1199 seiu lpn- combined redacted hw
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3. The annual limit and rates p p l i c ~ b l e . t o the plan:.Currently, t/jeFund has. a n ~ n n u a L m a x i n 1 l l t 1 1 presctiptibll \'irug be,nefitoO_pertamilY, 'lhepJan JS currentlyself-funded, so no insured premiutl1 rate,ls a V l : ' l i l ~ p l e . ThepresctlptiPn drug tate (apFticableqQsl) for the Plan wasapproximately per active memberper'year in 2009. fiarrioi.pants do notcontripute tpwatdtlles.e ~ n e f i t s ,
4. A briefdescription.of whycQrnpliancewith the interim final regulations wou.Jd result in a significantdecreaseinaccessJo benefits for lhosecurrently coveredbysuch l a n s o r ' p o l i c i e s , o r ~ g n i t l ~ ~ l l t i n c r c a s ein premiums a i d b y t h o s e c o v e r ~ ~ by$Ueh p'ansol' U ( t j ~ , :along with any ~ p p o r t i n g documentation:
The intt'lnt and pllrpose'(\f'lbe Fllnci is toptovide !$upplementat"healthand 'welfare benefits for employees and theiri ...... ' '. '. . . . . . . . . . . ....... ..' " . ." . . . . . . . . . ..... .fainilies povered under tlie City of New York's ..beilefit p r o g t < l f h s ~ The C i t y o f ~ w York is contractually bound
to p,ov+ funding for such l>enefiis, Current m p l o n r c Q O ! r i ~ . " , ! o f f 1.v
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1199SEIU LPN:000004
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er
//T|/...tions%20with%20NO%2012600%20Response%20[YELLOW]/1199%20SEIU%20Licensed%20Practical%20Nurses/waiver.htm[07/25/2011 2:25:
rom: Sarah Burgos [[email protected]]ent: Thursday, October 28, 2010 12:10 PM
To: HHS HealthInsurance (HHS)ubject: waiver
Attachments: Request for Waiver-LPN.pdf
ttached please find a request for a waiver on behalf of the 1199SEIU Licensed Practical Nurses Welfare Fund.
arah Burgos on behalf of Fred Hagen, Chief Benefits Officer
199SEIU Benefit & Pension Fund
30 West 42nd St/31st Floor
ew York, NY 10036
646) 473-6953 (phone)
646) 473-6019 (fax)
>
--------------------------------------------------Note: The email address of this sender has changed. Please update your records accordingly.------------------------------------------------
efore printing this email, think about the environmental impact. Think Green. Act Green.
Health care information is personal and sensitive information. If such information is being emailed to you, it is afteppropriate authorization from the patient or under circumstances that do not require patient authorization. You, theecipient, are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without additional paonsent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality couldubject you to penalties described in federal and state law. If you have received this message in error, please notifymmediately and destroy the related message.
1199SEIU LPN:000005
mailto:[email protected]:[email protected]:[email protected]:[email protected] -
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//T|/...se%20[YELLOW]/1199%20SEIU%20Licensed%20Practical%20Nurses/Request%20for%20additional%20info%2011.15.10.htm[07/25/2011 2:25
rom: Andrews, Jane (HHS/OCIIO)ent: Monday, November 15, 2010 11:02 AM
To: '[email protected]'Cc: Habit, Sandra (HHS/OCIIO)
ubject: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limitsam in receipt of your application for a waiver of annual limits for the 1199SEIU fund. I have a few questions:
What is the effective date o policy?When you write there is an prescription drug rate for 2009, what is that rate for 2010, the re rate for 2011, and whahe rate should the prescrip rugs annual limit be required to come up to $750,000? I see a increase, but what are ctual dollars beneath that increase?
hank you.
ane W. Andrews
CIIO
501 Wisconsin Ave
ethesda, MD 20814
01-492-4122 (desk)
02-536-6779 (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.
1199SEIU LPN:000006
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//T|/...OW]/1199%20SEIU%20Licensed%20Practical%20Nurses/Reqeust%20for%20information%20correspondence%2011.17.10.htm[07/25/2011 2:25
rom: Sarah Burgos [[email protected]]ent: Wednesday, November 17, 2010 8:29 AM
To: Andrews, Jane (HHS/OCIIO)Cc: Habit, Sandra (HHS/OCIIO)
ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limitsood morning: We did receive your e-mail on Monday and are currently working on getting the information requested. Thank y
arah Burgos
rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]ent: Wednesday, November 17, 2010 8:27 AMo: Andrews, Jane (HHS/OCIIO); Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
Ms. Burgos: I am writing to confirm your receipt of my e-mail from Monday. Thanks.
ane W. Andrews
CIIO
501 Wisconsin Ave
ethesda, MD 20814
01-492-4122 (desk)
02-536-6779 (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: Monday, November 15, 2010 11:02 AMo: '[email protected]'c: Habit, Sandra (HHS/OCIIO)ubject: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
am in receipt of your application for a waiver of annual limits for the 1199SEIU fund. I have a few questions:
What is the effective date o policy?When you write there is an prescription drug rate for 2009, what is that rate for 2010, the re rate for 2011, and whahe rate should the prescrip rugs annual limit be required to come up to $750,000? I see a increase, but what are ctual dollars beneath that increase?
hank you.
ane W. Andrews
CIIO
501 Wisconsin Aveethesda, MD 20814
01-492-4122 (desk)
02-536-6779 (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.
