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Nonprofiteer
← LOKAHI ASSURANCE LTD

Form 990 for tax year 2022

Filed by LOKAHI ASSURANCE LTD.

Totals

Total revenue
$523,344,731
Total expenses
$664,390,364
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$410,348,646
Investment income
$112,996,085
Other revenue
$0
Total assets, end of year
$2,969,153,307
Total liabilities, end of year
$2,524,678,261
Net assets or fund balances, end of year
$444,475,046
Program services expenses (Part IX)
$642,351,692
Management and general expenses
$22,038,672
Fundraising expenses
$0
Program service expenses (Part III)
$642,351,692

Program services were 96.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: PREMIUMS EARNED

    total $410,348,646 · related or exempt $410,348,646

  • 3 · Investment income

    total $106,364,644 · unrelated business $0 · excluded $106,364,644

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7a · Gross sales of assets other than inventory

    securities $199,416,292

  • 7b · Less cost or other basis and sales expenses

    securities $192,784,851

  • 7c · Gain or loss

    securities $6,631,441

  • 7d · Net gain or loss

    total $6,631,441 · excluded $6,631,441

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $15,000 · management and general $15,000

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $23,726 · program services $0 · management and general $23,726 · fundraising $0

  • 11c · Fees: accounting

    total $73,140 · management and general $73,140

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $1,267,057 · management and general $1,267,057

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $0

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $19,199 · management and general $19,199

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $0

  • 24a · Other expenses: PAID LOSSES

    total $641,761,372 · program services $641,761,372

  • 24b · Other expenses: INTER-REGIONAL ALLOCATION

    total $17,361,855 · management and general $17,361,855

  • 24c · Other expenses: OTHER PROFESSIONAL FEES

    total $3,226,681 · management and general $3,226,681

  • 24d · Other expenses: PREMIUM TAXES

    total $590,320 · program services $590,320

  • 24e · All other expenses

    total $52,014 · management and general $52,014

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $42,674,520 · end of year $16,310,095

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $1,865,126,394 · end of year $1,884,054,350

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $94,779 · end of year $3,316

  • 10a · Land, buildings and equipment: cost or other basis

    $325,215

  • 10b · Land, buildings and equipment: accumulated depreciation

    $325,215

  • 11 · Investments: publicly traded securities

    beginning of year $1,119,580,746 · end of year $988,004,925

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $56,907,207 · end of year $80,780,621

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,258,088 · end of year $1,123,672

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $5,326,610 · end of year $6,876,418

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $2,323,077,332 · end of year $2,516,678,171

  • 29 · Capital stock, trust principal or current funds

    beginning of year $25,000,000 · end of year $25,000,000

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $726,721,616 · end of year $419,475,046

Mission and programs · 2022

Mission

A SUPPORTING ORGANIZATION TO KAISER FOUNDATION HEALTH PLAN INC AND SUBSIDIARIES CREATED TO PROVIDE A MEANS OF FINANCING PROFESSIONAL AND GENERAL LIABILITY, MANAGED CARE LIABILITY AND PANDEMIC, TERRORISM, CYBER SECURITY, AND EARTHQUAKE EXPOSURES.

Activities or mission (Part I)

SEE SCHEDULE O

  • A supporting organization to Kaiser Foundation Health Plan Inc and subsidiaries created to provide a means of financing professional and general liability, workers' compensation liability, managed care liability and pandemic, terrorism, cyber security, and earthquake exposures.

    Expenses $642,351,692 · Revenue $410,348,646

As filed on the 2022 return.

Listed in Part VII

  • Mark Zemelman

    SVP, General Counsel & Secy

    Total calculated
    $5,163,376
    From this org
    $0
    From related orgs
    $5,101,508
    Other
    $61,868
    Hours/week
    0.2 + 49.8 related

    Schedule J breakdown matched by us

    Base
    $0 + $339,902 related
    Bonus
    $0 + $3,880,962 related
    Other
    $0 + $880,644 related
    Deferred
    $0 + $41,523 related
    Nontaxable benefits
    $0 + $20,345 related
    Filer's total
    $0 + $5,163,376 related
  • Vanessa Benavides

