SSEU Local 371 - Redacted Bates HW

7/27/2019 SSEU Local 371 - Redacted Bates HW

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//T|/...2012600%20Response%20[YELLOW]/SSEU%20Local%20371/WAIVER--SSEU%20Local%20371%20Welfare%20Fund.htm[08/05/2011 4:16:1

rom: Nielsen, Mark ([email protected]) [[email protected]]ent: Friday, October 08, 2010 3:23 PM

To: HHS HealthInsurance (HHS)Cc: Mazawey, Lou ([email protected]); Killion, Tammy ([email protected]); Gogna, [email protected])ubject: WAIVER--SSEU Local 371 Welfare Fund

ollow Up Flag: Follow up

lag Status: Completed

Attachments: Local371WFWaiverAppFinal10-8-10.pdf; Actuarial Projections--Final.pdf

ear Mr. Mayhew,

n behalf of the Social Services Employees Union Local 371 Welfare Fund (the "SSEU Local 371 Fund" or the "Fund"), I amubmitting this application for waiver of the restricted annual limit under Public Health Services Act 2711, pursuant to OCIIO

tory Guidance OCIIO 2010-1. The SSEU Local 371 Fund has a per-family annual limit on prescription drug benefits of, and, as detailed in the attached waiver application and accompanying actuarial projection, imposition of a $750,000 ann

mit would result in the Fund's insolvency, or drastically reduced access to benefits for those currently covered by the Fund.

We appreciate your consideration of the SSEU Local 371 Fund's request. Please let Lou Mazawey or me know if you have an

uestions or need anything else. Lou can be reached at 202.861.6608, and I can be reached at at 202.861.5429.

est regards,

Mark C. Nielsen

019470/02]

Mark C. Nielsen / 1701 PennsylvaniaAve., N.W. /Washington, DC 20006 /Phone: 202-861-5429 /Fax: 202-659-4503

www.Groom.com/ [email protected]

otice: This message is intended only for use by the person or entity to which it is addressed. Because it may contain confidenformation intended solely for the addressee, you are notified that any disclosing, copying, downloading, distributing, or retainin

his message, and any attached files, is prohibited and may be a violation of state or federal law. If you received this message rror, please notify the sender by reply mail, and delete the message and all attached files.

o comply with U.S. Treasury Regulations, we also inform you that, unless expressly stated otherwise, any tax advice containehis communication is not intended to be used and cannot be used by any taxpayer to avoid penalties under the Internal Revenode, and such advice cannot be quoted or referenced to promote or market to another party any transaction or matter addres this communication.

SSEU L371:000001

Document obtained by CompleteColorado.com
http://www.groom.com/http://www.groom.com/mailto:[email protected]:[email protected]://www.groom.com/


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Pages 6 through 11 redacted for the following reasons:- - - - - - - - - - - - - - - - - - - - - - - - - - - -Exemption 4

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//T|/...20NO%2012600%20Response%20[YELLOW]/SSEU%20Local%20371/Requst%20for%20Additional%20Info%2010.29.10.htm[08/05/2011 4:16

rom: Keels, Lisa (HHS/OCIIO)ent: Friday, October 29, 2010 4:48 PM

To: [email protected]: Scelzo, Kathleen (HHS/OCIIO)ubject: SSEU Local 371 Welfare Fund Waiver Application - Request for Additional Information

ear Mr. Nielsen:

hank you for your application for the Waiver of the Annual Limits Requirements of the PHS Act Section 2711. We

ppreciate you clarifying the information in Exhibits I and II that were included in your application.

n order to complete your application, please provide the following information:

What is the co-pay/coinsurance amount for prescriptions?

n order to complete your application, please provide this information by 5:00 pm, Monday, November 1, 2010. We

orward to receiving your completed application.

hank you again, and have a wonderful weekend.

egards,isa Keels

sa M. Keels, J.D.

.S. Department of Health & Human Services

ffice of Consumer Information and Insurance Oversight

ffice of Oversight

[email protected]

01-492-4168

SSEU L371:000007



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//T|/...0%20Response%20[YELLOW]/SSEU%20Local%20371/Request%20for%20Additional%20Info%20Response%2010.29.10.htm[08/05/2011 4:16

rom: Nielsen, Mark ([email protected]) [[email protected]]ent: Friday, October 29, 2010 5:05 PM

To: Keels, Lisa (HHS/OCIIO)Cc: Scelzo, Kathleen (HHS/OCIIO)ubject: RE: SSEU Local 371 Welfare Fund Waiver Application - Request for Additional Information

i Lisa (and Kathleen). The cost-sharing for prescription drugs is as follows:

Retail

eneric: $ copayment;rand: $ copayment, or % coinsurance, whichever is greater.

Mail Order

Generic: $ opayment for for 90-day supply;Brand: $ copayment for 90-day supply.

The copayment is prorated for less than a 90-day supply of mail order drugs.

I hope this is helpful. Please let me know if you need anything else. Thanks.

Best regards,Mark C. Nielsen



rom: Keels, Lisa (HHS/OCIIO) [mailto:[email protected]]ent: Friday, October 29, 2010 4:48 PMo: Nielsen, Mark ([email protected])c: Scelzo, Kathleen (HHS/OCIIO)ubject: SSEU Local 371 Welfare Fund Waiver Application - Request for Additional Information

ear Mr. Nielsen:





n order to complete your application, please provide this information by 5:00 pm, Monday, November 1, 2010. We



egards,

isa Keels

sa M. Keels, J.D.

