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Gulf Coast Health Care - Redacted HWM
Gulf Coast Health Care - Redacted HWM
Gulf Coast Health Care - Redacted HWM
From: felicianom@gtlaw.com Sent: Wednesday, December 01, 2010 12:14 PM To: HHS HealthInsurance (HHS) Cc: tioakim@gulfcoasthealthcare.com; sirusr@gtlaw.com Subject: (R)egistered: FW: HHS Office of Consumer Ltr Attachments: [Untitled].pdf
This is a Registered E-mail message from felicianom@gtlaw.com. The attached is being sent on behalf of Richard A. Sirus. Regards,
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From: LDAP-CHI [mailto:ldap-chi@gtlaw.com] Sent: Wednesday, December 01, 2010 10:58 AM To: Feliciano, Marisol (Secy-Chi-Tx) Subject: HHS Office of Consumer Ltr Please open the attached document. This document was digitally sent to you using an HP Digital Sending device.
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Tax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any U.S.
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Marisol Feliciano Assistant to Richard A. Sirus, Michelle C. Kauppila, William H. Mayer and Richard M. Cutshall Greenberg Traurig, LLP | 77 West Wacker Drive | Suite 3100 | Chicago, IL 60601 Tel 312.364.1624 | Fax 312.456.8435 felicianom@gtlaw.com | www.gtlaw.com
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INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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Mr. Sirus I am in receipt of your application for a waiver of annual limits on behalf of Gulf Coast. Could you please answer the following question so we can complete our review of this applicant? Is this a self-insured or fully insured product? Also, it does not appear to be a Taft Hartley plan. Please confirm. If it is a Taft Hartley plan, can you please tell me the effective date of the collective bargaining agreement and its expiration date? Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (b)(6) (Blackberry)
From: Andrews, Jane (HHS/OCIIO) Sent: Saturday, December 18, 2010 1:58 PM To: 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO) Subject: Your application on behalf of Gulf Coast
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GULF CHC:000289
Mr. Sirus can you please respond to the below e-mail so I can complete this application? Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (Blackberry) (b)(6)
From: Andrews, Jane (HHS/OCIIO) Sent: Wednesday, December 22, 2010 10:06 AM To: Andrews, Jane (HHS/OCIIO); 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Your application on behalf of Gulf Coast
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
From: Andrews, Jane (HHS/OCIIO) Sent: Saturday, December 18, 2010 1:58 PM To: 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO) Subject: Your application on behalf of Gulf Coast
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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Mr. Sirus I am in receipt of your application for a waiver of annual limits on behalf of Gulf Coast. Could you please answer the following question so we can complete our review of this applicant? Is this a self-insured or fully insured product? Also, it does not appear to be a Taft Hartley plan. Please confirm. If it is a Taft Hartley plan, can you please tell me the effective date of the collective bargaining agreement and its expiration date? Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 (desk) (b)(6) (Blackberry)
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GULF CHC:000290
From: sirusr@gtlaw.com Sent: Wednesday, December 22, 2010 10:56 AM To: Andrews, Jane (HHS/OCIIO) Cc: Habit, Sandra (HHS/OCIIO); ioakimt@gtlaw.com Subject: RE: Your application on behalf of Gulf Coast
Ms. Andrews, following is the information you requested. Please contact me with any further questions. Rich Sirus
(b)(4)
Option 3
Tax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any U.S. federal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was not intended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code or (2) promoting, marketing or recommending to another party any matters addressed herein. The information contained in this transmission may contain privileged and confidential information. It is intended only for the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. To reply to our email administrator directly, please send an email to postmaster@gtlaw.com.
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
From: Andrews, Jane (HHS/OCIIO) Sent: Wednesday, December 22, 2010 10:06 AM To: Andrews, Jane (HHS/OCIIO); 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Your application on behalf of Gulf Coast
Mr. Sirus can you please respond to the below e-mail so I can complete this application? Thank you.