    SVP,Chief Legal Officer & Secy

    Total calculated
    $1,674,679
    From this org
    $0
    From related orgs
    $1,466,903
    Other
    $207,776
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $687,727 related
    Bonus
    $0 + $726,916 related
    Other
    $0 + $52,260 related
    Deferred
    $0 + $189,045 related
    Nontaxable benefits
    $0 + $18,731 related
    Filer's total
    $0 + $1,674,679 related
  • Thomas Meier

    Vice President & Treasurer

    Total calculated
    $1,524,619
    From this org
    $0
    From related orgs
    $1,614,705
    Other
    -$90,086
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $568,446 related
    Bonus
    $0 + $904,341 related
    Other
    $0 + $141,918 related
    Deferred
    $0 + -$116,603 related
    Nontaxable benefits
    $0 + $26,517 related
    Filer's total
    $0 + $1,524,619 related
  • Martin King

    Director & President

    Total calculated
    $375,689
    From this org
    $0
    From related orgs
    $424,603
    Other
    -$48,914
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $274,332 related
    Bonus
    $0 + $107,347 related
    Other
    $0 + $42,924 related
    Deferred
    $0 + -$52,796 related
    Nontaxable benefits
    $0 + $3,882 related
    Filer's total
    $0 + $375,689 related
  • Hong-Sze Yu

    VP, Brd & Corp Gov & Asst Secy

    Total calculated
    $358,461
    From this org
    $0
    From related orgs
    $471,975
    Other
    -$113,514
    Hours/week
    0.1 + 49.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $293,512 related
    Bonus
    $0 + $158,442 related
    Other
    $0 + $20,021 related
    Deferred
    $0 + -$141,683 related
    Nontaxable benefits
    $0 + $28,169 related
    Filer's total
    $0 + $358,461 related
  • Sylvia Bhatia

    Director

    Total calculated
    $259,894
    From this org
    $0
    From related orgs
    $271,710
    Other
    -$11,816
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $214,049 related
    Bonus
    $0 + $46,645 related
    Other
    $0 + $11,016 related
    Deferred
    $0 + -$39,985 related
    Nontaxable benefits
    $0 + $28,169 related
    Filer's total
    $0 + $259,894 related
  • Michael B Evans

    Director

    Total calculated
    $11,000
    From this org
    $11,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • Gerald C Yoshida