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//T|/...OW]/1199%20SEIU%20Licensed%20Practical%20Nurses/Reqeust%20for%20information%20correspondence%2011.17.10.htm[07/25/2011 2:25
_____________________________________________________________________his email has been scanned by the MessageLabs Email Security System.
--------------------------------------------------Note: The email address of this sender has changed. Please update your records accordingly.------------------------------------------------
efore printing this email, think about the environmental impact. Think Green. Act Green.
Health care information is personal and sensitive information. If such information is being emailed to you, it is afterppropriate authorization from the patient or under circumstances that do not require patient authorization. You, theecipient, are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without additional patonsent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality couldubject you to penalties described in federal and state law. If you have received this message in error, please notifymmediately and destroy the related message.
1199SEIU LPN:000008
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//T|/...esponse%20[YELLOW]/1199%20SEIU%20Licensed%20Practical%20Nurses/Request%20for%20confirmation%2011.17.10.htm[07/25/2011 2:25
rom: Andrews, Jane (HHS/OCIIO)ent: Wednesday, November 17, 2010 8:27 AM
To: Andrews, Jane (HHS/OCIIO); '[email protected]'Cc: Habit, Sandra (HHS/OCIIO)
ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limitsMs. Burgos: I am writing to confirm your receipt of my e-mail from Monday. Thanks.
ane W. Andrews
CIIO
501 Wisconsin Aveethesda, MD 20814
01-492-4122 (desk)
02-536-6779 (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: Monday, November 15, 2010 11:02 AMo: '[email protected]'c: Habit, Sandra (HHS/OCIIO)ubject: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
am in receipt of your application for a waiver of annual limits for the 1199SEIU fund. I have a few questions:
What is the effective date policy?When you write there is an prescription drug rate for 2009, what is that rate for 2010, the r rate for 2011, and whahe rate should the prescription drugs annual limit be required to come up to $750,000? I see a increase, but what are ctual dollars beneath that increase?
hank you.
ane W. Andrews
CIIO
501 Wisconsin Ave
ethesda, MD 20814
01-492-4122 (desk)
02-536-6779 (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.
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//T|/...OW]/1199%20SEIU%20Licensed%20Practical%20Nurses/Request%20for%20additional%20info%20response%2011.19.10.htm[07/25/2011 2:25
rom: Sarah Burgos [[email protected]]ent: Friday, November 19, 2010 2:38 PM
To: Andrews, Jane (HHS/OCIIO)Cc: Habit, Sandra (HHS/OCIIO); Fred Hagen
ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limitsood afternoon,
lease note our responses to your questions below. If you have any additional questions, please do not hesitate to contact me
arah Burgos on behalfof Fred Hagen199SEIU Benefit & Pension Fund30 West 42nd St/31st Floorew York, NY 10036
646) 473-6953 (phone)646) 473-6019 (fax)[email protected]
rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]ent: Monday, November 15, 2010 11:02 AM
o: Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ubject: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
am in receipt of your application for a waiver of annual limits for the 1199SEIU fund. I have a few questions:
What is the effective date o policy? January 1, 2011When you write there is an prescription drug rate for 2009, what is that rate for 2010, the re l rate for 2011, and whahe rate should the prescription drugs annual limit be required to come up to $750,000? I see a increase, but what are ctual dollars beneath that increase?
010 rate for prescription with current annual maximum is
011 rate for prescription with current annual maximum would be 011 rate for prescription with a $750,000 annual maximum is hank you.
ane W. Andrews
CIIO
501 Wisconsin Ave
ethesda, MD 20814
01-492-4122 (desk)
02-536-6779 (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.
_____________________________________________________________________his email has been scanned by the MessageLabs Email Security System.
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//T|/...OW]/1199%20SEIU%20Licensed%20Practical%20Nurses/Request%20for%20additional%20info%20response%2011.19.10.htm[07/25/2011 2:25
Note: The email address of this sender has changed. Please update your records accordingly.------------------------------------------------
efore printing this email, think about the environmental impact. Think Green. Act Green.
Health care information is personal and sensitive information. If such information is being emailed to you, it is afterppropriate authorization from the patient or under circumstances that do not require patient authorization. You, the
ecipient, are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without additional patonsent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality couldubject you to penalties described in federal and state law. If you have received this message in error, please notifymmediately and destroy the related message.
1199SEIU LPN:000011
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//T|/...%2012600%20Response%20[YELLOW]/1199%20SEIU%20Licensed%20Practical%20Nurses/Correspondence%2012.13.10.htm[07/25/2011 2:2
rom: Fred Hagen [[email protected]]ent: Monday, December 13, 2010 3:21 PM
To: Sarah Burgos; Andrews, Jane (HHS/OCIIO)Cc: Habit, Sandra (HHS/OCIIO)
ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limitsMs. Andrews/Ms. Habit,
We just want to confirm that you did receive our response sent on November 19, 2010 to your inquiry for additional
nformation regarding our waiver application.
We look forward to hearing your response as soon as possible since this Plans effective date is January 1, 2011.
hank you for your consideration in this matter.
red Hagen
hief Benefits Officer
199SEIU Benefit Funds
46-473-6950
rom: Sarah Burgosent: Friday, November 19, 2010 2:38 PMo: Andrews, Jane (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO); Fred Hagenubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
ood afternoon,
lease note our responses to your questions below. If you have any additional questions, please do not hesitate to contact me
arah Burgos on behalfof Fred Hagen199SEIU Benefit & Pension Fund30 West 42nd St/31st Floorew York, NY 10036
646) 473-6953 (phone)646) 473-6019 (fax)[email protected]
rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]ent: Monday, November 15, 2010 11:02 AMo: Sarah Burgosc: Habit, Sandra (HHS/OCIIO)
ubject: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
am in receipt of your application for a waiver of annual limits for the 1199SEIU fund. I have a few questions:
What is the effective date policy? January 1, 2011When you write there is an prescription drug rate for 2009, what is that rate for 2010, the re rate for 2011, and whahe rate should the prescription drugs annual limit be required to come up to $750,000? I see a increase, but what are ctual dollars beneath that increase?
