Liabilities / Assets
78th percentile
Higher debt load relative to assets than 78% of similar nonprofits.
EIN 91-1839164 • 501(c)9 • Columbia, SC
Profile
To provide health benefits and life insurance benefits covering members of the sc medical association and their full-time employees.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
78th percentile
Higher debt load relative to assets than 78% of similar nonprofits.
Liabilities / Revenue
81st percentile
Higher debt load relative to revenue than 81% of similar nonprofits.
Net Margin
24th percentile
Higher net margin than 24% of similar nonprofits.
Top Officer Pay
89th percentile
Higher top officer pay than 89% of similar nonprofits.
Top officer pay equals 1.2% of source-year revenue.
Asset Growth
20th percentile
Faster asset growth than 20% of similar nonprofits.
Revenue Growth
26th percentile
Faster revenue growth than 26% of similar nonprofits.
Assets
Down$26,564,402
Down $1,063,864 (-3.9%) from 2023
Liabilities
Down$5,745,792
Down $116,301 (-2.0%) from 2023
Net Assets
Down$20,818,610
Down $947,563 (-4.4%) from 2023
Revenue
Up$28,314,614
Up $52,458 (+0.2%) from 2023
Expenses
Down$29,262,177
Down $751,493 (-2.5%) from 2023
Net Income
Up-$947,563
Up $803,951 (+46%) from 2023
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2021 below.
To provide health benefits and life insurance benefits covering members of the sc medical association and their full-time employees.
The trust provides health and life insurance benefits covering members of the medical profession (continued)... And their full-time employees.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Rtn Earn Endowment Incm Other Fnds | $23,880,013 | $24,803,444 | ▲ $923,431 |
| Cash and Non-Interest-Bearing Accounts | $16,656,239 | $17,860,675 | ▲ $1,204,436 |
| Savings and Temporary Cash Investments | $11,192,172 | $10,442,510 | ▼ $749,662 |
| Prepaid Expenses and Deferred Charges | $179,189 | $98,259 | ▼ $80,930 |
| Land, Buildings, and Equipment, Net | $22,528 | $16,042 | ▼ $6,486 |
| Pd in Cap Srpls Land Bldg Eqp Fund | $0 | $0 | → $0 |
| Cap Stk Tr Prin Current Funds | $0 | $0 | → $0 |
| Total Assets | $30,169,976 | $30,479,111 | ▲ $309,135 |
| Other Assets Total | $2,119,848 | $2,061,625 | ▼ $58,223 |
| Liabilities | |||
| Other Liabilities | $5,395,563 | $5,199,089 | ▼ $196,474 |
| Accounts Payable and Accrued Expenses | $894,400 | $476,578 | ▼ $417,822 |
| Total Liabilities | $6,289,963 | $5,675,667 | ▼ $614,296 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $23,880,013 | $24,803,444 | ▲ $923,431 |
| Total Liabilities and Net Assets / Fund Balance | $30,169,976 | $30,479,111 | ▲ $309,135 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $13,208 | $377,892 | $391,100 |
| Equipment | $2,834 | $241,518 | $244,352 |
| Other Assets Org | $453,672 | - | - |
| Name | Title |
|---|---|
| Daniel Gerscovich Md | Trustee |
| Gary Delaney Md | Trustee |
| Jim Dalton Md | Trustee |
| Sunil Lalla Md | Trustee |
| Terry Dodge Md | Trustee |
| Michelle C Bolin | CFO/COO |
| William Rowan Render | Exec Dir, Mit |
| Richele Keel Taylor | GEN COUN/SVP 7/20-5/21;CLO 5/21-6/21 |
| Brandt F Smith | VP of It |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Planned Administrators INC | Third Party Admin. | PO BOX 6927, Columbia, SC 29260 | $1,564,760 |
| South Carolina Medical Association | Management And Property Rental | POST OFFICE BOX 11188, Columbia, SC 29211 | $1,111,647 |
| Fulcrum Risk Solutions INC | Insurance Brokerage | POST OFFICE BOX 11188, Columbia, SC 29211 | $1,039,070 |
| Companion Life | Insurance Broker | PO BOX 600007, Newark, NJ 07101 | $413,140 |
| Strategic Underwriting | Underwriting | 2593 DEVELOPMENT DR STE 20, Green Bay, WI 54311 | $259,571 |
| Line Item | Amount |
|---|---|
| Other Expenses | $4,864,792 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Benefits to Members | - | - | - | $26,377,859 |
