Blue Cross Complete of Michigan

“Susan a. Kluge julie c. Swantek cfo & treas secretary business relationship susan a. Kluge jeffrey connolly cfo & treas director business relationship julia c. Swantek jeffrey connolly secretary director business relationship”

“The organization is formed as a non-profit stock corporation wholly owned by blue care network of michigan (tax id 38-2359234), a health-maintenance organization which is organized and exempt under internal revenue code section 501(c)4.”

“The organization's stockholder, blue care network of michigan, may appoint two of the three board directors. Blue cross complete's members elect the remaining board director.”

“No review was conducted by the governing body. The cfo & treasurer, susan a. Kluge, reviews the form 990 before it is filed with the internal revenue service.”

“Each board member and corporate officer annually completes a conflict of interest disclosure questionnaire. The questionnaires are reviewed to identify any possible conflicts and determine how to resolve them.”

“The compensation strategy is designed to ensure that an appropriate balance exists between internal equity considerations and market compensation factors and practices. Market data from third party executive compensation surveys and independent compensation consultants are used to determine the president/ceo's compensation. The compensation recommendations are reviewed by the blue cross blue shield of michigan mutual insurance company (bcbsm), formerly known as blue cross blue shield of michigan (bcbsm), personnel and compensation subcommittee. The organization's president/ceo is also an executive of the indirect parent, bcbsm, and as such, the compensation is subject to review by the bcbsm executive committee and/or bcbsm board of directors.”

“The compensation recommendations for blue cross complete's officers are reviewed and approved by the blue cross and blue shield of michigan mutual insurance company (bcbsm), formerly known as blue cross blue shield of michigan (bcbsm), personnel and compensation subcommittee. The compensation of officers employed by the indirect parent is subject to review by the bcbsm personnel and compensation subcommittee, the bcbsm executive committee and/or bcbsm board of directors.”

“Governing documents - no documents available to the public. Conflict of interest policy - no documents available to the public. Audited financials - audited statutory-basis financials are available from the national association of insurance commissioners and the department of insurance and financial services (formerly known as the office of financial and insurance regulation).”

“Current officers, directors, trustees and key employees that are employed by the filing organization or by a related organization split their time as needed between the filing entity and related organizations. A per week estimate for the filing organization and related organizations is reflected on the filing entity's part vii, column b, with the complete reportable compensation from the filing organization and related organizations reflected in column d and column e as appropriate.”

“Grantor trust net income -70,374 contributed capital 17,000,000”

“Form 990 is filed based on the generally accepted accounting principles (gaap) method of accounting. No separate basis 2013 gaap audited financial statements were issued. However, the gaap trial balance, with additional statutory basis adjustments, was utilized by the independent auditors as a basis for the issued audited statutory-basis financial statements.”