Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
KAISER FOUNDATION HEALTH PLAN INC
 
Employer identification number

94-1340523
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
Yes
 
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2020

Schedule J (Form 990) 2020
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1Gregory Adams
Chairman & CEO 		(i)

(ii)		 1,795,822
-------------
0 		9,815,109
-------------
0 		655,812
-------------
0 		4,974,642
-------------
0 		26,675
-------------
0 		17,268,060
-------------
0 		1,275,042
-------------
0
2Richard Daniels
EVP, Chief Information Officer 		(i)

(ii)		 424,849
-------------
0 		3,678,541
-------------
0 		2,398,635
-------------
0 		141,323
-------------
0 		31,612
-------------
0 		6,674,960
-------------
0 		1,195,563
-------------
0
3Janet Liang
EVP, Group President & COO 		(i)

(ii)		 1,174,318
-------------
0 		1,641,472
-------------
0 		46,640
-------------
0 		2,682,300
-------------
0 		35,603
-------------
0 		5,580,333
-------------
0 		0
-------------
0
4Kathryn Lancaster
EVP & CFO 		(i)

(ii)		 1,209,519
-------------
0 		2,903,812
-------------
0 		426,985
-------------
0 		530,154
-------------
0 		16,186
-------------
0 		5,086,656
-------------
0 		0
-------------
0
5Arthur Southam
EVP, Health Plan Ops & CGO 		(i)

(ii)		 1,208,676
-------------
0 		2,705,847
-------------
0 		442,778
-------------
0 		496,913
-------------
0 		32,141
-------------
0 		4,886,355
-------------
0 		0
-------------
0
6Julie Miller-Phipps
Region President - SCAL 		(i)

(ii)		 989,320
-------------
0 		1,495,611
-------------
0 		1,338,367
-------------
0 		796,955
-------------
0 		23,520
-------------
0 		4,643,773
-------------
0 		993,157
-------------
0
7Kimberly Horn
EVP, Group President, MOC 		(i)

(ii)		 1,024,135
-------------
0 		1,154,427
-------------
0 		63,894
-------------
0 		2,024,950
-------------
0 		32,789
-------------
0 		4,300,195
-------------
0 		0
-------------
0
8Mark Zemelman
SVP, General Counsel & Secy 		(i)

(ii)		 792,767
-------------
0 		1,820,701
-------------
0 		288,997
-------------
0 		176,727
-------------
0 		37,952
-------------
0 		3,117,144
-------------
0 		0
-------------
0
9Anthony Barrueta
SVP, Government Relations 		(i)

(ii)		 506,295
-------------
0 		887,806
-------------
0 		1,231,075
-------------
0 		234,555
-------------
0 		23,150
-------------
0 		2,882,881
-------------
0 		1,137,875
-------------
0
10Chuck Bevilacqua
SVP, Health Plan Svc & Admin 		(i)

(ii)		 826,923
-------------
0 		1,008,803
-------------
0 		291,311
-------------
0 		404,093
-------------
0 		26,093
-------------
0 		2,557,223
-------------
0 		212,697
-------------
0
11Wade Overgaard
SVP, Health Plan Ops - CA 		(i)

(ii)		 825,236
-------------
0 		1,008,803
-------------
0 		203,852
-------------
0 		290,356
-------------
0 		32,105
-------------
0 		2,360,352
-------------
0 		0
-------------
0
12Michael Rowe
SVP, Chf Bus Dev & Strat Exec 		(i)

(ii)		 674,199
-------------
0 		832,038
-------------
0 		671,259
-------------
0 		128,287
-------------
0 		31,440
-------------
0 		2,337,223
-------------
0 		766,274
-------------
0
13Christian Meisner
SVP, Chief HR Officer 		(i)

(ii)		 505,183
-------------
0 		700,000
-------------
0 		65,394
-------------
0 		733,865
-------------
0 		36,459
-------------
0 		2,040,901
-------------
0 		0
-------------
0
14Arlene Peasnall
SVP, HR & Labor Relations 		(i)

(ii)		 590,334
-------------
0 		842,539
-------------
0 		291,626
-------------
0 		268,087
-------------
0 		19,326
-------------
0 		2,011,912
-------------
0 		104,386
-------------
0
15George Disalvo
SVP, CFO - SCAL 		(i)