GULF CHC:000291
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In addition, your application did not specify the number of enrollees in each of the 3 options. Could you please provide the number of enrollees in Option 1, broken down by employee tier (e.g. single,double, etc.) Option 2, and Option 3. Is there a way I could get all this information by close of business today? Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (Blackberry) (b)(6)
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From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Wednesday, December 22, 2010 9:25 AM To: Andrews, Jane (HHS/OCIIO); Sirus, Richard A. (Shld-Chi-Corp-ERISA-Tax) Cc: Habit, Sandra (HHS/OCIIO); 'ioakimt@gtlaw.com' Subject: RE: Your application on behalf of Gulf Coast
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Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (Blackberry) (b)(6)
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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Mr. Sirus I am in receipt of your application for a waiver of annual limits on behalf of Gulf Coast. Could you please answer the following question so we can complete our review of this applicant? Is this a self-insured or fully insured product? Also, it does not appear to be a Taft Hartley plan. Please confirm. If it is a Taft Hartley plan, can you please tell me the effective date of the collective bargaining agreement and its expiration date? Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 (desk) (Blackberry) (b)(6)
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From: Andrews, Jane (HHS/OCIIO) Sent: Saturday, December 18, 2010 1:58 PM To: 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO) Subject: Your application on behalf of Gulf Coast
GULF CHC:000292
From: sirusr@gtlaw.com Sent: Wednesday, December 22, 2010 10:44 AM To: Andrews, Jane (HHS/OCIIO) Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Your application on behalf of Gulf Coast 1. This is a self insured product.
Rich Sirus
Ms. Andrews, sorry for the delay in answering, and the fact that you have to be working on Saturday!
federal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was not intended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code or (2) promoting, marketing or recommending to another party any matters addressed herein. The information contained in this transmission may contain privileged and confidential information. It is intended only for the use of or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. To reply to our email administrator directly, please send an email to postmaster@gtlaw.com.
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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Mr. Sirus I am in receipt of your application for a waiver of annual limits on behalf of Gulf Coast. Could you please answer the following question so we can complete our review of this applicant? Is this a self-insured or fully insured product? Also, it does not appear to be a Taft Hartley plan. Please confirm. If it is a Taft Hartley plan, can you please tell me the effective date of the collective bargaining agreement and its expiration date? Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (b)(6) (Blackberry)
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From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Saturday, December 18, 2010 12:58 PM To: Sirus, Richard A. (Shld-Chi-Corp-ERISA-Tax) Cc: Habit, Sandra (HHS/OCIIO) Subject: Your application on behalf of Gulf Coast
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the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution
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Tax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any U.S.
GULF CHC:000293
From: Andrews, Jane (HHS/OCIIO) Sent: Wednesday, December 22, 2010 10:06 AM To: Andrews, Jane (HHS/OCIIO); 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Your application on behalf of Gulf Coast Mr. Sirus can you please respond to the below e-mail so I can complete this application? Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk)
GULF CHC:000294
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INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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In addition, your application did not specify the number of enrollees in each of the 3 options. Could you please provide the number of enrollees in Option 1, broken down by employee tier (e.g. single,double, etc.) Option 2, and Option 3. Is there a way I could get all this information by close of business today? Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (Blackberry) (b)(6)
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From: Andrews, Jane (HHS/OCIIO) Sent: Wednesday, December 22, 2010 10:25 AM To: Andrews, Jane (HHS/OCIIO); 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO); 'ioakimt@gtlaw.com' Subject: RE: Your application on behalf of Gulf Coast
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INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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I apologize for asking one more question, but this is an application that another reviewer, who is out of the office on leave, reviewed and prepared. I am also not clear on the annual limits for the three options. It is an overall annual limit on the 3 plans, and if so, how much, or is it specific annual limits on certain essential benefits? Thanks. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (Blackberry) (b)(6)
From: Andrews, Jane (HHS/OCIIO) Sent: Wednesday, December 22, 2010 10:30 AM To: Andrews, Jane (HHS/OCIIO); 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO); 'ioakimt@gtlaw.com' Subject: RE: Your application on behalf of Gulf Coast
(b)(6)
(Blackberry)
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
From: Andrews, Jane (HHS/OCIIO) Sent: Saturday, December 18, 2010 1:58 PM To: 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO) Subject: Your application on behalf of Gulf Coast Mr. Sirus I am in receipt of your application for a waiver of annual limits on behalf of Gulf Coast. Could you please answer the following question so we can complete our review of this applicant? Is this a self-insured or fully insured product? Also, it does not appear to be a Taft Hartley plan. Please confirm. If it is a Taft Hartley plan, can you please tell me the effective date of the collective bargaining agreement and its expiration date? Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (Blackberry) (b)(6)
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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GULF CHC:000295
From: Andrews, Jane (HHS/OCIIO) Sent: Saturday, December 18, 2010 1:58 PM To: 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO) Subject: Your application on behalf of Gulf Coast Mr. Sirus I am in receipt of your application for a waiver of annual limits on behalf of Gulf Coast. Could you please answer the following question so we can complete our review of this applicant? Is this a self-insured or fully insured product? Also, it does not appear to be a Taft Hartley plan. Please confirm. If it is a Taft Hartley plan, can you please tell me the effective date of the collective bargaining agreement and its expiration date? Thank you.
