2026-04-17T13:48:52+00:00 2025-12-31 331498605 PLANTE & MORAN PLLC 10 SOUTH RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2025-01-01 451294709 NEW MEXICO HEALTH CONNECTIONS CO RISK & REGULATORY CONSULTING LLC NEWM 8666689002 20 BATTERSON PARK ROAD 380 FARMINGTON CT 06032 JAN M MOENCK SPECIAL DEPUTY RECEIVER 2026-04-17 true DAVID LOWENTHAL CPA P00378651 3122071040 2026-04-14 2025 2025-03-06 01:10:19Z JAN M MOENCK 20 BATTERSON PARK ROAD 380 FARMINGTON CT 06032 4241239 false X WWW.MYNMHC.ORG X 2011 NM THE ORGANIZATION IS IN THE PROCESS OF LIQUIDATING. PRIOR TO LIQUIDATION, THE ORGANIZATION'S MISSION WAS: TO ESTABLISH A CONSUMER OPERATED AND ORIENTED PLAN (COOP) CONSISTENT WITH THE PROVISIONS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. NMHC WILL GENERATE FUNDING, ANALYSIS, AND SUSTAINABILITY CRITERIA FOR A COOP HEALTH PLAN, INCLUDING AN ORGANIZATIONAL MODEL THAT ACCOMMODATES REGIONAL AND POPULATION-SPECIFIC PLANS FOR DELIVERING AFFORDABLE, COMMUNITY-SPECIFIC HEALTH CARE ACROSS THE STATE. 1 0 0 0 0 0 0 0 0 429222 5178 293956 4236061 723178 4241239 0 0 0 0 0 0 0 0 0 496062 36743 496062 36743 227116 4204496 16108787 20320496 31650031 31647735 -15541244 -11327239 PRIOR TO LIQUIDATION, THE ORGANIZATION'S MISSION WAS: TO ESTABLISH A CONSUMER OPERATED AND ORIENTED PLAN (COOP) CONSISTENT WITH THE PROVISIONS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. NMHC WILL GENERATE FUNDING, ANALYSIS, AND SUSTAINABILITY CRITERIA FOR A COOP HEALTH PLAN, INCLUDING AN ORGANIZATIONAL MODEL THAT ACCOMMODATES REGIONAL AND POPULATION-SPECIFIC PLANS FOR DELIVERING AFFORDABLE, COMMUNITY-SPECIFIC HEALTH CARE ACROSS THE STATE. false false ON MARCH 19, 2021, THE SECOND JUDICIAL DISTRICT COURT, BERNALILLO COUNTY, ORDERED NEW MEXICO HEALTH CONNECTIONS ("NMHC THE "COMPANY") INTO LIQUIDATION. RISK AND REGULATORY CONSULTING, LLC WAS APPOINTED AS SPECIAL DEPUTY RECEIVER. NEW MEXICO HEALTH CONNECTIONS HAS NOT CONDUCTED ACTIVE PROGRAM OPERATIONS DURING THE REPORTING PERIOD AND EXISTS SOLELY TO ADMINISTER THE WINDDOWN OF THE ORGANIZATION UNDER COURT SUPERVISION. REVENUES REPORTED FOR THE YEAR CONSIST PRIMARILY OF POSTLIQUIDATION RECOVERIES, INCLUDING LITIGATION SETTLEMENTS AND RECOVERIES OF PRIOR RECEIVABLES. THESE AMOUNTS ARE NOT RELATED TO ONGOING PROGRAM ACTIVITIES. ALL FUNDS ARE USED TO SATISFY CREDITOR CLAIMS, COURTAPPROVED DISTRIBUTIONS, AND ADMINISTRATIVE COSTS OF THE LIQUIDATION ESTATE, AND ARE NOT USED TO RESUME OR RESTART OPERATIONS. PRIOR TO LIQUIDATION, NEW MEXICO HEALTH CONNECTIONS WAS A PRIVATE, NONPROFIT COMPANY ESTABLISHED UNDER INTERNAL REVENUE CODE 501(C)(29) THAT WAS INCORPORATED IN THE STATE OF NEW MEXICO IN FEBRUARY 2011. ON FEBRUARY 17, 2012, THE COMPANY BECAME A QUALIFIED NONPROFIT HEALTH INSURANCE ISSUER UNDER THE CONSUMER-OPERATED AND ORIENTED PLAN (CO-OP) PROGRAM ESTABLISHED BY SECTION 1322 OF THE AFFORDABLE CARE ACT AND APPLICABLE REGULATIONS. UNDER THIS PROGRAM, THE COMPANY RECEIVED STARTUP AND SOLVENCY LOANS FROM THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES, CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). THE COMPANY WAS GOVERNED BY ITS BOARD OF DIRECTORS, WHICH HAVE THE AUTHORITY AND RESPONSIBILITY FOR MANAGEMENT, CONTROL, AND ADMINISTRATION OF THE COMPANY. THE COMPANY RECEIVED ITS CERTIFICATE OF AUTHORITY FROM THE STATE OF NEW MEXICO PUBLIC REGULATION COMMISSION, INSURANCE DIVISION IN FEBRUARY 2013. THE PRIMARY MISSION OF THE COMPANY WAS TO PROVIDE AFFORDABLE COMMUNITY HEALTH CARE INSURANCE ACROSS THE STATE OF NEW MEXICO TO THE INDIVIDUAL AND SMALL GROUP MARKETS. THE COMPANY BEGAN OPEN ENROLLMENT IN OCTOBER 2013, FOR AN EFFECTIVE INSURANCE COVERAGE DATE OF JANUARY 1, 2014. THE COMPANY WAS FOCUSED ON THE WELL-BEING OF PARTIES BY MAKING SURE THEIR HEALTH CARE WAS COORDINATED AT EVERY LEVEL