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//T|/...20YELLOW/Applications%20with%20NO%2012600%20Response%20[YELLOW]/Sun%20Healthcare%20Group/waiver.htm[08/05/2011 11:06:4
rom: Thompson, Brian A. [[email protected]]ent: Thursday, October 21, 2010 2:05 PM
To: HHS HealthInsurance (HHS)Cc: Paszkiewicz, Lauraubject: waiver
Attachments: Signed Sun Healthcare Group Inc Limited Medical Plan Waiver Application.pdf; 2011 Aetna - Beneummary - LMP.doc
Dear HHS, Office of Consumer Information and Insurance Oversight, Office of Oversight, Attention: Jame
Mayhew:
Attached please find the signed Limited Medical Plan Waiver Application for Sun Healthcare
Group, Inc. regarding the plan Aetna Choice POS II Limited Medical Plan. Also attached
re the terms of the plan in the for of the most recent Summary Plan Description.
Should you require anything additional to approve this waiver please contact me and let
now. Thank you very much,
rian Thompson
onsultant, Absence & Productivity
uck Consultants
851 East First Street, Suite 300
anta Ana, CA 92705
hone 657.622.3669
ax 657.622.3666
ww.buckconsultants.com
P Please consider the environment before printing this email
ONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileformation. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail andestroy all copies of the original message.
Sun HCG:000001
Document obtained by CompleteColorado.com
mailto:[email protected]://www.buckconsultants.com/http://www.buckconsultants.com/mailto:[email protected]7/27/2019 Sun Healthcare Group - Redacted Bates HWM
2/19
Sun HCG:000002
Document obtained by CompleteColorado.com
7/27/2019 Sun Healthcare Group - Redacted Bates HWM
3/19
Sun HCG:000003
Document obtained by CompleteColorado.com
7/27/2019 Sun Healthcare Group - Redacted Bates HWM
4/19
//T|/...LOW/Applications%20with%20NO%2012600%20Response%20[YELLOW]/Sun%20Healthcare%20Group/RE%20waiver.htm[08/05/2011 11:07
rom: Thompson, Brian A. [[email protected]]ent: Friday, October 22, 2010 12:01 PM
To: HHS HealthInsurance (HHS)Cc: Paszkiewicz, Lauraubject: RE: waiverear HHS,
s their consultant we sent this waiver application on behalf of Sun Healthcare Group, Inc.
hould you need to get in contact with the client please contact:
haron McGlinn
49.255.7170
hank you,
rian Thompson
onsultant, Absence & Productivity
uck Consultants
851 East First Street, Suite 300
anta Ana, CA 92705
hone 657.622.3669ax 657.622.3666
ww.buckconsultants.com
P Please consider the environment before printing this email
ONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileformation. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail andestroy all copies of the original message.
rom: Thompson, Brian A.
ent: Thursday, October 21, 2010 11:05 AMo: '[email protected]'c: Paszkiewicz, Lauraubject: waiver
Dear HHS, Office of Consumer Information and Insurance Oversight, Office of Oversight, Attention: Jame
Mayhew:
Attached please find the signed Limited Medical Plan Waiver Application for Sun Healthcare
Group, Inc. regarding the plan Aetna Choice POS II Limited Medical Plan. Also attached
re the terms of the plan in the for of the most recent Summary Plan Description.
Should you require anything additional to approve this waiver please contact me and let
now. Thank you very much,
rian Thompson
onsultant, Absence & Productivity
uck Consultants
851 East First Street, Suite 300
anta Ana, CA 92705
Sun HCG:000004
Document obtained by CompleteColorado.com
mailto:[email protected]:[email protected]://www.buckconsultants.com/http://www.buckconsultants.com/mailto:[email protected]:[email protected]7/27/2019 Sun Healthcare Group - Redacted Bates HWM
5/19
//T|/...LOW/Applications%20with%20NO%2012600%20Response%20[YELLOW]/Sun%20Healthcare%20Group/RE%20waiver.htm[08/05/2011 11:07
hone 657.622.3669
ax 657.622.3666
ww.buckconsultants.com
P Please consider the environment before printing this email
ONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileformation. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail andestroy all copies of the original message.