010 rate for prescription with current annual maximum is 011 rate for prescription with current annual maximum would be
011 rate for prescription with a $750,000 annual maximum is 1199SEIU LPN:000012
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//T|/...%2012600%20Response%20[YELLOW]/1199%20SEIU%20Licensed%20Practical%20Nurses/Correspondence%2012.13.10.htm[07/25/2011 2:2
hank you.
ane W. Andrews
CIIO
501 Wisconsin Ave
ethesda, MD 20814
01-492-4122 (desk)
02-536-6779 (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.
_____________________________________________________________________his email has been scanned by the MessageLabs Email Security System.
--------------------------------------------------Note: The email address of this sender has changed. Please update your records accordingly.------------------------------------------------
efore printing this email, think about the environmental impact. Think Green. Act Green.
Health care information is personal and sensitive information. If such information is being emailed to you, it is afterppropriate authorization from the patient or under circumstances that do not require patient authorization. You, theecipient, are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without additional patonsent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality couldubject you to penalties described in federal and state law. If you have received this message in error, please notifymmediately and destroy the related message.
1199SEIU LPN:000013
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//T|/...0[YELLOW]/1199%20SEIU%20Licensed%20Practical%20Nurses/Correspondence%20response%2012.13.10.htm[07/25/2011 2:25
rom: Andrews, Jane (HHS/OCIIO)Sent: Monday, December 13, 2010 3:43 PMo: '[email protected]'; '[email protected]'
Cc: Habit, Sandra (HHS/OCIIO)Subject: Re: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
am checking on the status
rom: Fred Hagen [mailto:[email protected]]ent: Monday, December 13, 2010 03:20 PM
o: Sarah Burgos ; Andrews, Jane (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO)ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
Ms. Andrews/Ms. Habit,
We just want to confirm that you did receive our response sent on November 19, 2010 to your inquiry for additional
nformation regarding our waiver application.
We look forward to hearing your response as soon as possible since this Plans effective date is January 1, 2011.
hank you for your consideration in this matter.
red Hagen
hief Benefits Officer
199SEIU Benefit Funds
46-473-6950
rom: Sarah Burgosent: Friday, November 19, 2010 2:38 PMo: Andrews, Jane (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO); Fred Hagen
ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
ood afternoon,
lease note our responses to your questions below. If you have any additional questions, please do not hesitate to contact me
arah Burgos on behalfof Fred Hagen199SEIU Benefit & Pension Fund30 West 42nd St/31st Floorew York, NY 10036
646) 473-6953 (phone)
646) 473-6019 (fax)[email protected]
rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]ent: Monday, November 15, 2010 11:02 AMo: Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ubject: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
am in receipt of your application for a waiver of annual limits for the 1199SEIU fund. I have a few questions:
1199SEIU LPN:000014
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//T|/...0[YELLOW]/1199%20SEIU%20Licensed%20Practical%20Nurses/Correspondence%20response%2012.13.10.htm[07/25/2011 2:25
What is the effective date o policy? January 1, 2011When you write there is an prescription drug rate for 2009, what is that rate for 2010, the r rate for 2011, and whahe rate should the prescription drugs annual limit be required to come up to $750,000? I see a increase, but what are ctual dollars beneath that increase?
010 rate for prescription with current annual maximum is 011 rate for prescription with current annual maximum would be
011 rate for prescription with a $750,000 annual maximum is
hank you.
ane W. Andrews
CIIO
501 Wisconsin Ave
ethesda, MD 20814
01-492-4122 (desk)
02-536-6779 (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.
_____________________________________________________________________his email has been scanned by the MessageLabs Email Security System.
--------------------------------------------------ote: The email address of this sender has changed. Please update your records accordingly.------------------------------------------------
efore printing this email, think about the environmental impact. Think Green. Act Green.
ealth care information is personal and sensitive information. If such information is being emailed to yous after appropriate authorization from the patient or under circumstances that do not require patientuthorization. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner. Risclosure without additional patient consent or as permitted by law is prohibited. Unauthorized re-isclosure or failure to maintain confidentiality could subject you to penalties described in federal and sta
aw. If you have received this message in error, please notify us immediately and destroy the relatedmessage.
1199SEIU LPN:000015
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//T|/...e%20[YELLOW]/1199%20SEIU%20Licensed%20Practical%20Nurses/Corr%20response%20(2)%2012.13.10.htm[07/25/2011 2:2
rom: Fred Hagen [[email protected]]Sent: Monday, December 13, 2010 3:50 PMo: Andrews, Jane (HHS/OCIIO); Sarah Burgos
Cc: Habit, Sandra (HHS/OCIIO)Subject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
hanks so much.
rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]ent: Monday, December 13, 2010 3:43 PMo: Fred Hagen; Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ubject: Re: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
am checking on the status
rom: Fred Hagen [mailto:[email protected]]ent: Monday, December 13, 2010 03:20 PMo: Sarah Burgos ; Andrews, Jane (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO)ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
Ms. Andrews/Ms. Habit,
We just want to confirm that you did receive our response sent on November 19, 2010 to your inquiry for additional
nformation regarding our waiver application.