GULF CHC:000296
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INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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Mr. Sirus can you please respond to the below e-mail so I can complete this application? Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (b)(6) (Blackberry)
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From: Andrews, Jane (HHS/OCIIO) Sent: Wednesday, December 22, 2010 10:06 AM To: Andrews, Jane (HHS/OCIIO); 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Your application on behalf of Gulf Coast
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INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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In addition, your application did not specify the number of enrollees in each of the 3 options. Could you please provide the number of enrollees in Option 1, broken down by employee tier (e.g. single,double, etc.) Option 2, and Option 3. Is there a way I could get all this information by close of business today? Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (Blackberry) (b)(6)
From: Andrews, Jane (HHS/OCIIO) Sent: Wednesday, December 22, 2010 10:25 AM To: Andrews, Jane (HHS/OCIIO); 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO); 'ioakimt@gtlaw.com' Subject: RE: Your application on behalf of Gulf Coast
Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 (desk) (b)(6) (Blackberry)
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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GULF CHC:000297
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I do still need the annual limits request that was in a separate e-mail this morning. I made three separate requests. Thanks. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (b)(6) (Blackberry)
From: Andrews, Jane (HHS/OCIIO) Sent: Wednesday, December 22, 2010 11:49 AM To: 'sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO); 'ioakimt@gtlaw.com' Subject: RE: Your application on behalf of Gulf Coast
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
From: sirusr@gtlaw.com [mailto:sirusr@gtlaw.com] Sent: Wednesday, December 22, 2010 10:56 AM To: Andrews, Jane (HHS/OCIIO) Cc: Habit, Sandra (HHS/OCIIO); ioakimt@gtlaw.com Subject: RE: Your application on behalf of Gulf Coast
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(b)(4)
Tax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any U.S. federal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was not intended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code or (2) The information contained in this transmission may contain privileged and confidential information. It is intended only for the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. To reply to our email administrator directly, please send an email to postmaster@gtlaw.com.
From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Wednesday, December 22, 2010 9:25 AM To: Andrews, Jane (HHS/OCIIO); Sirus, Richard A. (Shld-Chi-Corp-ERISA-Tax) Cc: Habit, Sandra (HHS/OCIIO); 'ioakimt@gtlaw.com' Subject: RE: Your application on behalf of Gulf Coast In addition, your application did not specify the number of enrollees in each of the 3 options. Could you please provide the number of enrollees in Option 1, broken down by employee tier (e.g. single,double, etc.) Option 2, and Option 3. Is there a way I could get all this information by close of business today? Thank you.
GULF CHC:000298
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Ms. Andrews, following is the information you requested. Please contact me with any further questions. Rich Sirus
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Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 (desk) (b)(6) (Blackberry)
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
Mr. Sirus I am in receipt of your application for a waiver of annual limits on behalf of Gulf Coast. Could you please answer the following question so we can complete our review of this applicant? Is this a self-insured or fully insured product? Also, it does not appear to be a Taft Hartley plan. Please confirm. If it is a Taft Hartley plan, can you please tell me the effective date of the collective bargaining agreement and its expiration date? Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (b)(6) (Blackberry)
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From: Andrews, Jane (HHS/OCIIO) Sent: Saturday, December 18, 2010 1:58 PM To: 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO) Subject: Your application on behalf of Gulf Coast
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INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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Mr. Sirus can you please respond to the below e-mail so I can complete this application? Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (b)(6) (Blackberry)
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From: Andrews, Jane (HHS/OCIIO) Sent: Wednesday, December 22, 2010 10:06 AM To: Andrews, Jane (HHS/OCIIO); 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Your application on behalf of Gulf Coast
This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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GULF CHC:000300
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From: sirusr@gtlaw.com Sent: Wednesday, December 22, 2010 3:29 PM To: Andrews, Jane (HHS/OCIIO) Cc: Habit, Sandra (HHS/OCIIO); tioakim@gulfcoasthealthcare.com Subject: RE: Your application on behalf of Gulf Coast
Ms. Andrews, Gulf Coast is requesting a waiver for both the overall ann and those f (b)(4) page 3 of the Exhibit A summary you can see that the annual limits are for Option 1 (b)(4) The first few pages of each Option SPD provided indicates the specific l essential be result in higher costs and financial burdens for employees. Please contact me with any further questions.
nefits. If you check for Options 2 and 3. ing any of these will Rich Sirus
Tax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any U.S. federal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was not promoting, marketing or recommending to another party any matters addressed herein.