Sun HCG:000005
Document obtained by CompleteColorado.com
mailto:[email protected]://www.buckconsultants.com/http://www.buckconsultants.com/mailto:[email protected]7/27/2019 Sun Healthcare Group - Redacted Bates HWM
6/19
//T|/...2012600%20Response%20[YELLOW]/Sun%20Healthcare%20Group/Reqeust%20for%20additional%20info%2011.15.10.htm[08/05/2011 11:07:
rom: Keels, Lisa (HHS/OCIIO)ent: Monday, November 15, 2010 1:54 PM
To: [email protected]; [email protected]: Habit, Sandra (HHS/OCIIO)ubject: Sun Healthcare Group Limited Medical Plan - Request for Additional Informationear Mr. Thompson and Ms. McGlinn:
hank you for your application for the Waiver of the Annual Limits Requirements of the PHS Act Section 2711. In order to
omplete your application, please provide the following information:
In your application, you state that employees are covered under the Aetna Choice POS II Limited Medical Pla
Please provide the number of individuals covered by the plan submitted.
Thank you for the premium information you already provided. Please provide the current total monthly premium r
(i.e., for employer and employee) and the projected monthly premium rates applicable to the plan if the plan were t
comply with the restricted annual benefits. In other words, we would like a chart that reflects the following
information:
2010 January Premium(current level)
2011 January Premium(renewal)
2011 January Premium(if $750,000 annual
limit was applied)
EE
EE + Child (if applicable
or other appropriate
tier)
EE + Spouse (if
applicable or other
appropriate tier)
Family (if applicable orother appropriate tier)
n order to complete your application, please provide this information by 5:00 pm, November 16, 2010. We look forward t
eceiving your completed application.
hank you,
sa Keels
sa M. Keels, J.D.
.S. Department of Health & Human Services
ffice of Consumer Information and Insurance Oversight
ffice of Oversight
01-492-4168
Sun HCG:000006
Document obtained by CompleteColorado.com
7/27/2019 Sun Healthcare Group - Redacted Bates HWM
7/19
Sun Healthcare Group Limited Medical Plan - Request for Additional Information
//T|/...0Response%20[YELLOW]/Sun%20Healthcare%20Group/Request%20for%20additional%20info%20response%2011.15.10.htm[08/05/2011 11:07
rom: Thompson, Brian A. [[email protected]]ent: Monday, November 15, 2010 3:17 PM
To: Keels, Lisa (HHS/OCIIO); [email protected]: Habit, Sandra (HHS/OCIIO)ubject: RE: Sun Healthcare Group Limited Medical Plan - Request for Additional Information
i Lisa,
here are members/individuals in the plan.
he rates are as follows:
Current at $750,000
Benefits Annual Max
2010 2011 2011
ate Tier Premium Premium Premium
mployee Only $
mployee+1 Dependent
mployee+2 or More Dependen
et us know if there is anything else you need to complete our application. Thank you,
rain
-- -Original Message--- --
rom: Keels, Lisa (HHS/OCIIO) [mailto:[email protected]]
ent: Mon 11/15/2010 10:54 AM
o: Thompson, Brian A.; [email protected]
c: Habit, Sandra (HHS/OCIIO)
ubject: Sun Healthcare Group Limited Medical Plan - Request for Additional Information
ear Mr. Thompson and Ms. McGlinn:
hank you for your application for the Waiver of the Annual Limits Requirements of the PHS Act Section 2711. In order to complete your
pplication, please provide the following information:
In your application, you state that employees are covered under the Aetna Choice POS II Limited Medical Plan. Please provide the
umber of individuals covered by the ubmitted.
Thank you for the premium information you already provided. Please provide the current total monthly premium rates (i.e., for employer
mployee) and the projected monthly premium rates applicable to the plan if the plan were to comply with the restricted annual benefits. In ot
ords, we would like a chart that reflects the following information:
010 January Premium (current level)
011 January Premium (renewal)
011 January Premium (if $750,000 annual limit was applied)
E
Sun HCG:000007
Document obtained by CompleteColorado.com
mailto:[email protected]:[email protected]7/27/2019 Sun Healthcare Group - Redacted Bates HWM
8/19
Sun Healthcare Group Limited Medical Plan - Request for Additional Information
//T|/...0Response%20[YELLOW]/Sun%20Healthcare%20Group/Request%20for%20additional%20info%20response%2011.15.10.htm[08/05/2011 11:07
E + Child (if applicable or other appropriate tier)
E + Spouse (if applicable or other appropriate tier)
amily (if applicable or other appropriate tier)
n order to complete your application, please provide this information by 5:00 pm, November 16, 2010. We look forward to receiving your
ompleted application.
hank you,
isa Keels
isa M. Keels, J.D.