| Fees for Services Management | - | - | - | $857,488 |
| Insurance | - | - | - | $507,940 |
| Fees for Services Other | - | - | - | $419,138 |
| Other Expenses | - | - | - | $155,745 |
| Fees for Services Legal | - | - | - | $136,685 |
| Fees for Services Accounting | - | - | - | $77,500 |
| Occupancy | - | - | - | $46,988 |
| Office Expenses | - | - | - | $26,207 |
| All Other Expenses | - | - | - | $21,127 |
| Information Technology | - | - | - | $15,094 |
| Depreciation Depletion | - | - | - | $6,486 |
| Advertising | - | - | - | $4,682 |
| Conferences and Meetings | - | - | - | $599 |
| Travel | - | - | - | $168 |
| Total Functional Expenses | $0 | $0 | $0 | $31,242,651 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $31,242,651 |
| Expenses per Audited Statements | $31,236,943 |
| Total Expenses per Audited Statements | $31,236,943 |
| Expenses Not Reported on Financial Statements | $5,708 |
| Other Expense Adjustments | $5,708 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | Plan Sponsor | MANAGEMENT AND PROPERTY RENTAL SERVICES AS AN INDEPENDENT CONTRACTOR. THE SERVICE TRANSACTION IS NEGOTIATED AT ARM'S LENGTH AND IS AT FMV. | No | $1,111,647 |
| - | ENTITY MORE THAN 35% OWNED BY PLAN SPONSOR | COMMISSIONS, WHICH ARE NEGOTIATED AT ARM'S LENGTH AND ARE AT FMV. | No | $1,039,070 |
| Liability | Amount |
|---|---|
| Reserve for Health Claims | $2,624,437 |
| Unearned Contributions | $2,574,652 |
“Mit pays management fees and administrative fees to scma to cover personnel services and related benefits and other management related expenses.”
“The bylaws were amended to update the manner in which trustees are appointed.”
“The organization has members who elect the members of the governing body.”
“A draft copy of the form 990 and 990-t is reviewed by the cfo, chief legal counsel, and outside counsel. The draft copy is then distributed to the trustees of the trust for comments.”
“The board reviews the annual conflict of interest disclosures submitted by each trustee. Any conflicts are resolved and/or addressed in the minutes of the organization. In the event of a potential conflict, the trustee with the potential conflict recuses himself/herself from the discussions and vote.”
“Mit has entered into a management service agreement with south carolina medical association for the provision of management and administrative services. The south carolina medical association executive committee follows a rebuttable presumption process involving the use of compensation experts, opinions, and survey data to confirm that the compensation paid pursuant to a written employment agreement is reasonable and consistent with fair market value. The scma mit officer and key employees' compensation is determined based on information from a third party expert on compensation provided every five years by the scma, and also by annual reviews of employees. Compensation decisions are reviewed and approved by the board and are documented in board meeting minutes through review of contractual expenses.”
“The annual report is available upon written request from dylan sitterle, executive director.”
“William rowan render 3704 macgregor drive columbia, sc 29206”
“Mit pays management fees and administrative fees to scma to cover personnel services and related benefits and other management related expenses.”
“Responsibility for oversight of audit trustees of the south carolina medical association members' insurance trust and south carolina medical association's (related party) finance committee assumes responsibility for the oversight of the audit process.”
“Us gaap requires plan management to evaluate tax positions taken by the plan and recognize a tax liability if the plan has taken an uncertain position that more likely than not would not be sustained upon examination by the internal revenue service. The plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.”