The information contained in this transmission may contain privileged and confidential information. It is intended only for the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by reply postmaster@gtlaw.com.
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
From: Andrews, Jane (HHS/OCIIO) Sent: Wednesday, December 22, 2010 10:25 AM To: Andrews, Jane (HHS/OCIIO); 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO); 'ioakimt@gtlaw.com' Subject: RE: Your application on behalf of Gulf Coast In addition, your application did not specify the number of enrollees in each of the 3 options. Could you please provide the number of enrollees in Option 1, broken down by employee tier (e.g. single,double, etc.) Option 2, and Option 3. Is there a way I could get all this information by close of business today? Thank you. Jane W. Andrews OCIIO
GULF CHC:000301
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I apologize for asking one more question, but this is an application that another reviewer, who is out of the office on leave, reviewed and prepared. I am also not clear on the annual limits for the three options. It is an overall annual limit on the 3 plans, and if so, how much, or is it specific annual limits on certain essential benefits? Thanks. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (b)(6) (Blackberry)
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From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Wednesday, December 22, 2010 9:30 AM To: Andrews, Jane (HHS/OCIIO); Sirus, Richard A. (Shld-Chi-Corp-ERISA-Tax) Cc: Habit, Sandra (HHS/OCIIO); 'ioakimt@gtlaw.com' Subject: RE: Your application on behalf of Gulf Coast
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email and destroy all copies of the original message. To reply to our email administrator directly, please send an email to
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intended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code or (2)
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
From: Andrews, Jane (HHS/OCIIO) Sent: Wednesday, December 22, 2010 10:06 AM To: Andrews, Jane (HHS/OCIIO); 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Your application on behalf of Gulf Coast
From: Andrews, Jane (HHS/OCIIO) Sent: Saturday, December 18, 2010 1:58 PM To: 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO) Subject: Your application on behalf of Gulf Coast
Mr. Sirus I am in receipt of your application for a waiver of annual limits on behalf of Gulf Coast. Could you please answer the following question so we can complete our review of this applicant? Is this a self-insured or fully insured product? Also, it does not appear to be a Taft Hartley plan. Please confirm. If it is a Taft Hartley plan, can you please tell me the effective date of the collective bargaining agreement and its expiration date? Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (b)(6) (Blackberry)
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government
GULF CHC:000302
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INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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Mr. Sirus can you please respond to the below e-mail so I can complete this application? Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 (desk) (Blackberry) (b)(6)
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use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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GULF CHC:000303
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Ive got them. Thanks. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (Blackberry) (b)(6)
From: Andrews, Jane (HHS/OCIIO) Sent: Wednesday, December 22, 2010 3:58 PM To: 'sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO); 'tioakim@gulfcoasthealthcare.com' Subject: RE: Your application on behalf of Gulf Coast
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
From: sirusr@gtlaw.com [mailto:sirusr@gtlaw.com] Sent: Wednesday, December 22, 2010 3:29 PM To: Andrews, Jane (HHS/OCIIO) Cc: Habit, Sandra (HHS/OCIIO); tioakim@gulfcoasthealthcare.com Subject: RE: Your application on behalf of Gulf Coast
Tax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any U.S. federal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was not intended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code or (2) promoting, marketing or recommending to another party any matters addressed herein. the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution email and destroy all copies of the original message. To reply to our email administrator directly, please send an email to postmaster@gtlaw.com.
