Administrative Costs at
Minnesota Health Plans in
2001
December, 2002
Introduction
This report contains information about administrative costs reported by group purchasers
doing business in Minnesota during 2001. Under Minnesota Statute 62J, the Minnesota
Department of Health is required to monitor health care expenditures in the state (MINN.
STAT. § 62J.301, subdivision. 3; § 62J.38). All health plan companies doing business
providing health coverage for Minnesota residents, including commercial insurers,
HMOs, and other payers, are required to provide aggregate cost data each calendar year.
The 2001 Minnesota Legislature directed that certain information from these filings be
released to the public, in accordance with existing law that provides for review and
comment by group purchasers prior to release (MINN. STAT § 62J.321, subdivision 5).
The Department of Health made this data available to all affected group purchasers for a
21-day comment period, during which each company had an opportunity to make
revisions to their data and to comment on the data release.
Table 1 of this report shows, for each health plan, total reported administrative costs, total
spending and the percentage of total spending represented by administrative costs. All
data were derived from the calendar year 2001 Health Plan Financial and Statistical
Report submitted by each group purchaser. The report also provides detailed
administrative cost data for each plan, including a breakdown of overall administrative
costs into 14 categories. Group purchasers are listed alphabetically.
Appendix A includes copies of all comments received by the Department of Health
related to the release of this data. Appendix B provides definitions of the 14
administrative cost categories included in this report
Any comments or questions related to this report can be directed to the Minnesota
Department of Health at (651) 282-6367 or via e-mail at [email protected]
Administrative Costs as percent of total costs, 2001
Total
Spending
Group Purchaser
AFLAC
Aid Association for Lutherans
Allianz Life Insurance Company of North America
Altru Health Plan
American Family Mutual Insurance Company
Bankers Life and Casualty Company
Blue Cross Blue Shield of Minnesota
Central States Health & Life Co. of Omaha
Connecticut General Life Insurance Company
Continental Assurance Company
Continental General Insurance Company
Delta Dental Plan of Minnesota
Federated Mutual Insurance Company
First Plan of Minnesota
Fortis Benefits Insurance Company
Fortis Insurance Company
Golden Rule Insurance Company
Great-West Life & Annuity Insurance Co.
Guarantee Trust Life Insurance Co
HealthPartners
HMO Minnesota dba Blue Plus
Jefferson Pilot Financial Insurance Company
John Alden Life Insurance Company
Life Investors Insurance Company of America
Lincoln National Health & Casualty Insurance Company
Mayo Health Plan
Medica Health Plans
Medica Insurance Company
Metropolitan Health Plan
Metropolitan Life Insurance Company
Monumental Life Insurance Company
Mutual of Omaha Insurance Company
Physicians Mutual Ins. Co.
PreferredOne Community Health Plan
Principal Life Insurance Company
ReliaStar Life Insurance Company
Sentry Select Insurance Company
Sioux Valley Health Plan of Minnesota
State Farm Mutual Automobile Insurance Company
The Canada Life Assurance Company
The Guardian Life Insurance Company of America
The Prudential Ins Co of America
Trustmark Insurance Company
UCare Minnesota
United American Insurance Company
World Insurance Company
TOTAL:
$2,698,249
$8,916,043
$9,229,395
$4,710,904
$16,128,545
$12,468,801
$2,658,010,329
$3,841,562
$251,753,068
$5,798,365
$9,279,934
$527,000,000
$117,503,912
$44,514,310
$14,228,141
$68,961,947
$5,500,694
$113,567,747
$4,981,991
$1,791,402,829
$453,680,032
$7,252,544
$19,652,781
$5,498,564
$3,555,982
$14,650,990
$1,211,980,381
$264,385,722
$75,509,976
$28,739,455
$2,325,799
$30,587,960
$13,782,220
$47,753,918
$142,776,136
$6,762,332
$2,428,228
$4,968,393
$39,893,883
$3,614,883
$12,151,703
$26,936,994
$9,265,598
$395,000,000
$2,902,303
$21,837,420
$8,518,390,963
3
Administrative
Total
Costs (as
Administrative percent of total
Costs
costs)
$528,875
$623,926
$1,785,231
$548,381
$4,083,791
$1,031,438
$227,431,625
$657,912
$14,892,778
$1,433,895
$1,635,587
$33,172,092
$8,410,296
$2,257,520
$5,431,042
$8,650,410
$596,657
$9,899,000
$438,964
$156,423,576
$38,745,314
$881,437
$2,159,435
$684,697
$543,319
$2,070,000
$144,786,014
$33,996,399
$9,547,282
$7,966,681
$177,662
$7,728,973
$2,538,379
$3,619,628
$13,271,461
$880,712
$382,000
$515,915
$5,733,050
$843,262
$2,190,592
$1,374,376
$1,538,980
$31,896,204
$449,011
$3,026,515
$797,480,294
19.6%
7.0%
19.3%
11.6%
25.3%
8.3%
8.6%
17.1%
5.9%
24.7%
17.6%
6.3%
7.2%
5.1%
38.2%
12.5%
10.8%
8.7%
8.8%
8.7%
8.5%
12.2%
11.0%
12.5%
15.3%
14.1%
11.9%
12.9%
12.6%
27.7%
7.6%
25.3%
18.4%
7.6%
9.3%
13.0%
15.7%
10.4%
14.4%
23.3%
18.0%
5.1%
16.6%
8.1%
15.5%
13.9%
9.4%
AFLAC
Percent indirect expenses
(out of total 2001 reported
spending):
19.6%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide
detail about the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$803
1. BILLING AND ENROLLMENT
$55,370
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
$0
$10,197
3. CUSTOMER SERVICE
$1,904
4A. PRODUCT MANAGEMENT AND MARKETING
$0
4B. UNDERWRITING
$4,321
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
$1,042
5B. LOBBYING
$0
6. PROVIDER RELATIONS AND CONTRACTING
$0
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
$0
8. WELLNESS AND HEALTH EDUCATION
$0
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$24,924
$98,561
Other Expenses**
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
$2,613
$94,406
$0
$10,547
$304,824
$0
$2,426
$2,061
$0
$0
$0
$0
$0
$13,438
$430,313
=
LINE
#
=
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
TOTAL (FOR INDIRECT
EXPENSE CATEGORY)
$3,415
$149,776
$0
$20,743
$306,728
$0
$6,747
$3,103
$0
$0
$0
$0
$0
$38,362
$528,875
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$0
$106,612
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
LINE
#
2001 INCURRED
$0
$0
$0
$0
15
16
17
18
2001 PAYMENTS
$0
$0
$0
$0
Aid Association for Lutherans
Percent indirect expenses
(out of total 2001 reported
spending):
7.0%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
$3,727
1. BILLING AND ENROLLMENT
$167,884
2A. CLAIM PROCESSING
$534
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
$41,343
not applicable
not applicable
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$220,423
$390
+
$13,652
+
not applicable
not applicable
$433
+
not applicable
+
not applicable
+
$4,486
not applicable
$4,032
not applicable
not applicable
not applicable
$10,846
+
+
8. WELLNESS AND HEALTH EDUCATION
9. RESEARCH AND PRODUCT DEVELOPMENT
$3,252
+
+
not applicable
Other Expenses**
+
+
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
+
not applicable
$792
+
$5,413
+
$109,339
$331,345
$37,380
+
$292,581
+
=
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$6,979
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$388,307
$924
$54,995
not applicable
not applicable
$433
not applicable
not applicable
$15,322
not applicable
$4,824
$5,413
$146,719
$623,926
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not applicable
not applicable
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Allianz Life Insurance Company of North America
Percent indirect expenses
(out of total 2001 reported
spending):
19.3%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
$32,545
1. BILLING AND ENROLLMENT
$101,544
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
$17,199
not applicable
3. CUSTOMER SERVICE
$59,986
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
$20,218
not applicable
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
not applicable
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
not applicable
$778,307
not applicable
$104,778
$76,415
