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    HHS Office of Consumer Ltr (Sent Registered)

    ///co-adshare/...%20Health%20Care,%20LLC/(R)egistered%20FW%20HHS%20Office%20of%20Consumer%20Ltr.htm[11/15/2011 10:4

    rom: [email protected]: Wednesday, December 01, 2010 12:14 PMo: HHS HealthInsurance (HHS)

    Cc: [email protected]; [email protected]: (R)egistered: FW: HHS Office of Consumer Ltr

    Attachments: [Untitled].pdf

    his is a Registered E-mail message from [email protected].

    he attached is being sent on behalf of Richard A. Sirus.

    egards,

    arisol Felicianossistant to Richard A. Sirus, Michelle C. Kauppila, William H. Mayer and Richard M. Cutshallreenberg Traurig, LLP | 77 West Wacker Drive | Suite 3100 | Chicago, IL 60601el 312.364.1624 | Fax [email protected] | www.gtlaw.com

    Greenberg Traurig

    LEASE CONSIDER THE ENVIRONMENT BEFORE PRINTING THIS EMAIL

    ax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any

    ederal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was not

    ntended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code o

    romoting, marketing or recommending to another party any matters addressed herein.

    he information contained in this transmission may contain privileged and confidential information. It is intended only for the u

    he person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribu

    r duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by rep

    mail and destroy all copies of the original message. To reply to our email administrator directly, please send an email to

    [email protected].

    rom: LDAP-CHI [mailto:[email protected]]ent: Wednesday, December 01, 2010 10:58 AM

    o: Feliciano, Marisol (Secy-Chi-Tx)ubject: HHS Office of Consumer Ltr

    ease open the attached document. This document was digitally sent to you using an HP Digital Sending device.

    ---Original Message-----

    or more information about the RPost Registered E-mail service visit http://www.rpost.com

    GULF CHC:000001

    mailto:[email protected]:[email protected]:[email protected]://www.rpost.com/http://www.rpost.com/mailto:[email protected]:[email protected]

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    ///co-adshare/...Processing%20Team/Brandon/Gulf%20Coast%20Health%20Care,%20LLC/Request%20for%20info%2012.18.10.htm[11/15/2011 10:43

    rom: Andrews, Jane (HHS/OCIIO)ent: Saturday, December 18, 2010 1:58 PM

    To: '[email protected]'Cc: Habit, Sandra (HHS/OCIIO)

    ubject: Your application on behalf of Gulf CoastMr. Sirus I am in receipt of your application for a waiver of annual limits on behalf of Gulf Coast. Could you please answer t

    ollowing question so we can complete our review of this applicant?

    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 Taf

    artley plan, can you please tell me the effective date of the collective bargaining agreement and its expiration date?

    hank you.

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 20814

    01-492-4122 (desk) (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 governm

    use only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatioUnauthorized disclosure may result in prosecution to the full extent of the law.

    GULF CHC:000289

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    ///co-adshare/...OI%20Processing%20Team/Brandon/Gulf%20Coast%20Health%20Care,%20LLC/Correspondence%2012.22.10.htm[11/15/2011 10:43:

    rom: Andrews, Jane (HHS/OCIIO)ent: Wednesday, December 22, 2010 10:06 AM

    To: Andrews, Jane (HHS/OCIIO); '[email protected]'Cc: Habit, Sandra (HHS/OCIIO)

    ubject: RE: Your application on behalf of Gulf CoastMr. Sirus can you please respond to the below e-mail so I can complete this application? Thank you.

    ane W. Andrews

    CIIO

    501 Wisconsin Aveethesda, MD 20814

    01-492-4122 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    rom: Andrews, Jane (HHS/OCIIO)

    ent: Saturday, December 18, 2010 1:58 PMo: '[email protected]'c: Habit, Sandra (HHS/OCIIO)ubject: 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 t

    ollowing question so we can complete our review of this applicant?

    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 Taf

    artley plan, can you please tell me the effective date of the collective bargaining agreement and its expiration date?

    hank you.

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 20814 (desk) (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 governm

    use only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatioUnauthorized disclosure may result in prosecution to the full extent of the law.

