEPARTMENT OF COMMERCE TO WRITE WORKERS COMPENSATION INSURANCE HAS TO BE A MEMBER OF A DATA SERVICE ORGANIZATION, MWCIA THE ONLY DSO IN THE STATE OF MINNESOTA. FORM 990, PART VI, SECTION A, LINE 7A GUIDED BY A BOARD OF ELEVEN MEMBERS, MWCIA HAS NINE COMPANY MEMBERS AND TWO PUBLIC MEMBERS APPOINTED BY THE MINNESOTA DEPARTMENT OF COMMERCE. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THIS FORM 990 IS TRANSMITTED TO THE BUDGET AND INVESTMENT COMMITTEE MEMBERS FOR REVIEW. ONCE APPROVED BY THE COMMITTEE THE DRAFT IS THEN REVIEWED BY ALL BOARD MEMBERS WHO THEN VOTE TO APPROVE SUBMISSION OF THE FORM 990 TO ASSURE FULL AND ACCURATE DISCLOSURE TO THE IRS AND MAKE CERTAIN THE BOARD IS FULLY AWARE OF THE ITS CONTENTS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL PROCRESS OF REQUIRING EMPLOYEES AND BOARD MEMBERS TO REVIEW THE POLICY, AND SIGN AN ACKNOWLEDGEMENT STATING THEIR COMPLIANCE WITH THE POLICY. THE POLICY REQUIRES BOARD MEMBERS TO DISCLOSE POTENTIAL CONFLICT OF INTEREST RELATIONSHIPS THAT ARISE IN THE ORDINARY COURSE OF THE ORGANIZATION'S BUSINESS. IF CONFLICTS ARE IDENTIFIED, THE PRESIDENT AND SENIOR VICE PRESIDENT OF OPERATIONS, IN CONSULTATION WITH THE CHAIR OF THE BOARD OF DIRECTORS, ARE RESPONSIBLE TO MANAGE THE RELATIONSHIPS TO ENSURE THAT FINANCIAL DECISIONS ARE MADE WITH INDEPENDENCE. IN THE CURRENT YEAR, ONE BOARD MEMBER ALSO PROVIDES WORKERS' COMPENSATION INSURANCE TO ASSOCIATION AND ONE PUBLIC MEMBER PURCHASES DATA FROM THE ASSOCIATION. FORM 990, PART VI, SECTION B, LINE 15 PRESIDENT SALARY IS SET BY EXECUTIVE COMMITTEE (BOARD OF DIRECTORS). ALL OTHER EMPLOYEES INCLUDING KEY EMPLOYEES ARE SET BY MANAGEMENT. A SALARY REVIEW PROGRAM HAS BEEN ESTABLISHED BY AN INDEPENDENT CONSULTING FIRM AND IS CONSISTENTLY REVIEWED TO ENSURE WAGES ARE COMPETITIVE AND FAIR. FORM 990, PART VI, SECTION C, LINE 19 THE ARTICLES OF INCORPORATION AND BYLAWS ARE POSTED ON THE ORGANIZATIONS WEBSITE. FINANCIAL INFORMATION IS INCLUDED IN SUMMARY FORM IN THE ANNUAL REPORT WHICH IS ALSO POSTED ON THE WEBSITE. OTHER INFORMATION, SUCH AS THE CONFLICT OF INTEREST POLICY IS MADE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 1: THE PREPARATION OF FINANCIAL STATEMENTS IN CONFORMITY WITH THE MODIFIED CASH BASIS OF ACCOUNTING FOR THE ASSOCIATION AND THE CASH BASIS OF ACCOUNTING FOR THE INSOLVENT FUND REQUIRES MANAGEMENT TO MAKE ESTIMATES AND ASSUMPTIONS THAT AFFECT THE AMOUNTS REPORTED IN THE FINANCIAL STATEMENTS AND ACCOMPANYING NOTES. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.