Civic Intelligence

Insurance Company Supported

990 • Fiscal year 2019 • EIN 23-7258552

Jan 01, 2019 to Dec 31, 2019 • Filed on Oct 20, 2020

3601 Vincennes RoadIndianapolis, IN 46268

(317) 875-5250

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

90th percentile

0.64x

Higher debt load relative to assets than 90% of similar nonprofits.

2019 filings • 501(c)9 • $5M-$10M nonprofits • Source year 2019

Liabilities / Revenue

84th percentile

0.22x

Higher debt load relative to revenue than 84% of similar nonprofits.

2019 filings • 501(c)9 • $5M-$10M nonprofits • Source year 2019

Net Margin

39th percentile

0.5%

Higher net margin than 39% of similar nonprofits.

2019 filings • 501(c)9 • $5M-$10M nonprofits • Source year 2019

Top Officer Pay

66th percentile

$25,000

Higher top officer pay than 66% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2019 filings • 501(c)9 • $5M-$10M nonprofits • Source year 2019

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2019

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2019

Assets

$3,186,245

No earlier filing loaded for comparison.

Net Assets

$1,148,228

No earlier filing loaded for comparison.

Liabilities

$2,038,017

No earlier filing loaded for comparison.

Revenue

$9,214,742

No earlier filing loaded for comparison.

Expenses

$9,164,304

No earlier filing loaded for comparison.

Net Income

$50,438

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$6.0M$4.0M$2.0M$0Assets 2019: $3,186,245Liabilities 2019: $2,038,017Net Assets 2019: $1,148,2282019Assets 2020: $3,276,870Liabilities 2020: $2,072,511Net Assets 2020: $1,204,3592020Assets 2021: $3,519,913Liabilities 2021: $2,222,984Net Assets 2021: $1,296,9292021Assets 2022: $4,060,285Liabilities 2022: $2,665,477Net Assets 2022: $1,394,8082022Assets 2023: $4,610,769Liabilities 2023: $2,880,478Net Assets 2023: $1,730,2912023Assets 2024: $4,361,629Liabilities 2024: $2,359,706Net Assets 2024: $2,001,9232024

Highlighted filing

2019

Assets$3,186,245
Liabilities$2,038,017
Net Assets$1,148,228

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15M$10M$5.0M$0Revenue 2019: $9,214,742Expenses 2019: $9,164,304Net Income 2019: $50,4382019Revenue 2020: $10,037,655Expenses 2020: $9,981,524Net Income 2020: $56,1312020Revenue 2021: $11,049,742Expenses 2021: $10,957,172Net Income 2021: $92,5702021Revenue 2022: $12,790,785Expenses 2022: $12,692,906Net Income 2022: $97,8792022Revenue 2023: $12,938,652Expenses 2023: $12,603,169Net Income 2023: $335,4832023Revenue 2024: $13,861,731Expenses 2024: $13,590,099Net Income 2024: $271,6322024

Highlighted filing

2019

Revenue$9,214,742
Expenses$9,164,304
Net Income$50,438
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Oct 20, 2020
Return Version
2019v5.0
Gross Receipts
$9,214,742
Mission and Program Overview

Mission

Icso h&w provides simplified administration, expert advice, and access to a unique mix of employee benefits products for insurance company supported organizations, their employees, and retirees.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$2,360,372$3,153,961▲ $793,589
Prepaid Expenses and Deferred Charges$591,746$28,045▼ $563,701
Accounts Receivable$19,342$4,239▼ $15,103
Total Assets$2,971,460$3,186,245▲ $214,785
Liabilities
Other Liabilities$1,833,403$2,010,097▲ $176,694
Accounts Payable and Accrued Expenses$40,267$27,920▼ $12,347
Total Liabilities$1,873,670$2,038,017▲ $164,347
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,097,790$1,148,228▲ $50,438
Total Net Assets Fund Balance$1,097,790$1,148,228▲ $50,438
Total Liabilities and Net Assets / Fund Balance$2,971,460$3,186,245▲ $214,785
Compensation and Service Providers

Employees

NameTitleBaseTotal
Douglas JensenChairman$25,000$25,000

Board Members and Trustees

NameTitle
Anneliese JivanVice-chairma
Heidi WeberTrustee
Ron CassessoTrustee
Tim SchotkeTrustee
Gregg DykstraSecretary/tr

