ua local 13 - redacted bates hw

7/27/2019 UA Local 13 - Redacted Bates HW

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Pages 2 through 40 redacted for the following reasons:- - - - - - - - - - - - - - - - - - - - - - - - - - - -Exemption 4

UA L13:000002


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ANNUAL LIMIT WAIVER APPLICATION 2010

al

Waiverest

c ante

Policy Name

(use a newrow for each

policyapplication)

Applic ant

(Plan/ PolicySitus) City

Applic ant

(Plan/Policy

Situs)State

Plan/ Policy

Effective Date(mm/dd/yyyy)

ContactName

StreetAddress City State Zip Code

PhoneNumber

(includingarea code)

EmailAddress

Type of

Coverage(e.g., Limited

Benefit, HRA,Rx only, Other)

Self-

Insured(Yes/No)

Individual orGroup Policy

Total

Number ofIndividualsCovered by

Policy(include all

dependentscovered)

Current

Plan OverallAnnual

Limit (indollars)

Local 13mployers

roup

urance

Plan

Section VII of

ApplicantPlan entitled

"Reimbursem

ent of Medical

Expenses" Rochester NY 12/01/1975

Steve

Ostrander

1850 Mt.

Read Blvd Rochester NY 14615

1-800-224-

8544 x104

sostrander

@ualocal

13.org Other Yes Group

Disclosure Statement

rding to the Pape rwork Reduction Act of 1995, no person s are required to re spond to a collect ion of information unless it displays a vali d OMB control num ber. The valid OMB contro l number for this

mation collection is 0938-1105. The time required to complete this information collection is estimate d to average ( 8 hours) or ( 240 minutes) per response, including the time to review instructions,ch existing data resources, gather the data needed, and complete and review the information collec tion. If you have comments concerning the accuracy of the time estimate(s ) or suggestions foroving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.

UA L13:000003
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]


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mbulat ory Emergency Hospit alization Laborat ory PediatricMaternity/Newborn

Mental Health/

SubstanceAbuse

Rehabilitative/Devices

Preventive/Wel ln es s Pr es cr ip ti on

PlanDeductible

Copay (if

applicable)

Coinsuranc

e (ifapplicable)

Copay (if

applicable)

Coinsurance (if

applicable)

Copay (if

applicable)

Coinsurance (if

applicable)

Copay (if

applicable)

C

a

*None *None *None *None *None *None *None *None *None *None *None *None *None *None *None *None *None

Current Essential Benefits Annual Limits (Annual Limit f or Each Essential Benefit)Rx

Copay/ConOffice Visit

Copays/CoinsuranceHospital Inpatient

Copay/CoinsuranceEmergency Room

Copay/Coinsurance

UA L13:000004


5/39


idual/ Employee

Employee

contribution(if applicable)

Employer

contribution(i f ap pl ic ab le) To tal

Employee


Employer

contribution(i f ap pl ic ab le) To tal

Employee


Employer


Projected Rate Increasethat would result from

compliance with $750,000Annual L imit Restric tion

(in do llars)(Average

Premium by Individual)(Difference of Column AT

and AQ divided by

Access t oBenefits that

would resultfrom

compliancewith $750,000Annual L imit

Restriction(describe

briefly in cellor in a

PlanAdmini strator/ CEO

of HealthInsuranc

e IssuerName

Title of Individual

ProvidingAttest ation

Employee *None *None *None *None *None *None None

Steve

Ostrander Fund Manager

Current Monthly Premium Rates orPremium Equivalent Rates (in dollars)*:

Renewal Monthly Premium Rates orPremium Equivalent Rates if Waiver Granted

(in dollars)*

Projected Rate Increase that would result

from compliance with $750,000 Annual LimitRestriction (in d ollars) (Average Premium by

Individual)*

* When completing the columns requesting premium rate information, please express the premium rates as a composite rate (ifpremiums are a range based on years of service or age) and by tier (Employee, Employee + Spouse, Employee + Child, Family,etc.) as applicable. If you are an issuer, please provide the premium amount in the column titled, "Total" (Column AN, AQ and AT).

