sun healthcare group - redacted bates hwm

7/27/2019 Sun Healthcare Group - Redacted Bates HWM

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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

[email protected]

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]


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Sun HCG:000002



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Sun HCG:000003



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//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

[email protected]

hank you,

rian Thompson


uck Consultants


anta Ana, CA 92705

hone 657.622.3669ax 657.622.3666

[email protected]




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


uck Consultants


anta Ana, CA 92705

Sun HCG:000004

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


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

[email protected]




Sun HCG:000005

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


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//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

[email protected]

01-492-4168

Sun HCG:000006



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

mailto:[email protected]:[email protected]


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//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 Oversight

[email protected]

01-492-4168

Sun HCG:000008



9/19


//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



10/19


//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 Oversight

[email protected]

01-492-4168

Sun HCG:000010



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

HHS/[email protected]

Sun HCG:000011



12/19

Sun HCG:000012



13/19

Sun HCG:000013



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//T|/...0%20Response%20[YELLOW]/Sun%20Healthcare%20Group/Confirmation%20of%20Approval%20letter%2011-29-2010.htm[08/05/2011 11:07


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


uck Consultants


anta Ana, CA 92705

hone 657.622.3669

ax 657.622.3666

[email protected]




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,


ection forSun Healthcare Group. HHS has reviewed your application and made its determination. Please se

he attached letter.



incerely,

Alexandra Botwinick

ffice of Oversight


Sun HCG:000014

mailto:[email protected]://www.buckconsultants.com/mailto:[email protected]:[email protected]:[email protected]:[email protected]://www.buckconsultants.com/mailto:[email protected]


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

[email protected]

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


uck Consultants

851 East First Street, Suite 300anta Ana, CA 92705

hone 657.622.3669

ax 657.622.3666

[email protected]




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

Sun HCG:000015

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


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,



he attached letter.



incerely,

lexandra Botwinick

ffice of Oversight


Sun HCG:000016

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


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//T|/...%20NO%2012600%20Response%20[YELLOW]/Sun%20Healthcare%20Group/Correspondence%20response%2011.29.10.htm[08/05/2011 11:07


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


uck Consultants


anta Ana, CA 92705

hone 657.622.3669

ax 657.622.3666

[email protected]




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

[email protected]

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

mailto:[email protected]://www.buckconsultants.com/mailto:[email protected]:[email protected]://www.buckconsultants.com/mailto:[email protected]


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


uck Consultants


anta Ana, CA 92705hone 657.622.3669

ax 657.622.3666

[email protected]




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,



he attached letter.



incerely,

lexandra Botwinick

ffice of Oversight


Sun HCG:000018

mailto:[email protected]://www.buckconsultants.com/mailto:[email protected]:[email protected]:[email protected]:[email protected]://www.buckconsultants.com/mailto:[email protected]


19/19

Pages 19 through 179 redacted for the following reasons:- - - - - - - - - - - - - - - - - - - - - - - - - - - -Exemption 4


sun healthcare group - redacted bates hwm

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