We look forward to hearing your response as soon as possible since this Plans effective date is January 1, 2011.
hank you for your consideration in this matter.
red Hagen
hief Benefits Officer199SEIU Benefit Funds
46-473-6950
rom: Sarah Burgosent: Friday, November 19, 2010 2:38 PMo: Andrews, Jane (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO); Fred Hagenubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
ood afternoon,
lease note our responses to your questions below. If you have any additional questions, please do not hesitate to contact me
arah Burgos on behalfof Fred Hagen199SEIU Benefit & Pension Fund30 West 42nd St/31st Floorew York, NY 10036
646) 473-6953 (phone)646) 473-6019 (fax)[email protected]
1199SEIU LPN:000016
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//T|/...e%20[YELLOW]/1199%20SEIU%20Licensed%20Practical%20Nurses/Corr%20response%20(2)%2012.13.10.htm[07/25/2011 2:2
rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]ent: Monday, November 15, 2010 11:02 AMo: Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ubject: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
am in receipt of your application for a waiver of annual limits for the 1199SEIU fund. I have a few questions:
What is the effective date o policy? January 1, 2011When you write there is an prescription drug rate for 2009, what is that rate for 2010, the re rate for 2011, and whahe rate should the prescrip rugs annual limit be required to come up to $750,000? I see a increase, but what are ctual dollars beneath that increase?
010 rate for prescription with current annual maximum is
011 rate for prescription with current annual maximum w e011 rate for prescription with a $750,000 annual maximum is
hank you.
ane W. Andrews
CIIO
501 Wisconsin Aveethesda, MD 20814
01-492-4122 (desk)
02-536-6779 (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.
_____________________________________________________________________his email has been scanned by the MessageLabs Email Security System.
--------------------------------------------------Note: The email address of this sender has changed. Please update your records accordingly.------------------------------------------------
efore printing this email, think about the environmental impact. Think Green. Act Green.
Health care information is personal and sensitive information. If such information is being emailed to you, it is afterppropriate authorization from the patient or under circumstances that do not require patient authorization. You, theecipient, are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without additional patonsent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality couldubject you to penalties described in federal and state law. If you have received this message in error, please notifymmediately and destroy the related message.
_____________________________________________________________________his email has been scanned by the MessageLabs Email Security System.
--------------------------------------------------1199SEIU LPN:000017
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//T|/...e%20[YELLOW]/1199%20SEIU%20Licensed%20Practical%20Nurses/Corr%20response%20(2)%2012.13.10.htm[07/25/2011 2:2
ote: The email address of this sender has changed. Please update your records accordingly.------------------------------------------------
efore printing this email, think about the environmental impact. Think Green. Act Green.
ealth care information is personal and sensitive information. If such information is being emailed to yous after appropriate authorization from the patient or under circumstances that do not require patient
uthorization. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner. Risclosure without additional patient consent or as permitted by law is prohibited. Unauthorized re-isclosure or failure to maintain confidentiality could subject you to penalties described in federal and sta
aw. If you have received this message in error, please notify us immediately and destroy the relatedmessage.
1199SEIU LPN:000018
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//T|/...NO%2012600%20Response%20[YELLOW]/1199%20SEIU%20Licensed%20Practical%20Nurses/Clarification%2012.14.10.htm[07/25/2011 2:2
rom: Andrews, Jane (HHS/OCIIO)ent: Tuesday, December 14, 2010 9:57 AM
To: Habit, Sandra (HHS/OCIIO)ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limitshis is one that should have been on approval list but feel of radar screen. We are trying to get Gary and Jim to approve toda
ane W. Andrews
CIIO
501 Wisconsin Ave
ethesda, MD 2081401-492-4122 (desk)
02-536-6779 (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: Habit, Sandra (HHS/OCIIO)ent: Monday, December 13, 2010 4:04 PM
o: Andrews, Jane (HHS/OCIIO)ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
ane,
m really confused by this. I think that 1199 SEIU and 1199 SEIU LPNs are the same because Sara Burgos and Fred Hagen n both sets of emails. 1199 SEIU has been approved but 1199 SEIU LPN has not been approved and on the master spreadsonly says may be a duplicate of 125. Let me know how you would like me to proceed with this.andy
rom: Andrews, Jane (HHS/OCIIO)ent: Monday, December 13, 2010 3:56 PM
o: Habit, Sandra (HHS/OCIIO)ubject: Fw: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limitsmportance: High
think these LPNs are on a new or recent approval list so Erica may know.
rom: Botwinick, Alexandra (HHS/OCIIO)ent: Monday, December 13, 2010 03:53 PMo: Andrews, Jane (HHS/OCIIO)ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
checked the folder. You have correspondence from them on the 19th which is what they asked. Its 1199SEIU Licensed Pract
urses.
Alexandra Botwinick
ffice of Oversight
HHS/OCIIO
301) [email protected]
1199SEIU LPN:000019
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rom: Andrews, Jane (HHS/OCIIO)ent: Monday, December 13, 2010 3:53 PMo: Botwinick, Alexandra (HHS/OCIIO)ubject: Re: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
oo hArd for me to recall. I will ask Sandy to see if she can track this one down.
rom: Botwinick, Alexandra (HHS/OCIIO)ent: Monday, December 13, 2010 03:51 PMo: Andrews, Jane (HHS/OCIIO)ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
November 5th
t is published on the public list as1199SEIU Greater New York Benefit Fund. Is that a different app?