    Director & Assistant Secretary

    Total calculated
    $4,000
    From this org
    $4,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3
METHODS USED TO ESTABLISH COMPENSATION OF CEO/EXECUTIVE DIRECTOR: THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED BELOW TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF A RELATED ORGANIZATION.
Schedule J, Part I, Line 4a
Mark Zemelman $ $465,099 LISTED PERSONS PARTICIPATED IN SEPARATION ARRANGEMENTS. DEPENDING ON POSITION LEVEL, TENURE, AND SEPARATION REASON, BENEFITS PAYABLE UNDER THESE ARRANGEMENTS PROVIDE FOR PAY AND HEALTH BENEFITS CONTINUATION PLUS PAYMENT OF ACCRUED OBLIGATIONS. IN ADDITION, FOR SOME OF THE LISTED PERSONS, BENEFITS PAYABLE INCLUDE PRORATED INCENTIVE AWARDS FOR PERFORMANCE PERIODS NOT YET ENDED. NONE OF THE LISTED PERSONS PARTICIPATED IN ARRANGEMENTS ENTITLING THEM TO CHANGE-OF-CONTROL PAYMENTS.
Schedule J, Part I, Line 4b
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENT Mark Zemelman $ 371,550 Thomas Meier 89,053 SOME OF THE PARTICIPANTS LISTED IN SCHEDULE J, PART II PARTICIPATED IN NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS. UNDER THESE PLANS, THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS TO A NOTIONAL ACCOUNT ON BEHALF OF EACH PARTICIPANT. CONTRIBUTIONS VARY BY POSITION, LEVEL AND PAY, AND VEST OVER TIME BASED ON AGE AND/OR SERVICE. PARTICIPANT ACCOUNTS ARE CREDITED WITH A FIXED RATE OF INTEREST, INVESTED IN AVAILABLE MUTUAL FUNDS OR A COMBINATION OF BOTH. CERTAIN OFFICERS ACCRUE A BENEFIT THAT VESTS BASED ON AGE AND SERVICE AND TARGETS A PERCENTAGE OF FINAL AVERAGE PAY LESS PRIOR PLAN OFFSETS. UNVESTED AMOUNTS ARE SUBJECT TO RISK OF FORFEITURE.
SCHEDULE J, PART I, LINE 7
NON-FIXED PAYMENTS THE ORGANIZATION PROVIDED NON-FIXED PAYMENTS TO SOME OF THE PERSONS LISTED. PAYMENTS WERE MADE UNDER DISCRETIONARY BONUS PROGRAMS AND INCENTIVE PLANS, BASED ON ATTAINMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE, DESIGNED TO SUPPORT THE ORGANIZATION'S MISSION TO PROVIDE HIGH-QUALITY, AFFORDABLE CARE AND IMPROVE THE HEALTH OF ITS MEMBERS AND THE COMMUNITIES IT SERVES. THE PLANS' ORGANIZATIONAL PERFORMANCE GOALS INCLUDED: QUALITY OF CARE AND SERVICE, MEMBERSHIP GROWTH, OPERATING INCOME, PER MEMBER EXPENSE TREND, AND COMMUNITY BENEFIT. PLAN DESIGNS, PERFORMANCE, AND PAYOUT LEVELS, AS WELL AS INDIVIDUAL PAYMENTS TO CERTAIN PERSONS, WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, COMPRISED OF INDEPENDENT DIRECTORS.
SCHEDULE J, PART II, SECTION A, COLUMN F
AMOUNTS INCLUDED IN SCHEDULE J, PART II, COLUMN F INCLUDE AMOUNTS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION, AS WELL AS DISTRIBUTIONS FROM A 457(B) PLAN THAT WERE PREVIOUSLY REPORTED AS REPORTABLE COMPENSATION IN ACCORDANCE WITH FORM 990 INSTRUCTIONS.
SCHEDULE J, PART II, COLUMN C
THE ACTUARIAL VALUE FOR THE MAJORITY OF INDIVIDUALS' DEFINED BENEFIT PLAN DECLINED IN 2022, RESULTING IN NEGATIVE COMPENSATION FOR CERTAIN EXECUTIVES. THE ACTUARIAL INCREASE OR DECREASE IN VALUE MAY CHANGE FOR VARIOUS REASONS, INCLUDING CONTINUED SERVICE, AGE, AND CHANGES IN ASSUMPTIONS. THE DECLINE IN ACTUARIAL VALUE OF BENEFITS DURING 2022 IS PRIMARILY DUE TO SIGNIFICANT INCREASE IN MARKET INTEREST RATES, RESULTING IN LOWER PRESENT VALUE OF BENEFITS COMPARED TO THE PRIOR YEAR. THE ACTUAL DOLLARS RECEIVED FROM THE DEFINED BENEFIT PLAN UPON RETIREMENT ARE NOT AFFECTED BY THE INTEREST RATE INCREASES.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • NXT CAP SR FD ILLC

    N/A · INVESTMENT · DE · share of income $0 · share of assets $0

    Directly controlled by NA

  • Garfield Health Sol E Pvt Ltd

    N/A · Admin · IN · share of income $0 · share of assets $0

    Directly controlled by NA

  • Maui Nui ASC Holdco LLC

    N/A · Holding Co · HI · share of income $0 · share of assets $0

    Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • OAK TREE ASSURANCE LTD

    C CORP · INSURANCE · VT · 0% owned · share of income $0 · share of assets $0

    Directly controlled by NA

  • KAISER PERMANENTE INSURANCE COMPANY

    C CORP · Insurance · CA · 0% owned · share of income $0 · share of assets $0

    Directly controlled by NA

  • KAISER PERMANENTE INTERNATIONAL

    C CORP · CONSULTING · CA · 0% owned · share of income $0 · share of assets $0

    Directly controlled by NA

  • KFHP OF WASHINGTON OPTIONS INC

    C CORP · INSURANCE · WA · 0% owned · share of income $0 · share of assets $0

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
17 October 2023
IRS schema version
2022v5.0
Source object
202323199349301002

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