.S. Department of Health & Human Services

ffice of Consumer Information and Insurance OversightSSEU L371:000008



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//T|/...0%20Response%20[YELLOW]/SSEU%20Local%20371/Request%20for%20Additional%20Info%20Response%2010.29.10.htm[08/05/2011 4:16

ffice of Oversight

[email protected]

01-492-4168

otice: This message is intended only for use by the person or entity to which it is addressed. Because it may contain confiden

formation intended solely for the addressee, you are notified that any disclosing, copying, downloading, distributing, or retaininhis message, and any attached files, is prohibited and may be a violation of state or federal law. If you received this message rror, please notify the sender by reply mail, and delete the message and all attached files.


SSEU L371:000009



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//T|/...2012600%20Response%20[YELLOW]/SSEU%20Local%20371/Request%20for%20Additional%20Info%20Correspondence.htm[08/05/2011 4:16

rom: Keels, Lisa (HHS/OCIIO)ent: Friday, October 29, 2010 5:08 PM

To: Nielsen, Mark ([email protected])Cc: Scelzo, Kathleen (HHS/OCIIO)ubject: RE: SSEU Local 371 Welfare Fund Waiver Application - Request for Additional Informationhank you for your prompt response, Mark. I will be in touch if we need more information.

ll the best,

sa

rom: Nielsen, Mark ([email protected]) [mailto:[email protected]]ent: Friday, October 29, 2010 5:05 PMo: Keels, Lisa (HHS/OCIIO)c: Scelzo, Kathleen (HHS/OCIIO)ubject: RE: SSEU Local 371 Welfare Fund Waiver Application - Request for Additional Information

i Lisa (and Kathleen). The cost-sharing for prescription drugs is as follows:

Retail

eneric: $ copayment;rand: $ copayment, or % coinsurance, whichever is greater.

Mail Order

eneric: $ copayment for for 90-day supply;rand: $ copayment for 90-day supply.

he copayment is prorated for less than a 90-day supply of mail order drugs.

hope this is helpful. Please let me know if you need anything else. Thanks.

est regards,

Mark C. Nielsen

Groom Law Group, Chartered



rom: Keels, Lisa (HHS/OCIIO) [mailto:[email protected]]ent: Friday, October 29, 2010 4:48 PMo: Nielsen, Mark ([email protected])c: Scelzo, Kathleen (HHS/OCIIO)ubject: SSEU Local 371 Welfare Fund Waiver Application - Request for Additional Information

ear Mr. Nielsen:





n order to complete your application, please provide this information by 5:00 pm, Monday, November 1, 2010. We SSEU L371:000010



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//T|/...2012600%20Response%20[YELLOW]/SSEU%20Local%20371/Request%20for%20Additional%20Info%20Correspondence.htm[08/05/2011 4:16



egards,

isa Keels

sa M. Keels, J.D.

.S. Department of Health & Human Servicesffice of Consumer Information and Insurance Oversight

ffice of Oversight

[email protected]

01-492-4168


his message, and any attached files, is prohibited and may be a violation of state or federal law. If you received this message

rror, please notify the sender by reply mail, and delete the message and all attached files.


SSEU L371:000011



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//T|/...ations%20with%20NO%2012600%20Response%20[YELLOW]/SSEU%20Local%20371/Approval%20Letter%2011-5-2010.htm[08/05/2011 4:16

rom: Botwinick, Alexandra (HHS/OCIIO)ent: Friday, November 05, 2010 2:16 PM

To: '[email protected]'ubject: Waiver of the Annual Limits Requirements of PHS Act Section 2711

mportance: High

Attachments: Updated Jan 1 Approval Letter .pdf

Mr. Nielsen,

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

ection for SSEU Local 371. HHS has reviewed your application and made its determination. Please see the

ttached letter.

lease confirm receipt of this letter by replying to this e-mail address with a copy to [email protected]

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

incerely,

Alexandra Botwinick

ffice of Oversight

HHS/[email protected]

SSEU L371:000012

mailto:[email protected]:[email protected]


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//T|/...2012600%20Response%20[YELLOW]/SSEU%20Local%20371/Confirmation%20of%20Approval%20Letter%2011-5-2010.htm[08/05/2011 4:16

rom: Nielsen, Mark ([email protected]) [[email protected]]ent: Friday, November 05, 2010 3:35 PM

To: Botwinick, Alexandra (HHS/OCIIO)Cc: OCIIO Oversightubject: RE: Waiver of the Annual Limits Requirements of PHS Act Section 2711

lexandra,

hank you for your email, confirming waiver of the $750,000 restricted annual limit for the SSEU Local 371 Welfare Fund. We

much appreciate the Department's consideration of our request, and its courtesies throughout this process.

est regards,

Mark C. Nielsen



rom: Botwinick, Alexandra (HHS/OCIIO) [mailto:[email protected]]

ent: Friday, November 05, 2010 2:16 PMo: Nielsen, Mark ([email protected])ubject: Waiver of the Annual Limits Requirements of PHS Act Section 2711mportance: High

Mr. Nielsen,

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

ection for SSEU Local 371. HHS has reviewed your application and made its determination. Please see the

ttached letter.

lease confirm receipt of this letter by replying to this e-mail address with a copy to [email protected]

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

incerely,

Alexandra Botwinick

ffice of Oversight

HHS/[email protected]


SSEU L371:000015

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


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SSEU Local 371 - Redacted Bates HW

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