2024-10-11T12:22:06+00:00 2023-12-31 440160260 Forvis Mazars LLP 312 Walnut Street Suite 3000 Cincinnati OH 45202 990 2023-01-01 251149206 VISION BENEFITS OF AMERICA INC VISI 4128814900 400 LYDIA STREET 300 CARNEGIE PA 15106 AARON R RISDEN CPA TREASURER 4128814900 2024-10-11 true true Aaron Hershberger P00961884 5136218300 2024-10-11 2023 2024-10-15 13:58:12Z JEFF A HOLLOWOOD 400 LYDIA STREET STE 300 CARNEGIE PA 15106 46661376 false X WWW.VBAPLANS.COM X 1973 PA VISION BENEFITS OF AMERICA FOSTERS THE CONSERVATION OF HUMAN EYESIGHT / MAKES AVAILABLE A SPECIALIZED VISION SERVICE PLAN. 9 8 77 0 24963 18978 0 0 36145193 36548845 -347321 572587 0 0 35797872 37121432 100000 25000 0 0 6586920 8560421 0 0 0 29078118 29744675 35765038 38330096 32834 -1208664 60872878 62906923 6297806 5974828 54575072 56932095 VISION BENEFITS OF AMERICA FOSTERS THE CONSERVATION OF HUMAN EYESIGHT BY MAKING AVAILABLE A HIGHLY SPECIALIZED VISION SERVICE PLAN FOR THE AID, COMFORT AND RELIEF OF HUMAN VISION PROBLEMS, AND PROVIDES A PREPAYMENT PLAN WHEREBY INDIVIDUALS OR GROUPS MAY OBTAIN VISION SERVICES AND CORRECTIVE LENSES AND FRAMES FROM LICENSED AND QUALIFIED HEALTH SERVICES DOCTORS AT SIGNIFICANTLY REDUCED PRICES. VISION BENEFITS OF AMERICA IS REGULATED BY THE PENNSYLVANIA INSURANCE DEPARTMENT. NO PORTION OF THE INCOME, AFTER EXPENSES, INURES TO THE BENEFIT OF ANY MEMBER OR INDIVIDUAL OR FOR ANY OTHER PURPOSE. false false 32873027 25000 36548845 VISION BENEFITS OF AMERICA, INC. PROVIDES A PREPAYMENT PLAN WHEREBY INDIVIDUALS OR GROUPS MAY OBTAIN VISION SERVICES AND CORRECTIVE LENSES AND FRAMES FROM LICENSED AND QUALIFIED HEALTH SERVICE DOCTORS AT SIGNIFICANTLY REDUCED COSTS. 32873027 false false false false false false false false false true true false false true false true false false false true false false false false false false true false true false false false false false false false false false false false false false true true true false true 1871 0 true 77 true true true false false false false false false false X 9 8 false false false false true true true true true false false true true true true true true true false false X AARON R RISDEN CPA 4128814900 400 LYDIA STREET SUITE 300 CARNEGIE PA 15106 JEFF A HOLLOWOOD PRESIDENT/DIRECTOR 40.0 1.0 X X 393715 0 50695 KRISTIN A O'CONNOR SECRETARY/DIRECTOR 1.0 1.0 X X 16863 0 0 AKOS NAGY DIRECTOR 1.0 1.0 X 15800 0 0 ANDREW L LEITZEL OD CHAIR 1.0 3.0 X 22448 26550 0 BRIAN A BLACK DIRECTOR (TERM ENDED 03/2023) 1.0 1.0 X 2709 0 0 Brock M Snyder Director (Term Began 03/2023) 1.0 1.0 X 9350 0 0 DAVID J TINTERA DIRECTOR 1.0 1.0 X 13125 0 0 MARCUS M DEVLIN OD VICE CHAIR 1.0 1.0 X 15950 0 0 STEPHEN R HOLLOWAY OD DIRECTOR 1.0 1.0 X 12800 0 0 SUSAN M OVERTON DIRECTOR 1.0 1.0 X 13350 0 0 AARON R RISDEN CHIEF FINANCIAL OFFICER/TREASURER 40.0 1.0 X 176633 0 59817 JESSICA R TURCOTTE CHIEF OPERATING OFFICER 40.0 0.0 X 205416 0 16937 Carrie