    GULF CHC:000290

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    ///co-adshare/...n/Gulf%20Coast%20Health%20Care,%20LLC/Request%20for%20info%20response%2012.22.10.htm[11/15/2011 10:43

    rom: [email protected]: Wednesday, December 22, 2010 10:56 AMo: Andrews, Jane (HHS/OCIIO)

    Cc: Habit, Sandra (HHS/OCIIO); [email protected]: RE: Your application on behalf of Gulf CoastMs. Andrews, following is the information you requested. Please contact me with any further questions. Rich Sirus

    Option 3

    inglemployee+Child

    mployee+Spouse

    amily

    ax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any

    ederal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was not

    ntended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code o

    romoting, marketing or recommending to another party any matters addressed herein.

    he information contained in this transmission may contain privileged and confidential information. It is intended only for the u

    he person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribur duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by rep

    mail and destroy all copies of the original message. To reply to our email administrator directly, please send an email to

    [email protected].

    rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]ent: Wednesday, December 22, 2010 9:25 AMo: Andrews, Jane (HHS/OCIIO); Sirus, Richard A. (Shld-Chi-Corp-ERISA-Tax)c: Habit, Sandra (HHS/OCIIO); '[email protected]'ubject: RE: Your application on behalf of Gulf Coast

    n addition, your application did not specify the number of enrollees in each of the 3 options. Could you please provide the nu

    f enrollees in Option 1, broken down by employee tier (e.g. single,double, etc.)

    ption 2, and Option 3. Is there a way I could get all this information by close of business today? Thank you.

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 20814

    01-492-4122 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    rom: Andrews, Jane (HHS/OCIIO)ent: Wednesday, December 22, 2010 10:06 AMo: Andrews, Jane (HHS/OCIIO); '[email protected]'c: Habit, Sandra (HHS/OCIIO)ubject: 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

    mailto:[email protected]:[email protected]:[email protected]

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    ///co-adshare/...n/Gulf%20Coast%20Health%20Care,%20LLC/Request%20for%20info%20response%2012.22.10.htm[11/15/2011 10:43

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 20814

    01-492-4122 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    rom: Andrews, Jane (HHS/OCIIO)ent: Saturday, December 18, 2010 1:58 PMo: '[email protected]'c: Habit, Sandra (HHS/OCIIO)ubject: 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 t

    ollowing question so we can complete our review of this applicant?

    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 Tafartley plan, can you please tell me the effective date of the collective bargaining agreement and its expiration date?

    hank you.

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 20814 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    GULF CHC:000292

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    293/323

    ///co-adshare/...20Coast%20Health%20Care,%20LLC/Request%20for%20info%20response%20(2)%2012.22.10.htm[11/15/2011 10:43

    rom: [email protected]: Wednesday, December 22, 2010 10:44 AMo: Andrews, Jane (HHS/OCIIO)

    Cc: Habit, Sandra (HHS/OCIIO)Subject: RE: Your application on behalf of Gulf CoastMs. Andrews, sorry for the delay in answering, and the fact that you have to be working on Saturday!

    1. This is a self insured product.

    2. This is not a Taft-Hartley fund.

    ich Sirus

    ax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any

    ederal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was not

    ntended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code o

    romoting, marketing or recommending to another party any matters addressed herein.

    he information contained in this transmission may contain privileged and confidential information. It is intended only for the u

    he person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribu

    r duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by rep

    mail and destroy all copies of the original message. To reply to our email administrator directly, please send an email to

    [email protected].

    rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]ent: Saturday, December 18, 2010 12:58 PMo: Sirus, Richard A. (Shld-Chi-Corp-ERISA-Tax)c: Habit, Sandra (HHS/OCIIO)ubject: 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 t

    ollowing question so we can complete our review of this applicant?

    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 Taf

    artley plan, can you please tell me the effective date of the collective bargaining agreement and its expiration date?

    hank you.