Highest Paid Contractors

ContractorServicesLocationCompensation
Namic Service CorporationAdministrative3601 VINCENNES ROAD, Indianapolis, IN 46268$193,471
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$9,210,495
Investment Income
$4,247
Other Revenue
$0
Change in Net Assets
$50,438

Audited Revenue Reconciliation

Revenue per Audited Statements
$9,214,742
Total Revenue per Audited Statements
$9,214,742
Total Revenue per Form 990
$9,214,742
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$461,213
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$8,703,091
Insurance---$42,433
Fees for Services Accounting---$17,525
Fees for Services Other---$13,000
Travel---$9,527
Fees for Services Legal---$9,209
Other Expenses---$4,111
Advertising---$1,000
Total Functional Expenses$0$0$0$9,164,304

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$9,164,304
Total Expenses per Audited Statements$9,164,304
Total Expenses per Form 990$9,164,304
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Retiree Program Liability-post 65$1,557,365
Advance Contributions$320,682
Retiree Program Liability-pre 65$67,465
Income Tax Payable$64,585
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Page 6, Part VI, Line 3

Icso group benefit plan delegates administration services to national association of mutual insurance companies and its subsidiary namic service corporation. Such services include provision of benefits, enrollment, provider coordination, accounting, recordkeeping, etc.

Form 990, Page 6, Part VI, Line 11B

The form 990 is made available to all board members for review and comment. The audit/finance committee of the board is authorized to approve the report before form 990 is filed with the internal revenue service.

Form 990, Page 6, Part VI, Line 12C

The conflict of inerest policy is reviewed at orientation of new trustees, at trustee fiduciary reviews, and as needed during meetings.

Form 990, Page 6, Part VI, Line 19

Icso group benefit plan makes all required documents available to its members and to the public upon request.

Filing and Contact Details

Filer

Filer Name
Insurance Company Supported
EIN
23-7258552
Phone
3178755250
Address
3601 VINCENNES ROAD, INDIANAPOLIS, IN 46268

Signing Officer

Name
Douglas Jensen
Title
Chairman
Phone
3178755250
Signed
2020-10-20
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Douglas Jensen
Formed
1966
Voting Board Members
5
Independent Board Members
5
Employees
0

Preparer

Firm
L M Henderson & Company Llp
Address
450 E 96TH ST STE 200, INDIANAPOLIS, IN 46240
Preparer
Michelle L Zimmerman
Phone
3175661000
Supplemental Narrative