UA L13:000005


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UA L13:000006


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UA L13:000007


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//C|/...ocal%2013%20Plumbers%20and%20Pipefitters%20Annual%20Limit%20Waiver%20Application%20Dec%2015%202010.htm[08/02/2011 10:53:

rom: Sheer, Jennifer (HHS/OCIIO)

ent: Wednesday, December 15, 2010 9:19 AM

o: '[email protected]'

c: Sheer, Jennifer (HHS/OCIIO)

ubject: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application

ttachments: Waiver Application Form.xls

ollow Up Flag: Follow up

ag Status: Completed

Dear Mr. Ostrander:

hank you for your application for the Waiver of the Annual Limits Requirements of the Public Health Service ActPHS Act) Section 2711. In order to expedite your application, please provide the following information:

I. Please complete the entire annual limits spreadsheet, attached to this email. Please return the completedspreadsheet to this email address as an attachment. We will only be able to process spreadsheets that arfully complete (i.e., every cell should contain the information requested). If a cell on the spreadsheet donot pertain to your plan, please write None, and/or provide an explanation regarding why you are unabto complete that particular cell in a separate document.

II. In addition, please provide the following information:

Confirm whether the plan was in existence prior to March 23, 2010. If so, is the plan in compliance withgrandfathering provisions, pursuant to 45 CFR 147.140?

Confirm whether the plan was created pursuant to the Taft-Hartley Act.

n order to complete your application, please provide this information by 5:00 pm, December 16, 2010. Once thisnformation is received and the application is complete, it will be processed by the Department of Health and Humervices (HHS). As stated in our September 3, 2010 Sub-Regulatory Guidance, HHS will issue a decision within 3ays of receiving a complete application. You will receive an e-mail from HHS notifying you of the waiver decisi

hank you.

--------------------------------

ennifer L. O. Sheer

ffice of Consumer Support

ffice of Consumer Information and Insurance Oversight

.S. Department of Health and Human Services

[email protected]

01-492-4487

UA L13:000008
mailto:[email protected]:[email protected]


9/39

//C|/...ocal%2013%20Plumbers%20and%20Pipefitters%20Annual%20Limit%20Waiver%20Application%20Dec%2016%202010.htm[08/02/2011 10:53

rom: Tricia Marciano [[email protected]]

ent: Thursday, December 16, 2010 3:26 PM

o: Sheer, Jennifer (HHS/OCIIO)

c: Steve Ostrander; TobinLaw

ubject: RE: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

ttachments: Waiver Application Form.xlsx; WaiverResponse.docx



ennifer,

hank you for getting back to me in a timely fashion. Attached is the spreadsheet along with our response to the section

he spreadsheet where we indicated none. This document outlines how our plan works. Steve Ostrander (Fund

Manager), our Legal Counsel and myself met this morning to go over this information. When you return to the office, ple

ve me a call to discuss the information. I will not be in the office tomorrow, but will return on Monday, December 20th

hank you.

ricia Marciano

nsurance & Pension Specialist

A Local 13

850 Mt. Read Blvd.

ochester, NY 14615

hone (585) 338-2310 x106

ax (585) 544-3993

rom: Sheer, Jennifer (HHS/OCIIO) [mailto:[email protected]]ent: Thursday, December 16, 2010 11:13 AMo: Tricia Marciano

c: Steve Ostranderubject: RE: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

ood morning

am unfortunately on sick leave today, and will not be able to return your call until I return to the office. If this is something weddress via e-mail, please let me know. If it does require a phone call, please know that you can have extra time to complete thpreadsheet and that I will return your call when I return to the office. I thank you for your understanding.

--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487

rom: Tricia Marciano [[email protected]]ent: Thursday, December 16, 2010 11:04 AMo: Sheer, Jennifer (HHS/OCIIO)c: Steve Ostranderubject: FW: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

UA L13:000009
mailto:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[email protected]:[email protected]:[mailto:[email protected]]


10/39


ennifer,

eft you a Voice Mail message regarding the waiver application. Please call me when you get a moment today. Thank yo

ricia Marciano


A Local 13

850 Mt. Read Blvd.

ochester, NY 14615

hone (585) 338-2310 x106ax (585) 544-3993

rom: Steve Ostranderent: Thursday, December 16, 2010 10:16 AMo: Tricia Marcianoubject: FW: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application

rom: Sheer, Jennifer (HHS/OCIIO) [mailto:[email protected]]

ent: Wednesday, December 15, 2010 9:19 AMo: Steve Ostranderc: Sheer, Jennifer (HHS/OCIIO)ubject: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application

Dear Mr. Ostrander:




Confirm whether the plan was in existence prior to March 23, 2010. If so, is the plan in compliance with

grandfathering provisions, pursuant to 45 CFR 147.140?



hank you.