Alexandra Botwinick
ffice of OversightHHS/OCIIO
301) [email protected]
rom: Andrews, Jane (HHS/OCIIO)ent: Monday, December 13, 2010 3:49 PMo: Botwinick, Alexandra (HHS/OCIIO)ubject: Re: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
ovember 5 or December5?
rom: Botwinick, Alexandra (HHS/OCIIO)ent: Monday, December 13, 2010 03:45 PMo: Andrews, Jane (HHS/OCIIO)c: Pham, Erica (HHS/OCIIO)ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
ane I have that Lisa Keels did their application and they received and confirmed receipt of a waiver on November 5th. The co-mail was [email protected]. Is this another application from them?
Alexandra Botwinick
ffice of Oversight
HHS/OCIIO
301) [email protected]
1199SEIU LPN:000020
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rom: Andrews, Jane (HHS/OCIIO)ent: Monday, December 13, 2010 3:43 PMo: Botwinick, Alexandra (HHS/OCIIO); Pham, Erica (HHS/OCIIO)ubject: Fw: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
nce I am out of office would you mind checking on this ones' status? Thanks
rom: Fred Hagen [mailto:[email protected]]ent: Monday, December 13, 2010 03:20 PMo: Sarah Burgos ; Andrews, Jane (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO)ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
Ms. Andrews/Ms. Habit,
We just want to confirm that you did receive our response sent on November 19, 2010 to your inquiry for additional
nformation regarding our waiver application.
We look forward to hearing your response as soon as possible since this Plans effective date is January 1, 2011.
hank you for your consideration in this matter.
red Hagen
hief Benefits Officer
199SEIU Benefit Funds
46-473-6950
rom: Sarah Burgosent: Friday, November 19, 2010 2:38 PMo: Andrews, Jane (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO); Fred Hagenubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
ood afternoon,
lease note our responses to your questions below. If you have any additional questions, please do not hesitate to contact me
arah Burgos on behalfof Fred Hagen199SEIU Benefit & Pension Fund30 West 42nd St/31st Floorew York, NY 10036
646) 473-6953 (phone)646) 473-6019 (fax)
rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]ent: Monday, November 15, 2010 11:02 AMo: Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ubject: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
am in receipt of your application for a waiver of annual limits for the 1199SEIU fund. I have a few questions:
1199SEIU LPN:000021
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What is the effective date o policy? January 1, 2011When you write there is an prescription drug rate for 2009, what is that rate for 2010, the re rate for 2011, and whahe rate should the prescrip drugs annual limit be required to come up to $750,000? I see a increase, but what are ctual dollars beneath that increase?
010 rate for prescription with current annual maximum is 011 rate for prescription with current annual maximum would be
011 rate for prescription with a $750,000 annual maximum is
hank you.
ane W. Andrews
CIIO
501 Wisconsin Ave
ethesda, MD 20814
01-492-4122 (desk)
02-536-6779 (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.
_____________________________________________________________________his email has been scanned by the MessageLabs Email Security System.
--------------------------------------------------Note: The email address of this sender has changed. Please update your records accordingly.------------------------------------------------
efore printing this email, think about the environmental impact. Think Green. Act Green.
Health care information is personal and sensitive information. If such information is being emailed to you, it is afterppropriate authorization from the patient or under circumstances that do not require patient authorization. You, theecipient, are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without additional patonsent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality couldubject you to penalties described in federal and state law. If you have received this message in error, please notifymmediately and destroy the related message.
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rom: Fred Hagen [[email protected]]ent: Tuesday, December 14, 2010 4:57 PM
To: Andrews, Jane (HHS/OCIIO); Sarah BurgosCc: Habit, Sandra (HHS/OCIIO)
ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limitshanks so much for your attention to this matter.
rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]
ent: Tuesday, December 14, 2010 4:56 PMo: Fred Hagen; Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
red and Sarah I just left a voice mail for Sarah indicating that you should be getting an approval letter of your waiver applicaor 1199SEIU LPN Fund.
ane W. Andrews
CIIO
501 Wisconsin Ave
ethesda, MD 20814
01-492-4122 (desk)
02-536-6779 (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: Fred Hagen [mailto:[email protected]]ent: Tuesday, December 14, 2010 11:07 AMo: Andrews, Jane (HHS/OCIIO); Sarah Burgosc: Habit, Sandra (HHS/OCIIO)
ubject: Re: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
hank you for your prompt reply. We are looking forward to your response.red Hagenhief Benefits Officer199 SEIU Benefit and Pension Fund46-473-6950 Office46-473-6019 Fax
rom: Andrews, Jane (HHS/OCIIO)o: Fred Hagen; Sarah Burgos
c: Habit, Sandra (HHS/OCIIO)ent: Tue Dec 14 10:47:30 2010ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
Mr. Hagen and Ms. Burgos.
need to apologize for the delay in getting you a response. You are correct that we last corresponded on November 19th. Iompleted my review on November 23, but for some reason, when I sent it forward for second level review, this application goropped from the approval committee list. I suspect it is due to having received two applications from 1199 one of which waspproved November 5, but I am not sure. In any case, I will ensure that this application gets in front of the committee today soan communicate back to you with a final determination by COB.
gain, my apologies.