+
$38,449
+
not applicable
$38,771
+
not applicable
$44,039
+
+
$347,580
$21,910
+
+
not applicable
$128,355
+
+
$34,571
$41,459
+
+
$30,435
Other Expenses**
+
+
$82,248
4A. PRODUCT MANAGEMENT AND MARKETING
+
not applicable
not applicable
$442,750
+
$843,924
+
=
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$74,004
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$230,899
$39,109
not applicable
$187,026
$130,401
$158,667
not applicable
$68,206
not applicable
$78,610
not applicable
not applicable
$790,310
$1,785,231
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not applicable
$165,863
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Altru Health Plan
Percent indirect expenses
(out of total 2001 reported
spending):
11.6%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
$30,000
1. BILLING AND ENROLLMENT
$66,000
2A. CLAIM PROCESSING
$2,000
2B. DETECTION AND PREVENTION OF FRAUD
$44,000
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
$3,000
not reported
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
not reported
$5,000
$63,206
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$4,000
not reported
$267,206
$500
$2,000
+
$2,000
+
not reported
$2,000
+
not reported
$1,000
+
$5,000
+
$1,000
+
+
$30,000
$255,675
+
+
not reported
$5,000
+
+
5B. LOBBYING
Other Expenses**
+
+
$20,000
6. PROVIDER RELATIONS AND CONTRACTING
+
not reported
not reported
$7,000
+
$281,175
+
=
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$35,000
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$321,675
$2,500
$46,000
$5,000
not reported
$22,000
not reported
$6,000
$68,206
$5,000
not reported
not reported
$37,000
$548,381
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not reported
$44,351
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
American Family Mutual Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
25.3%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$186,412
1. BILLING AND ENROLLMENT
$11,027
2A. CLAIM PROCESSING
$0
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
$8,539
$128,069
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
$0
$16,709
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
$2,500
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
$5,059
$64,364
$12,855
8. WELLNESS AND HEALTH EDUCATION
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$3,623
$17,122
$954,321
$1,410,602
Other Expenses**
=
$341,305
+
$364,782
+
$0
+
$3,024
+
$1,208,530
+
$0
+
$174,729
+
$500
+
$2,030
+
$25,832
+
$2,688
+
$1,454
+
$4,053
+
$544,262
+
$2,673,189
+
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$527,717
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$375,809
$0
$11,563
$1,336,599
$0
$191,438
$3,000
$7,089
$90,196
$15,543
$5,077
$21,175
$1,498,583
$4,083,791
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not reported
$595,591
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Bankers Life and Casualty Company
Percent indirect expenses
(out of total 2001 reported
spending):
8.3%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$2,702
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
$69,891
not reported
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
$291,311
not reported
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
$4,400
not reported
$0
6. PROVIDER RELATIONS AND CONTRACTING
$0
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
$303
8. WELLNESS AND HEALTH EDUCATION
$8,893
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$66,837
$475,985
not reported
$43,614
+
$300,956
+
not reported
$6,064
+
+
5B. LOBBYING
$96,315
+
+
=
$3,723
+
+
$31,648
Other Expenses**
not reported
$0
+
$0
+
$417
+
$12,256
+
$0
+
$92,108
+
$555,453
+
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$6,425
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$166,206
not reported
$75,262
$592,267
not reported
$10,464
not reported
$0
$0
$720
$21,149
$0
$158,945
$1,031,438
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$0
$869,358
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Blue Cross Blue Shield of Minnesota
Percent indirect expenses
(out of total 2001 reported
spending):
8.6%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$10,721,829
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
$24,995,384
$143,144
$16,537,096
$15,020,807
$4,929,996
$570,675
$76,265
$7,248,052
$6,227,596
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$0
$2,530,858
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$4,372,726
$93,374,428
Other Expenses**
$4,412,508
+
+
$33,846,267
$41,167
+
$5,723,421
+
+
$40,445,019
$1,746,518
+
$402,152
+
$77,212
+
$3,734,858
+
$4,075,500
+
$0
+
$5,596,711
+
$2,478,640
+
+
+
=
$31,477,224
$134,057,197
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$15,134,337
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$58,841,651
$184,311
$22,260,517
$55,465,826
$6,676,514
$972,827
$153,477
$10,982,910
$10,303,096
$0
$8,127,569
$2,478,640
$35,849,950
$227,431,625
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$42,517,321
$17,848,493
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
LINE
#
2001 INCURRED
$0
$15,321,260
$0
$15,321,260
15
16
17
18
2001 PAYMENTS
$0
$15,321,260
$0
$15,321,260
Central States Health & Life Co. of Omaha
Percent indirect expenses
(out of total 2001 reported
spending):
17.1%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$8,382
1. BILLING AND ENROLLMENT
$80,626
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
$4,325
$30,703
$43,731
4A. PRODUCT MANAGEMENT AND MARKETING
$4,330
4B. UNDERWRITING
$4,980
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
$0
5B. LOBBYING
$0
6. PROVIDER RELATIONS AND CONTRACTING
$0
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
$0
8. WELLNESS AND HEALTH EDUCATION
$9,034
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$43,457
$229,568
Other Expenses**
=
$5,959
+
$109,211
+
$2,283
+
$23,389
+
$34,777
+
$4,195
+
$3,179
+
$0
+
$0
+
$0
+
$0
+
$4,445
+
$0
+
$240,904
+
$428,343
+
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$14,340
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$189,838
$6,608
$54,092
$78,508
$8,526
$8,159
$0
$0
$0
$0
$13,479
$0
$284,361
$657,912
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$0
$118,913
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Connecticut General Life Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
5.9%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
$1,067,857
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
$1,847,240
reported elsewhere
2B. DETECTION AND PREVENTION OF FRAUD
4A. PRODUCT MANAGEMENT AND MARKETING
$597,190
reported elsewhere
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
$5,061
reported elsewhere
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
$198,280
not reported
8. WELLNESS AND HEALTH EDUCATION
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
not reported
$5,181,272
$749,390
$1,119,342
reported elsewhere
$9,486
+
reported elsewhere
$252,321
+
$371,645
+
not reported
$47,430
+
+
$905,907
reported elsewhere
+
+
$25,305
$3,462,372
+
+
$134,618
$2,001,535
+
+
4B. UNDERWRITING
Other Expenses**
+
+
$399,814
3. CUSTOMER SERVICE
+
not reported
$1,697,985
+
$9,711,506
+
=
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$3,069,392
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$5,309,612
reported elsewhere
$1,149,204
$1,716,532
reported elsewhere
$14,547
reported elsewhere
$386,939
$569,925
not reported
$72,735
not reported
$2,603,892
$14,892,778
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$432,143
not reported
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
LINE
#
2001 INCURRED
not reported
15
not reported
16
$2,177,877
$2,177,877
17
18
2001 PAYMENTS
not reported
not reported
$2,177,877
$2,177,877
Continental Assurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
24.7%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
not reported