Financial Statement Notes

Schedule D, Page 3, Part X

The plan is funded by a trust that has received a determination letter on july 18, 2019, in which the internal revenue service stated that the plan, as then designed, was in compliance with the applicable requiremnts of the internal revenue code (the code). In accordance with section 419a of the code, the plan is subject to trust tax rates on net income earned from unrelated business activities. As the plan is a fully insured voluntary employee beneficiary association, management fee income related to the retiree programs is subject to tax. Management evaluates all significant income tax positions that it takes. For the year ended december 31, 2019, management does not believe that it has taken any tax positions that would require the recording of any additional tax liability nor does it believe that there are any unrealized tax benefits that would either increase or decrease within the next twelve months. The plan recognizes interest and penalties, if any, related to unrecognized tax benefits in interest expense. No interest or penalties have been accrued or charged to expense for uncertain tax positions for the year ended december 31, 2019. The plan is subject to routine audits by taxing jurisdictions, however, there are not current audits for any tax periods in progress. The annual information returns for the plan are subject to examination by taxing authorities for a period of three years from the date they are filed.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE PLAN IS FUNDED BY A TRUST THAT HAS RECEIVED A DETERMINATION LETTER ON JULY 18, 2019, IN WHICH THE INTERNAL REVENUE SERVICE STATED THAT THE PLAN, AS THEN DESIGNED, WAS IN COMPLIANCE WITH THE APPLICABLE REQUIREMNTS OF THE INTERNAL REVENUE CODE (THE CODE). IN ACCORDANCE WITH SECTION 419A OF THE CODE, THE PLAN IS SUBJECT TO TRUST TAX RATES ON NET INCOME EARNED FROM UNRELATED BUSINESS ACTIVITIES. AS THE PLAN IS A FULLY INSURED VOLUNTARY EMPLOYEE BENEFICIARY ASSOCIATION, MANAGEMENT FEE INCOME RELATED TO THE RETIREE PROGRAMS IS SUBJECT TO TAX. MANAGEMENT EVALUATES ALL SIGNIFICANT INCOME TAX POSITIONS THAT IT TAKES. FOR THE YEAR ENDED DECEMBER 31, 2019, MANAGEMENT DOES NOT BELIEVE THAT IT HAS TAKEN ANY TAX POSITIONS THAT WOULD REQUIRE THE RECORDING OF ANY ADDITIONAL TAX LIABILITY NOR DOES IT BELIEVE THAT THERE ARE ANY UNREALIZED TAX BENEFITS THAT WOULD EITHER INCREASE OR DECREASE WITHIN THE NEXT TWELVE MONTHS. THE PLAN RECOGNIZES INTEREST AND PENALTIES, IF ANY, RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE. NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE FOR UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED DECEMBER 31, 2019. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, HOWEVER, THERE ARE NOT CURRENT AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ANNUAL INFORMATION RETURNS FOR THE PLAN ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE DATE THEY ARE FILED.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 3, PART X
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0ICSO GROUP BENEFIT PLAN DELEGATES ADMINISTRATION SERVICES TO NATIONAL ASSOCIATION OF MUTUAL INSURANCE COMPANIES AND ITS SUBSIDIARY NAMIC SERVICE CORPORATION. SUCH SERVICES INCLUDE PROVISION OF BENEFITS, ENROLLMENT, PROVIDER COORDINATION, ACCOUNTING, RECORDKEEPING, ETC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FORM 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS FOR REVIEW AND COMMENT. THE AUDIT/FINANCE COMMITTEE OF THE BOARD IS AUTHORIZED TO APPROVE THE REPORT BEFORE FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE CONFLICT OF INEREST POLICY IS REVIEWED AT ORIENTATION OF NEW TRUSTEES, AT TRUSTEE FIDUCIARY REVIEWS, AND AS NEEDED DURING MEETINGS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ICSO GROUP BENEFIT PLAN MAKES ALL REQUIRED DOCUMENTS AVAILABLE TO ITS MEMBERS AND TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 19
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0GEORGIA UNDERWRITING ASSOCIATION
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt1ALABAMA INSURANCE GUARANTY ASSOCIAT
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt2SOUTH CAROLINA WIND AND HAIL
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt3NEVADA INSURANCE GUARANTY ASSOCIATI
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt4NATIONAL CONFERENCE OF INSURANCE GU
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt5KANSAS FAIR PLAN (ALL INDUSTRY PLAC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt6TENNESSEE INSURANCE GUARANTY ASSOCI
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt7PROPERTY INSURANCE ASSOCIATION OF L
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt8MISSISSIPPI STATE RATING BUREAU
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt9TEXAS MEDICAL JOINT UNDERWRITING AS
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt10ALABAMA INSURANCE UNDERWRITING ASSO
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt11CALIFORNIA FAIR PLAN
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt12PENNSYLVANIA PROPERTY & CASUALTY IN
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt13UNDERWRITERS SERVICE ASSOCIATION (A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt14MISSOURI PROPERTY INSURANCE PLACEME
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt15ADVOCATES FOR HIGHWAY & AUTO SAFETY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt16NEW JERSEY INSURANCE UNDERWRITING A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt17NEW YORK PROPERTY INSURANCE UNDERWR
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt18AMERICAN NUCLEAR INSURERS
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt19SURETY & FIDELITY ASSOCIATION OF AM
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt20WASHINGTON INSURANCE FAIR PLAN
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt21ILLINOIS FAIR PLAN
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt22ILLINOIS MINE SUBSIDENCE INSURANCE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt23JOINT INSURANCE ASSOCIATION
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt24OHIO FAIR PLAN
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt25VIRGINIA PROPERTY INSURANCE ASSOCIA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt26FLORIDA MEDICAL MALPRACTICE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt27CONNECTICUT FAIR PLAN
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt28ILLINOIS INSURANCE GUARANTY FUND
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt29MISSISSIPPI INSURANCE GUARANTY ASSO
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt30WISCONSIN INSURANCE PLAN
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt31WISCONSIN INSURANCE SECURITY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt32KENTUCKY AUTOMOBILE INSURANCE PLAN
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt33PENNSYLVANIA FINANCIAL RESPONSIBILI
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt34PENNSYLVANIA FAIR PLAN (FAIR PLAN I
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt35PA JOINT UNDERWRITING ASSOCIATION
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt36PROPERTY INSURANCE PLANS SERVICE OF
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt37INSURANCE INSTITUTE FOR HIGHWAY SAF
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt38MICHIGAN AUTOMOBILE INSURANCE PLACE
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