From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Wednesday, December 22, 2010 9:30 AM To: Andrews, Jane (HHS/OCIIO); Sirus, Richard A. (Shld-Chi-Corp-ERISA-Tax) Cc: Habit, Sandra (HHS/OCIIO); 'ioakimt@gtlaw.com' Subject: RE: Your application on behalf of Gulf Coast I apologize for asking one more question, but this is an application that another reviewer, who is out of the office on leave, reviewed and prepared. I am also not clear on the annual limits for the three options. It is an overall annual limit on the 3 plans, and if so, how much, or is it specific annual limits on certain essential benefits? Thanks. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814
GULF CHC:000304
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or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by reply
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The information contained in this transmission may contain privileged and confidential information. It is intended only for the use of
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Ms. Andrews, Gulf Coast is requesting a waiver for both the overall annual limits and those for essential benefits. If you check (b)(4) page 3 of the Exhibit A summary you can see that the annual limits are (b)(4) for Option 1 and for Options 2 and 3. essential benefits. Increasing any of these will The first few pages of each Option SPD provided indicates the specific result in higher costs and financial burdens for employees. Please contact me with any further questions. Rich Sirus
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INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
From: Andrews, Jane (HHS/OCIIO) Sent: Wednesday, December 22, 2010 10:25 AM To: Andrews, Jane (HHS/OCIIO); 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO); 'ioakimt@gtlaw.com' Subject: RE: Your application on behalf of Gulf Coast In addition, your application did not specify the number of enrollees in each of the 3 options. Could you please provide the number of enrollees in Option 1, broken down by employee tier (e.g. single,double, etc.) Option 2, and Option 3. Is there a way I could get all this information by close of business today? Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (b)(6) (Blackberry)
From: Andrews, Jane (HHS/OCIIO) Sent: Wednesday, December 22, 2010 10:06 AM To: Andrews, Jane (HHS/OCIIO); 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Your application on behalf of Gulf Coast
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
From: Andrews, Jane (HHS/OCIIO) Sent: Saturday, December 18, 2010 1:58 PM To: 'Sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO) Subject: Your application on behalf of Gulf Coast
GULF CHC:000305
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Mr. Sirus can you please respond to the below e-mail so I can complete this application? Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (Blackberry) (b)(6)
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INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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Mr. Sirus I am in receipt of your application for a waiver of annual limits on behalf of Gulf Coast. Could you please answer the following question so we can complete our review of this applicant? Is this a self-insured or fully insured product? Also, it does not appear to be a Taft Hartley plan. Please confirm. If it is a Taft Hartley plan, can you please tell me the effective date of the collective bargaining agreement and its expiration date? Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (Blackberry) (b)(6)
GULF CHC:000306
From: Botwinick, Alexandra (HHS/OCIIO) Sent: Thursday, January 06, 2011 7:54 AM To: 'sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011 Correspondence
Mr. Sirus, I sincerely apologize for the confusion. In my haste to get the approvals and denials out as close to the first of the year as possible I neglected to specify exactly which plans the approval letter referred to and which plans the denial letter referred to. The Gulf Plans that the denial letter refers to are as follows: Anthem Option 2 Anthem Option 3 The Gulf Plans that the approval letter refers to are as follows: Anthem Option 1 I have saved this letter, as well as the denial and approval letter, in Gulf Coasts file so there will be no confusion in the future. Please let me know if you have any further questions. Sincerely,
Importance: High
alexandra.botwinick@hhs.gov
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Tax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any U.S. federal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was not intended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code or (2) promoting, marketing or recommending to another party any matters addressed herein. The information contained in this transmission may contain privileged and confidential information. It is intended only for the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. To reply to our email administrator directly, please send an email to postmaster@gtlaw.com. From: Botwinick, Alexandra (HHS/OCIIO) [mailto:Alexandra.Botwinick@hhs.gov] Sent: Monday, January 03, 2011 9:48 AM
GULF CHC:000307
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Ms. Botwinick, you have confused us with your most recent correspondence regarding our client'swaiver request. We received the attached approval last week. Your most recent correspondence is a denial. Please contact me to discuss. Richard Sirus, 312476-5006
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From: sirusr@gtlaw.com [mailto:sirusr@gtlaw.com] Sent: Tuesday, January 04, 2011 11:57 AM To: Botwinick, Alexandra (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011
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To: Sirus, Richard A. (Shld-Chi-Corp-ERISA-Tax) Subject: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011 Importance: High
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GULF CHC:000308
alexandra.botwinick@hhs.gov
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Good Morning, Thank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act Section 2711 for Gulf Coast Health Care. HHS has reviewed your application and made its determination. Please see the attached letter. Please confirm receipt of this letter by replying to this e-mail. Please let me know if I can be of further assistance. Sincerely,
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GULF CHC:000309
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GULF CHC:000310
From: sirusr@gtlaw.com Sent: Tuesday, January 04, 2011 11:44 AM To: Botwinick, Alexandra (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 12-29-2010 Follow Up Flag: Follow up Flag Status: Red
Ms. Botwinick, on behalf of our client, thank you for the waiver grant. We appreciate the waiver and your attention to this matter. Richard Sirus
Tax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any U.S. federal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was not promoting, marketing or recommending to another party any matters addressed herein.
The information contained in this transmission may contain privileged and confidential information. It is intended only for the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by reply postmaster@gtlaw.com.
alexandra.botwinick@hhs.gov
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Sincerely,
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Good Afternoon,
Thank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act Section 2711 for Gulf Coast Health Care. HHS has reviewed your application and made its determination. Please see the attached letter.
