Civic Intelligence

North Carolina Health Insurance Risk Pool Inc

EIN 74-3247177 • 501(c)26 • Raleigh, NC

Profile

Inclusive health, also known as the north carolina health insurance risk pool (nchirp), provides affordable, individual health insurance coverage for north carolinians who do not have access to an employer health plan and face higher premiums due to a pre-existing medical condition. It will also offer coverage to individuals who are federally defined hipaa eligibles or qualify due to loss of employment due to the effects of international trade under the health coverage tax credit. The north carolina general assembly created the north carolina health insurance risk pool in 2007. It serves as north carolina's alternative mechanism for those who've exhausted their cobra continuation coverage. Individuals with 18 months of prior continuous coverage may qualify for coverage under inclusive health and are not subject to inclusive health's pre-existing condition waiting period.

PO Box 31627Raleigh, NC 27622
Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2015

Liabilities / Revenue

66th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

<$500k nonprofits • Source year 2015

Net Margin

70th percentile

16%

Higher net margin than 70% of similar nonprofits.

<$500k nonprofits • Source year 2015

Top Officer Pay

98th percentile

$91,429

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 29.1% of source-year revenue.

<$500k nonprofits • Source year 2015

Asset Growth

12th percentile

-100%

Faster asset growth than 12% of similar nonprofits.

<$500k nonprofits • Annualized from 2014 to 2015

Revenue Growth

5th percentile

-99%

Faster revenue growth than 5% of similar nonprofits.

<$500k nonprofits • Annualized from 2014 to 2015

Assets

Down

$0

Down $3,279,140 (-100%) from 2014

Liabilities

Down

$0

Down $533,724 (-100%) from 2014

Net Assets

Down

$0

Down $2,745,416 (-100%) from 2014

Revenue

Down

$313,902

Down $41,597,866 (-99%) from 2014

Expenses

Down

$263,776

Down $49,080,579 (-99%) from 2014

Net Income

Up

$50,126

Up $7,482,713 (+101%) from 2014

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2011: $46,684,506Liabilities 2011: $9,356,623Net Assets 2011: $37,327,8832011Assets 2012: $45,367,304Liabilities 2012: $17,073,012Net Assets 2012: $28,294,2922012Assets 2013: $32,608,170Liabilities 2013: $22,430,167Net Assets 2013: $10,178,0032013Assets 2014: $3,279,140Liabilities 2014: $533,724Net Assets 2014: $2,745,4162014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2015

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$150M$100M$50M$0-$50MRevenue 2011: $48,075,587Expenses 2011: $42,571,984Net Income 2011: $5,503,6032011Expenses 2012: $82,257,9772012Expenses 2013: $122,159,6802013Revenue 2014: $41,911,768Expenses 2014: $49,344,355Net Income 2014: -$7,432,5872014Revenue 2015: $313,902Expenses 2015: $263,776Net Income 2015: $50,1262015

Highlighted filing

2015

Revenue$313,902
Expenses$263,776
Net Income$50,126

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
Feb 12, 2016
Return Version
2014v6.0
Gross Receipts
$313,902
Mission and Program Overview

Mission

Inclusive health, also known as the north carolina health insurance risk pool (nchirp), provides affordable, individual health insurance coverage for north carolinians who do not have access to an employer health plan and face higher premiums due to a pre-existing medical condition. It will also offer coverage to individuals who are federally defined hipaa eligibles or qualify due to loss of employment due to the effects of international trade under the health coverage tax credit. The north carolina general assembly created the north carolina health insurance risk pool in 2007. It serves as north carolina's alternative mechanism for those who've exhausted their cobra continuation coverage. Individuals with 18 months of prior continuous coverage may qualify for coverage under inclusive health and are not subject to inclusive health's pre-existing condition waiting period.