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 20814

    01-492-4122 (desk)(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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    GULF CHC:000293

    mailto:[email protected]:[email protected]:[email protected]

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    294/323

    ///co-adshare/...rres/DFOI%20Processing%20Team/Brandon/Gulf%20Coast%20Health%20Care,%20LLC/Question%2012.22.10.htm[11/15/2011 10:43

    rom: Andrews, Jane (HHS/OCIIO)ent: Wednesday, December 22, 2010 10:30 AM

    To: Andrews, Jane (HHS/OCIIO); '[email protected]'Cc: Habit, Sandra (HHS/OCIIO); '[email protected]'

    ubject: RE: Your application on behalf of Gulf Coastapologize for asking one more question, but this is an application that another reviewer, who is out of the office on leave,

    eviewed and prepared. I am also not clear on the annual limits for the three options. It is an overall annual limit on the 3 p

    nd if so, how much, or is it specific annual limits on certain essential benefits? Thanks.

    ane W. AndrewsCIIO

    501 Wisconsin Ave

    ethesda, MD 20814

    01-492-4122 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    rom: Andrews, Jane (HHS/OCIIO)ent: Wednesday, December 22, 2010 10:25 AMo: Andrews, Jane (HHS/OCIIO); '[email protected]'c: Habit, Sandra (HHS/OCIIO); '[email protected]'ubject: RE: Your application on behalf of Gulf Coast

    n addition, your application did not specify the number of enrollees in each of the 3 options. Could you please provide the nu

    f enrollees in Option 1, broken down by employee tier (e.g. single,double, etc.)

    ption 2, and Option 3. Is there a way I could get all this information by close of business today? Thank you.

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 20814

    01-492-4122 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    rom: Andrews, Jane (HHS/OCIIO)ent: Wednesday, December 22, 2010 10:06 AMo: Andrews, Jane (HHS/OCIIO); '[email protected]'c: Habit, Sandra (HHS/OCIIO)ubject: 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.

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 20814

    01-492-4122 (desk)

    GULF CHC:000294

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    ///co-adshare/...rres/DFOI%20Processing%20Team/Brandon/Gulf%20Coast%20Health%20Care,%20LLC/Question%2012.22.10.htm[11/15/2011 10:43

    (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    rom: Andrews, Jane (HHS/OCIIO)

    ent: Saturday, December 18, 2010 1:58 PMo: '[email protected]'c: Habit, Sandra (HHS/OCIIO)ubject: 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 t

    ollowing question so we can complete our review of this applicant?

    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 Taf

    artley plan, can you please tell me the effective date of the collective bargaining agreement and its expiration date?

    hank you.

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 20814

    01-492-4122 (desk) (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 governm

    use only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatioUnauthorized disclosure may result in prosecution to the full extent of the law.

    GULF CHC:000295

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    296/323

    ///co-adshare/...sing%20Team/Brandon/Gulf%20Coast%20Health%20Care,%20LLC/Additional%20info%20request%2012.22.10.htm[11/15/2011 10:43

    rom: Andrews, Jane (HHS/OCIIO)ent: Wednesday, December 22, 2010 10:25 AM

    To: Andrews, Jane (HHS/OCIIO); '[email protected]'Cc: Habit, Sandra (HHS/OCIIO); '[email protected]'

    ubject: RE: Your application on behalf of Gulf Coastn addition, your application did not specify the number of enrollees in each of the 3 options. Could you please provide the nu

    f enrollees in Option 1, broken down by employee tier (e.g. single,double, etc.)

    ption 2, and Option 3. Is there a way I could get all this information by close of business today? Thank you.

    ane W. AndrewsCIIO

    501 Wisconsin Ave

    ethesda, MD 20814

    01-492-4122 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    rom: Andrews, Jane (HHS/OCIIO)ent: Wednesday, December 22, 2010 10:06 AMo: Andrews, Jane (HHS/OCIIO); '[email protected]'c: Habit, Sandra (HHS/OCIIO)ubject: 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.

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 20814

    01-492-4122 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    rom: Andrews, Jane (HHS/OCIIO)ent: Saturday, December 18, 2010 1:58 PMo: '[email protected]'

    c: Habit, Sandra (HHS/OCIIO)ubject: 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 t

    ollowing question so we can complete our review of this applicant?

    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 Taf

    artley plan, can you please tell me the effective date of the collective bargaining agreement and its expiration date?

    hank you.