--------------------------------

UA L13:000010
mailto:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[mailto:[email protected]]


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ennifer L. O. Sheer




[email protected]

01-492-4487

UA L13:000011


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UA LOCAL 13 & EMPLOYERS GROUP INSURANCE PLAN

Response to Fields Indicated as *None

Hourly contributions from Contractors per Collective Bargaining Agreement are

deposited into each participants Hour Bank. Any contributions in excess of the required

amount for their individual selected insurance coverage (the cost of one years worth of

Health Care coverage) under the plan provisions can be used for reimbursement of the

participants out of pocket medical expenses.

The amount in each participants hour bank will vary for each participant based upon

their hours worked and their Medical/Dental coverage selection.

Work in the construction industry is cyclical. The average amount available for

reimbursement in a participants hour bank is $ . Therefore, it is not feasible that wecan comply with the $750,000 Annual Limit Res n based upon our plan design.

UA L13:000012


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//C|/...bers%20and%20Pipefitters%20Annual%20Limit%20Waiver%20Application%20(Please%20Call)%20Dec%2016%202010.htm[08/02/2011 10:53


ent: Thursday, December 16, 2010 11:04 AM


c: Steve Ostrander

ubject: FW: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

ttachments: Waiver Application Form.xls

ollow Up Flag: Follow Up


ennifer,


ricia Marciano


A Local 13

850 Mt. Read Blvd.

ochester, NY 14615

hone (585) 338-2310 x106

ax (585) 544-3993



ent: Wednesday, December 15, 2010 9:19 AMo: Steve Ostranderc: Sheer, Jennifer (HHS/OCIIO)ubject: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application

Dear Mr. Ostrander:







UA L13:000013


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//C|/...bers%20and%20Pipefitters%20Annual%20Limit%20Waiver%20Application%20(Please%20Call)%20Dec%2016%202010.htm[08/02/2011 10:53


hank you.

--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487

UA L13:000014


15/39



ent: Thursday, December 16, 2010 11:13 AM

o: Tricia Marciano

c: Steve Ostrander




ood morning


--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487


ennifer,


ricia Marciano


A Local 13

850 Mt. Read Blvd.

ochester, NY 14615

hone (585) 338-2310 x106

ax (585) 544-3993


rom: Sheer, Jennifer (HHS/OCIIO) [mailto:[email protected]]ent: Wednesday, December 15, 2010 9:19 AMo: Steve Ostranderc: Sheer, Jennifer (HHS/OCIIO)

UA L13:000015
mailto:[email protected]:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[email protected]


16/39



Dear Mr. Ostrander:








hank you.

--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487

UA L13:000016


17/39


rom: Steve Ostrander [[email protected]]

ent: Tuesday, December 21, 2010 5:00 PM





ennifer,

ricia has the day off today, and she is in possession of all the paperwork. I am unable to answer the first question regardi

he $ , but I can answer the second question. The $ is the annual cost of our policy per participant at the fam

evel. The cost in premium is close to $ per month. Each participant is required to maintain a one year premium bala

n their hour bank before any reimbursements can be requested. We had an instance in the past where a participant drain

is hour bank to $0.00 and was subsequently laid off. He did not have any contributions coming in for his health care and r

ut of coverage within 3 months. He then was still unemployed and unable to self pay his premium, and was termed from

ealth plan. He was offered COBRA, but could not pay for that either on $ per week unemployment. We have since

nstituted this one year policy to prevent this situation from ever arising again. Hope that helps, and I will have Tricia conta

ou tomorrow morning.

egards,

teve

Steve Ostranderund Manager

A Local 13 Benefits Office

850 Mt. Read Blvd.

ochester, NY 14615

[email protected]

hone: 585-338-2310 ext.104

ax: 585-544-3993

oll free: 1-800-224-8544

rom: Sheer, Jennifer (HHS/OCIIO) [mailto:[email protected]]ent: Tuesday, December 21, 2010 4:21 PMo: Tricia Marcianoc: Steve Ostranderubject: RE: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

ello

have two quick questions regarding your spreadsheet. In column Q (Current Plan Overall Annual Limit), you entered $

this the maximum amount that an individual could accumulate in his/her hour bank for reimbursable medical expenses?

econd, in column AB, you list the plan deductible as $ what plan are you referring to (Im not clear on what this

umber means in relationship to the hour bank).

hank you in advance for the clarification.