1199SEIU LPN:000023
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ane W. Andrews
CIIO
501 Wisconsin Ave
ethesda, MD 20814
01-492-4122 (desk)
02-536-6779 (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: Fred Hagen [mailto:[email protected]]ent: Monday, December 13, 2010 3:50 PMo: Andrews, Jane (HHS/OCIIO); Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
hanks so much.
rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]ent: Monday, December 13, 2010 3:43 PMo: Fred Hagen; Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ubject: Re: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
am checking on the status
rom: Fred Hagen [mailto:[email protected]]ent: Monday, December 13, 2010 03:20 PMo: Sarah Burgos ; Andrews, Jane (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO)
ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
Ms. Andrews/Ms. Habit,
We just want to confirm that you did receive our response sent on November 19, 2010 to your inquiry for additional
nformation regarding our waiver application.
We look forward to hearing your response as soon as possible since this Plans effective date is January 1, 2011.
hank you for your consideration in this matter.
red Hagen
hief Benefits Officer
199SEIU Benefit Funds
46-473-6950
rom: Sarah Burgosent: Friday, November 19, 2010 2:38 PMo: Andrews, Jane (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO); Fred Hagenubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
1199SEIU LPN:000024
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ood afternoon,
lease note our responses to your questions below. If you have any additional questions, please do not hesitate to contact me
arah Burgos on behalfof Fred Hagen199SEIU Benefit & Pension Fund30 West 42nd St/31st Floorew York, NY 10036
646) 473-6953 (phone)646) 473-6019 (fax)[email protected]
rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]ent: Monday, November 15, 2010 11:02 AMo: Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ubject: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
am in receipt of your application for a waiver of annual limits for the 1199SEIU fund. I have a few questions:
What is the effective date policy? January 1, 2011When you write there is an prescription drug rate for 2009, what is that rate for 2010, the renewal rate for 2011, and whahe rate should the prescription drugs annual limit be required to come up to $750,000? I see a 250% increase, but what are ctual dollars beneath that increase?
010 rate for prescription with current annual maximum is 011 rate for prescription with current annual maximum would be
011 rate for prescription with a $750,000 annual maximum is
hank you.
ane W. AndrewsCIIO
501 Wisconsin Ave
ethesda, MD 20814
01-492-4122 (desk)
02-536-6779 (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.
_____________________________________________________________________his email has been scanned by the MessageLabs Email Security System.
--------------------------------------------------Note: The email address of this sender has changed. Please update your records accordingly.------------------------------------------------
efore printing this email, think about the environmental impact. Think Green. Act Green.
1199SEIU LPN:000025
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Health care information is personal and sensitive information. If such information is being emailed to you, it is afterppropriate authorization from the patient or under circumstances that do not require patient authorization. You, theecipient, are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without additional patonsent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality couldubject you to penalties described in federal and state law. If you have received this message in error, please notifymmediately and destroy the related message.
_____________________________________________________________________his email has been scanned by the MessageLabs Email Security System.
--------------------------------------------------Note: The email address of this sender has changed. Please update your records accordingly.------------------------------------------------
efore printing this email, think about the environmental impact. Think Green. Act Green.
Health care information is personal and sensitive information. If such information is being emailed to you, it is afterppropriate authorization from the patient or under circumstances that do not require patient authorization. You, theecipient, are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without additional patonsent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality couldubject you to penalties described in federal and state law. If you have received this message in error, please notifymmediately and destroy the related message.
_____________________________________________________________________his email has been scanned by the MessageLabs Email Security System.
--------------------------------------------------
Note: The email address of this sender has changed. Please update your records accordingly.------------------------------------------------
efore printing this email, think about the environmental impact. Think Green. Act Green.
Health care information is personal and sensitive information. If such information is being emailed to you, it is afterppropriate authorization from the patient or under circumstances that do not require patient authorization. You, theecipient, are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without additional patonsent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality couldubject you to penalties described in federal and state law. If you have received this message in error, please notify
mmediately and destroy the related message.
_____________________________________________________________________his email has been scanned by the MessageLabs Email Security System.
--------------------------------------------------Note: The email address of this sender has changed. Please update your records accordingly.------------------------------------------------
efore printing this email, think about the environmental impact. Think Green. Act Green.
1199SEIU LPN:000026
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Health care information is personal and sensitive information. If such information is being emailed to you, it is afterppropriate authorization from the patient or under circumstances that do not require patient authorization. You, theecipient, are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without additional patonsent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality couldubject you to penalties described in federal and state law. If you have received this message in error, please notifymmediately and destroy the related message.
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rom: Andrews, Jane (HHS/OCIIO)ent: Tuesday, December 14, 2010 10:48 AM
To: 'Fred Hagen'; 'Sarah Burgos'Cc: Habit, Sandra (HHS/OCIIO)
ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limitsMr. Hagen and Ms. Burgos.
need to apologize for the delay in getting you a response. You are correct that we last corresponded on November 19th. Iompleted my review on November 23, but for some reason, when I sent it forward for second level review, this application go
ropped from the approval committee list. I suspect it is due to having received two applications from 1199 one of which waspproved November 5, but I am not sure. In any case, I will ensure that this application gets in front of the committee today soan communicate back to you with a final determination by COB.
gain, my apologies.
ane W. Andrews
CIIO
501 Wisconsin Ave
ethesda, MD 20814
01-492-4122 (desk)
02-536-6779 (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: Fred Hagen [mailto:[email protected]]ent: Monday, December 13, 2010 3:50 PMo: Andrews, Jane (HHS/OCIIO); Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
hanks so much.
rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]ent: Monday, December 13, 2010 3:43 PMo: Fred Hagen; Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ubject: Re: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
am checking on the status
rom: Fred Hagen [mailto:[email protected]]
ent: Monday, December 13, 2010 03:20 PMo: Sarah Burgos ; Andrews, Jane (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO)ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
Ms. Andrews/Ms. Habit,
We just want to confirm that you did receive our response sent on November 19, 2010 to your inquiry for additional
nformation regarding our waiver application.