    GULF CHC:000296

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    297/323

    ///co-adshare/...sing%20Team/Brandon/Gulf%20Coast%20Health%20Care,%20LLC/Additional%20info%20request%2012.22.10.htm[11/15/2011 10:43

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 20814 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    GULF CHC:000297

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    298/323

    ///co-adshare/...Processing%20Team/Brandon/Gulf%20Coast%20Health%20Care,%20LLC/Request%20for%20info%2012.22.10.htm[11/15/2011 10:43

    rom: Andrews, Jane (HHS/OCIIO)ent: Wednesday, December 22, 2010 11:49 AM

    To: '[email protected]'Cc: Habit, Sandra (HHS/OCIIO); '[email protected]'

    ubject: RE: Your application on behalf of Gulf Coastdo still need the annual limits request that was in a separate e-mail this morning. I made three separate requests. Thanks.

    ane W. Andrews

    CIIO

    501 Wisconsin Aveethesda, MD 20814

    01-492-4122 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    rom: [email protected] [mailto:[email protected]]

    ent: Wednesday, December 22, 2010 10:56 AMo: Andrews, Jane (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO); [email protected]: 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

    Option 1 Option 2 Option 3

    ingle

    mployee+Child

    mployee+Spouse

    amily

    ax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any

    ederal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was not

    ntended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code o

    romoting, marketing or recommending to another party any matters addressed herein.

    he information contained in this transmission may contain privileged and confidential information. It is intended only for the u

    he person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribu

    r duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by rep

    mail and destroy all copies of the original message. To reply to our email administrator directly, please send an email to

    [email protected].

    rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]ent: Wednesday, December 22, 2010 9:25 AMo: Andrews, Jane (HHS/OCIIO); Sirus, Richard A. (Shld-Chi-Corp-ERISA-Tax)c: Habit, Sandra (HHS/OCIIO); '[email protected]'ubject: RE: Your application on behalf of Gulf Coast

    n addition, your application did not specify the number of enrollees in each of the 3 options. Could you please provide the nu

    f enrollees in Option 1, broken down by employee tier (e.g. single,double, etc.)

    ption 2, and Option 3. Is there a way I could get all this information by close of business today? Thank you.

    GULF CHC:000298

    mailto:[email protected]:[email protected]:[email protected]

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    299/323

    ///co-adshare/...Processing%20Team/Brandon/Gulf%20Coast%20Health%20Care,%20LLC/Request%20for%20info%2012.22.10.htm[11/15/2011 10:43

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 20814 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    rom: Andrews, Jane (HHS/OCIIO)ent: Wednesday, December 22, 2010 10:06 AMo: Andrews, Jane (HHS/OCIIO); '[email protected]'c: Habit, Sandra (HHS/OCIIO)ubject: 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.

    ane W. Andrews

    CIIO501 Wisconsin Ave

    ethesda, MD 20814

    01-492-4122 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    rom: Andrews, Jane (HHS/OCIIO)ent: Saturday, December 18, 2010 1:58 PMo: '[email protected]'c: Habit, Sandra (HHS/OCIIO)ubject: 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 t

    ollowing question so we can complete our review of this applicant?

    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 Taf

    artley plan, can you please tell me the effective date of the collective bargaining agreement and its expiration date?

    hank you.

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 20814

    01-492-4122 (desk) (Blackberry)

    INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW:GULF CHC:000299

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    ///co-adshare/...Processing%20Team/Brandon/Gulf%20Coast%20Health%20Care,%20LLC/Request%20for%20info%2012.22.10.htm[11/15/2011 10:43

    This information has not been publicly disclosed and may be privileged and confidential. It is for internal governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    GULF CHC:000300

  • 7/27/2019 Gulf Coast Health Care - Redacted HWM

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    ///co-adshare/...20Coast%20Health%20Care,%20LLC/Request%20for%20info%20response%20(3)%2012.22.10.htm[11/15/2011 10:43

    rom: [email protected]: Wednesday, December 22, 2010 3:29 PMo: Andrews, Jane (HHS/OCIIO)