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From: Botwinick, Alexandra (HHS/OCIIO) [mailto:Alexandra.Botwinick@hhs.gov] Sent: Wednesday, December 29, 2010 3:56 PM To: Sirus, Richard A. (Shld-Chi-Corp-ERISA-Tax) Subject: Gulf Coast Health Care Waiver of the Annual Limits Requirements 12-29-2010 Importance: High
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email and destroy all copies of the original message. To reply to our email administrator directly, please send an email to
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intended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code or (2)
GULF CHC:000311
From: Botwinick, Alexandra (HHS/OCIIO) Sent: Wednesday, December 29, 2010 4:56 PM To: sirusr@gtlaw.com Subject: Gulf Coast Health Care Waiver of the Annual Limits Requirements 12-29-2010 Importance: High Follow Up Flag: Follow up Flag Status: Green Attachments: Dec 1 Letter .pdf Good Afternoon,
Thank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act Section 2711 for Gulf Coast Health Care. HHS has reviewed your application and made its determination. Please see the attached letter.
Sincerely,
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Alexandra Botwinick
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GULF CHC:000312
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GULF CHC:000313
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GULF CHC:000314
From: sirusr@gtlaw.com Sent: Monday, January 10, 2011 1:53 PM To: Botwinick, Alexandra (HHS/OCIIO) Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011 Correspondence
Ms. Botwinick, I have not heard back from you regarding my request for a discussion about the waiver denial on Options 2 and 3. The denial came as a surprise and will cause the sponsor and plan partcipantsgreat difficultyand expense. Please contact me at your earliest convenience. Rich Sirus
alexandra.botwinick@hhs.gov
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Mr. Sirus, I sincerely apologize for the confusion. In my haste to get the approvals and denials out as close to the first of the year as possible I neglected to specify exactly which plans the approval letter referred to and which plans the denial letter referred to. The Gulf Plans that the denial letter refers to are as follows: Anthem Option 2 Anthem Option 3 The Gulf Plans that the approval letter refers to are as follows: Anthem Option 1 I have saved this letter, as well as the denial and approval letter, in Gulf Coasts file so there will be no confusion in the future. Please let me know if you have any further questions. Sincerely,
From: sirusr@gtlaw.com [mailto:sirusr@gtlaw.com] Sent: Tuesday, January 04, 2011 11:57 AM To: Botwinick, Alexandra (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011
Ms. Botwinick, you have confused us with your most recent correspondence regarding our client'swaiver request. We received the attached approval last week. Your most recent correspondence is a denial. Please contact me to discuss. Richard Sirus, 312476-5006
Tax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any U.S. federal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was not intended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code or (2) promoting, marketing or recommending to another party any matters addressed herein.
GULF CHC:000315
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From: Botwinick, Alexandra (HHS/OCIIO) [mailto:Alexandra.Botwinick@hhs.gov] Sent: Thursday, January 06, 2011 6:54 AM To: Sirus, Richard A. (Shld-Chi-Corp-ERISA-Tax) Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011 Correspondence Importance: High
The information contained in this transmission may contain privileged and confidential information. It is intended only for the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. To reply to our email administrator directly, please send an email to postmaster@gtlaw.com. From: Botwinick, Alexandra (HHS/OCIIO) [mailto:Alexandra.Botwinick@hhs.gov] Sent: Monday, January 03, 2011 9:48 AM To: Sirus, Richard A. (Shld-Chi-Corp-ERISA-Tax) Subject: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011 Importance: High
alexandra.botwinick@hhs.gov
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Good Morning, Thank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act Section 2711 for Gulf Coast Health Care. HHS has reviewed your application and made its determination. Please see the attached letter. Please confirm receipt of this letter by replying to this e-mail. Please let me know if I can be of further assistance. Sincerely,
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GULF CHC:000316
From: Botwinick, Alexandra (HHS/OCIIO) Sent: Monday, January 10, 2011 2:11 PM To: 'sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO); Andrews, Jane (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011 Correspondence Importance: High
Mr. Sirus, I apologize for not having gotten back to you sooner. With the influx of applications with a January 1 st effective date you can
From: sirusr@gtlaw.com [mailto:sirusr@gtlaw.com] Sent: Monday, January 10, 2011 1:53 PM To: Botwinick, Alexandra (HHS/OCIIO) Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011 Correspondence
From: Botwinick, Alexandra (HHS/OCIIO) [mailto:Alexandra.Botwinick@hhs.gov] Sent: Thursday, January 06, 2011 6:54 AM To: Sirus, Richard A. (Shld-Chi-Corp-ERISA-Tax) Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011 Correspondence Importance: High Mr. Sirus, I sincerely apologize for the confusion. In my haste to get the approvals and denials out as close to the first of the year as possible I neglected to specify exactly which plans the approval letter referred to and which plans the denial letter referred to. The Gulf Plans that the denial letter refers to are as follows: Anthem Option 2 Anthem Option 3