To provide affordable, individual health insurance coverage for north carolinians who do not have access to an employer health plan and face higher premiums due to a pre-existing medical condition.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$2,745,416$0▼ $2,745,416
Cash and Non-Interest-Bearing Accounts$1,971,083$0▼ $1,971,083
Accounts Receivable$1,165,475$0▼ $1,165,475
Prepaid Expenses and Deferred Charges$31,837$0▼ $31,837
Pledges and Grants Receivable$12,113$0▼ $12,113
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$3,279,140$0▼ $3,279,140
Other Assets Total$98,632$0▼ $98,632
Liabilities
Other Liabilities$414,865$0▼ $414,865
Accounts Payable and Accrued Expenses$118,859--
Total Liabilities$533,724$0▼ $533,724
Net Assets / Fund Balance
Total Net Assets Fund Balance$2,745,416$0▼ $2,745,416
Total Liabilities and Net Assets / Fund Balance$3,279,140$0▼ $3,279,140
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Michael KeoughExecutive DirectorFT$91,429$91,429

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$313,902
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$50,126
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$233,616
Salaries, Compensation, and Employee Benefits$30,160
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Accounting---$66,551
Fees for Services Other---$36,143
Other Salaries and Wages---$20,658
Insurance---$17,875
Fees for Services Legal---$8,498
Other Expenses---$5,912
Other Employee Benefits---$3,853
Payroll Taxes---$3,169
Pension Plan Contributions---$2,480
Conferences and Meetings---$1,314
Office Expenses---$648
Total Functional Expenses$0$0$0$263,776
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
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
Yes
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
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

A copy of the final form 990 is not provided to the board of directors for their review because the organization has been dissolved prior to filing.

Form 990, Part VI, Section B, Line 12C

The conflict of interest policy is reviewed at each board meeting and monitored by the board at each board meeting. In the event of a potential conflict, that member will recuse themselves from any discussion or vote.

Form 990, Part VI, Section B, Line 15A

The board chair meets annually to assess the executive director's performance based on the individual's performance plan, and to discuss goals for the next year. The board chair shares the results of this discussion with the personnel & compensation committee to determine any percentage increase in compensation that appears to be merited. Consideration is given in this process to area health insurance industry annual compensation increase metrics. The personnel & compensation committee then makes a recommendation to the full board in closed session at the first quarterly board meeting of the calendar year for full board discussion and approval. The board's review and approval of compensation is documented in meeting minutes.

Form 990, Part VI, Section C, Line 19

The organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
North Carolina Health Insurance Risk Pool Inc
EIN
74-3247177
Phone
3362771105
Address
PO BOX 31627, RALEIGH, NC 27622

Signing Officer

Name
Robert Seehausen
Title
Treasurer & Chair
Phone
3362771105
Signed
2016-02-12

Organization Details

Principal Officer
Robert Seehausen
Formed
2008
Legal Domicile
Nc
Voting Board Members
11
Independent Board Members
11
Employees
3
Volunteers
0

Preparer

Firm
Rsm US Llp
Address
230 N ELM ST STE 1100, GREENSBORO, NC 27401
Preparer
Tamela L Gainey
Phone
3362724551
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

Nchirp filed articles of dissolution and all assets were transferred to the state of north carolina as detailed on schedule n

Form 990, Part IX, Line 11G

Other fees 27,930. Actuarial services 6,338. Executive consultant 1,875.

FORM 990, PART XI, LINE 9:

Dissolution: remaining assets transferred to state of north carolina -2,795,542.