“Change in plan benefit obligation 5,708.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 894400 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 476578 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | THE TRUST PROVIDES HEALTH AND LIFE INSURANCE BENEFITS COVERING MEMBERS OF THE MEDICAL PROFESSION (CONTINUED)... AND THEIR FULL-TIME EMPLOYEES. |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 4682 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 21127 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 26377859 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | MICHELLE BOLIN CPA |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8037986207 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 132 WESTPARK BLVD |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | COLUMBIA |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | SC |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 29210 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 1 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 1 |
| IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt | 0 | 0 |
| IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 16656239 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 17860675 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 1 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 8 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 599 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1564760 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1111647 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1039070 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 413140 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 259571 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 6927 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | POST OFFICE BOX 11188 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | POST OFFICE BOX 11188 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO BOX 600007 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 2593 DEVELOPMENT DR STE 20 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | COLUMBIA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | COLUMBIA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | COLUMBIA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | NEWARK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | GREEN BAY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | SC |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | SC |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | SC |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | NJ |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 29260 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 29211 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 29211 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 07101 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 54311 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | PLANNED ADMINISTRATORS INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | SOUTH CAROLINA MEDICAL ASSOCIATION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | FULCRUM RISK SOLUTIONS INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | COMPANION LIFE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | STRATEGIC UNDERWRITING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | THIRD PARTY ADMIN. |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | MANAGEMENT AND PROPERTY RENTAL |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | INSURANCE BROKERAGE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | INSURANCE BROKER |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | UNDERWRITING |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 26377859 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 40995 |
| IRS990/CYOtherExpensesAmt | 0 | 4864792 |
| IRS990/CYOtherRevenueAmt | 0 | 190436 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 31934651 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 923431 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/CYTotalExpensesAmt | 0 | 31242651 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 32166082 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 6486 |
| IRS990/Desc | 0 | SCMA HAS FORMED A VEBA UNDER IRC SECTION 501(C)(9) TO PROVIDE MEDICAL, DENTAL, ACCIDENTAL DEATH/DISMEMBERMENT, LONG TERM DISABILITY, SPECIAL ACCIDENT AND LIFE BENEFITS. |
| IRS990/DescribedInSection501c3Ind | 0 | 0 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 77500 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 136685 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 857488 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 419138 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 22.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 27.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 27.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 15.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 10.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 37.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 49475 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 44167 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 40685 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 35687 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | MICHELLE C BOLIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | RICHELE KEEL TAYLOR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | WILLIAM ROWAN RENDER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | BRANDT F SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JIM DALTON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | GARY DELANEY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | TERRY DODGE MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DANIEL GERSCOVICH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | SUNIL LALLA MD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 297920 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 198371 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 148396 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 119413 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CFO/COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | GEN COUN/SVP 7/20-5/21;CLO 5/21-6/21 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | EXEC DIR, MIT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | VP OF IT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | TRUSTEE |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1981 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 32166082 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 15094 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 507940 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 40995 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | 40995 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 10 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 619410 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 22528 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 16042 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 635452 |
| IRS990/LegalDomicileStateCd | 0 | SC |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO PROVIDE MEDICAL AND DENTAL BENEFITS AND LIFE INSURANCE BENEFITS COVERING MEMBERS OF THE MEDICAL PROFESSION AND THEIR FULL-TIME EMPLOYEES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 23880013 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 24803444 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 35103 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 46988 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 26207 |
| IRS990/OfficerMailingAddressInd | 0 | 1 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501cInd | 0 | X |
| IRS990/OrgDoesNotFollowFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 2119848 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 2061625 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/Desc | 0 | COMMISSIONS |
| IRS990/OtherExpensesGrp/Desc | 1 | ACCESS FEES |
| IRS990/OtherExpensesGrp/Desc | 2 | REINSURANCE FEES |
