Quartz Health Plan Mn Corporation

“Quartz health plan corporation is the sole corporate member of this organization.”

“The sole corporate member, quartz health plan corporation, elects three members of the board of directors. The remaining three members of the board are nominated and elected by the enrollees of the plan.”

“Governance decisions are reserved to the sole corporate member, quartz health plan corporation.”

“The form 990 is prepared by baker tilly us, llp and is reviewed for completeness and accuracy by management. For this purpose, management includes the cfo for quartz health solutions, inc. The organization informs the members of the board finance committee that a copy of form 990 is available for review prior to filing with the irs.”

“All board members and officers must review, complete, and sign a conflict of interest disclosure form on an annual basis. All disclosures are tracked and housed in the compliance department. Further, if at any time an individual becomes aware of an actual, potential, or perceived conflict of interest, the policy indicates that the individual shall immediately notify the compliance officer who then reviews any disclosed conflicts to assess any risk and/or negative influence on the health plan and drafts proposed recommendations to any disclosed conflicts of interest. The compliance officer then provides the disclosed conflicts of interest(s) and proposed recommendation(s) to a conflict of interest review group for final review and determination regarding the recommendation. Once the conflict of interest review group makes its final determination with respect to the recommendation, the compliance officer shall communicate the recommendation to the employee and, when applicable, to the chairperson of any committee which may be referenced in the recommendation.”

“Requests for the organization's governing documents, conflict of interest policy and financial statements are made through the legal department who then reviews the requests and makes the appropriate documents available for inspection in the legal department itself for the same period of disclosure as set forth in irc section 6104(d).”

“All employees are legal employees of quartz health solutions (fein: 46-5710709), which files all required federal employment forms each year.”

“Rx rebate adjustment added for stat -15,795. Additional paid in capital - quartz health plan corporation 3,200,000.”

“As of may 2016, the filing organization utilizes quartz health plan corporation's audit committee.”

“The organization has prepared the form 990 in accordance with generally accepted accounting principles (gaap), but does not follow sfas 117 (asc 958). The irs does not require reporting according to asc 958.”