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
Other Expenses**
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
=
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$104,283
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$538,102
$0
not reported
$396,276
not reported
$184,060
$0
reported elsewhere
reported elsewhere
$0
$211,174
$0
not applicable
$1,433,895
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not reported
not reported
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Continental General Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
17.6%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$0
1. BILLING AND ENROLLMENT
$0
2A. CLAIM PROCESSING
$0
2B. DETECTION AND PREVENTION OF FRAUD
$0
3. CUSTOMER SERVICE
$0
4A. PRODUCT MANAGEMENT AND MARKETING
$0
4B. UNDERWRITING
$0
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
$0
5B. LOBBYING
$0
6. PROVIDER RELATIONS AND CONTRACTING
$0
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
$0
8. WELLNESS AND HEALTH EDUCATION
$0
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$789,530
$789,530
Other Expenses**
=
$21,379
+
$306,100
+
$0
+
$258,042
+
$30,172
+
$0
+
$7,676
+
$0
+
$0
+
$0
+
$0
+
$0
+
$0
+
$222,688
+
$846,057
+
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$21,379
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$306,100
$0
$258,042
$30,172
$0
$7,676
$0
$0
$0
$0
$0
$0
$1,012,218
$1,635,587
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$126,687
$206,701
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Delta Dental Plan of Minnesota
Percent indirect expenses
(out of total 2001 reported
spending):
6.3%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$1,757,520
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
$2,953,740
$115,460
$4,296,304
$1,855,082
$357,333
$725,953
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$0
$1,256,118
$644,272
$146,942
$306,622
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$2,993,053
$17,408,399
Other Expenses**
$1,001,586
+
$4,031,240
+
$137
+
$726,357
+
$4,410,881
+
$2,136
+
$251,430
+
$45,864
+
$561,274
+
$381,535
+
$70,211
+
$634,669
+
$41,354
+
$3,605,020
+
+
=
$15,763,693
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$2,759,106
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$6,984,980
$115,597
$5,022,660
$6,265,963
$359,469
$977,382
$45,864
$1,817,392
$1,025,807
$217,153
$941,291
$41,354
$6,598,073
$33,172,092
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$9,991,257
not reported1006
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
LINE
#
2001 INCURRED
$0
$4,301,903
$0
$4,301,903
15
16
17
18
2001 PAYMENTS
$0
$4,301,903
$0
$4,301,903
Federated Mutual Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
7.2%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$62,461
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
$1,581,212
$12,391
$39,492
$2,459,447
$296,632
$19,373
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
$0
$39,857
$39,492
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$7,695
$65,374
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$753,142
$5,376,567
Other Expenses**
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
=
$29,337
$1,689,685
$3,849
$12,093
$835,397
$162,043
$5,453
$0
$9,261
$12,093
$2,156
$25,984
$0
$246,378
$3,033,729
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$91,798
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$3,270,897
$16,240
$51,585
$3,294,844
$458,675
$24,826
$0
$49,117
$51,585
$9,851
$91,358
$0
$999,520
$8,410,296
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$3,922
$1,342,116
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
LINE
#
2001 INCURRED
$0
$0
$0
$0
15
16
17
18
2001 PAYMENTS
$0
$0
$0
$0
First Plan of Minnesota
Percent indirect expenses
(out of total 2001 reported
spending):
5.1%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$63,196
1. BILLING AND ENROLLMENT
$207,579
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
$0
$134,007
$20,893
$119,258
$66,035
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$0
$177,422
$139,376
$52,828
$87,554
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$95,450
$1,163,598
Other Expenses**
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
=
$98,844
$191,611
$42,323
$105,291
$106,897
$93,727
$63,458
$0
$65,622
$101,711
$69,805
$48,197
$12,148
$94,288
$1,093,922
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$162,040
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$399,190
$42,323
$239,298
$127,790
$212,985
$129,493
$0
$243,044
$241,087
$122,633
$135,751
$12,148
$189,738
$2,257,520
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$251,649
$359,062
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
LINE
#
2001 INCURRED
$3,240,602
$0
$0
$3,240,602
15
16
17
18
2001 PAYMENTS
$348,156
$0
$0
$348,156
Fortis Benefits Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
38.2%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$57,400
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
$369,692
$75,543
$199,025
$590,690
$85,519
$19,433
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
$0
$53,439
$64,990
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$1,458
$25,569
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$703,796
$2,246,558
Other Expenses**
=
$9,454
+
$388,188
+
$81,625
+
$140,320
+
$463,406
+
$78,025
+
$9,538
+
$0
+
$203,633
+
$52,702
+
($110)
+
$4,913
+
$8,940
+
$1,743,845
+
$3,184,484
+
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$66,855
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$757,880
$157,168
$339,345
$1,054,096
$163,544
$28,971
$0
$257,073
$117,693
$1,347
$30,482
$8,940
$2,447,641
$5,431,042
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$74
$345,952
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Fortis Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
12.5%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$177,398
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
$377,470
$173,543
$466,309
$916,678
$556,159
$75,642
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
$0
$107,018
$150,249
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$4,848
$93,441
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$1,431,666
$4,530,427
Other Expenses**
=
$109,891
+
$526,272
+
$173,281
+
$384,730
+
$801,417
+
$428,828
+
($2,674)
+
$0
+
$619,816
+
$307
+
($369)
+
$120,360
+
$15,492
+
$942,627
+
$4,119,983
+
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$287,289
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$903,743
$346,824
$851,039
$1,718,096
$984,987
$72,967
$0
$726,835
$150,556
$4,479
$213,802
$15,492
$2,374,294
$8,650,410
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$3,150
$1,000,191
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Golden Rule Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
10.8%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$7,405
1. BILLING AND ENROLLMENT
$69,906
2A. CLAIM PROCESSING
$2,293
2B. DETECTION AND PREVENTION OF FRAUD
$8,032
3. CUSTOMER SERVICE
$0
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
$0
$55,534
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
$0
5B. LOBBYING
$1,504
6. PROVIDER RELATIONS AND CONTRACTING
$1,354
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
$150
8. WELLNESS AND HEALTH EDUCATION
$0
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$87,029
$233,209
Other Expenses**
=
$4,125
+
$38,942
+
$1,277
+
$4,474
+
$233,537
+
$0
+
$30,936
+
$0
+
$838
+
$754
+
$84
+
$0
+
$0
+
$48,481
+
$363,448
+
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$11,530
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$108,848
$3,571
$12,507
$233,537
$0
$86,470
$0
$2,343
$2,108
$234
$0
$0
$135,510
$596,657
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$469
$91,307
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Great-West Life & Annuity Insurance Co.