We look forward to hearing your response as soon as possible since this Plans effective date is January 1, 2011.1199SEIU LPN:000028
-
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29/39
//T|/...%2012600%20Response%20[YELLOW]/1199%20SEIU%20Licensed%20Practical%20Nurses/Correspondence%2012.14.10.htm[07/25/2011 2:2
hank you for your consideration in this matter.
red Hagen
hief Benefits Officer
199SEIU Benefit Funds
46-473-6950
rom: Sarah Burgosent: Friday, November 19, 2010 2:38 PMo: Andrews, Jane (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO); Fred Hagenubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
ood afternoon,
lease note our responses to your questions below. If you have any additional questions, please do not hesitate to contact me
arah Burgos on behalfof Fred Hagen
199SEIU Benefit & Pension Fund30 West 42nd St/31st Floorew York, NY 10036
646) 473-6953 (phone)646) 473-6019 (fax)[email protected]
rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]ent: Monday, November 15, 2010 11:02 AMo: Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ubject: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
am in receipt of your application for a waiver of annual limits for the 1199SEIU fund. I have a few questions:
What is the effective date o policy? January 1, 2011When you write there is an prescription drug rate for 2009, what is that rate for 2010, the re rate for 2011, and whahe rate should the prescrip rugs annual limit be required to come up to $750,000? I see a increase, but what are ctual dollars beneath that increase?
010 rate for prescription with current annual maximum is 011 rate for prescription with current annual maximum would be 011 rate for prescription with a $750,000 annual maximum is
hank you.
ane W. Andrews
CIIO
501 Wisconsin Ave
ethesda, MD 20814
01-492-4122 (desk)
02-536-6779 (Blackberry)
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW:
1199SEIU LPN:000029
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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.
_____________________________________________________________________his email has been scanned by the MessageLabs Email Security System.
--------------------------------------------------
Note: The email address of this sender has changed. Please update your records accordingly.------------------------------------------------
efore printing this email, think about the environmental impact. Think Green. Act Green.
Health care information is personal and sensitive information. If such information is being emailed to you, it is afterppropriate authorization from the patient or under circumstances that do not require patient authorization. You, theecipient, are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without additional patonsent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality could
ubject you to penalties described in federal and state law. If you have received this message in error, please notifymmediately and destroy the related message.
_____________________________________________________________________his email has been scanned by the MessageLabs Email Security System.
--------------------------------------------------Note: The email address of this sender has changed. Please update your records accordingly.------------------------------------------------
efore printing this email, think about the environmental impact. Think Green. Act Green.
Health care information is personal and sensitive information. If such information is being emailed to you, it is afterppropriate authorization from the patient or under circumstances that do not require patient authorization. You, theecipient, are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without additional patonsent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality couldubject you to penalties described in federal and state law. If you have received this message in error, please notifymmediately and destroy the related message.
1199SEIU LPN:000030
-
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//T|/...ELLOW]/1199%20SEIU%20Licensed%20Practical%20Nurses/Letter%20for%20approval%20correspondence%2012.14.10.htm[07/25/2011 2:25:
rom: Andrews, Jane (HHS/OCIIO)ent: Tuesday, December 14, 2010 4:56 PM
To: 'Fred Hagen'; 'Sarah Burgos'Cc: Habit, Sandra (HHS/OCIIO)
ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limitsred and Sarah I just left a voice mail for Sarah indicating that you should be getting an approval letter of your waiver applica
or 1199SEIU LPN Fund.
ane W. Andrews
CIIO501 Wisconsin Ave
ethesda, MD 20814
01-492-4122 (desk)
02-536-6779 (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: Fred Hagen [mailto:[email protected]]ent: Tuesday, December 14, 2010 11:07 AMo: Andrews, Jane (HHS/OCIIO); Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ubject: Re: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
hank you for your prompt reply. We are looking forward to your response.red Hagenhief Benefits Officer199 SEIU Benefit and Pension Fund46-473-6950 Office46-473-6019 Fax
rom: Andrews, Jane (HHS/OCIIO)o: Fred Hagen; Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ent: Tue Dec 14 10:47:30 2010ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
Mr. Hagen and Ms. Burgos.
need to apologize for the delay in getting you a response. You are correct that we last corresponded on November 19th. Iompleted my review on November 23, but for some reason, when I sent it forward for second level review, this application goropped from the approval committee list. I suspect it is due to having received two applications from 1199 one of which waspproved November 5, but I am not sure. In any case, I will ensure that this application gets in front of the committee today so
an communicate back to you with a final determination by COB.
gain, my apologies.
ane W. Andrews
CIIO
501 Wisconsin Ave
ethesda, MD 20814
01-492-4122 (desk)
02-536-6779 (Blackberry)
1199SEIU LPN:000031
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//T|/...ELLOW]/1199%20SEIU%20Licensed%20Practical%20Nurses/Letter%20for%20approval%20correspondence%2012.14.10.htm[07/25/2011 2:25:
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: Fred Hagen [mailto:[email protected]]ent: Monday, December 13, 2010 3:50 PMo: Andrews, Jane (HHS/OCIIO); Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
hanks so much.
rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]ent: Monday, December 13, 2010 3:43 PMo: Fred Hagen; Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ubject: Re: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
am checking on the status
rom: Fred Hagen [mailto:[email protected]]ent: Monday, December 13, 2010 03:20 PMo: Sarah Burgos ; Andrews, Jane (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO)ubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
Ms. Andrews/Ms. Habit,
We just want to confirm that you did receive our response sent on November 19, 2010 to your inquiry for additional
nformation regarding our waiver application.