(ii)		 681,656
-------------
0 		929,922
-------------
0 		187,586
-------------
0 		181,166
-------------
0 		29,461
-------------
0 		2,009,791
-------------
0 		70,101
-------------
0
16Paul Swenson
EVP, Chief Admin Officer 		(i)

(ii)		 743,007
-------------
0 		799,834
-------------
0 		197,642
-------------
0 		160,737
-------------
0 		28,502
-------------
0 		1,929,722
-------------
0 		0
-------------
0
17Thomas Meier
SVP, Corporate Treasurer 		(i)

(ii)		 535,771
-------------
0 		940,826
-------------
0 		118,889
-------------
0 		263,145
-------------
0 		34,149
-------------
0 		1,892,780
-------------
0 		0
-------------
0
18Laurel Junk
SVP, Enterprise Shared Svcs 		(i)

(ii)		 666,588
-------------
0 		595,134
-------------
0 		169,511
-------------
0 		308,013
-------------
0 		16,588
-------------
0 		1,755,834
-------------
0 		109,064
-------------
0
19Thomas Hanenburg
Interim Regional President-NCA 		(i)

(ii)		 812,405
-------------
0 		655,927
-------------
0 		42,592
-------------
0 		210,671
-------------
0 		26,485
-------------
0 		1,748,080
-------------
0 		0
-------------
0
20Roland Lyon
SVP, Natl Del System Strategy 		(i)

(ii)		 531,518
-------------
0 		684,643
-------------
0 		222,990
-------------
0 		281,798
-------------
0 		26,961
-------------
0 		1,747,910
-------------
0 		131,214
-------------
0
21Jodie Lesh
SVP, Transformat'l Innovation 		(i)

(ii)		 478,234
-------------
0 		430,269
-------------
0 		602,713
-------------
0 		184,832
-------------
0 		20,463
-------------
0 		1,716,511
-------------
0 		0
-------------
0
22Ronald Vance
Interim Regional President -HI 		(i)

(ii)		 1,650,000
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		1,650,000
-------------
0 		0
-------------
0
23Bechara Choucair
SVP, Chief Health Officer 		(i)

(ii)		 562,376
-------------
0 		632,374
-------------
0 		51,049
-------------
0 		370,637
-------------
0 		23,545
-------------
0 		1,639,981
-------------
0 		0
-------------
0
24Chandrika Bhalla
SVP, CFO - NCAL 		(i)

(ii)		 627,792
-------------
0 		705,169
-------------
0 		19,985
-------------
0 		244,453
-------------
0 		29,028
-------------
0 		1,626,427
-------------
0 		0
-------------
0
25Yazdi Bagli
EVP, Enterprise Business Svcs 		(i)

(ii)		 154,423
-------------
0 		1,350,000
-------------
0 		39,151
-------------
0 		36,516
-------------
0 		8,895
-------------
0 		1,588,985
-------------
0 		0
-------------
0
26James Simpson
Region President - GA 		(i)

(ii)		 582,441
-------------
0 		436,212
-------------
0 		185,977
-------------
0 		302,596
-------------
0 		39,921
-------------
0 		1,547,147
-------------
0 		0
-------------
0
27Toby Douglas
SVP, Nat'l Medicaid Programs 		(i)

(ii)		 423,274
-------------
0 		836,579
-------------
0 		37,078
-------------
0 		182,024
-------------
0 		28,799
-------------
0 		1,507,754
-------------
0 		0
-------------
0
28William Caswell
SVP, Operations 		(i)

(ii)		 608,115
-------------
0 		560,617
-------------
0 		138,699
-------------
0 		154,824
-------------
0 		23,571
-------------
0 		1,485,826
-------------
0 		0
-------------
0
29Vanessa Benavides
SVP,Chf Compliance & Priv. Off 		(i)

(ii)		 483,561
-------------
0 		633,565
-------------
0 		49,430
-------------
0 		252,700
-------------
0 		19,777
-------------
0 		1,439,033
-------------
0 		0
-------------
0
30Alfonse Upshaw
SVP,Corporate Controller & CAO 		(i)

(ii)		 509,048
-------------
0 		563,086
-------------
0 		108,271
-------------
0 		203,777
-------------
0 		23,720
-------------
0 		1,407,902
-------------
0 		49,196
-------------
0
31Christine Robisch
SVP,Operations-Op Strat &Impln 		(i)

(ii)		 546,911
-------------
  		423,449
-------------
  		153,792
-------------
  		254,656
-------------
  		17,541
-------------
  		1,396,349
-------------
  		106,087
-------------
 