.S. Department of Health & Human Services
ffice of Consumer Information and Insurance Oversight
ffice of Oversight
01-492-4168
Sun HCG:000008
Document obtained by CompleteColorado.com
7/27/2019 Sun Healthcare Group - Redacted Bates HWM
9/19
Sun Healthcare Group Limited Medical Plan - Request for Additional Information
//T|/...nse%20[YELLOW]/Sun%20Healthcare%20Group/Request%20for%20additional%20info%20correspondence%2011.15.10.htm[08/05/2011 11:07:
rom: Keels, Lisa (HHS/OCIIO)ent: Monday, November 15, 2010 3:23 PM
To: Thompson, Brian A.; [email protected]: Habit, Sandra (HHS/OCIIO)ubject: RE: Sun Healthcare Group Limited Medical Plan - Request for Additional Informationhank you, Brian. I will let you know if we have additional questions.
egards,
sa
rom: Thompson, Brian A. [mailto:[email protected]]ent: Monday, November 15, 2010 3:17 PMo: Keels, Lisa (HHS/OCIIO); [email protected]: Habit, Sandra (HHS/OCIIO)ubject: RE: Sun Healthcare Group Limited Medical Plan - Request for Additional Information
i Lisa,
here are members/individuals in the plan.
he rates are as follows:
Current at $750,000
Benefits Annual Max
2010 2011 2011
ate Tier Prem
mployee Only $
mployee+1 Dependent
mployee+2 or More Dependen
et us know if there is anything else you need to complete our application. Thank you,
rain
-- -Original Message--- --
rom: Keels, Lisa (HHS/OCIIO) [mailto:[email protected]]
ent: Mon 11/15/2010 10:54 AM
o: Thompson, Brian A.; [email protected]
c: Habit, Sandra (HHS/OCIIO)
ubject: Sun Healthcare Group Limited Medical Plan - Request for Additional Information
ear Mr. Thompson and Ms. McGlinn:
hank you for your application for the Waiver of the Annual Limits Requirements of the PHS Act Section 2711. In order to complete your
pplication, please provide the following information:
In your application, you state that employees are covered under the Aetna Choice POS II Limited Medical Plan. Please provide the
umber of individuals covered by the ubmitted.
Thank you for the premium information you already provided. Please provide the current total monthly premium rates (i.e., for employer
mployee) and the projected monthly premium rates applicable to the plan if the plan were to comply with the restricted annual benefits. In ot
ords, we would like a chart that reflects the following information:
Sun HCG:000009
Document obtained by CompleteColorado.com
mailto:[email protected]:[email protected]7/27/2019 Sun Healthcare Group - Redacted Bates HWM
10/19
Sun Healthcare Group Limited Medical Plan - Request for Additional Information
//T|/...nse%20[YELLOW]/Sun%20Healthcare%20Group/Request%20for%20additional%20info%20correspondence%2011.15.10.htm[08/05/2011 11:07:
010 January Premium (current level)
011 January Premium (renewal)
011 January Premium (if $750,000 annual limit was applied)
E
E + Child (if applicable or other appropriate tier)
E + Spouse (if applicable or other appropriate tier)
amily (if applicable or other appropriate tier)
n order to complete your application, please provide this information by 5:00 pm, November 16, 2010. We look forward to receiving your
ompleted application.