A Kadunce Account Executive 40.0 0.0 X 127500 0 17654 Chad M Cygnarowicz Director of Business Development 40.0 0.0 X 173228 0 27581 CHRISTOPHER J CRAMP SENIOR ACCOUNT EXECUTIVE 40.0 0.0 X 172749 0 17955 MATTHEW M CUOMO VICE PRESIDENT SALES 40.0 0.0 X 160928 0 14160 SEAN M MASON VICE PRESIDENT SOFTWARE ENGINEERING 40.0 0.0 X 167801 0 15814 1700365 26550 220613 13 false true false MYEYEDR OPTOMETRY OF PENNSYLVANIA 1950 OLD GALLOWS RD STE 520 VIENNA VA 22182 VISION CARE 2161178 LUXOTTICA OF AMERICA INC 2813 CONCORD RD YORK PA 17402 VISION CARE 1768216 VISIONWORKS INC P O BOX 848448 DALLAS TX 75284 VISION CARE 1451590 NATIONAL VISION INC P O BOX 951336 DALLAS TX 75395 VISION CARE 1003357 SIMON EYE ASSOCIATES 5301 LIMESTONE RD STE 128 WILMINGTON DE 19808 VISION CARE 694939 29 0 PROGRAM SERVICE REVENUE 624100 36548845 36548845 0 0 0 0 36548845 1408539 24963 1383576 0 0 8703992 9539944 -835952 0 -835952 -835952 0 0 0 0 0 37121432 36548845 24963 547624 25000 25000 1025608 0 1025608 0 5060573 3373462 1687111 0 1558853 178344 1380509 0 481336 359180 122156 0 434051 252382 181669 0 9249 0 9249 0 136000 136000 0 0 1483521 1483521 0 0 116791 0 116791 0 477717 223469 254248 0 214521 107261 107260 0 146550 3340 143210 0 60996 1480 59516 0 542052 487847 54205 0 56614 9915 46699 0 CLAIM EXPENSE 24744673 24744673 0 0 EQUIPMENT EXPENSES 875498 727429 148069 0 CONSULTING EXPENSES 874216 753447 120769 0 PREMIUM TAXES 6277 6277 0 0 0 0 0 0 38330096 32873027 5457069 0 2719650 1675621 1263308 672819 2085548 2184966 0 0 0 0 883561 246613 6708735 4492389 2713000 2216346 38879178 42962514 12094552 12645221 0 234081 302823 60872878 62906923 3726743 3605964 0 0 2571063 2368864 6297806 5974828 X 63834 63834 54511238 56868261 54575072 56932095 60872878 62906923 X -1208664 3565687 X false true X true false 0 0 0 0 0 0 0 0 0 0 0 0 451338 387220 64118 0 6257397 4105169 2152228 2216346 8749460 C INVESTMENT - REAL ESTATE LOANS 3895761 C 12645221 Unpaid Claims Adj Reserves 247000 PREMIUMS RECEIVED IN ADVANCE 721864 IBNR Claim Reserves 1400000 2368864 37121432 0 0 0 0 0 37121432 0 0 0 37121432 38330096 0 0 0 0 0 38330096 0 0 0 38330096 false Europe (Including Iceland and Greenland) 0 0 PASSIVE INVESTMENTS 345726 East Asia and the Pacific 0 0 PASSIVE INVESTMENTS 62534 0 0 0 0 0 0 408260 0 408260 false false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual true PA VISION FOUNDATION 400 Lydia Street Carnegie PA 15106 208272736 501(c)(3) 25000 Program Support 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE MAJORITY OF GRANT FUNDS ARE DISBURSED TO A RELATED PRIVATE FOUNDATION AND MONITORED BY THAT FOUNDATION WHEN DISBURSED TO THE FINAL GRANTEE. X X X X X false false false true false true false true false JEFF A HOLLOWOOD PRESIDENT/DIRECTOR 357730 0 34600 0 1385 0 30900 0 19795 0 444410 0 0 0 AARON R RISDEN CHIEF FINANCIAL OFFICER/TREASURER 155810 0 20500 0 323 0 41160 0 18657 