Raw XML Appendix375 raw XML fields

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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IRS990/MissionDesc0INCLUSIVE HEALTH, ALSO KNOWN AS THE NORTH CAROLINA HEALTH INSURANCE RISK POOL (NCHIRP), PROVIDES AFFORDABLE, INDIVIDUAL HEALTH INSURANCE COVERAGE FOR NORTH CAROLINIANS WHO DO NOT HAVE ACCESS TO AN EMPLOYER HEALTH PLAN AND FACE HIGHER PREMIUMS DUE TO A PRE-EXISTING MEDICAL CONDITION. IT WILL ALSO OFFER COVERAGE TO INDIVIDUALS WHO ARE FEDERALLY DEFINED HIPAA ELIGIBLES OR QUALIFY DUE TO LOSS OF EMPLOYMENT DUE TO THE EFFECTS OF INTERNATIONAL TRADE UNDER THE HEALTH COVERAGE TAX CREDIT. THE NORTH CAROLINA GENERAL ASSEMBLY CREATED THE NORTH CAROLINA HEALTH INSURANCE RISK POOL IN 2007. IT SERVES AS NORTH CAROLINA'S ALTERNATIVE MECHANISM FOR THOSE WHO'VE EXHAUSTED THEIR COBRA CONTINUATION COVERAGE. INDIVIDUALS WITH 18 MONTHS OF PRIOR CONTINUOUS COVERAGE MAY QUALIFY FOR COVERAGE UNDER INCLUSIVE HEALTH AND ARE NOT SUBJECT TO INCLUSIVE HEALTH'S PRE-EXISTING CONDITION WAITING PERIOD.
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IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt02745416
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990/ScheduleBRequiredInd00
IRS990/ScheduleJRequiredInd00
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IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0STATE OF NORTH CAROLINA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02015-01-30
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt02795542
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0GOVT AGENCY
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt020301 MAIL SERVICE CENTER
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0RALEIGH
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IRS990ScheduleN/OwnerOfSuccessorInd00
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IRS990ScheduleN/RequiredToNotifyAGInd01
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0ON JULY 26, 2013 THE NORTH CAROLINA GENERAL ASSEMBLY RATIFIED HOUSE BILL 92 (HB 92). SECTION 28.5(A) OF HB 92 AMENDS PART 6 OF ARTICLE 50 OF CHAPTER 58 OF THE GENERAL STATUTES BY ADDING SECTION 58-50-260, DISSOLUTION OF POOL. UNDER THIS LAW, THE POOL'S INSURANCE OPERATIONS HAVE SUNSET ON JANUARY 1, 2014. ALL INVOICES FOR MEDICAL, PHARMACY, AND ANY OTHER SERVICES PROVIDED MUST BE SUBMITTED NO LATER THAN 90 DAYS AFTER JANUARY 1, 2014. ALL APPEALS OR GRIEVANCES MUST ALSO BE SUBMITTED NO LATER THAN 90 DAYS AFTER JANUARY 1, 2014. THE POOL WAS REQUIRED TO SUBMIT A PLAN FOR THE DISSOLUTION OF THE POOL TO THE NORTH CAROLINA COMMISSIONER OF INSURANCE. THIS PLAN ADDRESSED THE WINDING DOWN OF THE POOL'S OPERATIONS, INCLUDING THE MANAGEMENT OF FUNDING HELD IN RESERVE TO BE USED IN CONNECTION WITH ACTIONS BY OR AGAINST THE POOL THAT ARE TIMELY FILED IN ACCORDANCE WITH G.S. 58-56-260(F). THIS STATUTE STATES, NOTWITHSTANDING ANY LONGER STATUTE OF LIMITATIONS PROVIDED UNDER LAW FOR AN ACTION, ALL ACTIONS BY OR AGAINST THE POOL MUST BE FILED ON OR BEFORE ONE YEAR FOLLOWING THE SUNSET OF INSURANCE OPERATIONS OF THE POOL UNDER SUBSECTION (A) OF THIS SECTION. AFTER FINAL DISSOLUTION OF THE POOL, THE POOL'S LIABILITY FOR INSURANCE BENEFITS, PROVIDER OR VENDOR INVOICES, AND ALL OTHER MATTERS SHALL BE LIMITED TO THE RESERVE AMOUNT ESTABLISHED UNDER SUBDIVISION (9) OF SUBSECTION (D) OF THIS SECTION, LESS THE COSTS OF RESOLVING THE CLAIMS BY OR AGAINST THE POOL."AFTER DISSOLUTION OF THE POOL, ANY FUNDS REMAINING IN THE RESERVE ESTABLISHED UNDER SUBDIVISION (9) OF SUBSECTION (D) WILL BE PAID TO THE NORTH CAROLINA GENERAL FUND. THESE FUNDS ARE TO BE HELD IN RESERVE TO BE USED IN CONJUNCTION WITH ACTIONS FILED BY OR AGAINST THE POOL, WHICH SHOULD BE ON OR BEFORE JANUARY 1, 2015. AFTER THE RESOLUTION OF TIMELY FILED ACTIONS AGAINST THE POOL, ANY RESERVE FUNDS REMAINING WILL BE PAID TO THE NORTH CAROLINA GENERAL FUND.DURING THE YEAR-ENDED JUNE 30, 2014, THE POOL DETERMINED THAT THERE WAS ADEQUATE CAPITAL TO ALLOW FOR AN EARLY PAYMENT TO THE NORTH CAROLINA GENERAL FUND OF $16 MILLION. THE FINAL DISSOLUTION OF THE POOL WAS JANUARY 1, 2015 AFTER WHICH THE FINAL PAYMENT WAS REMITTED TO THE STATE OF NORTH CAROLINA.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART I, LINE 1