hank you,
isa Keels
isa M. Keels, J.D..S. Department of Health & Human Services
ffice of Consumer Information and Insurance Oversight
ffice of Oversight
01-492-4168
Sun HCG:000010
Document obtained by CompleteColorado.com
7/27/2019 Sun Healthcare Group - Redacted Bates HWM
11/19
//T|/...20NO%2012600%20Response%20[YELLOW]/Sun%20Healthcare%20Group/Approval%20letter%20sent%2011-23-2010.htm[08/05/2011 11:07:
rom: Botwinick, Alexandra (HHS/OCIIO)ent: Tuesday, November 23, 2010 10:08 AM
To: '[email protected]'ubject: Waiver of the Annual Limits Requirements of PHS Act Section 2711
mportance: High
Attachments: Updated Jan 1 Approval Letter .pdf
ood Morning,
hank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act
ection forSun Healthcare Group. HHS has reviewed your application and made its determination. Please sehe attached 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
Sun HCG:000011
Document obtained by CompleteColorado.com
mailto:[email protected]:[email protected]7/27/2019 Sun Healthcare Group - Redacted Bates HWM
12/19
Sun HCG:000012
Document obtained by CompleteColorado.com
7/27/2019 Sun Healthcare Group - Redacted Bates HWM
13/19
Sun HCG:000013
Document obtained by CompleteColorado.com
7/27/2019 Sun Healthcare Group - Redacted Bates HWM
14/19
//T|/...0%20Response%20[YELLOW]/Sun%20Healthcare%20Group/Confirmation%20of%20Approval%20letter%2011-29-2010.htm[08/05/2011 11:07
rom: Thompson, Brian A. [[email protected]]ent: Monday, November 29, 2010 1:49 PM
To: Botwinick, Alexandra (HHS/OCIIO)Cc: OCIIO Oversight
ubject: RE: Waiver of the Annual Limits Requirements of PHS Act Section 2711
ollow Up Flag: Follow uplag Status: Redhank you. We are in receipt of the approval letter.
rian Thompson
onsultant, Absence & Productivity
uck Consultants
851 East First Street, Suite 300
anta Ana, CA 92705
hone 657.622.3669
ax 657.622.3666
ww.buckconsultants.com
P Please consider the environment before printing this email
ONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileformation. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail andestroy all copies of the original message.
rom: Botwinick, Alexandra (HHS/OCIIO) [mailto:[email protected]]ent: Tuesday, November 23, 2010 7:08 AMo: Thompson, Brian A.ubject: Waiver of the Annual Limits Requirements of PHS Act Section 2711mportance: High
ood Morning,
hank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act
ection forSun Healthcare Group. HHS has reviewed your application and made its determination. Please se
he attached 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
Sun HCG:000014
Document obtained by CompleteColorado.com
mailto:[email protected]://www.buckconsultants.com/mailto:[email protected]:[email protected]:[email protected]:[email protected]://www.buckconsultants.com/mailto:[email protected]7/27/2019 Sun Healthcare Group - Redacted Bates HWM
15/19
//T|/...ions%20with%20NO%2012600%20Response%20[YELLOW]/Sun%20Healthcare%20Group/Correspondence%2011.29.10.htm[08/05/2011 11:07
rom: Botwinick, Alexandra (HHS/OCIIO)ent: Monday, November 29, 2010 2:32 PM
To: 'Thompson, Brian A.'Cc: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver of the Annual Limits Requirements of PHS Act Section 2711 Sun Healthcare Group
mportance: High
rian,
do believe the below email states, Thank you for submitting an application for a Waiver of the Annual Lim
Requirements of the PHS Act Section forSun Healthcare Group. We are not personalizing the waiver letter
tself other than making sure the letter states the correct effective date for the plan.
lease let me know if the e-mail language is insufficient.
incerely,
lexandra Botwinick
ffice of Oversight
HHS/OCIIO
rom: Thompson, Brian A. [mailto:[email protected]]ent: Monday, November 29, 2010 2:03 PMo: Botwinick, Alexandra (HHS/OCIIO); OCIIO Oversight
c: Paszkiewicz, Lauraubject: RE: Waiver of the Annual Limits Requirements of PHS Act Section 2711
hank you for sending the approval letter. Neither the below email or the attached approval letter mention my clients na
an you please revise both to reflect the name Sun Healthcare Group?
hank you,
rian Thompson
onsultant, Absence & Productivity
uck Consultants
851 East First Street, Suite 300anta Ana, CA 92705
hone 657.622.3669
ax 657.622.3666
ww.buckconsultants.com
P Please consider the environment before printing this email
ONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileformation. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail andestroy all copies of the original message.
