Southeastern Carpenters & Millwrights - Redacted Bates HW

7/27/2019 Southeastern Carpenters & Millwrights - Redacted Bates HW

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//C|/...IA%20-%20Second%20Round/Disc%203/Southeastern%20Carpenters%20and%20Millwrights%20Health%20Trust/Waiver.htm[08/09/2011 2:22:3

rom: Donny Dowlen [[email protected]]

ent: Monday, January 03, 2011 3:59 PM

o: HHS HealthInsurance (HHS)

ubject: Waiver

ttachments: 13114.pdf

ncl osed i s document at i on f or t he Sout heast ern Carpent ers and Mi l l wr i ght s Heal t h Trust .

onny Dowl enout her n Benef i t Admi ni st r at or s00- 831- 4914

r i v a cy a n d Co n f i d e n t i a l i t y N o t i c e : This message is being sent via secure SSL encryption to protect the priv

f our clients and to ensure compliance with HIPAA regulations. Furthermore, this message (including any attac

r embedded documents) is intended for the exclusive and confidential use of the individual or entity to which

as been addressed, and unless otherwise expressly indicated, is confidential and privileged information of

outhern Benefit Administrators, Inc. Any dissemination, distribution or copying of the enclosed material is

rohibited. If you receive this transmission in error, please notify us immediately by e-mail at

[email protected], and delete the original message. Your cooperation is appreciated.

SE Carpenters:000001

Document obtained by CompleteColorado.com
mailto:[email protected]:[email protected]


2/37




3/37




4/37



5/37

Pages 5 through 8 redacted for the following reasons:- - - - - - - - - - - - - - - - - - - - - - - - - - - -Exemption 4




6/37

//C|/...nd/Disc%203/Southeastern%20Carpenters%20and%20Millwrights%20Health%20Trust/Request%20for%20info%201.31.11.htm[08/09/2011 2:22

rom: Moultrie, Cam (HHS/OCIIO)ent: Monday, January 31, 2011 12:32 PM

To: Donny DowlenCc: Habit, Sandra (HHS/OCIIO)ubject: Waiver Application for Southeastern Carpenters & Millwrights Health Trusthank you for your application for the Waiver of the Annual Limits Requirements of the Public Health Service Act

PHS Act) Section 2711. Please provide the following information:

I.

Please complete the entire annual limits spreadsheet available at:http://www.hhs.gov/ociio/regulations/annual_limit_waivers.html. Please return the completed spreadsheto this email address as an attachment. We will only be able to process spreadsheets that are fully comp(i.e., every cell should contain the information requested). If a cell on the spreadsheet does not pertain tyour plan, please write None, and/or provide an explanation regarding why you are unable to completethat particular cell in a separate document.

II. In addition, please provide the following information:

Confirm whether the plan was in existence prior to March 23, 2010. If so, is the plan in compliance with

grandfathering provisions, pursuant to 45 CFR 147.140?

Confirm whether your plan provides any lifetime limits.

Confirm whether the plan was created pursuant to the Taft-Hartley Act and, if applicable, the effective and

expiration dates of the collective bargaining agreement.

n order to complete your application, please provide this information by 5:00 pm, February 3, 2011. Once thisnformation is received and the application is complete, it will be processed by the Department of Health and Humervices (HHS). As stated in our September 3, 2010 Sub-Regulatory Guidance, HHS will issue a decision within 3ays of receiving a complete application. You will receive an e-mail from HHS notifying you of the waiver decisi

hank you.

INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW:

his information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distribu

copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.

rom: Donny Dowlen [mailto:[email protected]]ent: Monday, January 03, 2011 3:59 PMo: HHS HealthInsurance (HHS)ubject: Waiver

nclosed is documentation for the Southeastern Carpenters and Millwrights Health Trust.

onny Dowlenouthern Benefit Administrators00-831-4914







7/37

//C|/...nd/Disc%203/Southeastern%20Carpenters%20and%20Millwrights%20Health%20Trust/Request%20for%20info%201.31.11.htm[08/09/2011 2:22