UA L13:000017


18/39


--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487

rom: Tricia Marciano [mailto:[email protected]]ent: Thursday, December 16, 2010 3:26 PMo: Sheer, Jennifer (HHS/OCIIO)c: Steve Ostrander; TobinLawubject: RE: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

ennifer,





hank you.

ricia Marciano


A Local 13

850 Mt. Read Blvd.

ochester, NY 14615

hone (585) 338-2310 x106

ax (585) 544-3993

rom: Sheer, Jennifer (HHS/OCIIO) [mailto:[email protected]]ent: Thursday, December 16, 2010 11:13 AMo: Tricia Marcianoc: Steve Ostranderubject: RE: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

ood morning


--------------------------------ennifer L. O. Sheer




[email protected]

01-492-4487


UA L13:000018
mailto:[email protected]:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[email protected]:[email protected]:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[email protected]


19/39


ent: Thursday, December 16, 2010 11:04 AMo: Sheer, Jennifer (HHS/OCIIO)c: Steve Ostranderubject: FW: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

ennifer,


ricia Marciano

nsurance & Pension SpecialistA Local 13

850 Mt. Read Blvd.

ochester, NY 14615

hone (585) 338-2310 x106

ax (585) 544-3993


rom: Sheer, Jennifer (HHS/OCIIO) [mailto:[email protected]]ent: Wednesday, December 15, 2010 9:19 AMo: Steve Ostranderc: Sheer, Jennifer (HHS/OCIIO)ubject: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application

Dear Mr. Ostrander:








hank you.UA L13:000019


20/39


--------------------------------

ennifer L. O. Sheer




[email protected]

UA L13:000020


21/39



ent: Friday, December 17, 2010 9:12 AM

o: 'Tricia Marciano'




ello Tricia

hank you for your understanding. I will call you Monday morning to discuss your application. Have a good weekend.

--------------------------------

ennifer L. O. Sheer




[email protected]


ennifer,





hank you.

ricia Marciano


A Local 13

850 Mt. Read Blvd.

ochester, NY 14615

hone (585) 338-2310 x106

ax (585) 544-3993


ood morning

am unfortunately on sick leave today, and will not be able to return your call until I return to the office. If this is something we

UA L13:000021
mailto:[email protected]:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[email protected]


22/39


ddress via e-mail, please let me know. If it does require a phone call, please know that you can have extra time to complete thpreadsheet and that I will return your call when I return to the office. I thank you for your understanding.

--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487


ennifer,


ricia Marciano


A Local 13

850 Mt. Read Blvd.

ochester, NY 14615

hone (585) 338-2310 x106

ax (585) 544-3993

rom: Steve Ostranderent: Thursday, December 16, 2010 10:16 AM

o: Tricia Marcianoubject: FW: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application


Dear Mr. Ostrander:



UA L13:000022


23/39






n order to complete your application, please provide this information by 5:00 pm, December 16, 2010. Once this

nformation is received and the application is complete, it will be processed by the Department of Health and Humervices (HHS). As stated in our September 3, 2010 Sub-Regulatory Guidance, HHS will issue a decision within 3ays of receiving a complete application. You will receive an e-mail from HHS notifying you of the waiver decisi

hank you.

--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487

UA L13:000023


24/39



ent: Tuesday, December 21, 2010 4:21 PM


c: Steve Ostrander




ello






--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487

rom: Tricia Marciano [mailto:[email protected]]ent: Thursday, December 16, 2010 3:26 PM

o: Sheer, Jennifer (HHS/OCIIO)c: Steve Ostrander; TobinLawubject: RE: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

ennifer,





hank you.

ricia Marciano


A Local 13

850 Mt. Read Blvd.

ochester, NY 14615

hone (585) 338-2310 x106

ax (585) 544-3993


UA L13:000024


25/39


ent: Thursday, December 16, 2010 11:13 AMo: Tricia Marcianoc: Steve Ostranderubject: RE: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

ood morning


--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487


ent: Thursday, December 16, 2010 11:04 AMo: Sheer, Jennifer (HHS/OCIIO)c: Steve Ostranderubject: FW: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

ennifer,


ricia Marciano


A Local 13

850 Mt. Read Blvd.ochester, NY 14615

hone (585) 338-2310 x106

ax (585) 544-3993



Dear Mr. Ostrander:


UA L13:000025


26/39








hank you.

