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//T|/CCIIO%20Waivers%20-%20Torres/DFOI%20Processing%20Team/Mike/Western%20Express/Waiver.htm[11/16/2011
5:01:46 PM]
rom: ADAM JENSEN [[email protected]]ent: Friday,
November 05, 2010 4:53 PM
To: HHS HealthInsurance (HHS)Cc: [email protected]; KIM
BECK; ROB HOHMANNubject: Waiver
Attachments: Health Insurance Wavier 110510.pdf; Health
Insurance Attestation 110510.pdf; Western Express 20ugg fund
rates.pdf; Plan D as of 02-24-09.pdf; Plan C as of
02-24-09.pdfttached please find a request for waiver of the
restricted annual limit requirements on behalf of our client,
Western Express, In
lease advise if there are any questions.
hank you for your assistance in this matter.
Adam P. Jensen, JD, CEBS, GBA, FLMI Director of Compliance
Services
h: 608.467.503077.288.0622 ext: 2030ax:
[email protected]
Cottingham & Butler Consulting Services0 Terrace Court |
Suite 204Madison, WI 53718
n Assurex Global Partnerational Underwriter 2007 Agency of the
Year
ONFIDENTIALITY NOTICE:This correspondence, including any
attachments, is for the sole use of the intended
ecipient(s) and may contain confidential and privileged
information or Protected Health Information (PHI). Any
nauthorized review, use, disclosure or distribution is
prohibited. If you are not the intended recipient, please contact
th
ender and destroy all original copies.
WESTEXP:000001
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C&D Rates Without2011 Rate Annual Maximums *
Plan C&D: w/VisionIndividual 2-Person
Family Plan C&D: no Vision
Individual 2-Person
Family * Following annual maximums would be eliminated:- $
inpatient- $ Rx- $ all other expenses
Western Express Inc.
2011 Rates Based on Claims Experience
Separately for Plan C&D
WESTEXP:000005
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Pages 6 through 24 redacted for the following reasons:- - - - -
- - - - - - - - - - - - - - - - - - - - - - -Exemption 4
WESTEXP:000006
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//T|/...ivers%20-%20Torres/DFOI%20Processing%20Team/Mike/Western%20Express/Approval%20letter%20sent%2011-23-2010.htm[11/16/2011
5:01
rom: Botwinick, Alexandra (HHS/OCIIO)ent: Tuesday, November 23,
2010 1:39 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
ood Afternoon,
hank you for submitting an application for a Waiver of the
Annual Limits Requirements of the PHS Act
ection for Western Express. HHS has reviewed your application
and made its determination. Please see t
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]
WESTEXP:000007
mailto:[email protected]:[email protected]
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//T|/...orres/DFOI%20Processing%20Team/Mike/Western%20Express/Confirmation%20of%20Approval%20letter%2011-23-2010.htm[11/16/2011
5:01
rom: ADAM JENSEN [[email protected]]ent: Tuesday,
November 23, 2010 3:31 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: Redonfirming receipt of
Waiver approval letter.
Adam P. Jensen, JD, CEBS, GBA, FLMIDirector of Compliance
Services h: 608.467.503077.288.0622 ext: 2030ax:
[email protected]
Cottingham & Butler Consulting Services0 Terrace Court |
Suite 204
Madison, WI 53718
n Assurex Global PartnerNational Underwriter 2007 Agency of the
Year
ONFIDENTIALITY NOTICE:This correspondence, including any
attachments, is for the sole use of the intended
ecipient(s) and may contain confidential and privileged
information or Protected Health Information (PHI). Any
nauthorized review, use, disclosure or distribution is
prohibited. If you are not the intended recipient, please contact
th
ender and destroy all original copies.
rom: Botwinick, Alexandra (HHS/OCIIO)
[mailto:[email protected]]ent: Tuesday, November 23, 2010
12:39 PMo: ADAM JENSENubject: Waiver of the Annual Limits
Requirements of PHS Act Section 2711mportance: High
ood Afternoon,
hank you for submitting an application for a Waiver of the
Annual Limits Requirements of the PHS Act
ection for Western Express. HHS has reviewed your application
and made its determination. Please see t
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]
WESTEXP:000010
mailto:[email protected]:[email protected]
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WESTEXP:000011