8/37

//C|/...03/Southeastern%20Carpenters%20and%20Millwrights%20Health%20Trust/Request%20for%20info%20response%202.1.11.htm[08/09/2011 2:22

rom: Donny Dowlen [[email protected]]ent: Tuesday, February 01, 2011 4:03 PM

To: Moultrie, Cam (HHS/OCIIO)Cc: Habit, Sandra (HHS/OCIIO)

ubject: RE: Waiver Application for Southeastern Carpenters & Millwrights Health Trust

Attachments: 21117.xlsnclosed is the completed spreadsheet. Note that there is only one tier of employees covered ll employees pay the same amount for their coverage. It is therefore not necessary that we k

overage by employee, employee/child, employee/family, etc. An employee who is single pays thame as the employee with a wife and 3 children. Its the way these types of union fundsypically operate. There are no separate rates.

e have responded to your questions below. Let us know if you need anything else.

onny Dowlen

rom: Moultrie, Cam (HHS/OCIIO) [mailto:[email protected]]ent: Monday, January 31, 2011 11:32 AMo: Donny Dowlenc: Habit, Sandra (HHS/OCIIO)ubject: Waiver Application for Southeastern Carpenters & Millwrights Health Trust

hank you for your application for the Waiver of the Annual Limits Requirements of the Public Health Service ActPHS Act) Section 2711. Please provide the following information:

Please complete the entire annual limits spreadsheet available at:ttp://www.hhs.gov/ociio/regulations/annual_limit_waivers.html. Please return the completed spreadsheet to this eddress as an attachment. We will only be able to process spreadsheets that are fully complete (i.e., every cell shouontain the information requested). If a cell on the spreadsheet does not pertain to your plan, please write None,nd/or provide an explanation regarding why you are unable to complete that particular cell in a separate document

I. In addition, please provide the following information:

Confirm whether the plan was in existence prior to March 23, 2010. If so, is the plan in compliance withrandfathering provisions, pursuant to 45 CFR 147.140?

Yes as noted in the initial submission


$ as noted in the initial submission

Confirm whether the plan was created pursuant to the Taft-Hartley Act and, if applicable, the effective andxpiration dates of the collective bargaining agreement.

Yes, expiration date 9/30/2012 as noted in the initial submissionn order to complete your application, please provide this information by 5:00 pm, February 3, 2011. Once thisnformation is received and the application is complete, it will be processed by the Department of Health and Humaervices (HHS). As stated in our September 3, 2010 Sub-Regulatory Guidance, HHS will issue a decision within 3ays of receiving a complete application. You will receive an e-mail from HHS notifying you of the waiver decisi




9/37


hank you.


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.

rom: Donny Dowlen [mailto:[email protected]]ent: Monday, January 03, 2011 3:59 PM

To: HHS HealthInsurance (HHS)ubject: Waiver


Donny Dowlen

outhern Benefit Administrators00-831-4914

rivacy and Confidentiality Notice: This message is being sent via secure SSL encryption to protect the privacy oflients and to ensure compliance with HIPAA regulations. Furthermore, this message (including any attached ormbedded documents) is intended for the exclusive and confidential use of the individual or entity to which it has bddressed, and unless otherwise expressly indicated, is confidential and privileged information of Southern Benefit

Administrators, Inc. Any dissemination, distribution or copying of the enclosed material is prohibited. If you receivhis transmission in error, please notify us immediately by e-mail at [email protected], and delete theriginal message. Your cooperation is appreciated.

rivacy and Confidentiality Notice: This message is being sent via secure SSL encryption to protect the privacy of our clients and to ensure compliance with HIPAA regulations.urthermore, this message (including any attached or embedded documents) is intended for the exclusive and confidential use of the individual or entity to which it has been addresnd unless otherwise expressly indicated, is confidential and privileged information of Southern Benefit Administrators, Inc. Any dissemination, distribution or copying of the enclosaterial is prohibited. If you receive this transmission in error, please notify us immediately by e-mail at [email protected], and delete the original message. Your cooperappreciated.