--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487

UA L13:000026


27/39




o: 'Steve Ostrander'




i Steve

hank you for this information, this does help to clarify things. I will keep an eye out for Tricias response.

hank you.

--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487

rom: Steve Ostrander [mailto:[email protected]]ent: Tuesday, December 21, 2010 5:00 PMo: Sheer, Jennifer (HHS/OCIIO)ubject: RE: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

ennifer,

ricia has the day off today, and she is in possession of all the paperwork. I am unable to answer the first question regardihe $ but I can answer the second question. The $ is the annual cost of our policy per participant at the fam

evel. The cost in premium is close to $ per month. Each participant is required to maintain a one year premium bala

n their hour bank before any reimbursements can be requested. We had an instance in the past where a participant drain

is hour bank to $0.00 and was subsequently laid off. He did not have any contributions coming in for his health care and r

ut of coverage within 3 months. He then was still unemployed and unable to self pay his premium, and was termed from

ealth plan. He was offered COBRA, but could not pay for that either on $ per week unemployment. We have since

nstituted this one year policy to prevent this situation from ever arising again. Hope that helps, and I will have Tricia conta

ou tomorrow morning.

egards,

teve

Steve Ostranderund Manager

A Local 13 Benefits Office

850 Mt. Read Blvd.

ochester, NY 14615

[email protected]

hone: 585-338-2310 ext.104

ax: 585-544-3993

UA L13:000027
mailto:[email protected]:[mailto:[email protected]]mailto:[email protected]:[email protected]:[mailto:[email protected]]mailto:[email protected]


28/39


oll free: 1-800-224-8544

rom: Sheer, Jennifer (HHS/OCIIO) [mailto:[email protected]]ent: Tuesday, December 21, 2010 4:21 PMo: Tricia Marcianoc: Steve Ostranderubject: RE: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

ello






--------------------------------ennifer L. O. Sheer




[email protected]

01-492-4487

rom: Tricia Marciano [mailto:[email protected]]ent: Thursday, December 16, 2010 3:26 PM

o: Sheer, Jennifer (HHS/OCIIO)c: Steve Ostrander; TobinLawubject: RE: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

ennifer,





hank you.

ricia Marcianonsurance & Pension Specialist

A Local 13

850 Mt. Read Blvd.

ochester, NY 14615

hone (585) 338-2310 x106

ax (585) 544-3993

rom: Sheer, Jennifer (HHS/OCIIO) [mailto:[email protected]]ent: Thursday, December 16, 2010 11:13 AM

UA L13:000028
mailto:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[email protected]:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[email protected]:[mailto:[email protected]]


29/39


o: Tricia Marcianoc: Steve Ostranderubject: RE: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

ood morning


--------------------------------ennifer L. O. Sheer




[email protected]

01-492-4487

rom: Tricia Marciano [[email protected]]ent: Thursday, December 16, 2010 11:04 AM

o: Sheer, Jennifer (HHS/OCIIO)c: Steve Ostranderubject: FW: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

ennifer,


ricia Marciano


A Local 13

850 Mt. Read Blvd.

ochester, NY 14615hone (585) 338-2310 x106

ax (585) 544-3993



Dear Mr. Ostrander:


UA L13:000029


30/39








hank you.

--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487

UA L13:000030


31/39





c: Steve Ostrander




ennifer,

eres the clarification on your two questions below:

Column Q, $ . That is the most that one particular participant currently has in their hour bank available for

medical reimbursement after their one years worth of insurance has been held in reserve.

Column AB, $ That is the current cost of one years health insurance.

hope this information is helpful and please do not hesitate to call me if you need additional clarification. Have a wonder

oliday.

ricia Marciano


A Local 13

850 Mt. Read Blvd.

ochester, NY 14615

hone (585) 338-2310 x106

ax (585) 544-3993

rom: Sheer, Jennifer (HHS/OCIIO) [mailto:[email protected]]ent: Tuesday, December 21, 2010 4:21 PM

o: Tricia Marcianoc: Steve Ostranderubject: RE: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

ello






--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487

UA L13:000031
mailto:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[email protected]:[email protected]:[mailto:[email protected]]


32/39



ennifer,


he spreadsheet where we indicated none. This document outlines how our plan works. Steve Ostrander (FundManager), our Legal Counsel and myself met this morning to go over this information. When you return to the office, ple


hank you.

ricia Marciano


A Local 13

850 Mt. Read Blvd.

ochester, NY 14615

hone (585) 338-2310 x106ax (585) 544-3993


ood morning

am unfortunately on sick leave today, and will not be able to return your call until I return to the office. If this is something we

ddress via e-mail, please let me know. If it does require a phone call, please know that you can have extra time to complete thpreadsheet and that I will return your call when I return to the office. I thank you for your understanding.