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0NCHIRP FILED ARTICLES OF DISSOLUTION AND ALL ASSETS WERE TRANSFERRED TO THE STATE OF NORTH CAROLINA AS DETAILED ON SCHEDULE N
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1A COPY OF THE FINAL FORM 990 IS NOT PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW BECAUSE THE ORGANIZATION HAS BEEN DISSOLVED PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE CONFLICT OF INTEREST POLICY IS REVIEWED AT EACH BOARD MEETING AND MONITORED BY THE BOARD AT EACH BOARD MEETING. IN THE EVENT OF A POTENTIAL CONFLICT, THAT MEMBER WILL RECUSE THEMSELVES FROM ANY DISCUSSION OR VOTE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE BOARD CHAIR MEETS ANNUALLY TO ASSESS THE EXECUTIVE DIRECTOR'S PERFORMANCE BASED ON THE INDIVIDUAL'S PERFORMANCE PLAN, AND TO DISCUSS GOALS FOR THE NEXT YEAR. THE BOARD CHAIR SHARES THE RESULTS OF THIS DISCUSSION WITH THE PERSONNEL & COMPENSATION COMMITTEE TO DETERMINE ANY PERCENTAGE INCREASE IN COMPENSATION THAT APPEARS TO BE MERITED. CONSIDERATION IS GIVEN IN THIS PROCESS TO AREA HEALTH INSURANCE INDUSTRY ANNUAL COMPENSATION INCREASE METRICS. THE PERSONNEL & COMPENSATION COMMITTEE THEN MAKES A RECOMMENDATION TO THE FULL BOARD IN CLOSED SESSION AT THE FIRST QUARTERLY BOARD MEETING OF THE CALENDAR YEAR FOR FULL BOARD DISCUSSION AND APPROVAL. THE BOARD'S REVIEW AND APPROVAL OF COMPENSATION IS DOCUMENTED IN MEETING MINUTES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5OTHER FEES 27,930. ACTUARIAL SERVICES 6,338. EXECUTIVE CONSULTANT 1,875.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6DISSOLUTION: REMAINING ASSETS TRANSFERRED TO STATE OF NORTH CAROLINA -2,795,542.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART III, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART IX, LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XI, LINE 9:
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IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt03279140
IRS990/TotalAssetsEOYAmt00
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IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
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IRS990/TotalFunctionalExpensesGrp/TotalAmt0263776
IRS990/TotalGrossUBIAmt00
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IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt0533724
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt02745416
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceRevenueAmt0313902
IRS990/TotalReportableCompFromOrgAmt091429
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0313902
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0313902
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt03279140
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO BOX 31627
IRS990/USAddress/CityNm0RALEIGH
IRS990/USAddress/StateAbbreviationCd0NC
IRS990/USAddress/ZIPCd027622
IRS990/VotingMembersGoverningBodyCnt011
IRS990/VotingMembersIndependentCnt011
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02016-08-17 19:52:53Z
ReturnHeader/BusinessOfficerGrp/PersonNm0ROBERT SEEHAUSEN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER & CHAIR
ReturnHeader/BusinessOfficerGrp/PhoneNum03362771105
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-02-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0NORTH CAROLINA HEALTH INSURANCE RISK POOL INC
ReturnHeader/Filer/BusinessNameControlTxt0NORT
ReturnHeader/Filer/EIN0743247177
ReturnHeader/Filer/PhoneNum03362771105
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 31627
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ReturnHeader/Filer/USAddress/ZIPCd027622
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0420714325
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0RSM US LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0230 N ELM ST STE 1100
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0GREENSBORO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd027401
ReturnHeader/PreparerPersonGrp/PhoneNum03362724551
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0TAMELA L GAINEY
ReturnHeader/ReturnTs02016-02-12T16:08:33-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-07-01
ReturnHeader/TaxPeriodEndDt02015-06-30
ReturnHeader/TaxYr02014

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