32Mick Diede
SVP, Chief Actuary 		(i)

(ii)		 472,637
-------------
0 		480,805
-------------
0 		165,039
-------------
0 		248,845
-------------
0 		26,718
-------------
0 		1,394,044
-------------
0 		100,644
-------------
0
33Diane Comer
EVP, Chief Info & Tech Officer 		(i)

(ii)		 529,702
-------------
0 		575,181
-------------
0 		103,818
-------------
0 		139,820
-------------
0 		25,975
-------------
0 		1,374,496
-------------
0 		0
-------------
0
34Thomas Curtin Jr
SVP, Natl Sales & Account Mgmt 		(i)

(ii)		 480,675
-------------
0 		522,757
-------------
0 		107,264
-------------
0 		166,919
-------------
0 		31,478
-------------
0 		1,309,093
-------------
0 		0
-------------
0
35Christine Paige
SVP, Marketing & Internet Svcs 		(i)

(ii)		 128,356
-------------
0 		494,644
-------------
0 		326,541
-------------
0 		346,539
-------------
0 		8,290
-------------
0 		1,304,370
-------------
0 		249,968
-------------
0
36Greg Christian
Regional President - HI 		(i)

(ii)		 509,045
-------------
0 		426,967
-------------
0 		23,859
-------------
0 		293,069
-------------
0 		24,299
-------------
0 		1,277,239
-------------
0 		0
-------------
0
37Donald Orndoff
SVP, NFS 		(i)

(ii)		 474,973
-------------
0 		506,957
-------------
0 		129,024
-------------
0 		123,350
-------------
0 		29,547
-------------
0 		1,263,851
-------------
0 		0
-------------
0
38Patrick Courneya
EVP, Chief Medical Officer 		(i)

(ii)		 187,418
-------------
0 		803,817
-------------
0 		151,717
-------------
0 		81,375
-------------
0 		7,274
-------------
0 		1,231,601
-------------
0 		143,484
-------------
0
39Amarylis Gutierrez
SVP, Chief Pharmacy Officer 		(i)

(ii)		 335,512
-------------
0 		582,357
-------------
0 		210,556
-------------
0 		14,250
-------------
0 		29,173
-------------
0 		1,171,848
-------------
0 		183,577
-------------
0
40John Yamamoto
Assistant Secretary 		(i)

(ii)		 371,165
-------------
0 		309,597
-------------
0 		67,346
-------------
0 		241,663
-------------
0 		29,298
-------------
0 		1,019,069
-------------
0 		0
-------------
0
41Charles Columbus
SVP, Chief HR Officer 		(i)

(ii)		 0
-------------
0 		975,011
-------------
0 		0
-------------
0 		15,117
-------------
0 		0
-------------
0 		990,128
-------------
0 		0
-------------
0
42Catherine Tirey
SVP Chf Communications Officer 		(i)

(ii)		 412,600
-------------
0 		225,806
-------------
0 		18,712
-------------
0 		261,877
-------------
0 		29,170
-------------
0 		948,165
-------------
0 		0
-------------
0
43Kathryn Beiser
SVP Chf Communications Officer 		(i)

(ii)		 65,496
-------------
0 		250,000
-------------
0 		576,643
-------------
0 		1,520
-------------
0 		2,650
-------------
0 		896,309
-------------
0 		122,435
-------------
0
44Philip Young Jr
Assistant Secretary 		(i)

(ii)		 350,569
-------------
0 		291,019
-------------
0 		17,416
-------------
0 		195,466
-------------
0 		28,483
-------------
0 		882,953
-------------
0 		0
-------------
0
45Matthew Weber
Assistant Secretary 		(i)

(ii)		 299,151
-------------
0 		252,307
-------------
0 		16,131
-------------
0 		123,609
-------------
0 		26,207
-------------
0 		717,405
-------------
0 		0
-------------
0
46Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy 		(i)

(ii)		 286,096
-------------
0 		155,214
-------------
0 		17,467
-------------
0 		224,875
-------------
0 		26,674
-------------
0 		710,326
-------------
0 		0
-------------
0
47Tami Lamp
SVP, Chief HR Officer 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		671,778
-------------
0 		0
-------------
0 		20,513
-------------
0 		692,291
-------------
0 		0
-------------
0
48Ryan Jenson
Interim Corp Controller & CAO 		(i)

