Maine Guaranteed Access Reinsurance Association

Organization Overview

Maine Guaranteed Access Reinsurance Association is located in Portland, ME. The organization was established in 2015. According to its NTEE Classification (E80) the organization is classified as: Health (General & Financing), under the broad grouping of Health Care and related organizations. This organization is an independent organization and not affiliated with a larger national or regional group of organizations. Maine Guaranteed Access Reinsurance Association is a 501(c)(4) and as such, is described as a "Civic League, Social Welfare Organization, and Local Association of Employees" by the IRS.

For the year ending 12/2023, Maine Guaranteed Access Reinsurance Association generated $94.9m in total revenue. All expenses for the organization totaled $122.9m during the year ending 12/2023. While expenses have increased by 107.6% per year over the past 9 years. They've been increasing with an increasing level of total revenue. You can explore the organizations financials more deeply in the financial statements section below.

Mission & Program ActivityExcerpts From the 990 Filing

TAX YEAR

2023

Describe the Organization's Mission:

Part 3 - Line 1

A REINSURANCE PROGRAM FOR THE HIGH RISK SEGMENT OF MAINE'S INDIVIDUAL HEALTH INSURANCE MARKET.

Describe the Organization's Program Activity:

Part 3 - Line 4a

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).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.


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Outside Vendors & Contractors

Vendor Name (Service)Compensation
River 9 Consulting Inc
Administrative Services
$377,000
Milliman
Actuarial Services
$276,280
Pierce Atwood Llp
Legal Services
$150,952
View All Vendors

Financial Statements

Statement of Revenue
Federated campaigns$0
Membership dues$0
Fundraising events$0
Related organizations$0
Government grants $63,478,674
All other contributions, gifts, grants, and similar amounts not included above$0
Noncash contributions included in lines 1a–1f $0
Total Revenue from Contributions, Gifts, Grants & Similar$63,478,674
Total Program Service Revenue$28,889,529
Investment income $2,503,725
Tax Exempt Bond Proceeds $0
Royalties $0
Net Rental Income $0
Net Gain/Loss on Asset Sales $29,784
Net Income from Fundraising Events $0
Net Income from Gaming Activities $0
Net Income from Sales of Inventory $0
Miscellaneous Revenue$0
Total Revenue $94,901,712

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