GULF CHC:000317
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Ms. Botwinick, I have not heard back from you regarding my request for a discussion about the waiver denial on Options 2 and 3. The denial came as a surprise and will cause the sponsor and plan partcipantsgreat difficultyand expense. Please contact me at your earliest convenience. Rich Sirus
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imagine how swamped we have been and our primary goal was to get people our decision by the 1 st of the year if not soon after. I understand your desire to have a discussion concerning the plans that were denied and the best person for you to call would be Jane Andrews at 301-492-4122. She will be able to assist you in the appeals process. Please let me know if you are unable to reach her or if you have any further questions. One again, I do apologize for my delayed response. Sincerely,
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The Gulf Plans that the approval letter refers to are as follows: Anthem Option 1 I have saved this letter, as well as the denial and approval letter, in Gulf Coasts file so there will be no confusion in the future. Please let me know if you have any further questions. Sincerely,
Ms. Botwinick, you have confused us with your most recent correspondence regarding our client'swaiver request. We received the attached approval last week. Your most recent correspondence is a denial. Please contact me to discuss. Richard Sirus, 312476-5006
Tax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any U.S. federal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was not intended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code or (2) The information contained in this transmission may contain privileged and confidential information. It is intended only for the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. To reply to our email administrator directly, please send an email to postmaster@gtlaw.com. promoting, marketing or recommending to another party any matters addressed herein.
Good Morning, Thank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act Section 2711 for Gulf Coast Health Care. HHS has reviewed your application and made its determination. Please see the attached letter. Please confirm receipt of this letter by replying to this e-mail. Please let me know if I can be of further assistance. Sincerely,
Alexandra Botwinick
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From: Botwinick, Alexandra (HHS/OCIIO) [mailto:Alexandra.Botwinick@hhs.gov] Sent: Monday, January 03, 2011 9:48 AM To: Sirus, Richard A. (Shld-Chi-Corp-ERISA-Tax) Subject: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011 Importance: High
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From: sirusr@gtlaw.com [mailto:sirusr@gtlaw.com] Sent: Tuesday, January 04, 2011 11:57 AM To: Botwinick, Alexandra (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011
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GULF CHC:000318
alexandra.botwinick@hhs.gov
alexandra.botwinick@hhs.gov
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GULF CHC:000319
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From: Andrews, Jane (HHS/OCIIO) Sent: Monday, January 10, 2011 5:58 PM To: 'sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO); Botwinick, Alexandra (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011 Correspondence Alex Botwinick referred your e-mail below to me. If you wish to set up a phone call to discuss a reconsideration of the denial of a waiver of annual limit requirements, I can help with that; however, the applicant should draft a letter
to the same e-mail or post-office stop as the original address, with a cc to me. The letter should set out supplemental information not included in the original letter explaining why the denial of the waiver determination will result in either: i. A significant increase in premiums, or ii. A significant decrease in access to benefits. Upon receipt of that letter, I can arrange a phone call with a manager as soon as feasible. Thank you.
Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (Blackberry) (b)(6)
Jane Andrews
Ms. Botwinick, I have not heard back from you regarding my request for a discussion about the waiver denial on Options 2 and 3. The denial came as a surprise and will cause the sponsor and plan partcipantsgreat difficultyand expense. Please contact me at your earliest convenience. Rich Sirus
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From: sirusr@gtlaw.com [mailto:sirusr@gtlaw.com] Sent: Monday, January 10, 2011 1:53 PM To: Botwinick, Alexandra (HHS/OCIIO) Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011 Correspondence
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INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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GULF CHC:000320
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From: sirusr@gtlaw.com Sent: Friday, January 21, 2011 12:32 PM To: Andrews, Jane (HHS/OCIIO) Cc: Habit, Sandra (HHS/OCIIO); Botwinick, Alexandra (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011 Correspondence
Ms. Andrews, we have been working with Gulf Coast to obtain the supplemental information to request a reconsideration of the denial of the annual limit waiver. We hope to have this information in the next two weeks. Can you tell me whether there is any time limit or deadline for the request? Also, can you advise what the client should do in the interim while the reconsideration is pending? Your assistance is greatly appreciated. Please contact me with any questions. Rich Sirus
Tax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any U.S. federal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was not promoting, marketing or recommending to another party any matters addressed herein.