    Cc: Habit, Sandra (HHS/OCIIO); [email protected]: RE: Your application on behalf of Gulf CoastMs. Andrews, Gulf Coast is requesting a waiver for both the overall ann and those f nefits. If you check

    age 3 of the Exhibit A summary you can see that the annual limits are for Option 1 for Options 2 and 3he first few pages of each Option SPD provided indicates the specific l essential be ing any of these wil

    esult in higher costs and financial burdens for employees. Please contact me with any further questions. Rich Sirus

    ax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any

    ederal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was not

    ntended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code o

    romoting, marketing or recommending to another party any matters addressed herein.

    he information contained in this transmission may contain privileged and confidential information. It is intended only for the u

    he person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribu

    r duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by rep

    mail and destroy all copies of the original message. To reply to our email administrator directly, please send an email to

    [email protected].

    rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]ent: Wednesday, December 22, 2010 9:30 AMo: Andrews, Jane (HHS/OCIIO); Sirus, Richard A. (Shld-Chi-Corp-ERISA-Tax)c: Habit, Sandra (HHS/OCIIO); '[email protected]'ubject: RE: Your application on behalf of Gulf Coast

    apologize for asking one more question, but this is an application that another reviewer, who is out of the office on leave,

    eviewed and prepared. I am also not clear on the annual limits for the three options. It is an overall annual limit on the 3 p

    nd if so, how much, or is it specific annual limits on certain essential benefits? Thanks.

    ane W. Andrews

    CIIO501 Wisconsin Ave

    ethesda, MD 20814

    01-492-4122 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    rom: Andrews, Jane (HHS/OCIIO)ent: Wednesday, December 22, 2010 10:25 AMo: Andrews, Jane (HHS/OCIIO); '[email protected]'c: Habit, Sandra (HHS/OCIIO); '[email protected]'ubject: RE: Your application on behalf of Gulf Coast

    n addition, your application did not specify the number of enrollees in each of the 3 options. Could you please provide the nu

    f enrollees in Option 1, broken down by employee tier (e.g. single,double, etc.)

    ption 2, and Option 3. Is there a way I could get all this information by close of business today? Thank you.

    ane W. Andrews

    CIIO

    GULF CHC:000301

    mailto:[email protected]:[email protected]:[email protected]

  • 7/27/2019 Gulf Coast Health Care - Redacted HWM

    302/323

    ///co-adshare/...20Coast%20Health%20Care,%20LLC/Request%20for%20info%20response%20(3)%2012.22.10.htm[11/15/2011 10:43

    501 Wisconsin Ave

    ethesda, MD 20814

    01-492-4122 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    rom: Andrews, Jane (HHS/OCIIO)ent: Wednesday, December 22, 2010 10:06 AMo: Andrews, Jane (HHS/OCIIO); '[email protected]'c: Habit, Sandra (HHS/OCIIO)ubject: 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.

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 20814 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    rom: Andrews, Jane (HHS/OCIIO)ent: Saturday, December 18, 2010 1:58 PM

    o: '[email protected]'c: Habit, Sandra (HHS/OCIIO)ubject: 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 t

    ollowing question so we can complete our review of this applicant?

    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 Taf

    artley plan, can you please tell me the effective date of the collective bargaining agreement and its expiration date?

    hank you.

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 20814

    01-492-4122 (desk) (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 governm

    GULF CHC:000302

  • 7/27/2019 Gulf Coast Health Care - Redacted HWM

    303/323

    ///co-adshare/...20Coast%20Health%20Care,%20LLC/Request%20for%20info%20response%20(3)%2012.22.10.htm[11/15/2011 10:43

    use only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatioUnauthorized disclosure may result in prosecution to the full extent of the law.

    GULF CHC:000303

  • 7/27/2019 Gulf Coast Health Care - Redacted HWM

    304/323

    ///co-adshare/...FOI%20Processing%20Team/Brandon/Gulf%20Coast%20Health%20Care,%20LLC/Correspodence%2012.22.10.htm[11/15/2011 10:43:

    rom: Andrews, Jane (HHS/OCIIO)ent: Wednesday, December 22, 2010 3:58 PM

    To: '[email protected]'Cc: Habit, Sandra (HHS/OCIIO); '[email protected]'

    ubject: RE: Your application on behalf of Gulf Coastve got them. Thanks.