0 236450 0 20000 0 JESSICA R TURCOTTE CHIEF OPERATING OFFICER 169380 0 29725 0 6311 0 15435 0 1502 0 222353 0 0 0 CHRISTOPHER J CRAMP SENIOR ACCOUNT EXECUTIVE 81570 0 85078 0 6101 0 15038 0 2917 0 190704 0 0 0 SEAN M MASON VICE PRESIDENT SOFTWARE ENGINEERING 141000 0 20500 0 6301 0 12690 0 3124 0 183615 0 0 0 MATTHEW M CUOMO VICE PRESIDENT SALES 127589 0 27300 0 6039 0 11610 0 2550 0 175088 0 0 0 Chad M Cygnarowicz Director of Business Development 66125 0 103270 0 3833 0 13678 0 13903 0 200809 0 0 0 Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization THE PRESIDENT/CEO RECEIVED A BONUS OF 3% OF HIS BASE SALARY IN 2023 AS A RESULT OF THE COMPANY ACHIEVING TARGETED REVENUE GROWTH. Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization THE PRESIDENT/CEO RECEIVED A BONUS OF 5% OF HIS BASE SALARY IN 2023 AS A RESULT OF THE COMPANY ACHIEVING TARGETED NET UNDERWRITING INCOME. Schedule J, Part I, Line 7 Non-fixed payments THE VICE PRESIDENT OF SALES RECEIVES INCENTIVE COMPENSATION BASED ON PREMIUM AND COVERED LIVES GROWTH. ALL OTHER NONBARGAINING EMPLOYEES ARE ELIGIBLE FOR BONUSES SUBJECT TO OVERALL COMPANY PERFORMANCE AND INDIVIDUAL ANNUAL PERFORMANCE EVALUATION. PERSONS LISTED ON FORM 990, PART VII, SECTION A RECEIVED BONUSES BASED ON PERFORMANCE AND THE FINANCIAL RESULTS OF THE ORGANIZATION. THESE BONUSES WERE SUBJECT TO REVIEW AND APPROVAL BY THE CEO, EXECUTIVE COMPENSATION COMMITTEE AND/OR THE BOARD. Form 990, Part VI, Line 6 Classes of members or stockholders THE MEMBERSHIP CONSISTS OF EVERY PANEL DOCTOR RESIDENT IN PENNSYLVANIA AND THE MEMBERS OF THE BOARD OF DIRECTORS. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body ALL DIRECTORS, OTHER THAN THE PRESIDENT, ARE ELECTED BY THE MEMBERSHIP AT THE ORGANIZATION'S ANNUAL MEETINGS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders ALL ACTIONS THAT REQUIRE MEMBER APPROVAL UNDER APPLICABLE PENNSYLVANIA CORPORATE LAW ARE SUBMITTED TO THE MEMBERSHIP. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED IN DRAFT FORM AND FIRST SENT TO THE AUDIT AND FINANCE COMMITTEE FOR ITS REVIEW AND COMMENTS. ONCE THIS COMMITTEE HAS ACCOMPLISHED ITS REVIEW, IT IS THEN SUBMITTED TO EACH PARTICIPATING MEMBER OF THE BOARD OF DIRECTORS FOR FINAL APPROVAL PRIOR TO FILING WITH THE TAXING AUTHORITY. Form 990, Part VI, Line 12c Conflict of interest policy A CONFLICT OF INTEREST POLICY IS IN EFFECT. ALL DIRECTORS AND OFFICERS ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT WHICH IS SUBJECT TO REVIEW BY THE PENNSYLVANIA INSURANCE DEPARTMENT AND FILED IN THE CORPORATE RECORDS. Form 990, Part VI, Line 15a Process to establish compensation of top management official PROCEDURES ARE IN EFFECT TO REVIEW THE COMPENSATION PACKAGE FOR THE PRESIDENT/CEO. THE CEO IS AN AT-WILL EMPLOYEE. THE CEO'S COMPENSATION WAS APPROVED BY THE BOARD OF DIRECTORS AND IS PERIODICALLY REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE CONSISTS OF THE CHAIRMAN, VICE CHAIRMAN AND CHAIRMAN OF THE AUDIT AND FINANCE COMMITTEE, NONE OF WHOM ARE MEMBERS OF MANAGEMENT AND ALL OF WHOM ARE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. FOR ALL OTHER EMPLOYEES, THE CEO DETERMINES COMPENSATION WITHIN BUDGET GUIDELINES APPROVED BY THE BOARD OF DIRECTORS. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MADE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC, UPON REQUEST, DURING THE TAX YEAR. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in Funded Status of Pension Costs - 888336; Increase in Unrealized Capital Gains - 2677351; Schedule F, Part I, Line 3 THE COMPANY, IN ADHERENCE TO THE INVESTMENT POLICY OF DIVERSIFICATION, HAS INVESTMENTS IN FOREIGN COMPANIES VALUED IN EXCESS OF $100,000 AS DESCRIBED ON FORM 990, PART IV, LINE 14B. THE INVESTMENTS ARE MADE THROUGH A U.S. BROKER AND TRADED ON A U.S. STOCK EXCHANGE. THE INVESTMENTS ARE BELOW OWNERSHIP REQUIREMENTS FOR FILING FORM 5471, THUS NO FORM 5471 HAS BEEN FILED. PENNSYLVANIA VISION FOUNDATION 400 LYDIA STREET SUITE 300 CARNEGIE PA 15106 208272736 CHARITABLE PA 501(c)(3) PF VBA true 400 Lydia Street Associates LLC 400 Lydia Street Suite 300 Carnegie PA 15106 814635644 Commercial Office Lessor PA Vision Benefits of America Inc Unrelated 549886 3453460 false true 0.9012 VISION BENEFITS OF AMERICA II INC 400 LYDIA ST SUITE 300 CARNEGIE PA 15106 271254643 VISION INSURANCE PA VBA C Corporation 4592839 8544884 1.0000 true true true false false false false false false false false true true false false false true true false false 400 LYDIA STREET ASSOCIATES LLC A 24963 COST PA VISION FOUNDATION B 25000 COST 400 LYDIA STREET ASSOCIATES LLC K 214521 COST VISION BENEFITS OF AMERICA II INC L 902485 COST VISION BENEFITS OF AMERICA II INC P 4130399 COST VISION BENEFITS OF AMERICA II INC Q 2732476 COST PA VISION FOUNDATION Q 130274 COST Schedule R, Part V, Line 2 TRANSACTIONS WITH RELATED ORGANIZATIONS DURING THE TAX YEAR ENDED DECEMBER 31, 2023, VISION BENEFITS OF AMERICA ENGAGED IN THE FOLLOWING TRANSACTIONS WITH RELATED ORGANIZATIONS: - VISION BENEFITS OF AMERICA PAID GRANTS IN THE AMOUNT OF $25,000 TO PA VISION FOUNDATION. - VISION BENEFITS OF AMERICA RECEIVED MANAGEMENT FEES IN THE AMOUNT OF $902,485 FROM VISION BENEFITS OF AMERICA II, INC. - VISION BENEFITS OF AMERICA REIMBURSED VISION BENEFITS OF AMERICA II, INC. $4,130,399 FOR PREMIUMS. - VISION BENEFITS OF AMERICA RECEIVED REIMBURSEMENT FROM VISION BENEFITS OF AMERICA II, INC. IN THE AMOUNT OF $2,732,476 FOR CLAIMS PAID. - VISION BENEFITS OF AMERICA RECEIVED REIMBURSEMENT FROM PA VISION FOUNDATION IN THE AMOUNT OF $130,274 FOR CLAIMS PAID. - VISION BENEFITS OF AMERICA RECEIVED INTEREST INCOME OF $24,963 ON LOANS TO 400 LYDIA STREET ASSOCIATES LLC. - VISION BENEFITS OF AMERICA PAID RENT OF $214,521 TO 400 LYDIA STREET ASSOCIATES LLC FOR THE USE OF OFFICE SPACE.