Percent indirect expenses
(out of total 2001 reported
spending):
8.72%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
$790,000
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
$3,223,000
not reported
2B. DETECTION AND PREVENTION OF FRAUD
$1,768,000
4A. PRODUCT MANAGEMENT AND MARKETING
$390,000
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
$484,000
not reported
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
$833,000
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$60,000
not reported
$0
not reported
$110,000
+
$28,000
+
$0
+
$46,000
+
not reported
$7,000
+
$51,000
+
$3,000
+
$99,000
+
not reported
+
$389,000
$9,439,000
=
$50,000
+
+
$120,000
Other Expenses**
+
+
$1,382,000
3. CUSTOMER SERVICE
+
not reported
$66,000
+
$460,000
+
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$840,000
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$3,223,000
not reported
$1,492,000
$1,796,000
$390,000
$530,000
not reported
$127,000
$884,000
$63,000
$99,000
not reported
$455,000
$9,899,000
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not reported
$780,699
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Guarantee Trust Life Insurance Co
Percent indirect expenses
(out of total 2001 reported
spending):
8.8%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$2,324
1. BILLING AND ENROLLMENT
$45,136
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
$0
$58,590
$10,388
4A. PRODUCT MANAGEMENT AND MARKETING
$7,886
4B. UNDERWRITING
$7,847
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
$0
5B. LOBBYING
$0
6. PROVIDER RELATIONS AND CONTRACTING
$0
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
$0
8. WELLNESS AND HEALTH EDUCATION
$0
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$48,605
$180,777
Other Expenses**
=
$3,502
+
$35,646
+
$0
+
$163,328
+
$17,676
+
$2,251
+
$4,927
+
$1,041
+
$0
+
$0
+
$0
+
$0
+
$424
+
$29,394
+
$258,187
+
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$5,826
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$80,782
$0
$221,918
$28,064
$10,137
$12,774
$1,041
$0
$0
$0
$0
$424
$77,999
$438,964
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not reported
$119,613
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
HealthPartners
Percent indirect expenses
(out of total 2001 reported
spending):
8.7%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$4,666,556
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$14,992,652
$57,914
$6,296,947
$9,130,403
$2,342,361
$1,154,505
$153,000
$3,293,976
$17,146,499
$3,993,921
$700,072
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$28,018,377
$91,947,184
Other Expenses**
$1,000,265
+
$2,503,689
+
$286,308
+
$172,357
+
$6,444,815
+
$191,609
+
$256,279
+
$55,000
+
$142,788
+
$6,239,654
+
$736,452
+
$15,680
+
$287,276
+
+
+
=
$46,144,219
$64,476,392
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$5,666,822
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$17,496,341
$344,223
$6,469,304
$15,575,218
$2,533,970
$1,410,785
$208,000
$3,436,764
$23,386,153
$4,730,373
$715,752
$287,276
$74,162,596
$156,423,576
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$10,441,000
$15,952,000
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
LINE
#
2001 INCURRED
$3,693,265
$16,474,151
$0
$20,167,416
15
16
17
18
2001 PAYMENTS
$3,711,496
$16,482,398
$0
$20,193,894
HMO Minnesota dba Blue Plus
Percent indirect expenses
(out of total 2001 reported
spending):
8.5%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$1,233,003
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
$3,930,486
$24,720
$2,079,526
$1,672,603
$774,757
$116,258
$11,051
$1,420,308
$1,558,875
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$0
$361,574
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$4,586,389
$17,769,550
Other Expenses**
=
$647,533
+
$5,952,869
+
$6,985
+
$1,103,800
+
$5,528,541
+
$312,680
+
$232,963
+
$11,563
+
$780,293
+
$1,877,322
+
$0
+
$797,552
+
$74,874
+
$3,648,789
+
$20,975,764
+
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$1,880,536
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$9,883,355
$31,705
$3,183,326
$7,201,144
$1,087,437
$349,221
$22,614
$2,200,601
$3,436,197
$0
$1,159,126
$74,874
$8,235,178
$38,745,314
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$1,972,743
$4,810,356
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Jefferson Pilot Financial Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
12.2%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
not reported
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
Other Expenses**
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
=
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
not reported
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
$881,437
$881,437
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not applicable
not applicable
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
John Alden Life Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
11.0%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$24,579
1. BILLING AND ENROLLMENT
$115,814
2A. CLAIM PROCESSING
$1,508
2B. DETECTION AND PREVENTION OF FRAUD
$91,316
3. CUSTOMER SERVICE
$304,095
4A. PRODUCT MANAGEMENT AND MARKETING
$58,027
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
$9,723
not reported
$41,148
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$1,106
$12,849
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$238,673
$959,174
$14,050
+
$136,705
+
$25,678
+
$70,905
+
$240,208
+
$46,103
+
$1,427
+
+
$60,332
Other Expenses**
not reported
$134,034
+
($8,675)
+
($83)
+
$16,048
+
$3,484
+
$520,372
+
$1,200,261
+
=
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$38,629
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$252,519
$27,187
$162,222
$544,303
$104,130
$11,151
not reported
$194,367
$32,472
$1,022
$28,898
$3,484
$759,045
$2,159,435
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not reported
$250,008
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Life Investors Insurance Company of America
Percent indirect expenses
(out of total 2001 reported
spending):
12.5%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$12,855
1. BILLING AND ENROLLMENT
$71,613
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
$0
$12,855
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
$0
$22,747
4B. UNDERWRITING
$7,527
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
$0
5B. LOBBYING
$0
6. PROVIDER RELATIONS AND CONTRACTING
$0
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
$0
8. WELLNESS AND HEALTH EDUCATION
$1,148
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$31,234
$159,979
Other Expenses**
=
$3,270
+
$17,533
+
$0
+
$3,270
+
$399,009
+
$9,197
+
$2,514
+
$0
+
$0
+
$17,835
+
$0
+
$939
+
$0
+
$71,151
+
$524,718
+
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$16,125
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$89,146
$0
$16,125
$399,009
$31,944
$10,041
$0
$0
$17,835
$0
$2,087
$0
$102,385
$684,697
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$0
$70,141
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Lincoln National Health & Casualty Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
15.3%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
not reported
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
Other Expenses**
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
=
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
not reported
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
$543,319
$543,319
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not reported
$108,462
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Mayo Health Plan