(ii)		 289,969
-------------
0 		238,664
-------------
0 		15,948
-------------
0 		113,040
-------------
0 		29,413
-------------
0 		687,034
-------------
0 		0
-------------
0
49Carrie Plietz
Region President - NCAL 		(i)

(ii)		 121,016
-------------
0 		300,084
-------------
0 		2,397
-------------
0 		194,113
-------------
0 		2,043
-------------
0 		619,653
-------------
0 		0
-------------
0
50Kristin Bear
Assistant Secretary 		(i)

(ii)		 265,444
-------------
0 		136,319
-------------
0 		17,500
-------------
0 		171,888
-------------
0 		21,127
-------------
0 		612,278
-------------
0 		0
-------------
0
51Frank Richardson
Assistant Secretary 		(i)

(ii)		 270,709
-------------
0 		44,761
-------------
0 		16,503
-------------
0 		174,138
-------------
0 		29,939
-------------
0 		536,050
-------------
0 		0
-------------
0
52David Underriner
Region President - HI 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		507,856
-------------
0 		0
-------------
0 		5,263
-------------
0 		513,119
-------------
0 		0
-------------
0
53Bernice Gould
Assistant Secretary 		(i)

(ii)		 222,678
-------------
0 		34,304
-------------
0 		2,310
-------------
0 		163,148
-------------
0 		10,554
-------------
0 		432,994
-------------
0 		0
-------------
0
54Rochelle Roth
Assistant Secretary 		(i)

(ii)		 195,300
-------------
0 		31,030
-------------
0 		2,124
-------------
0 		139,069
-------------
0 		18,362
-------------
0 		385,885
-------------
0 		0
-------------
0
55Judith A Johansen JD
Director 		(i)

(ii)		 248,000
-------------
0 		0
-------------
0 		9,524
-------------
0 		51,468
-------------
0 		0
-------------
0 		308,992
-------------
0 		0
-------------
0
56Margaret E Porfido JD
Director 		(i)

(ii)		 255,500
-------------
23,500 		0
-------------
0 		20,093
-------------
0 		7,619
-------------
0 		0
-------------
0 		283,212
-------------
23,500 		0
-------------
0
57Andrew Bindman
EVP, Chief Medical Officer 		(i)

(ii)		 83,492
-------------
0 		200,000
-------------
0 		2,131
-------------
0 		18,224
-------------
0 		939
-------------
0 		304,786
-------------
0 		0
-------------
0
58Cynthia A Telles PHD
Director 		(i)

(ii)		 253,000
-------------
11,000 		0
-------------
0 		13,494
-------------
0 		7,082
-------------
0 		0
-------------
0 		273,576
-------------
11,000 		0
-------------
0
59Leslie S Heisz
Director 		(i)

(ii)		 240,500
-------------
0 		0
-------------
0 		18,131
-------------
0 		24,949
-------------
0 		0
-------------
0 		283,580
-------------
0 		0
-------------
0
60David F Hoffmeister
Director 		(i)

(ii)		 250,500
-------------
0 		0
-------------
0 		13,129
-------------
0 		17,039
-------------
0 		0
-------------
0 		280,668
-------------
0 		0
-------------
0
61Gerald McCall
SVP, Operations 		(i)

(ii)		 0
-------------
0 		261,375
-------------
0 		10,344
-------------
0 		0
-------------
0 		0
-------------
0 		271,719
-------------
0 		0
-------------
0
62Jeffrey E Epstein
Director 		(i)

(ii)		 248,000
-------------
0 		0
-------------
0 		8,558
-------------
0 		7,003
-------------
0 		0
-------------
0 		263,561
-------------
0 		0
-------------
0
63Maryann Bodayle
Assistant Secretary 		(i)

(ii)		 172,819
-------------
0 		16,023
-------------
0 		2,085
-------------
0 		61,453
-------------
0 		10,134
-------------
0 		262,514
-------------
0 		0
-------------
0
64Ramon F Baez
Director 		(i)

(ii)		 213,000
-------------
14,500 		0
-------------
0 		13,129
-------------
0 		17,909
-------------
0 		0
-------------
0 		244,038
-------------
14,500 		0
-------------
0
65Richard P Shannon MD
Director 		(i)

(ii)		 228,500
-------------
0 		0
-------------
0 		0
-------------
0 		24,093
-------------
0 		0
-------------
0 		252,593
-------------
0 		0
-------------
0
66A Eugene Washington MD
Director 		(i)