10/37

Annual L imit

Waiver

Request

Appl icant

Name

Policy Name

(use a new

row for each

policy

application)

Appl icant

(Plan/ Policy

Situs) City

Appl icant

(Plan/

Policy

Situs) State

Plan/ Policy

Effective Date

(mm/dd/yyyy)

Contact

Name

Street

Address City

Southeastern

Carpenters

and

Millwrights

Health Trust

Southeastern

Carpenters

and

Millwrights

Health Trust Goodlettsville TN 04/01/2001

Donny

Dowlen

2001

Caldwell

Drive Goodlettsvil

Southeastern

Carpenters

and

Millwrights

Health Trust

Southeastern

Carpenters

and

Millwrights


Donny

Dowlen

2001

Caldwell

Drive Goodlettsvil

Southeastern

Carpenters

and

MillwrightsHealth Trust

Southeastern

Carpenters

and

MillwrightsHealth Trust Goodlettsville TN 04/01/2011

DonnyDowlen

2001

CaldwellDrive Goodlettsvil

Southeastern

Carpenters

and

Millwrights

Health Trust

Southeastern

Carpenters

and

Millwrights


Donny

Dowlen

2001

Caldwell

Drive Goodlettsvil



11/37

Email

Address

Type of

Coverage (e.g.,

Limited

Benefit, HRA,

Rx only, Other)

Self-

Insured

Individual or

Group Policy

Total Number

of

Individuals

Covered by

Policy

(include all

dependents

covered)

Current Plan

Annual L imit

(in dollars) Ambulatory Emerge

donny.dowlen

@southernbe

nefit.com Limited Benefit yes Group none n

donny.dowlen

@southernbe


donny.dowlen

@southernbenefit.com Limited Benefit yes Group none n

donny.dowlen

@southernbe




12/37

Laboratory Pediatric

Maternity/

Newborn

Mental Health/

Substance

Abuse

Rehabilitative/

Devices

Preventive/

Wellness Pres

none

none

none

none

nt Essential Benefits Annual Limits (Annual Limit for Each Essential Benefit)



13/37

Copay (if

applicable

)

Coinsuranc

e (if

applicable)

Copay (if

applicable

)

Coinsura

nce (if

applicable

)

Copay (if

applicable

)

Coinsura

nce (if

applicable

)

Copay (if

applicable

)

Coinsurance

(if applicable)

Individual/

Employee

Tier*

employee

employee +

child

employee +spouse

employee +

family

Office Visit

Copays/Coinsurance

Hospital Inpatient

Copay/Coinsurance

Emergency Room

Copay/Coinsurance Rx Copay/Coninsurance



14/37

Total

Employee

contribution

Employer

contribution Total

Employee

contribution

Employer

contribution Total

s or Premium

Renewal Monthly Premium Rates or Premium

Equivalent Rates if Waiver Granted (in

dollars)*

Projected Rate Increase that would result from c

with $750,000 Annual Limit Restric tion (in doll ars

Premium by Individual)*



15/37

Projected Rate Increase

that would result from

compliance with $750,000

Annual L imit Restrict ion (in

dollars)(Average Premium

by Individual) (Difference

of Column AV and AS

divided by Column AS)

Decrease in

Access to

Benefits thatwould result

from

compliance

with $750,000

Annual L imit

Restriction

(describe

briefly)

Plan

Administ r

ator/ CEO

of Health

Insurance

Issuer

Name

Title of

Individual

Providing

At tes tat ion

Taft-Hartley

Plan

If Yes Taft-

Hartley then

Date

Collective

Bargaining

Agreement

Expires

Complianc

with

Grandfathe

Regulation

be forced to

eliminate the

non esential

benefits and

increase

Donny

Dowlen

Plan

Administrator yes 09/30/2012 yes

be forced to

eliminate the

non esential

benefits and

increase

Donny

Dowlen

Plan


be forced to

eliminate the

non esential

benefits andincrease DonnyDowlen PlanAdministrator yes 09/30/2012 yes

be forced to

eliminate the

non esential

benefits and

increase

eligibility

Donny

Dowlen

Plan


OCIIO Review



16/37


rom: Donny Dowlen [[email protected]]ent: Thursday, February 03, 2011 12:26 PM


ubject: RE: Waiver Application for Southeastern Carpenters & Millwrights Health Trustam, please note my response to you on 2/1/11. There is only one tier of employees since theyll pay the same regardless of how many are covered in the family. Its the typical way Taftartley union plans work. It is not necessary for us to keep records broken down by tier andhis is not something we have. Please let me know if you need anything else.