Percent indirect expenses
(out of total 2001 reported
spending):
14.1%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$71,000
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
$346,000
$49,000
$75,000
$40,000
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
$0
$206,000
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
$0
$160,000
$47,000
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
$1,000
8. WELLNESS AND HEALTH EDUCATION
$7,000
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$226,000
$1,228,000
Other Expenses**
=
$49,000
+
$238,000
+
$34,000
+
$51,000
+
$28,000
+
$0
+
$142,000
+
$6,000
+
$109,000
+
$32,000
+
$1,000
+
$5,000
+
$0
+
$147,000
+
$842,000
+
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$120,000
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$584,000
$83,000
$126,000
$68,000
$0
$348,000
$6,000
$269,000
$79,000
$2,000
$12,000
$0
$373,000
$2,070,000
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
reported elsewhere
$317,000
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Medica Health Plans
Percent indirect expenses
(out of total 2001 reported
spending):
11.9%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$1,772,151
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
$1,978,954
$132,381
$3,303,419
$3,068,879
$334,671
$1,763,546
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$0
$2,468,214
$2,155,526
$746,292
$94,339
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$14,958,577
$32,776,949
Other Expenses**
+
+
$12,143,921
$15,413,979
$115,532
+
$8,122,669
+
+
$26,217,343
$292,075
+
$2,124,769
+
$959,362
+
$2,889,117
+
$3,952,419
+
$828,189
+
$2,601,948
+
$27,380
+
+
+
=
$36,320,362
$112,009,065
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$13,916,072
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$17,392,933
$247,913
$11,426,088
$29,286,222
$626,746
$3,888,315
$959,362
$5,357,331
$6,107,945
$1,574,481
$2,696,287
$27,380
$51,278,939
$144,786,014
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$0
$17,151,156
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
LINE
#
2001 INCURRED
$0
$0
$500,000
$500,000
15
16
17
18
2001 PAYMENTS
$0
$0
$0
$0
Medica Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
12.9%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$495,902
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
$553,772
$37,044
$924,398
$858,766
$93,651
$493,494
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$0
$690,682
$603,182
$208,835
$26,399
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$4,185,868
$9,171,993
Other Expenses**
$2,925,168
+
$3,734,835
+
$18,434
+
$1,784,285
+
$8,920,302
+
$46,601
+
$403,462
+
$214,685
+
$529,466
+
$778,000
+
$148,623
+
$649,953
+
($993,873)
+
$5,664,465
+
+
=
$24,824,406
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$3,421,070
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$4,288,607
$55,478
$2,708,683
$9,779,068
$140,252
$896,956
$214,685
$1,220,148
$1,381,182
$357,458
$676,352
($993,873)
$9,850,333
$33,996,399
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$0
$7,584,172
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
LINE
#
2001 INCURRED
$0
$0
$0
$0
15
16
17
18
2001 PAYMENTS
$0
$0
$0
$0
Metropolitan Health Plan
Percent indirect expenses
(out of total 2001 reported
spending):
12.6%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$309,513
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
$942,756
$68,315
$1,051,578
$157,491
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
$0
$59,606
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$0
$285,999
$1,121,573
$88,041
$13,124
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$1,370,427
$5,468,423
Other Expenses**
=
$106,953
+
$336,535
+
$55,594
+
$98,571
+
$355,579
+
$0
+
$120,305
+
$0
+
$401,170
+
$54,040
+
$46,595
+
$738,260
+
$53,486
+
$1,711,771
+
$4,078,859
+
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$416,466
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$1,279,291
$123,909
$1,150,149
$513,070
$0
$179,911
$0
$687,169
$1,175,613
$134,636
$751,384
$53,486
$3,082,198
$9,547,282
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not applicable
$379,085
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Metropolitan Life Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
27.7%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
$37,882
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
$37,714
not reported
2B. DETECTION AND PREVENTION OF FRAUD
$38,597
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
$42,442
not reported
6. PROVIDER RELATIONS AND CONTRACTING
not reported
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
not reported
$337,897
$248,515
$993,331
not reported
not reported
$213,528
+
not reported
$123,619
+
+
$66,176
$271,927
+
+
not reported
not reported
+
+
$37,952
$77,616
+
+
$38,416
$109,990
+
+
not reported
5B. LOBBYING
Other Expenses**
+
+
$38,718
3. CUSTOMER SERVICE
+
not reported
not reported
$5,590,258
+
$7,628,784
+
=
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$147,872
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$115,330
not reported
$310,645
$287,112
$1,035,774
not reported
not reported
$251,944
not reported
$161,571
not reported
not reported
$5,656,433
$7,966,681
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not reported
$18,328
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Monumental Life Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
7.64%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
$3,132
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
$5,283
not applicable
$754
3. CUSTOMER SERVICE
$7,136
4A. PRODUCT MANAGEMENT AND MARKETING
$2,654
4B. UNDERWRITING
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
$2,401
not applicable
not applicable
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
not applicable
$50,481
$88,896
$2,345
$2,121
+
not applicable
not applicable
not applicable
not applicable
$391
+
+
$28,678
$666
+
+
$443
not applicable
+
+
8. WELLNESS AND HEALTH EDUCATION
$4,666
+
+
not applicable
$2,766
+
+
not applicable
Other Expenses**
+
+
2B. DETECTION AND PREVENTION OF FRAUD
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
+
not applicable
$25,330
+
$127,181
+
=
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$5,898
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$9,949
not applicable
$1,420
$96,032
$4,999
$4,522
not applicable
not applicable
not applicable
not applicable
$834
not applicable
$54,008
$177,662
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not applicable
$22,901
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Mutual of Omaha Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
25.3%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$18,777
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
$621,090
$12,735
$359,334
$1,138,950
$170,565
$13,048
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
$0
$13,383
$50,090
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$282
$39,364
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$127,073
$2,564,691
Other Expenses**
=
$16,008
+
$533,932
+
$1,633
+
$200,665
+
$4,136,619
+
$79,194
+
$5,688
+
$0
+
$7,678
+
$13,576
+
$9,216
+
$7,640
+
$97
+
$152,336
+
$5,164,282
+
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$34,785
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$1,155,022
$14,368
$559,999
$5,275,569
$249,759
$18,736
$0
$21,061
$63,666
$9,498
$47,004
$97
$279,409
$7,728,973
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$217,168
$384,492
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Physicians Mutual Ins. Co.
