2024-05-01T13:28:40-05:00 2023-06-30 843541096 ADAMSBROWN LLC 10990 QUIVIRA STE 160 OVERLAND PARK KS 66210 990 2022-07-01 480844843 KANSAS HEALTH CARE PROVIDER INSURANCE AVAILABILITY PLAN KANS 7852322224 623 WEST 10TH AVENUE 200 TOPEKA KS 66612 PETER POST OTHER 7852322224 2024-05-01 1 PETER POST 999009999 0 SKYLER FAIRCHILD P00240272 9134915080 2024-04-29 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PETER POST 623 WEST 10TH AVENUE 200 TOPEKA KS 66612 3116314 0 X N/A X 1976 KS TO PROVIDE PROFESSIONAL LIABILITY INSURANCE COVERAGE TO HEALTH CARE PROVIDERS 9 9 0 9 0 0 0 0 2457029 2985657 38789 130657 0 0 2495818 3116314 0 0 0 0 0 0 0 0 0 2569111 3518134 2569111 3518134 -73293 -401820 7077917 8099510 7077917 8099510 0 0 TO PROVIDE PROFESSIONAL LIABILITY INSURANCE COVERAGE TO HEALTH CARE PROVIDERS WHO ARE UNABLE TO OBTAIN COVERAGE THROUGH ORDINARY METHODS 0 0 TO PROVIDE PROFESSIONAL LIABILITY INSURANCE COVERAGE TO HEALTH CARE PROVIDERS WHO ARE UNABLE TO OBTAIN COVERAGE THROUGH ORDINARY METHODS 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X THE ORGANIZATION 7852322224 623 WEST 10TH AVENUE 200 TOPEKA KS 66612 X DOUG SCOTT CHAIR THRU OCT 24 1.00 X X 0 0 0 ANGELA ADAMS JD SECRETARY 1.00 X X 0 0 0 JIM WILSON TREASURER THRU OCT 24 1.00 X X 0 0 0 CRAIG CONCANNON MD DIRECTOR 1.00 X 0 0 0 MARK SYNOVEC MD DIRECTOR 1.00 X 0 0 0 KIM WILLIS DIRECTOR 1.00 X 0 0 0 CATHERINE WALBERG CHAIR EFF OCT 24 1.00 X X 0 0 0 CHRIS CONRADE TREASURER EFF OCT 24 1.00 X X 0 0 0 BERNITA BERNTSEN MD DIRECTOR EFF OCT 24 1.00 X 0 0 0 DOUG GLEASON MD DIRECTOR EFF OCT 24 1.00 X 0 0 0 0 0 0 0 0 0 0 0 PREMIUMS EARNED 525100 2985657 2985657 2985657 130657 130657 3116314 2985657 0 130657 25000 13848 LOSSES INCURRED 2117538 LOSS ADJUSTMENT EXPENSE 889994 SERVICING CARRIER FEES 237078 COMMISSIONS 168868 65808 3518134 57566 -21974 1810460 2460904 5109886 5229157 100005 431423 7077917 8099510 11489 7809 7066428 8091701 7077917 8099510 X 0 0 0 0 0 0 0 0 7077917 8099510 X -401820 401820 X X 0 1 X 1 0 0 BONDS 5229157 C 5229157 INTEREST INCOME DUE AND ACCRUED 29603 DUE FROM KANSAS HEALTH CARE STABILIZATION FUND 401820 431423 UNPAID LOSSES 5616993 UNPAID LOSS ADJUSTMENT EXPENSES 846007 UNEARNED PREMIUMS 1449180 PREMIUMS AND SURCHARGE COLLECTED ON UNPROCESSED POLICIES 136045 STABILIZATION RESERVE FUND SURCHARGE PAYABLE 43476 8091701 X 3102466 0 3102466 13848 13848 3116314 3504286 0 3504286 13848 13848 3518134 PART X, LINE 2: THE PLAN IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE. THE PLAN FILES AN INFORMATION RETURN ONLY AND HAS NEITHER FEDERAL NOR STATE LIABILITY FOR INCOME TAXES. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE FILING WITH THE INTERNAL REVENUE SERVICE. THE GOVERNING BODY REVIEWS THE RETURN AND PRESENTS ANY QUESTIONS FOR DISCUSSION. AFTER DISCUSSION, THE RETURN IS APPROVED FOR FILING. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: TRANSFER FROM KANSAS HEALTH CARE STABILIZATION FUND 401,820. FORM 990, PART XII, LINE 1: THE ACCOUNTING METHOD IS IN CONFORMITY WITH ACCOUNTING PRACTICES PRESCRIBED OR PERMITTED BY THE KANSAS INSURANCE DEPARTMENT. THE KANSAS INSURANCE DEPARTMENT RECOGNIZES ONLY STATUTORY ACCOUNTING PRACTICES PRESCRIBED OR PERMITTED BY THE STATE OF KANSAS FOR DETERMINING AND REPORTING THE FINANCIAL CONDITION AND RESULTS OF OPERATIONS OF AN INSURANCE COMPANY, FOR DETERMINING ITS SOLVENCY UNDER THE KANSAS INSURANCE LAW. THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS (NAIC) ACCOUNTING PRACTICES AND PROCEDURES MANUAL, VERSION EFFECTIVE MARCH 1, 2022, (NAIC SAP) HAS BEEN ADOPTED AS A COMPONENT OF PRESCRIBED OR PERMITTED PRACTICES BY THE STATE OF KANSAS. THE ACCOMPANYING FINANCIAL STATEMENTS OF THE PLAN HAVE BEEN PREPARED IN CONFORMITY WITH THE NAIC ANNUAL STATEMENT INSTRUCTIONS AND ACCOUNTING PRACTICES AND PROCEDURES MANUAL.