onny Dowlen

rom: Moultrie, Cam (HHS/OCIIO) [mailto:[email protected]]ent: Thursday, February 03, 2011 10:55 AMo: Donny Dowlenc: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver Application for Southeastern Carpenters & Millwrights Health Trust

lease breakdown the number of employees in each employee tier.


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: Donny Dowlen [mailto:[email protected]]ent: Wednesday, February 02, 2011 3:30 PM

To: Moultrie, Cam (HHS/OCIIO)

Cc: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver Application for Southeastern Carpenters & Millwrights Health Trust

Cam, thank you for the email. As you know, the lifetime limit must be removed before the beginning of the plan yn or after September 23, 2010. For this plan, the first plan year after September 23, 2010 is April 1, 2011. Thefetime limit will be removed by April 1, 2011 and the trustees intend to maintain the plans grandfather status. Le

me know if you need anything else regarding this application. Thank you.

Donny Dowlen

rom: Moultrie, Cam (HHS/OCIIO) [mailto:[email protected]]ent: Wednesday, February 02, 2011 9:48 AM

To: Donny DowlenCc: Habit, Sandra (HHS/OCIIO)


ursuant to Section 2711 of the PHS Act, you may not have any lifetime limit on your plan as of September 23, 20xcept in the case of non-essential benefits that are permitted under Federal or State law. Plans that previously hadfetime limit may add an annual limit not less than the lifetime limit without affecting the grandfather status of thelan. Please confirm whether this lifetime limit will be eliminated from your plan.




17/37


hank you.


This information has not been publicly disclosed and may be privileged and confidential. It is for internal governm


rom: Donny Dowlen [mailto:[email protected]]ent: Tuesday, February 01, 2011 4:03 PM



nclosed is the completed spreadsheet. Note that there is only one tier of employees covered as all employees pay ame amount for their coverage. It is therefore not necessary that we keep coverage by employee, employee/child,

mployee/family, etc. An employee who is single pays the same as the employee with a wife and 3 children. Its way these types of union funds typically operate. There are no separate rates.

We have responded to your questions below. Let us know if you need anything else.

Donny Dowlen

rom: Moultrie, Cam (HHS/OCIIO) [mailto:[email protected]]ent: Monday, January 31, 2011 11:32 AM


ubject: Waiver Application for Southeastern Carpenters & Millwrights Health Trust









18/37





Yes, expiration date 9/30/2012 as noted in the initial submissionn order to complete your application, please provide this information by 5:00 pm, February 3, 2011. Once this

nformation is received and the application is complete, it will be processed by the Department of Health and Humervices (HHS). As stated in our September 3, 2010 Sub-Regulatory Guidance, HHS will issue a decision within 3ays of receiving a complete application. You will receive an e-mail from HHS notifying you of the waiver decisi

hank you.

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





Donny Dowlenouthern Benefit Administrators00-831-4914

Privacy and Confidential ity Notice:This message is being sent via secure SSL encryption to protect the privacy oflients and to ensure compliance with HIPAA regulations. Furthermore, this message (including any attached ormbedded documents) is intended for the exclusive and confidential use of the individual or entity to which it has bddressed, and unless otherwise expressly indicated, is confidential and privileged information of Southern Benefit

Administrators, Inc. Any dissemination, distribution or copying of the enclosed material is prohibited. If you receivhis transmission in error, please notify us immediately by e-mail at [email protected], and delete the

riginal message. Your cooperation is appreciated.






19/37




rivacy and Confidentiality Notice:This message is being sent via secure SSL encryption to protect the privacy of our clients and to ensure compliance with HIPAA regulations.urthermore, this message (including any attached or embedded documents) is intended for the exclusive and confidential use of the individual or entity to which it has been addred unless otherwise expressly indicated, is confidential and privileged information of Southern Benefit Administrators, Inc. Any dissemination, distribution or copying of the enclos

aterial is prohibited. If you receive this transmission in error, please notify us immediately by e-mail at [email protected], and delete the original message. Your cooperappreciated.