rom: Botwinick, Alexandra (HHS/OCIIO) [mailto:[email protected]]
Sun HCG:000015
Document obtained by CompleteColorado.com
mailto:[email protected]:[email protected]://www.buckconsultants.com/http://www.buckconsultants.com/mailto:[email protected]:[email protected]7/27/2019 Sun Healthcare Group - Redacted Bates HWM
16/19
//T|/...ions%20with%20NO%2012600%20Response%20[YELLOW]/Sun%20Healthcare%20Group/Correspondence%2011.29.10.htm[08/05/2011 11:07
ent: Tuesday, November 23, 2010 7:08 AMo: Thompson, Brian A.ubject: Waiver of the Annual Limits Requirements of PHS Act Section 2711mportance: High
ood Morning,
hank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act
ection forSun Healthcare Group. HHS has reviewed your application and made its determination. Please se
he attached 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,
lexandra Botwinick
ffice of Oversight
Sun HCG:000016
Document obtained by CompleteColorado.com
mailto:[email protected]:[email protected]:[email protected]:[email protected]7/27/2019 Sun Healthcare Group - Redacted Bates HWM
17/19
//T|/...%20NO%2012600%20Response%20[YELLOW]/Sun%20Healthcare%20Group/Correspondence%20response%2011.29.10.htm[08/05/2011 11:07
rom: Thompson, Brian A. [[email protected]]ent: Monday, November 29, 2010 2:34 PM
To: Botwinick, Alexandra (HHS/OCIIO)Cc: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver of the Annual Limits Requirements of PHS Act Section 2711 Sun Healthcare Groupoure right, Thank you. That should work.
rian Thompson
onsultant, Absence & Productivity
uck Consultants
851 East First Street, Suite 300
anta Ana, CA 92705
hone 657.622.3669
ax 657.622.3666
ww.buckconsultants.com
P Please consider the environment before printing this email
ONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileformation. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail andestroy all copies of the original message.
rom: Botwinick, Alexandra (HHS/OCIIO) [mailto:[email protected]]ent: Monday, November 29, 2010 11:32 AMo: Thompson, Brian A.c: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver of the Annual Limits Requirements of PHS Act Section 2711 Sun Healthcare Groupmportance: High
rian,
do believe the below email states, Thank you for submitting an application for a Waiver of the Annual Lim
Requirements of the PHS Act Section forSun Healthcare Group. We are not personalizing the waiver letter
tself other than making sure the letter states the correct effective date for the plan.
lease let me know if the e-mail language is insufficient.
incerely,
lexandra Botwinick
ffice of Oversight
HHS/OCIIO
rom: Thompson, Brian A. [mailto:[email protected]]ent: Monday, November 29, 2010 2:03 PMo: Botwinick, Alexandra (HHS/OCIIO); OCIIO Oversightc: Paszkiewicz, Lauraubject: RE: Waiver of the Annual Limits Requirements of PHS Act Section 2711
Sun HCG:000017
Document obtained by CompleteColorado.com
mailto:[email protected]://www.buckconsultants.com/mailto:[email protected]:[email protected]://www.buckconsultants.com/mailto:[email protected]7/27/2019 Sun Healthcare Group - Redacted Bates HWM
18/19
//T|/...%20NO%2012600%20Response%20[YELLOW]/Sun%20Healthcare%20Group/Correspondence%20response%2011.29.10.htm[08/05/2011 11:07
hank you for sending the approval letter. Neither the below email or the attached approval letter mention my clients na
an you please revise both to reflect the name Sun Healthcare Group?
hank you,
rian Thompson
onsultant, Absence & Productivity
uck Consultants
851 East First Street, Suite 300
anta Ana, CA 92705hone 657.622.3669
ax 657.622.3666
ww.buckconsultants.com
P Please consider the environment before printing this email
ONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileformation. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail andestroy all copies of the original message.
rom: Botwinick, Alexandra (HHS/OCIIO) [mailto:[email protected]]ent: Tuesday, November 23, 2010 7:08 AMo: Thompson, Brian A.ubject: Waiver of the Annual Limits Requirements of PHS Act Section 2711mportance: High
ood Morning,
hank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act
ection forSun Healthcare Group. HHS has reviewed your application and made its determination. Please se
he attached 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,
lexandra Botwinick
ffice of Oversight
Sun HCG:000018
Document obtained by CompleteColorado.com
mailto:[email protected]://www.buckconsultants.com/mailto:[email protected]:[email protected]:[email protected]:[email protected]://www.buckconsultants.com/mailto:[email protected]7/27/2019 Sun Healthcare Group - Redacted Bates HWM
19/19
Pages 19 through 179 redacted for the following reasons:- - - - - - - - - - - - - - - - - - - - - - - - - - - -Exemption 4
Document obtained by CompleteColorado.com