AND THAT A STRONG NETWORK OF PRIMARY CARE PROVIDERS WAS AVAILABLE TO ENSURE GOOD HEALTH OF OUR MEMBERS. THE COMPANY'S PRIORITY WAS TO KEEP MEMBERS HEALTHY, LOWERING PREMIUM COSTS AND DELIVERING APPROPRIATE LEVELS OF CARE AT THE RIGHT TIME TO KEEP MEMBERS HOME AND OUT OF UNNECESSARY HOSPITAL STAYS. THIS WAS ACCOMPLISHED BY PROVIDING COMMUNITY-BASED CASE MANAGEMENT TO ENSURE THE MEMBERS WERE WELL CARED FOR. 0 false false false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true X 3 0 true 0 false false false false false false false false 0 0 false false false X 1 0 false true false false false false false true false false false false false true true true true true false false false false X RISK & REGULATORY CONSULTING LLC 8666689002 20 BATTERSON PARK ROAD SUITE 380 FARMINGTON CT 06032 RISK REGULATORY CONSULTING LLC SPECIAL DEPUTY RECEIVER 8.0 0.0 X 13132 0 0 13132 0 0 0 false false false 0 0 0 0 0 0 0 5178 5178 0 0 0 0 0 Litigation Settlement Proceeds 900099 4221687 4221687 PROVIDER REFUND 524114 14374 14374 0 0 0 0 4236061 4241239 0 0 4241239 X 0 2301 1414 32428 BANK CHARGES 600 0 36743 15570622 19774268 107165 107165 0 0 0 0 0 0 0 0 431000 439063 0 0 0 0 16108787 20320496 1571109 1568813 3910484 3910484 0 0 26168438 26168438 31650031 31647735 X 0 0 79056071 79056071 -94597315 -90383310 -15541244 -11327239 16108787 20320496 4204496 9509 0 X false false false Federal Income Taxes CLAIMS UNPAID 26139187 LATE FILED CLAIMS 29251 26168438 Form 990, Part V, Line 13a States in which organization is licensed to issue qualified health plans New Mexico Form 990, Part VI, Line 15 THE ORGANIZATION DID NOT HAVE ANY EMPLOYEES DURING THE CALENDAR YEAR 2025. THE ORGANIZATION COMPENSATED A COURT APPOINTED DEPUTY RECEIVER FOR SERVICES RELATED TO THE MATTER OF LIQUIDATION OF NEW MEXICO HEALTH CONNECTIONS. THE SERVICE AGREEMENT WITH THE DEPUTY RECEIVER WAS REVIEWED AND APPROVED BY THE NEW MEXICO SUPERINTENDENT OF INSURANCE AND SUBSEQUENTLY APPROVED BY THE SECOND JUDICIAL DISTRICT COURT OF BERNALILLO COUNTY, NEW MEXICO. THE COMPENSATION IS REPORTED ON FORM 990, PART VII, SECTION A. Form 990, Part VI, Line 3 Delegation of management duties ON MARCH 19, 2021, THE SECOND JUDICIAL DISTRICT COURT, BERNALILLO COUNTY, ORDERED NEW MEXICO HEALTH CONNECTIONS INTO LIQUIDATION. RISK AND REGULATORY CONSULTING, LLC WAS APPOINTED AS SPECIAL DEPUTY RECEIVER. AS A RESULT, ALL GOVERNANCE DECISIONS ARE MADE BY RISK AND REGULATORY CONSULTING, LLC IN CONJUNCTION WITH THE NEW MEXICO OFFICE OF SUPERINTENDENT OF INSURANCE. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body THIS QUESTION IS NOT APPLICABLE AS THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body STAFF OF THE COURT APPOINTED SPECIAL DEPUTY RECEIVER REVIEWS THE FORM 990 PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy RISK & REGULATORY CONSULTING LLC HAS AN INTERNAL CONFLICT OF INTEREST POLICY THAT APPLIES TO ALL OF ITS STAFF. ANY POTENTIAL CONFLICTS THAT OCCUR WOULD BE DISCLOSED TO THE NEW MEXICO SUPERINTENDENT OF INSURANCE. Form 990, Part VI, Line 19 Required documents available to the public THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part VIII, Line 11a OTHER REVENUE DURING 2025, THE ORGANIZATION RECEIVED $4 MILLION OF SETTLEMENT PROCEEDS FOR AN INSURANCE CLAIM RELATED TO A CYBER SECURITY MATTER THAT OCCURRED IN 2020. THE ORGANIZATION BECAME AWARE OF THE DIVERSION OF ASSETS IN 2020 BUT WAS NOT AWARE OF THE REQUIREMENT TO DISCLOSE THE MATTER ON ITS FORM 990 AT THE TIME. THE CYBERSECURITY BREACH WAS ATTRIBUTABLE TO AN UNRELATED THIRD PARTY. Form 990, Part IX, Line 11g Other Fees CONSULTING-OTHER - Total Expense: 26528, Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; OUTSOURCED SERVICES - Total Expense: 5900, Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;