20/37

//C|/...sc%203/Southeastern%20Carpenters%20and%20Millwrights%20Health%20Trust/LIfetime%20limits%20question%202.2.11.htm[08/09/2011 2:22

rom: Moultrie, Cam (HHS/OCIIO)ent: Wednesday, February 02, 2011 10:48 AM



ursuant to Section 2711 of the PHS Act, you may not have any lifetime limit on your plan as of September 23, 20xcept in the case of non-essential benefits that are permitted under Federal or State law. Plans that previously had

fetime limit may add an annual limit not less than the lifetime limit without affecting the grandfather status of thelan. Please confirm whether this lifetime limit will be eliminated from your plan.

hank you.




rom: Donny Dowlen [mailto:[email protected]]ent: Tuesday, February 01, 2011 4:03 PMo: Moultrie, Cam (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver Application for Southeastern Carpenters & Millwrights Health Trust

nclosed is the completed spreadsheet. Note that there is only one tier of employees covered ll employees pay the same amount for their coverage. It is therefore not necessary that we koverage by employee, employee/child, employee/family, etc. An employee who is single pays thame as the employee with a wife and 3 children. Its the way these types of union fundsypically operate. There are no separate rates.

e have responded to your questions below. Let us know if you need anything else.

onny Dowlen

rom: Moultrie, Cam (HHS/OCIIO) [mailto:[email protected]]ent: Monday, January 31, 2011 11:32 AMo: Donny Dowlenc: Habit, Sandra (HHS/OCIIO)ubject: Waiver Application for Southeastern Carpenters & Millwrights Health Trust







21/37







Yes, expiration date 9/30/2012 as noted in the initial submissionn order to complete your application, please provide this information by 5:00 pm, February 3, 2011. Once thisnformation is received and the application is complete, it will be processed by the Department of Health and Humervices (HHS). As stated in our September 3, 2010 Sub-Regulatory Guidance, HHS will issue a decision within 3ays of receiving a complete application. You will receive an e-mail from HHS notifying you of the waiver decisi

hank you.








Privacy and Confidential ity Notice:This message is being sent via secure SSL encryption to protect the privacy of

lients and to ensure compliance with HIPAA regulations. Furthermore, this message (including any attached ormbedded documents) is intended for the exclusive and confidential use of the individual or entity to which it has bddressed, and unless otherwise expressly indicated, is confidential and privileged information of Southern Benefit


ri vacy and Confi dentiali ty Notice:This message is being sent via secure SSL encryption to protect the privacy of our clients and to ensure

ompliance with HIPAA regulations. Furthermore, this message (including any attached or embedded documents) is intended for the exclusive




22/37


onfidential use of the individual or entity to which it has been addressed, and unless otherwise expressly indicated, is confidential and privile

formation of Southern Benefit Administrators, Inc. Any dissemination, distribution or copying of the enclosed material is prohibited. If you

eceive this transmission in error, please notify us immediately by e-mail at [email protected], and delete the original message. You

ooperation is appreciated.




23/37

//C|/...theastern%20Carpenters%20and%20Millwrights%20Health%20Trust/Lifetime%20limit%20question%20response%202.2.11.htm[08/09/2011 2:22

rom: Donny Dowlen [[email protected]]ent: Wednesday, February 02, 2011 3:30 PM


ubject: RE: Waiver Application for Southeastern Carpenters & Millwrights Health Trustam, thank you for the email. As you know, the lifetime limit must be removed before theeginning of the plan year on or after September 23, 2010. For this plan, the first plan yeafter September 23, 2010 is April 1, 2011. The lifetime limit will be removed by April 1, 20nd the trustees intend to maintain the plans grandfather status. Let me know if you neednything else regarding this application. Thank you.