    ane W. Andrews

    CIIO

    501 Wisconsin Aveethesda, MD 20814

    01-492-4122 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    rom: [email protected] [mailto:[email protected]]

    ent: Wednesday, December 22, 2010 3:29 PMo: Andrews, Jane (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO); [email protected]: RE: Your application on behalf of Gulf Coast

    Ms. Andrews, Gulf Coast is requesting a waiver for both the overall annual limits and those for essential benefits. If you check

    age 3 of the Exhibit A summary you can see that the annual limits are for Option 1 and for Options 2 and 3

    he first few pages of each Option SPD provided indicates the specific essential benefits. Increasing any of these wil

    esult in higher costs and financial burdens for employees. Please contact me with any further questions. Rich Sirus

    ax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any

    ederal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was notntended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code o

    romoting, marketing or recommending to another party any matters addressed herein.

    he information contained in this transmission may contain privileged and confidential information. It is intended only for the u

    he person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribu

    r duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by rep

    mail and destroy all copies of the original message. To reply to our email administrator directly, please send an email to

    [email protected].

    rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]ent: Wednesday, December 22, 2010 9:30 AM

    o: Andrews, Jane (HHS/OCIIO); Sirus, Richard A. (Shld-Chi-Corp-ERISA-Tax)c: Habit, Sandra (HHS/OCIIO); '[email protected]'ubject: RE: Your application on behalf of Gulf Coast

    apologize for asking one more question, but this is an application that another reviewer, who is out of the office on leave,

    eviewed and prepared. I am also not clear on the annual limits for the three options. It is an overall annual limit on the 3 p

    nd if so, how much, or is it specific annual limits on certain essential benefits? Thanks.

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 20814

    GULF CHC:000304

    mailto:[email protected]:[email protected]:[email protected]

  • 7/27/2019 Gulf Coast Health Care - Redacted HWM

    305/323

    ///co-adshare/...FOI%20Processing%20Team/Brandon/Gulf%20Coast%20Health%20Care,%20LLC/Correspodence%2012.22.10.htm[11/15/2011 10:43:

    01-492-4122 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    rom: Andrews, Jane (HHS/OCIIO)ent: Wednesday, December 22, 2010 10:25 AMo: Andrews, Jane (HHS/OCIIO); '[email protected]'c: Habit, Sandra (HHS/OCIIO); '[email protected]'ubject: RE: Your application on behalf of Gulf Coast

    n addition, your application did not specify the number of enrollees in each of the 3 options. Could you please provide the nu

    f enrollees in Option 1, broken down by employee tier (e.g. single,double, etc.)

    ption 2, and Option 3. Is there a way I could get all this information by close of business today? Thank you.

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 2081401-492-4122 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    rom: Andrews, Jane (HHS/OCIIO)ent: Wednesday, December 22, 2010 10:06 AM

    o: Andrews, Jane (HHS/OCIIO); '[email protected]'c: Habit, Sandra (HHS/OCIIO)ubject: 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.

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 20814

    01-492-4122 (desk) (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 governmuse only and must not be disseminated, distributed, or copied to persons not authorized to receive the informatio

    Unauthorized disclosure may result in prosecution to the full extent of the law.

    rom: Andrews, Jane (HHS/OCIIO)ent: Saturday, December 18, 2010 1:58 PMo: '[email protected]'c: Habit, Sandra (HHS/OCIIO)ubject: Your application on behalf of Gulf Coast

    GULF CHC:000305

  • 7/27/2019 Gulf Coast Health Care - Redacted HWM

    306/323

    ///co-adshare/...FOI%20Processing%20Team/Brandon/Gulf%20Coast%20Health%20Care,%20LLC/Correspodence%2012.22.10.htm[11/15/2011 10:43:

    Mr. Sirus I am in receipt of your application for a waiver of annual limits on behalf of Gulf Coast. Could you please answer t

    ollowing question so we can complete our review of this applicant?

    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 Taf

    artley plan, can you please tell me the effective date of the collective bargaining agreement and its expiration date?

    hank you.

    ane W. Andrews

    CIIO

    501 Wisconsin Ave

    ethesda, MD 20814

    01-492-4122 (desk) (Blackberry)

    INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHOR


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