Percent indirect expenses
(out of total 2001 reported
spending):
18.4%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
$132,885
1. BILLING AND ENROLLMENT
$110,535
2A. CLAIM PROCESSING
$5,229
2B. DETECTION AND PREVENTION OF FRAUD
$151,968
3. CUSTOMER SERVICE
$127,216
4A. PRODUCT MANAGEMENT AND MARKETING
$35,335
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
$21,009
not reported
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
not reported
$11,741
$5,262
+
$726,801
+
$19,991
+
$12,079
+
+
$24,657
$108,672
+
+
not reported
$383,659
+
+
not reported
Other Expenses**
+
+
not reported
8. WELLNESS AND HEALTH EDUCATION
+
not reported
not reported
not reported
not reported
$105,092
+
$4,971
+
$414,201
$1,023,034
$137,076
+
$1,515,345
+
=
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$516,544
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$219,207
$16,970
$157,230
$854,017
$55,326
$33,088
not reported
not reported
not reported
not reported
$129,748
$4,971
$551,277
$2,538,379
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$0
$485,840
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
PreferredOne Community Health Plan
Percent indirect expenses
(out of total 2001 reported
spending):
7.6%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$146,524
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$640,434
$69,866
$232,885
$173,694
$98,976
$38,814
$27,170
$332,832
$106,739
$39,785
$51,429
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$354,179
$2,313,327
Other Expenses**
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
=
$82,740
$361,644
$39,452
$131,507
$98,082
$55,890
$21,918
$15,342
$187,945
$60,274
$22,466
$29,041
$0
$200,000
$1,306,301
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$229,264
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$1,002,078
$109,318
$364,392
$271,776
$154,866
$60,732
$42,512
$520,777
$167,013
$62,251
$80,470
$0
$554,179
$3,619,628
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$0
$787,263
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
LINE
#
2001 INCURRED
$0
$0
$0
$0
15
16
17
18
2001 PAYMENTS
$0
$0
$0
$0
Principal Life Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
9.3%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
$578,717
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
$3,262,162
reported elsewhere
reported elsewhere
reported elsewhere
$249,611
reported elsewhere
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
reported elsewhere
$6,724,167
$3,910,724
reported elsewhere
$61,842
reported elsewhere
$91,942
$106,976
+
reported elsewhere
$38,157
+
+
$1,613,636
reported elsewhere
+
+
$89,035
reported elsewhere
+
+
$214,533
$1,398,069
+
+
$144,298
$248,021
+
+
$572,172
Other Expenses**
+
+
reported elsewhere
8. WELLNESS AND HEALTH EDUCATION
+
reported elsewhere
$691,558
+
$6,547,293
+
=
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$826,739
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$4,660,231
reported elsewhere
reported elsewhere
$4,482,897
reported elsewhere
$206,140
reported elsewhere
$306,476
$356,587
reported elsewhere
$127,193
reported elsewhere
$2,305,195
$13,271,461
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$518,988
$2,075,768
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
ReliaStar Life Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
13.0%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$17,122
1. BILLING AND ENROLLMENT
$7,880
2A. CLAIM PROCESSING
$0
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
$8,791
$70,852
$31,838
$18,865
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
$0
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
$6,848
$11,357
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$0
$13,065
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$51,353
$237,971
Other Expenses**
=
$72,057
+
$28,550
+
$0
+
$41,357
+
$156,238
+
$96,025
+
$41,600
+
$0
+
$17,964
+
$30,197
+
$793
+
$28,811
+
$0
+
$129,149
+
$642,741
+
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$89,179
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$36,430
$0
$50,148
$227,090
$127,863
$60,465
$0
$24,812
$41,554
$793
$41,876
$0
$180,502
$880,712
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$0
$161,672
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Sentry Select Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
15.7%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
reported elsewhere
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
+
$151,000
reported elsewhere
2B. DETECTION AND PREVENTION OF FRAUD
$36,000
4A. PRODUCT MANAGEMENT AND MARKETING
$6,000
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$5,000
reported elsewhere
+
reported elsewhere
+
$112,000
$341,000
$4,000
$4,000
$1,000
$1,000
+
+
reported elsewhere
reported elsewhere
+
+
reported elsewhere
$18,000
+
+
reported elsewhere
reported elsewhere
+
+
reported elsewhere
Other Expenses**
+
+
$31,000
3. CUSTOMER SERVICE
+
reported elsewhere
reported elsewhere
reported elsewhere
reported elsewhere
reported elsewhere
reported elsewhere
$13,000
+
$41,000
+
=
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
reported elsewhere
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$169,000
reported elsewhere
$35,000
$40,000
$7,000
$6,000
reported elsewhere
reported elsewhere
reported elsewhere
reported elsewhere
reported elsewhere
reported elsewhere
$125,000
$382,000
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not reported
$82,000
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Sioux Valley Health Plan of Minnesota
Percent indirect
expenses (out of total
2001 reported
spending):
10.4%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide
detail about the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits* +
$32,954
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
$30,349
not reported
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
$6,482
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
$6,482
not reported
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$38,035
not reported
$187,750
$798
not reported
not reported
$8,112
+
$12,767
+
+
$32,954
$798
+
+
not reported
$86,618
+
+
not reported
not reported
+
+
$10,145
$86,618
+
+
not reported
5B. LOBBYING
$66,227
+
+
$30,349
Other Expenses**
not reported
not reported
not reported
$66,227
+
$328,166
+
=
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$99,181
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$116,967
not reported
$116,967
$7,281
$7,281
not reported
not reported
$18,257
$50,801
not reported
not reported
not reported
$99,181
$515,915
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not reported
$83,698
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
State Farm Mutual Automobile Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
14.4%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$181,066
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
$1,619,482
$85,236
$52,811
$95,060
$10,562
$105,621
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
$0
$22,633
$52,811
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$7,544
$75,445
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$150,888
$2,459,159
Other Expenses**
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
=
$13,521
$1,371,251
$72,171
$74
$1,726,877
$5,113
$26,678
$19,028
$32
$11,948
$11
$11,979
$0
$15,208
$3,273,891
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$194,587
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$2,990,733
$157,407
$52,885
$1,821,937
$15,675
$132,299
$19,028
$22,665
$64,759
$7,555
$87,424
$0
$166,096
$5,733,050
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$2,298
$864,201
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
LINE
#
2001 INCURRED
$0
$0
$0
$0
15
16
17
18
2001 PAYMENTS
$0
$0
$0
$0
The Canada Life Assurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
23.3%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
$44,138
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
$28,960
not applicable
$9,200
$149,830
4A. PRODUCT MANAGEMENT AND MARKETING
$56,728
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
$190
not applicable
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
not applicable
$362,800
$298,475
$6,656
$119
+
not applicable
not applicable
not applicable
not applicable
$3,733
+
+
$59,543
$811
+
+
$14,211
not applicable
+
+
not applicable
8. WELLNESS AND HEALTH EDUCATION
$8,776
+
+
not applicable
$24,502
+
+
not applicable
Other Expenses**
+
+
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
+
not applicable
$137,390
+
$480,462
+
=
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$68,640
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$37,736
not applicable
$10,011
$448,305
$63,384
$309
not applicable
not applicable
not applicable
not applicable
$17,944
not applicable
$196,933
$843,262
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not applicable