onny Dowlen

rom: Moultrie, Cam (HHS/OCIIO) [mailto:[email protected]]ent: Wednesday, February 02, 2011 9:48 AMo: Donny Dowlenc: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver Application for Southeastern Carpenters & Millwrights Health Trust

ursuant to Section 2711 of the PHS Act, you may not have any lifetime limit on your plan as of September 23, 20xcept in the case of non-essential benefits that are permitted under Federal or State law. Plans that previously had

fetime limit may add an annual limit not less than the lifetime limit without affecting the grandfather status of thelan. Please confirm whether this lifetime limit will be eliminated from your plan.

hank you.







nclosed is the completed spreadsheet. Note that there is only one tier of employees covered as all employees pay ame amount for their coverage. It is therefore not necessary that we keep coverage by employee, employee/child,mployee/family, etc. An employee who is single pays the same as the employee with a wife and 3 children. Its

way these types of union funds typically operate. There are no separate rates.


Donny Dowlen






24/37




Please complete the entire annual limits spreadsheet available at:ttp://www.hhs.gov/ociio/regulations/annual_limit_waivers.html. Please return the completed spreadsheet to this eddress as an attachment. We will only be able to process spreadsheets that are fully complete (i.e., every cell shou

ontain the information requested). If a cell on the spreadsheet does not pertain to your plan, please write None,nd/or provide an explanation regarding why you are unable to complete that particular cell in a separate document








hank you.










25/37







rivacy and Confidentiality Notice:This message is being sent via secure SSL encryption to protect the privacy of our clients and to ensure compliance with HIPAA regulations.urthermore, this message (including any attached or embedded documents) is intended for the exclusive and confidential use of the individual or entity to which it has been addred unless otherwise expressly indicated, is confidential and privileged information of Southern Benefit Administrators, Inc. Any dissemination, distribution or copying of the enclos

aterial is prohibited. If you receive this transmission in error, please notify us immediately by e-mail at [email protected], and delete the original message. Your cooperappreciated.




26/37

//C|/...und/Disc%203/Southeastern%20Carpenters%20and%20Millwrights%20Health%20Trust/Request%20for%20info%202.3.11.htm[08/09/2011 2:22:

rom: Moultrie, Cam (HHS/OCIIO)ent: Thursday, February 03, 2011 11:55 AM







rom: Donny Dowlen [mailto:[email protected]]ent: Wednesday, February 02, 2011 3:30 PMo: Moultrie, Cam (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver Application for Southeastern Carpenters & Millwrights Health Trust

am, thank you for the email. As you know, the lifetime limit must be removed before theeginning of the plan year on or after September 23, 2010. For this plan, the first plan yeafter September 23, 2010 is April 1, 2011. The lifetime limit will be removed by April 1, 20nd the trustees intend to maintain the plans grandfather status. Let me know if you neednything else regarding this application. Thank you.

onny Dowlen

rom: Moultrie, Cam (HHS/OCIIO) [mailto:[email protected]]ent: Wednesday, February 02, 2011 9:48 AMo: Donny Dowlenc: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver Application for Southeastern Carpenters & Millwrights Health Trust


hank you.









27/37






Donny Dowlen











Confirm whether the plan was created pursuant to the Taft-Hartley Act and, if applicable, the effective and

xpiration dates of the collective bargaining agreement.


hank you.




28/37











Privacy and Confidential ity Notice:This message is being sent via secure SSL encryption to protect the privacy of

lients and to ensure compliance with HIPAA regulations. Furthermore, this message (including any attached ormbedded documents) is intended for the exclusive and confidential use of the individual or entity to which it has bddressed, and unless otherwise expressly indicated, is confidential and privileged information of Southern Benefit


ri vacy and Confi dentiali ty Notice:This message is being sent via secure SSL encryption to protect the privacy of our clients and to ensure

ompliance with HIPAA regulations. Furthermore, this message (including any attached or embedded documents) is intended for the exclusive








29/37

//C|/...cond%20Round/Disc%203/Southeastern%20Carpenters%20and%20Millwrights%20Health%20Trust/Completion%202.3.11.htm[08/09/2011 2:22:

rom: Moultrie, Cam (HHS/OCIIO)ent: Thursday, February 03, 2011 1:12 PM



hank you for your information. Your application is now complete and you will receive a determination of yourpplication within 30 days.