(ii)		 235,500
-------------
0 		0
-------------
0 		0
-------------
0 		12,117
-------------
0 		0
-------------
0 		247,617
-------------
0 		0
-------------
0
67Regina M Benjamin MD MBA
Director 		(i)

(ii)		 184,000
-------------
0 		0
-------------
0 		8,274
-------------
0 		48,629
-------------
0 		0
-------------
0 		240,903
-------------
0 		0
-------------
0
68David J Barger
Director 		(i)

(ii)		 218,000
-------------
0 		0
-------------
0 		0
-------------
0 		16,678
-------------
0 		0
-------------
0 		234,678
-------------
0 		0
-------------
0
69Matthew T Ryan
Director 		(i)

(ii)		 223,000
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		223,000
-------------
0 		0
-------------
0
70Kim J Kaiser
Director 		(i)

(ii)		 0
-------------
26,000 		0
-------------
0 		0
-------------
13,414 		0
-------------
0 		0
-------------
0 		0
-------------
39,414 		0
-------------
0
71Edward YW Pei
Director 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		14,281
-------------
0 		0
-------------
0 		0
-------------
0 		14,281
-------------
0 		0
-------------
0
72William Graber
Director 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		10,593
-------------
0 		0
-------------
0 		0
-------------
0 		10,593
-------------
0 		0
-------------
0
Schedule J (Form 990) 2020