--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487


ennifer,


ricia Marciano

UA L13:000032
mailto:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[email protected]:[email protected]:[mailto:[email protected]]mailto:[mailto:[email protected]]


33/39



A Local 13

850 Mt. Read Blvd.

ochester, NY 14615

hone (585) 338-2310 x106

ax (585) 544-3993

rom: Steve Ostrander

ent: Thursday, December 16, 2010 10:16 AMo: Tricia Marcianoubject: FW: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application


Dear Mr. Ostrander:








hank you.

--------------------------------

ennifer L. O. Sheer




UA L13:000033


34/39


[email protected]

01-492-4487

UA L13:000034


35/39



ent: Wednesday, December 22, 2010 12:03 PM


c: Steve Ostrander




i Tricia

hank you very much for this clarification.

appy holidays.

--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487

rom: Tricia Marciano [mailto:[email protected]]ent: Wednesday, December 22, 2010 11:59 AMo: Sheer, Jennifer (HHS/OCIIO)c: Steve Ostranderubject: RE: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

ennifer,

eres the clarification on your two questions below:

Column Q, $ . That is the most that one particular participant currently has in their hour bank available for

medical reimbursement after their one years worth of insurance has been held in reserve.

Column AB, $ . That is the current cost of one years health insurance.

hope this information is helpful and please do not hesitate to call me if you need additional clarification. Have a wonder

oliday.

ricia Marciano


A Local 13

850 Mt. Read Blvd.

ochester, NY 14615

hone (585) 338-2310 x106

ax (585) 544-3993

rom: Sheer, Jennifer (HHS/OCIIO) [mailto:[email protected]]ent: Tuesday, December 21, 2010 4:21 PMo: Tricia Marciano

UA L13:000035


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c: Steve Ostranderubject: RE: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application (Please Call)

ello






--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487


ennifer,



Manager), our Legal Counsel and myself met this morning to go over this information. When you return to the office, pleve me a call to discuss the information. I will not be in the office tomorrow, but will return on Monday, December 20th

hank you.

ricia Marciano


A Local 13

850 Mt. Read Blvd.

ochester, NY 14615

hone (585) 338-2310 x106

ax (585) 544-3993


ood morning

am unfortunately on sick leave today, and will not be able to return your call until I return to the office. If this is something weddress via e-mail, please let me know. If it does require a phone call, please know that you can have extra time to complete th

UA L13:000036


37/39


preadsheet and that I will return your call when I return to the office. I thank you for your understanding.

--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487


ennifer,


ricia Marcianonsurance & Pension Specialist

A Local 13

850 Mt. Read Blvd.

ochester, NY 14615

hone (585) 338-2310 x106

ax (585) 544-3993

rom: Steve Ostranderent: Thursday, December 16, 2010 10:16 AMo: Tricia Marciano

ubject: FW: UA Local 13 Plumbers and Pipefitters Annual Limit Waiver Application


Dear Mr. Ostrander:



II. In addition, please provide the following information:UA L13:000037


38/39





n order to complete your application, please provide this information by 5:00 pm, December 16, 2010. Once thisnformation is received and the application is complete, it will be processed by the Department of Health and Hum

ervices (HHS). As stated in our September 3, 2010 Sub-Regulatory Guidance, HHS will issue a decision within 3ays of receiving a complete application. You will receive an e-mail from HHS notifying you of the waiver decisi

hank you.

--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487

UA L13:000038


39/39


ent: Wednesday, December 22, 2010 12:14 PM

o: 'Tricia Marciano'; Steve Ostrander




Dear Applicant:

hank you for your information. Your application is now complete and you should receive a determination of yourpplication within 30 days.

hank you.

--------------------------------

ennifer L. O. Sheer




[email protected]

01-492-4487

ua local 13 - redacted bates hw

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