We look forward to hearing your response as soon as possible since this Plans effective date is January 1, 2011.
hank you for your consideration in this matter.
red Hagen
hief Benefits Officer
199SEIU Benefit Funds
46-473-6950
rom: Sarah Burgosent: Friday, November 19, 2010 2:38 PM
o: Andrews, Jane (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO); Fred Hagenubject: RE: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
ood afternoon,
lease note our responses to your questions below. If you have any additional questions, please do not hesitate to contact me
arah Burgos on behalfof Fred Hagen199SEIU Benefit & Pension Fund30 West 42nd St/31st Floor
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ew York, NY 10036646) 473-6953 (phone)646) 473-6019 (fax)[email protected]
rom: Andrews, Jane (HHS/OCIIO) [mailto:[email protected]]ent: Monday, November 15, 2010 11:02 AMo: Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ubject: Application on behalf of Fred Hagen, for a 1199SEIU fund waiver request of annual limits
am in receipt of your application for a waiver of annual limits for the 1199SEIU fund. I have a few questions:
What is the effective date o policy? January 1, 2011When you write there is an prescription drug rate for 2009, what is that rate for 2010, the renewal rate for 2011, and whahe rate should the prescrip drugs annual limit be required to come up to $750,000? I see a increase, but what are ctual dollars beneath that increase?
010 rate for prescription with current annual maximum is 011 rate for prescription with current annual maximum would be
011 rate for prescription with a $750,000 annual maximum is
hank you.
ane W. Andrews
CIIO
501 Wisconsin Ave
ethesda, MD 20814
01-492-4122 (desk)
02-536-6779 (Blackberry)
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_____________________________________________________________________his email has been scanned by the MessageLabs Email Security System.
--------------------------------------------------Note: The email address of this sender has changed. Please update your records accordingly.------------------------------------------------
efore printing this email, think about the environmental impact. Think Green. Act Green.
Health care information is personal and sensitive information. If such information is being emailed to you, it is afterppropriate authorization from the patient or under circumstances that do not require patient authorization. You, theecipient, are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without additional patonsent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality couldubject you to penalties described in federal and state law. If you have received this message in error, please notifymmediately and destroy the related message.
_____________________________________________________________________
his email has been scanned by the MessageLabs Email Security System.
--------------------------------------------------Note: The email address of this sender has changed. Please update your records accordingly.------------------------------------------------
efore printing this email, think about the environmental impact. Think Green. Act Green.
Health care information is personal and sensitive information. If such information is being emailed to you, it is afterppropriate authorization from the patient or under circumstances that do not require patient authorization. You, theecipient, are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without additional patonsent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality couldubject you to penalties described in federal and state law. If you have received this message in error, please notifymmediately and destroy the related message.
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rom: Botwinick, Alexandra (HHS/OCIIO)ent: Tuesday, December 21, 2010 9:33 AM
To: '[email protected]'Cc: Habit, Sandra (HHS/OCIIO)ubject: 1199SEIU Licensed Practical Nurses Welfare Fund Approval Letter for a Waiver of the Annual Limits
Requirements 12-21-2010
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 2711 for 1199SEIU Licensed Practical Nurses Welfare Fund. HHS has reviewed your application
nd made its determination. Please see the attached letter.
lease confirm receipt of this letter by replying to this e-mail.
lease let me know if I can be of further assistance.
incerely,
Alexandra Botwinick
ffice of Oversight
1199SEIU LPN:000035
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rom: Sarah Burgos [[email protected]]ent: Tuesday, December 28, 2010 8:51 AM
To: Botwinick, Alexandra (HHS/OCIIO)Cc: Habit, Sandra (HHS/OCIIO)ubject: RE: 1199SEIU Licensed Practical Nurses Welfare Fund Approval Letter for a Waiver of the Annual Limi
Requirements 12-21-2010orry for the delay in response. I was out of the office. Letter received. Thank you.
rom: Botwinick, Alexandra (HHS/OCIIO) [mailto:[email protected]]ent: Tuesday, December 21, 2010 9:33 AMo: Sarah Burgosc: Habit, Sandra (HHS/OCIIO)ubject: 1199SEIU Licensed Practical Nurses Welfare Fund Approval Letter for a Waiver of the Annual Limits Requirements 12-010mportance: High
ood Afternoon,
hank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act
ection 2711 for 1199SEIU Licensed Practical Nurses Welfare Fund. HHS has reviewed your application
nd made its determination. Please see the attached letter.
lease confirm receipt of this letter by replying to this e-mail.
lease let me know if I can be of further assistance.
incerely,
Alexandra Botwinick
ffice of OversightHHS/[email protected]
_____________________________________________________________________his email has been scanned by the MessageLabs Email Security System.
--------------------------------------------------Note: The email address of this sender has changed. Please update your records accordingly.------------------------------------------------
efore printing this email, think about the environmental impact. Think Green. Act Green.
Health care information is personal and sensitive information. If such information is being emailed to you, it is afterppropriate authorization from the patient or under circumstances that do not require patient authorization. You, theecipient, are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without additional pat
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onsent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality couldubject you to penalties described in federal and state law. If you have received this message in error, please notifymmediately and destroy the related message.
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