2024-02-29T07:13:19-06:00 2023-12-31 611064249 DEMING MALONE LIVESAY & OSTROFF PSC 9300 SHELBYVILLE ROAD SUITE 1100 LOUISVILLE KY 402225187 990 2023-01-01 610408077 KENTUCKY AUTOMOBILE INSURANCE PLAN KENT 5023278909 PO BOX 437249 LOUISVILLE KY 40253 STEPHEN HILLIS EXECUTIVE DIRECTOR 5023278909 2024-02-28 1 STEPHEN HILLIS 999009999 0 SARAH K ANTLE P01391676 5024269660 2024-02-26 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z STEPHEN HILLIS PO BOX 437249 LOUISVILLE KY 40253 347004 0 X WWW.KYINSPLANS.ORG X 1980 KY TO ASSIST HIGH-RISK MOTORISTS IN OBTAINING AUTO INSURANCE AND DISTRIBUTE THE RISK TO KY INSURERS. 7 7 0 0 0 0 0 0 238511 320771 7209 22083 1904 4150 247624 347004 0 0 0 0 119976 127079 0 0 0 465442 150068 585418 277147 -337794 69857 1272983 1190068 363291 210519 909692 979549 THE PLAN PROVIDES RESIDUAL MARKET MECHANISMS FOR PERSONAL AND COMMERCIAL VEHICLE COVERAGE IN KENTUCKY. THE PLAN ASSISTS HIGH-RISK MOTORISTS IN OBTAINING AUTO INSURANCE AND DISTRIBUTES THE RISK TO INSURERS OPERATING IN KENTUCKY. 0 0 PROVIDE RESIDUAL MARKET MECHANISMS FOR PERSONAL AND COMMERCIAL VEHICLE COVERAGE IN KENTUCKY. 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X STEPHEN HILLIS 5023278909 PO BOX 437249 LOUISVILLE KY 40243 CHRISTOPHER MIGLIOZZI DIRECTOR 1.00 X 0 0 0 GEORGE MOORE CHAIRPERSON 1.00 X X 0 0 0 KRISTEN MELLINGER DIRECTOR 1.00 X 0 0 0 ANGIE HASTON DIRECTOR 1.00 X 0 0 0 BRAD ERDMAN VICE-CHAIRPERSON 1.00 X X 0 0 0 STEPHEN HILLIS SECRETARY-TREASURER/EXECUTIVE DIRECTOR 6.00 34.00 X X 28209 253877 76181 RUDY SCHLICH DIRECTOR 1.00 X 0 0 0 BERT HACKENBERG DIRECTOR 1.00 X 0 0 0 28209 253877 76181 0 0 1 0 0 ASSESSMENTS 900099 279605 279605 PREMIUMS 900099 41166 41166 320771 22083 22083 OHTER INCOME 900099 4150 4150 4150 347004 324921 0 22083 35827 56689 7891 20742 5930 14412 27071 5159 32597 6400 5105 2990 UNDERWRITING EXPENSES 24377 MANAGEMENT FEES 21617 MISCELLANEOUS 5523 ASSESSMENT REAPPORTIONM 4817 277147 220038 137853 981988 776731 3294 23544 67663 251940 1272983 1190068 152657 34877 210634 175642 363291 210519 X 0 0 0 0 909692 979549 909692 979549 1272983 1190068 69857 0 X X 0 1 X 1 0 0 1 0 0 OTHER RECEIVABLE 87084 MEMBER ASSESSMENT RECEIVABLES 164856 251940 INSURANCE RESERVES 175642 175642 X 342187 0 342187 4817 4817 347004 272330 0 272330 4817 4817 277147 PART X, LINE 2: THE PLAN IS EXEMPT FROM FEDERAL, STATE AND LOCAL INCOME TAXES AS A NOT-FOR-PROFIT ENTITY AS DESCRIBED UNDER INTERNAL REVENUE CODE SECTION 501(C)(6). THE PLAN FILES AN INFORMATION RETURN IN THE U.S. FEDERAL JURISDICTION. AS OF DECEMBER 31, 2023 AND 2022, THE PLAN DID NOT HAVE ANY ACCRUED INTEREST OR PENALTIES RELATED TO INCOME TAX LIABILITIES, AND NO INTEREST OR PENALTIES HAVE BEEN CHARGED TO OPERATIONS FOR THE YEARS THEN ENDED. PART XI, LINE 4B - OTHER ADJUSTMENTS: ASSESSMENT REAPPORTIONMENT 4,817. PART XII, LINE 4B - OTHER ADJUSTMENTS: ASSESSMENT REAPPORTIONMENT 4,817. X X 0 0 0 STEPHEN HILLIS SECRETARY-TREASURER/EXECUTIVE DIRECT 22406 201655 5689 51198 114 1024 4787 43079 2831 25484 35827 322440 0 0 FORM 990, PART V, LINE 2A AND 2B: THE PLAN'S EMPLOYEES ARE REPORTED ON THE PAYROLL REPORT OF A RELATED ORGANIZATION UNDER A COST SHARING AGREEMENT. THUS, NO FORM W-3 OR PAYROLL TAX RETURNS WERE FILED IN THE PLAN'S NAME. THESE FORMS WERE APPROPRIATELY FILED IN THE NAME OF THE RELATED ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE DIRECTOR REVIEWS THE 990 AND SHARES A COPY OF THE 990 WITH THE GOVERNING COMMITTEE AS APPROPRIATE DUE TO THE MAKE UP OF THE GOVERNING COMMITTEE CONSISTING OF INSURANCE REPRESENTATIVES. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE GOVERNING COMMITTEE ARE REQUIRED ANNUALLY TO SUBMIT A COMPLETED CONFLICT OF INTEREST POLICY TO THE PLAN. FORM 990, PART VI, SECTION B, LINE 15A AN EXECUTIVE COMMITTEE COMPOSED OF INDEPENDENT GOVERNING COMMITTEE MEMBERS MEET ON AN ANNUAL BASIS TO DETERMINE THE SALARY ADJUSTMENT FOR THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 THE PLAN DETERMINES WHETHER OR NOT TO MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XIII, LINE 1: THE PLAN USES THE STATUTORY BASIS OF ACCOUTING IN ACCORDANCE WITH THE FINANCIAL REPORTING PROVISIONS PRESCRIBED OR PERMITTED BY THE COMMONWEALTH OF KENTUCKY DEPARTMENT OF INSURANCE. KENTUCKY INSURANCE ARBITRATION ASSOCIATION PO BOX 437249 LOUISVILLE KY 40243 510150478 ARBITRATES DISPUTES REGARDING THE SUBROGATION OF NO-FAULT BENEFITS KY 501(C)(6) N/A 0 KENTUCKY ASSIGNED CLAIMS PLAN PO BOX 437249 LOUISVILLE KY 40243 510150466 ASSIGNS INSURANCE CLAIMS TO VARIOUS SERVICING INSURERS KY 501(C)(6) N/A 0 KENTUCKY FAIR PLAN REINSURANCE ASSOCIATION PO BOX 437249 LOUISVILLE KY 40243 611181778 PROVIDES INSURANCE COVERAGE TO THOSE OTHERWISE UNINSURABLE KY N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0