($1,523)
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
The Guardian Life Insurance Company of America
Percent indirect expenses
(out of total 2001 reported
spending):
18.0%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
$144,157
1. BILLING AND ENROLLMENT
$123,966
2A. CLAIM PROCESSING
$5,778
2B. DETECTION AND PREVENTION OF FRAUD
$84,775
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
$285,736
reported elsewhere
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
$14,810
reported elsewhere
8. WELLNESS AND HEALTH EDUCATION
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
not applicable
$808,831
$992,179
reported elsewhere
$8,916
+
reported elsewhere
reported elsewhere
$50,125
+
+
$148,177
$53,537
+
+
reported elsewhere
$4,284
+
+
reported elsewhere
$116,126
+
+
$1,432
$93,371
+
+
reported elsewhere
Other Expenses**
+
+
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
+
not applicable
reported elsewhere
reported elsewhere
$63,223
+
$1,381,761
+
=
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$237,528
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$240,092
$10,062
$138,312
$1,277,915
reported elsewhere
$23,726
reported elsewhere
reported elsewhere
$51,557
not applicable
reported elsewhere
reported elsewhere
$211,400
$2,190,592
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$3,003
$1,069,727
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
The Prudential Ins Co of America
Percent indirect expenses
(out of total 2001 reported
spending):
5.1%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
not reported
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
Other Expenses**
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
not reported
=
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$82,463
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$206,156
not reported
$109,950
$144,309
not reported
$13,744
not reported
$34,359
not reported
$2,749
not reported
not reported
$780,646
$1,374,376
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not reported
$15,428
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Trustmark Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
16.6%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$62,779
1. BILLING AND ENROLLMENT
$425,639
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
$4,002
$48,830
$349,421
$64,964
$25,435
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
$0
5B. LOBBYING
$3,919
6. PROVIDER RELATIONS AND CONTRACTING
$6,638
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$3,600
$27,042
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$3,600
$103,113
$1,128,982
Other Expenses**
=
$10,729
+
$149,582
+
$678
+
$18,163
+
$60,777
+
$43,336
+
$11,587
+
$0
+
$2,679
+
$22,740
+
$400
+
$5,007
+
($2,706)
+
$87,026
+
$409,998
+
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$73,508
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$575,221
$4,680
$66,993
$410,198
$108,300
$37,022
$0
$6,598
$29,378
$4,000
$32,049
$894
$190,139
$1,538,980
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$64,484
$75,276
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
UCare Minnesota
Percent indirect expenses
(out of total 2001 reported
spending):
8.1%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
+
$624,042
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
$4,785,580
$17,456
$1,398,430
$1,217,603
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$0
$621,072
$52,446
$1,997,444
$2,405,008
$22,358
$417,022
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
$0
$2,081,128
$15,639,589
Other Expenses**
$449,163
+
$3,176,918
+
$6,258
+
$920,582
+
$1,688,991
+
$0
+
$237,890
+
$12,908
+
$2,690,493
+
$3,008,022
+
$896,056
+
$167,965
+
$555,983
+
$2,445,386
+
+
=
$16,256,615
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$1,073,205
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$7,962,498
$23,714
$2,319,012
$2,906,594
$0
$858,962
$65,354
$4,687,937
$5,413,030
$918,414
$584,987
$555,983
$4,526,514
$31,896,204
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
$0
$3,067,756
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
LINE
#
2001 INCURRED
$0
$1,169,760
$0
$1,169,760
15
16
17
18
2001 PAYMENTS
$0
$1,169,760
$0
$1,169,760
United American Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
15.5%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
$3,369
1. BILLING AND ENROLLMENT
$34,139
2A. CLAIM PROCESSING
$1,634
2B. DETECTION AND PREVENTION OF FRAUD
$8,643
3. CUSTOMER SERVICE
$38,893
4A. PRODUCT MANAGEMENT AND MARKETING
$3,369
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
$2,421
not reported
not reported
9. RESEARCH AND PRODUCT DEVELOPMENT
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
+
+
+
not reported
+
+
+
+
$12,835
not reported
+
+
$32,637
$142,842
Other Expenses**
not applicable
not applicable
not applicable
$193,748
not applicable
not applicable
not applicable
not applicable
not applicable
not applicable
not applicable
not applicable
$112,421
+
$306,169
+
=
=
not applicable
+
+
$4,902
8. WELLNESS AND HEALTH EDUCATION
+
+
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
+
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$3,369
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$34,139
$1,634
$8,643
$232,641
$3,369
$2,421
not reported
not reported
$4,902
not reported
$12,835
not reported
$145,058
$449,011
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not reported
$89,021
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
World Insurance Company
Percent indirect expenses
(out of total 2001 reported
spending):
13.9%
2001 HEALTH PLAN FINANCIAL AND STATISTICAL REPORT
MINNESOTA DEPARTMENT OF HEALTH
Report for period: 1/1/2001 to 12/31/2001
The data submitted in this report may be estimated using existing accounting methods with allocations to specific categories. This information is intended to provide detail about
the types of indirect health care expenses.
INDIRECT EXPENSE CATEGORY
Salaries and Benefits*
$309,221
1. BILLING AND ENROLLMENT
2A. CLAIM PROCESSING
2B. DETECTION AND PREVENTION OF FRAUD
3. CUSTOMER SERVICE
4A. PRODUCT MANAGEMENT AND MARKETING
4B. UNDERWRITING
5A. REGULATORY COMPLIANCE AND GOVERNMENT RELATIONS
5B. LOBBYING
6. PROVIDER RELATIONS AND CONTRACTING
7. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
8. WELLNESS AND HEALTH EDUCATION
$395,430
reported elsewhere
reported elsewhere
reported elsewhere
10. CHARITABLE CONTRIBUTIONS
11. GENERAL ADMINISTRATION
12. TOTAL INDIRECT HEALTH CARE EXPENSES
+
reported elsewhere
+
reported elsewhere
+
reported elsewhere
+
$108
$349,451
$1,381,838
reported elsewhere
reported elsewhere
$219,038
reported elsewhere
$170,908
+
+
reported elsewhere
$470,645
+
+
$143,595
$368,038
+
+
$184,033
Other Expenses**
+
+
reported elsewhere
9. RESEARCH AND PRODUCT DEVELOPMENT
+
reported elsewhere
reported elsewhere
reported elsewhere
reported elsewhere
reported elsewhere
$128
+
$415,920
+
$1,644,677
+
=
=
LINE TOTAL (FOR INDIRECT EXPENSE
#
CATEGORY)
$677,259
1
=
2A
=
2B
=
3
=
4A
=
4B
=
5A
=
5B
=
6
=
7
=
8
=
9
=
10
=
11
=
12
$866,075
reported elsewhere
reported elsewhere
$403,071
reported elsewhere
$314,503
reported elsewhere
reported elsewhere
reported elsewhere
reported elsewhere
reported elsewhere
$236
$765,371
$3,026,515
* Include ONLY salaries and benefits of central office staff who do not provide direct patient care **Include expenses OTHER THAN salaries and benefits
Please put taxes and assessments on lines 13 and 14. Do not include the taxes in total indirect expenses (line 12, above)
13. MINNESOTACARE TAX
13
14. OTHER TAXES AND ASSESSMENTS
14
not reported
$532,488
Capital costs go on lines 15, 16, and 17; report both the 2001 incurred costs and 2001 payments
Depreciation associated with these capital expenditures is to be included
in lines 1-12 as organizational expenses
15. CAPITAL COSTS ON BEHALF OF A HOSPITAL OR CLINIC
16. CAPITAL ACQUISITIONS
17. OTHER CAPITAL COSTS
18. TOTAL CAPITAL EXPENDITURES
2001 INCURRED
not applicable
not applicable
not applicable
not applicable
LINE
#
15
16
17
18
2001 PAYMENTS
not applicable
not applicable
not applicable
not applicable
Appendix A
Appendix B
Definitions: Indirect Health Care Expenses
Line 1. Billing and enrollment expenses. "Billing and enrollment expenses" means all
costs associated with group and individual billing, member enrollment and premium
collection and reconciliation functions. This may include costs for the collection and
reconciliation of cash, group and membership set-up and maintenance, contract,
identification card, and directory preparation and issuance, electronic data interchange
expenses pertaining to billing and enrollment, and enrollment materials. Examples of
traditional expense categories that your company may allocate in whole or in part to
billing and enrollment expenses include finance and information systems.