hank you.




rom: Donny Dowlen [mailto:[email protected]]ent: Thursday, February 03, 2011 12:26 PMo: Moultrie, Cam (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver Application for Southeastern Carpenters & Millwrights Health Trust

am, please note my response to you on 2/1/11. There is only one tier of employees since theyll pay the same regardless of how many are covered in the family. Its the typical way Taftartley union plans work. It is not necessary for us to keep records broken down by tier andhis is not something we have. Please let me know if you need anything else.

onny Dowlen

rom: Moultrie, Cam (HHS/OCIIO) [mailto:[email protected]]

ent: Thursday, February 03, 2011 10:55 AMo: Donny Dowlenc: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver Application for Southeastern Carpenters & Millwrights Health Trust


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


rom: Donny Dowlen [mailto:[email protected]]ent: Wednesday, February 02, 2011 3:30 PM






30/37


Cam, thank you for the email. As you know, the lifetime limit must be removed before the beginning of the plan yn or after September 23, 2010. For this plan, the first plan year after September 23, 2010 is April 1, 2011. Thefetime limit will be removed by April 1, 2011 and the trustees intend to maintain the plans grandfather status. Le

me know if you need anything else regarding this application. Thank you.

Donny Dowlen

rom: Moultrie, Cam (HHS/OCIIO) [mailto:[email protected]]

ent: Wednesday, February 02, 2011 9:48 AMTo: Donny DowlenCc: Habit, Sandra (HHS/OCIIO)



hank you.




rom: Donny Dowlen [mailto:[email protected]]ent: Tuesday, February 01, 2011 4:03 PMTo: Moultrie, Cam (HHS/OCIIO)Cc: Habit, Sandra (HHS/OCIIO)





Donny Dowlen




hank you for your application for the Waiver of the Annual Limits Requirements of the Public Health Service Act




31/37


PHS Act) Section 2711. Please provide the following information:









hank you.











32/37








ri vacy and Confi dentiali ty Notice:This message is being sent via secure SSL encryption to protect the privacy of our clients and to ensureompliance with HIPAA regulations. Furthermore, this message (including any attached or embedded documents) is intended for the exclusive








33/37

//C|/...20Health%20Trust/Waiver%20Application%20for%20Southeastern%20Carpenters%20%20Millwrights%20Health%20Trust.htm[08/09/2011 2:22

rom: Moultrie, Cam (HHS/OCIIO)

ent: Monday, February 14, 2011 11:17 AM

o: 'Donny Dowlen'


ttachments: April 1 Approval .pdf

ood Morning,

hank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act Section 2711

outheastern Carpenters & Millwrights Health Trust. HHS has reviewed your application and made its determination.

lease see the attached letter.

he attached letter refers to the following plans:

Southeastern Carpenters & Millwrights Health Trust

lease confirm receipt of this letter by replying to this e-mail.

lease let me know if I can be of further assistance.

am Lynne Moultrie

ivision of Oversight

enter for Consumer Information and Insurance Oversight

.S. Department of Health & Human Services

01.492.4174

[email protected]







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rom: Donny Dowlen [[email protected]]

ent: Monday, February 14, 2011 3:39 PM

o: Moultrie, Cam (HHS/OCIIO)


eceipt confirmed.

rom: Moultrie, Cam (HHS/OCIIO) [mailto:[email protected]]ent: Monday, February 14, 2011 10:17 AMo: Donny Dowlenubject: Waiver Application for Southeastern Carpenters & Millwrights Health Trust

Good Morning,

hank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act Section 2orSoutheastern Carpenters & Millwrights Health Trust. HHS has reviewed your application and made itsetermination. Please see the attached letter.

he attached letter refers to the following plans:

Southeastern Carpenters & Millwrights Health Trust

lease confirm receipt of this letter by replying to this e-mail.

lease let me know if I can be of further assistance.

Cam Lynne Moultrie

Division of OversightCenter for Consumer Information and Insurance OversightU.S. Department of Health & Human [email protected]











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


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