Form 990 for tax year 2024

Totals

Total revenue

$79,759,393

Total expenses

$61,102,268

Contributions and grants received

$45,726,151

Grants paid

$0

Program service revenue

$29,141,368

Investment income

$4,891,874

Other revenue

$0

Total assets, end of year

$86,951,138

Total liabilities, end of year

$33,434,953

Net assets or fund balances, end of year

$53,516,185

Program services expenses (Part IX)

$60,283,091

Management and general expenses

$819,177

Fundraising expenses

$0

Program service expenses (Part III)

$60,283,091

Program services were 98.7% 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.

Mission and programs · 2024

• The Association was created for the purpose of providing a reinsurance program for the higher risk segment of Maine's individual health insurance market in order to reduce insurance costs in that market and assure availability of affordable health insurance to residents of the State of Maine by providing reinsurance of a significant portion of the coverage provided through individual health insurance policies offered by its Member Insurers. In the normal course of business, the Member Insurers seek to limit their exposure to loss on any single insured and to recover a portion of losses paid by ceding reinsurance to the Association. In 2021 and 2022, the Association covered losses at 90% of claims paid at $65,000 of loss, and at 100% of claims paid in excess of $95,000 of loss, net of amounts (Continued on Sch O)(Continued from Page 2) recoverable from a federal highcost risk pool. In 2023, the Association covered 100% of claims paid in excess of $90,000 (up to $275,000). In 2024, the Association covered 75% of claims paid in excess of $135,000 (up to $275,000).The Association officially commenced operations on January 1, 2012. Premium collections and claims processing began on July 1, 2012. The Association suspended its operations effective January 1, 2014, and the final assessment was assessed in October of 2013. The Association reinitiated its reinsurance program effective January 1, 2019, in accordance with its Amended and Restated Plan of Operation dated January 1, 2019, approved by the Maine Bureau of Insurance in late December 2018. The Association amended its reinsurance program effective January 1, 2022, in accordance with its Amended and Restated Plan of Operation dated January 1, 2022, approved by the Maine Bureau of Insurance, to shift from a prospective to a retrospective model. Effective January 1, 2023, the Plan of Operations was amended and restated for the Association's program to be extended to a merged Individual Market and Small Group Market, referred to as the "Pooled Market". This extended the Association's coverage to small group health plans as well as individual health insurance plans. Effective January 1, 2024, the Plan of Operations was amended and restated for the Association to implement Maine's High-Priced Items and Services (HPIS) statutory regime on a pilot program basis, which requires MGARA to publish, based on carriers' reporting, a list of providers that receive insurance payments in excess of a statutory threshold for certain identified services. Reporting commences in 2025 for the 2024 year.

  Expenses $60,283,091 · Revenue $29,141,368

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

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.

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.

• State of Maine Department of Professional and Financial Regulation

  Government · Bureau of Insurance · ME

Provenance

Return type

form_990

Tax year

2024

Filed

10 November 2025

IRS schema version

2024v5.2

Source object

202533159349303963

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