Lines 2a and 2b. Claim processing expenses. "Claim processing expenses" means all
costs associated with the adjudication and adjustment of claims, coordination of benefits
processing, maintenance of the claim system, printing of claim forms, claim audit
function, electronic data interchange expenses pertaining to claim processing, and fraud
investigation. Examples of traditional expense categories that your company may allocate
in whole or in part to claim processing expenses include information systems and legal.
Report expenses for fraud prevention and detection (investigation) in line 2b. Report all
other claim processing expenses in line 2a.
Line 3. Customer service expenses. "Customer service expenses" means all costs
associated with individual, group, or provider support relating to membership, open
enrollment, grievance resolution, claim problems, and specialized phone services
and equipment. Examples of traditional expense categories that your company may
allocate in whole or in part to customer service expenses include information systems,
finance, legal, and sales and marketing.
Lines 4a and 4b. Product management and marketing expenses. "Product
management and marketing expenses" means all costs associated with the management
and marketing of current products. This may include costs relating to product promotion
and advertising, sales, pricing, broker fees and commissions, internal commissions and
commissions processing, marketing materials, account reporting, changes or additions to
current products, and enrollee education regarding coverage. Examples of traditional
expense categories that your company may allocate in whole or in part to product
management and marketing expenses include information systems, underwriting, legal,
finance, actuarial, public relations, and network management. Report expenses for
underwriting in line 4b. Report all other product management and marketing expenses in
line 4a.
Lines 5a and 5b. Regulatory compliance and government relations expenses.
"Regulatory compliance and government relations expenses" means all costs associated
with federal and state reporting, rate filing, state and federal audits, tax accounting,
lobbying, licensing and filing fees, and costs associated with the preparation and filing of
all financial, utilization, statistical, and quality reports, and administration of government
programs. Examples of traditional expense categories that your company may allocate in
whole or in part to regulatory compliance and government relations expenses include
information systems, finance, actuarial, sales and marketing, underwriting, contract,
legal, utilization management, quality assurance, and compliance. Report expenses
related to lobbying in line 5b. Report all other regulatory compliance and government
relations expenses in line 5a.
Line 6. Provider relations and contracting expenses. "Provider relations and
contracting expenses" means all costs associated with contract negotiation and
preparation, monitoring of provider compliance, field training with providers, provider
communication materials and bulletins, and administration of provider capitations and
settlements. Examples of traditional expense categories that your company may allocate
in whole or in part to provider relations and contracting expenses include finance, legal,
accounting, actuarial, and information systems.
Line 7. Quality assurance and utilization management expenses. "Quality assurance
and utilization management expenses" means all costs associated with quality assurance,
practice protocol development, utilization review, peer review, credentialing, outcomes
analysis related to existing products, nurse triage and other medical care evaluation
activities. Examples of traditional expense categories that your company may allocate in
whole or in part to quality assurance and utilization management expenses include
information systems and legal.
Line 8. Wellness and health education expenses. "Wellness and health education
expenses" means all costs associated with wellness and health promotion, disease
prevention, member education and materials, provider education, and outreach services.
Examples of traditional expense categories that your company may allocate in whole or
in part to wellness and health education expenses include marketing, medical services,
and printing.
Line 9. Research and product development expenses. "Research and product
development expenses" means all costs associated with outcomes research, medical
research programs, product design and development for products and programs
not currently offered, major systems development, and integrated service network
development. Examples of traditional expense categories that your company may allocate
in whole or in part to research and product development expenses include actuarial,
information systems, marketing, finance, underwriting, and wellness programs.
Line 10. Charitable contributions expenses. "Charitable contributions expenses" means
all costs related to contributions made for charitable purposes.
Line 11. General administration expenses. "General administration expenses" means
all costs not outlined or allocated to the categories of billing and enrollment, claim
processing, customer service, product management and marketing, regulatory
compliance and government relations, provider relations and contracting, quality
assurance and utilization management, wellness and health education, research and
product development, charitable contributions. Examples of traditional expense
categories that your company may allocate in whole or in part to general administration
expenses include human resources, facility maintenance, payroll, general accounting,
finance, executive, internal audit, treasury, actuarial, finance, information systems,
office management and occupancy costs, general office supplies and equipment, legal,
board, outside consulting services, membership fees in trade organizations, public
relations, and mail room. Taxes and assessments are not included in these costs.
Line 12. Total indirect health care expenses. Total lines 1 through 11. This total must
match the sum of line 12, Page 3 for all columns.
Line 13. MinnesotaCare tax expenses. "MinnesotaCare tax expenses" means all
payments paid to providers under Minnesota Statutes, section 295.582 and payments
made as a provider under Minnesota Statutes, section 295.52, for the MinnesotaCare tax.
Line 14. Other taxes and assessments expenses. "Other taxes and assessments
expenses" means all payments or amounts payable to government agencies except for the
MinnesotaCare tax under Minnesota Statutes, section 295.52 and Minnesota
Statutes, section 295.582. This category does not include fees or fines paid to government
agencies.
Line 15. Capital Costs on behalf of a hospital or clinic. These expenditures are for
capital costs that are incurred and/or paid on behalf of a hospital or clinic (or part of a
partnership, joint venture, integration, or affiliation agreement). Report payments made
during the calendar year (including lease payments) along with any costs incurred during
the year.
Line 16. Capital Acquisitions. These expenditures are for the acquisition of capital.
Report payments made during the calendar year (including lease payments) along with
any costs incurred during the year.
Line 17. Other Capital Costs. These expenditures are for other costs, such as legal or
administrative costs, that are directly associated with the incurring of capital costs. Report
payments made during the calendar year (including lease payments) along with any costs
incurred during the year.
Line 18. Total Capital Expenditures. This is the total of all the incurred capital
expenditures listed on lines 15, 16, and 17, and of the payments listed on lines 15, 16, and
17.