| IRS990/OtherExpensesGrp/Desc | 3 | DUES & SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1039070 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 975759 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 574116 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 155745 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 5395563 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 5199089 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MISCELLANEOUS INCOME |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 190436 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 190436 |
| IRS990/OtherRevenueTotalAmt | 0 | 190436 |
| IRS990/PartialLiquidationInd | 0 | 0 |
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| IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 179189 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 98259 |
| IRS990/PrincipalOfficerNm | 0 | M BOLIN AND D SITTERLE |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | MEMBER CONTRIBUTIONS |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 31934651 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 31934651 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 28001912 |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 254615 |
| IRS990/PYOtherExpensesAmt | 0 | 5530269 |
| IRS990/PYOtherRevenueAmt | 0 | 1273677 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 32656839 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 652950 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/PYTotalExpensesAmt | 0 | 33532181 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 34185131 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 923431 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 1 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt | 0 | 23880013 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt | 0 | 24803444 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 11192172 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 10442510 |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 2834 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 241518 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 244352 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 5708 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 31236943 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 0 | 1607953 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 1 | 453672 |
| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 0 | ACCOUNTS RECEIVABLE - PREMIUMS |
| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 1 | REBATES RECEIVABLE |
| IRS990ScheduleD/OtherExpensesNotIncludedAmt | 0 | 5708 |
| IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt | 0 | 13208 |
| IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt | 0 | 377892 |
| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 391100 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 2574652 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 1 | 2624437 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | UNEARNED CONTRIBUTIONS |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 1 | RESERVE FOR HEALTH CLAIMS |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/RevenueNotReportedFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 32166082 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | US GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 1 | CHANGE IN PLAN BENEFIT OBLIGATION 5,708. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART X, LINE 2: |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | PART XII, LINE 4B - OTHER ADJUSTMENTS: |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 16042 |
| IRS990ScheduleD/TotalBookValueOtherAssetsAmt | 0 | 2061625 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 31242651 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 5199089 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 32166082 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 32166082 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 31236943 |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | 0 |
| IRS990/ScheduleJRequiredInd | 0 | 1 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 0 |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 0 | 11550 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 0 | 286370 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 1 | 192371 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 2 | 148396 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 3 | 119413 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 0 | 17846 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 1 | 12697 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 2 | 9636 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 3 | 7720 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 0 | 31629 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 1 | 31470 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 2 | 31049 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 3 | 27967 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 1 | 6000 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | MICHELLE C BOLIN |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 1 | RICHELE KEEL TAYLOR |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 2 | WILLIAM ROWAN RENDER |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 3 | BRANDT F SMITH |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 0 | CFO/COO |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 1 | GEN COUN/SVP 7/20-5/21;CLO 5/21-6/21 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 2 | EXEC DIR, MIT |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 3 | VP OF IT |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 3 | 0 |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 1 | 242538 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 2 | 189081 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 3 | 155100 |
| IRS990ScheduleJ/SeverancePaymentInd | 0 | 0 |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 0 | MIT HAS ENTERED INTO A MANAGEMENT SERVICE AGREEMENT WITH SOUTH CAROLINA MEDICAL ASSOCIATION FOR THE PROVISION OF MANAGEMENT AND ADMINISTRATIVE SERVICES. THE SOUTH CAROLINA MEDICAL ASSOCIATION EXECUTIVE COMMITTEE FOLLOWS A REBUTTABLE PRESUMPTION PROCESS INVOLVING THE USE OF COMPENSATION EXPERTS, OPINIONS, AND SURVEY DATA TO CONFIRM THAT THE COMPENSATION PAID PURSUANT TO A WRITTEN EMPLOYMENT AGREEMENT IS REASONABLE AND CONSISTENT WITH FAIR MARKET VALUE. THE SCMA MIT OFFICER AND KEY EMPLOYEES' COMPENSATION IS DETERMINED BASED ON INFORMATION FROM A THIRD PARTY EXPERT ON COMPENSATION PROVIDED EVERY FIVE YEARS BY THE SCMA, AND ALSO BY ANNUAL REVIEWS OF EMPLOYEES. COMPENSATION DECISIONS ARE REVIEWED AND APPROVED BY THE BOARD AND ARE DOCUMENTED IN BOARD MEETING MINUTES THROUGH REVIEW OF CONTRACTUAL EXPENSES. |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART I, LINE 3 |
| IRS990ScheduleJ/SupplementalNonqualRtrPlanInd | 0 | 0 |
| IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/BusinessName/BusinessNameLine1Txt | 0 | SOUTH CAROLINA MEDICAL ASSOCIATION |
| IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/BusinessName/BusinessNameLine1Txt | 1 | FULCRUM RISK SOLUTIONS INC |
| IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt | 0 | PLAN SPONSOR |
| IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt | 1 | ENTITY MORE THAN 35% OWNED BY PLAN SPONSOR |
| IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd | 0 | 0 |
| IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd | 1 | 0 |
| IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt | 0 | 1111647 |
| IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt | 1 | 1039070 |
| IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc | 0 | MANAGEMENT AND PROPERTY RENTAL SERVICES AS AN INDEPENDENT CONTRACTOR. THE SERVICE TRANSACTION IS NEGOTIATED AT ARM'S LENGTH AND IS AT FMV. |
| IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc | 1 | COMMISSIONS, WHICH ARE NEGOTIATED AT ARM'S LENGTH AND ARE AT FMV. |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | MIT PAYS MANAGEMENT FEES AND ADMINISTRATIVE FEES TO SCMA TO COVER PERSONNEL SERVICES AND RELATED BENEFITS AND OTHER MANAGEMENT RELATED EXPENSES. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | MIT PAYS MANAGEMENT FEES AND ADMINISTRATIVE FEES TO SCMA TO COVER PERSONNEL SERVICES AND RELATED BENEFITS AND OTHER MANAGEMENT RELATED EXPENSES. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | THE BYLAWS WERE AMENDED TO UPDATE THE MANNER IN WHICH TRUSTEES ARE APPOINTED. |
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