Schedule J (Form 990) 2020
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 1 FIRST CLASS TRAVEL: FIRST CLASS TRAVEL IS PERMISSIBLE AS AN ORDINARY BUSINESS EXPENSE FOR ALL BOARD OF DIRECTORS, CHIEF EXECUTIVE OFFICER AND 21 OTHER OFFICERS AS APPROVED BY THE COMPENSATION COMMITTEE, CHIEF EXECUTIVE OFFICER, OR CHIEF HUMAN RESOURCES OFFICER. THE VALUE OF THESE CHARGES ARE NOT INCLUDED IN THE RECIPIENT'S COMPENSATION. TRAVEL FOR COMPANIONS: AS APPROVED BY SENIOR MANAGEMENT INFREQUENTLY WHERE BUSINESS REQUIREMENT DICTATES. THE VALUE OF THESE CHARGES ARE NOT INCLUDED IN THE RECIPIENT'S COMPENSATION. PERSONAL SERVICES: CAR AND SECURITY SERVICE IS APPROVED FOR SENIOR MANAGEMENT IN CONNECTION WITH BUSINESS RELATED TRAVEL. CEO'S NONBUSINESS TRANSPORTATION IS BOARD-APPROVED AND INCLUDED IN COMPENSATION. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: LIMITED TO PARTIAL TAX GROSS-UP UNDER RELOCATION POLICY, CEO TRANSPORTATION AND SECURITY, AND AS APPROVED ON A LIMITED BASIS BY SENIOR MANAGEMENT. THESE PAYMENTS ARE INCLUDED IN COMPENSATION. HOUSING ALLOWANCE: PROVIDED ON A LIMITED BASIS TO 7 OFFICERS FOR RELOCATION IN CONFORMITY WITH THE LAW. PROVIDED ON A LIMITED BASIS AS COMPENSATION.
Schedule J, Part I, Line 3 METHODS USED TO ESTABLISH COMPENSATION OF CEO/EXECUTIVE DIRECTOR: KAISER FOUNDATION HEALTH PLAN, INC. USED ONE OR MORE OF THE METHODS DESCRIBED BELOW TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF A RELATED ORGANIZATION.
Schedule J, Part I, Line 4A Severance Payments Richard Daniels $ 746,337 Amarylis Gutierrez 173,077 Kathryn Beiser 574,000 Tami Lamp 673,077 David Underriner 507,692 LISTED PERSONS PARTICIPATED IN ARRANGEMENTS ENTITLING THEM TO SEVERANCE BENEFITS IN THE EVENT OF TERMINATION BY THE ORGANIZATION WITHOUT CAUSE OR DUE TO JOB ELIMINATION. DEPENDING ON POSITION LEVEL, TENURE, AND TERMINATION REASON, SEVERANCE BENEFITS PAYABLE UNDER THESE ARRANGEMENTS PROVIDE FOR PAY AND HEALTH BENEFITS CONTINUATION PLUS PAYMENT OF ACCRUED OBLIGATIONS. IN ADDITION, FOR SOME OF THE LISTED PERSONS, SEVERANCE BENEFITS PAYABLE INCLUDE PRORATED INCENTIVE AWARDS FOR PERFORMANCE PERIODS NOT YET ENDED. NONE OF THE LISTED PERSONS PARTICIPATED IN ARRANGEMENTS ENTITLING THEM TO CHANGE-OF-CONTROL PAYMENTS.
Schedule J, Part I, Line 4B Supplemental NonQualified Retirement Plan Payment Gregory Adams $ 461,220 Richard Daniels 1,613,959 Kathryn Lancaster 375,052 Arthur Southam 390,827 Julie Miller-Phipps 1,307,650 Mark Zemelman 232,683 Anthony Barrueta 1,186,905 Chuck Bevilacqua 266,903 Wade Overgaard 174,284 Michael Rowe 645,738 Arlene Peasnall 59,455 George Disalvo 142,174 Paul Swenson 141,696 Thomas Meier 74,737 Laurel Junk 143,977 Roland Lyon 158,964 Jodie Lesh 520,705 James Simpson 141,287 William Caswell 86,753 Alfonse Upshaw 69,455 Christine Robisch 129,615 Mick Diede 122,088 Diane Comer 61,510 Thomas Curtin Jr. 66,691 Christine Paige 61,273 Donald Orndoff 95,724 John Yamamoto 47,939 SOME OF THE PARTICIPANTS LISTED IN SCHEDULE J, PART II PARTICIPATED IN NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS. UNDER THESE PLANS, THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS TO A NOTIONAL ACCOUNT ON BEHALF OF EACH PARTICIPANT. CONTRIBUTIONS VARY BY POSITION, LEVEL AND PAY, AND VEST OVER TIME BASED ON AGE AND/OR SERVICE. PARTICIPANT ACCOUNTS ARE CREDITED WITH A FIXED RATE OF INTEREST, INVESTED IN AVAILABLE MUTUAL FUNDS OR A COMBINATION OF BOTH. CERTAIN OFFICERS ACCRUE A BENEFIT THAT VESTS BASED ON AGE AND SERVICE AND TARGETS A PERCENTAGE OF FINAL AVERAGE PAY LESS PRIOR PLAN OFFSETS. UNVESTED AMOUNTS ARE SUBJECT TO RISK OF FORFEITURE.
Schedule J, Part I, Line 7 NON-FIXED PAYMENTS THE ORGANIZATION PROVIDED NON-FIXED PAYMENTS TO SOME OF THE PERSONS LISTED. PAYMENTS WERE MADE UNDER DISCRETIONARY BONUS PROGRAMS AND INCENTIVE PLANS, BASED ON ATTAINMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE, DESIGNED TO SUPPORT THE ORGANIZATION'S MISSION TO PROVIDE HIGH-QUALITY, AFFORDABLE CARE AND IMPROVE THE HEALTH OF ITS MEMBERS AND THE COMMUNITIES IT SERVES. THE PLANS' ORGANIZATIONAL PERFORMANCE GOALS INCLUDED: QUALITY OF CARE AND SERVICE, MEMBERSHIP GROWTH, OPERATING INCOME, PER MEMBER EXPENSE TREND, AND COMMUNITY BENEFIT. PLAN DESIGNS, PERFORMANCE, AND PAYOUT LEVELS, AS WELL AS INDIVIDUAL PAYMENTS TO CERTAIN PERSONS, WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, COMPRISED OF INDEPENDENT DIRECTORS.
Schedule J, Part I, Line 8 CERTAIN AMOUNTS REPORTED IN FORM 990, PART VII, WERE PAID OR ACCRUED PURSUANT TO A CONTRACT THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGULATIONS SECTION 53.4958-4(A)(3). FIXED PAYMENTS WERE PAID TO OR ACCRUED FOR FIVE OFFICERS IN 2020.
Schedule J, Part II, Column F AMOUNTS INCLUDED IN SCHEDULE J, PART II, COLUMN F INCLUDE AMOUNTS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION, AS WELL AS DISTRIBUTIONS FROM A 457(B) PLAN THAT WERE PREVIOUSLY REPORTED AS REPORTABLE COMPENSATION IN ACCORDANCE WITH FORM 990 INSTRUCTIONS.
PART VII, LINE 5 - COMPENSATION FROM AN UNRELATED ORGANIZATION ONE OFFICER RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION, ALVAREZ & MARSAL HOLDINGS, LLC.
Schedule J (Form 990) 2020

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