The information contained in this transmission may contain privileged and confidential information. It is intended only for the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by reply postmaster@gtlaw.com.
Alex Botwinick referred your e-mail below to me. If you wish to set up a phone call to discuss a reconsideration of the denial of a waiver of annual limit requirements, I can help with that; however, the applicant should draft a letter
to the same e-mail or post-office stop as the original address, with a cc to me. The letter should set out supplemental information not included in the original letter explaining why the denial of the waiver determination will result in either: i. A significant increase in premiums, or ii. A significant decrease in access to benefits. Upon receipt of that letter, I can arrange a phone call with a manager as soon as feasible. Thank you.
Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (Blackberry) (b)(6)
Jane Andrews
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information.
GULF CHC:000321
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From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Monday, January 10, 2011 4:58 PM To: Sirus, Richard A. (Shld-Chi-Corp-ERISA-Tax) Cc: Habit, Sandra (HHS/OCIIO); Botwinick, Alexandra (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011 Correspondence
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email and destroy all copies of the original message. To reply to our email administrator directly, please send an email to
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intended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code or (2)
Unauthorized disclosure may result in prosecution to the full extent of the law.
From: sirusr@gtlaw.com [mailto:sirusr@gtlaw.com] Sent: Monday, January 10, 2011 1:53 PM To: Botwinick, Alexandra (HHS/OCIIO) Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011 Correspondence
Ms. Botwinick, I have not heard back from you regarding my request for a discussion about the waiver denial on Options 2 and 3. The denial came as a surprise and will cause the sponsor and plan partcipantsgreat difficultyand expense. Please contact me at your earliest convenience. Rich Sirus
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GULF CHC:000322
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Are you asking what they should do in the interim because their effective date has come and gone? Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) (b)(6) (Blackberry)
From: Andrews, Jane (HHS/OCIIO) Sent: Friday, January 21, 2011 1:55 PM To: 'sirusr@gtlaw.com' Cc: Habit, Sandra (HHS/OCIIO); Botwinick, Alexandra (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011 Correspondence
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
From: sirusr@gtlaw.com [mailto:sirusr@gtlaw.com] Sent: Friday, January 21, 2011 12:32 PM To: Andrews, Jane (HHS/OCIIO) Cc: Habit, Sandra (HHS/OCIIO); Botwinick, Alexandra (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011 Correspondence
Tax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any U.S. federal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was not intended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code or (2) promoting, marketing or recommending to another party any matters addressed herein. the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution email and destroy all copies of the original message. To reply to our email administrator directly, please send an email to postmaster@gtlaw.com.
From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Monday, January 10, 2011 4:58 PM To: Sirus, Richard A. (Shld-Chi-Corp-ERISA-Tax) Cc: Habit, Sandra (HHS/OCIIO); Botwinick, Alexandra (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011 Correspondence
Alex Botwinick referred your e-mail below to me. If you wish to set up a phone call to discuss a reconsideration of the denial of a waiver of annual limit requirements, I can help with that; however, the applicant should draft a letter
to the same e-mail or post-office stop as the original address, with a cc to me. The letter should set out supplemental information not included in the original letter explaining why the denial of the waiver determination will result in either: i. A significant increase in premiums, or
GULF CHC:000323
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or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by reply
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The information contained in this transmission may contain privileged and confidential information. It is intended only for the use of
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Ms. Andrews, we have been working with Gulf Coast to obtain the supplemental information to request a reconsideration of the denial of the annual limit waiver. We hope to have this information in the next two weeks. Can you tell me whether there is any time limit or deadline for the request? Also, can you advise what the client should do in the interim while the reconsideration is pending? Your assistance is greatly appreciated. Please contact me with any questions. Rich Sirus
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Upon receipt of that letter, I can arrange a phone call with a manager as soon as feasible. Thank you.
Jane Andrews
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Ms. Botwinick, I have not heard back from you regarding my request for a discussion about the waiver denial on Options 2 and 3. The denial came as a surprise and will cause the sponsor and plan partcipantsgreat difficultyand expense. Please contact me at your earliest convenience. Rich Sirus
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From: sirusr@gtlaw.com [mailto:sirusr@gtlaw.com] Sent: Monday, January 10, 2011 1:53 PM To: Botwinick, Alexandra (HHS/OCIIO) Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Gulf Coast Health Care Waiver of the Annual Limits Requirements 1-3-2011 Correspondence
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INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
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Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 (desk) (b)(6) (Blackberry)
GULF CHC:000324