MVP Healthcare - Redacted HWM

7/27/2019 MVP Healthcare - Redacted HWM

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//T|/...20-%20Torres/DFOI%20Processing%20Team/Mike/MVP%20Health%20Care/MVP%20Waiver%20Application.htm[11/01/2011 3:50

rom: [email protected]: Tuesday, November 23, 2010 3:09 PMo: HHS HealthInsurance (HHS)

Cc: [email protected]; [email protected]; [email protected]: MVP Waiver Application

Attachments: Plan Summaries - MVP Waiver application; Emailing: MVP Waiver Application (11-23-10)Attached please find an application for a waiver of the annual limits submitted by MVP Health Care. Also includedeveral attachments.

-The attachment labeled Plan Summaries constitute Attachment A to the cover letter and include the plan descriptnd plans summaries.-Included with the MVP Waiver Application are the cover letter and Attachment B, which contains the details of tremium increases discussed in the cover letter.

lease contact me if you have any questions.

egards,

Miki Kolton

iki Kolton

f Counselreenberg Traurig LLP | 2101 L Street N.W. | Washington, D.C. 20037el [email protected]| www.gtlaw.com

ax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that any

ederal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was not

ntended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code o

romoting, marketing or recommending to another party any matters addressed herein.

he information contained in this transmission may contain privileged and confidential information. It is intended only for the u

he person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribu

r duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by rep

mail and destroy all copies of the original message. To reply to our email administrator directly, please send an email to

[email protected].

MVP HC:000001
mailto:[email protected]:[email protected]:[email protected]://www.gtlaw.com/mailto:[email protected]:[email protected]:[email protected]://www.gtlaw.com/mailto:[email protected]


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//T|/...%20Processing%20Team/Mike/MVP%20Health%20Care/Emailing%20MVP%20Waiver%20Application%20(11-23-10).pdf.htm[11/01/2011 3:50

rom: [email protected]

ent: Tuesday, November 23, 2010 2:59 PM

ubject: Emailing: MVP Waiver Application (11-23-10).pdf

ttachments: MVP Waiver Application (11-23-10).pdf

MVP HC:000002


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MVP HC:000003


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//T|/...20Processing%20Team/Mike/MVP%20Health%20Care/Plan%20Summaries%20-%20MVP%20%20Waiver%20application.htm[11/01/2011 3:50:

rom: [email protected]

ent: Tuesday, November 23, 2010 3:03 PM

o: [email protected]

ubject: Plan Summaries - MVP Waiver application

ttachments: PC 450 Presc. Drug (11-06)121306.pdf; 501L RX

cap Approved.pdf; 501S RX cap Approved.pdf; 502L RX ca

Approved.pdf; 502S RX cap Approved.pdf; 508L RX cap



Approved.pdf; 511S RX cap Approved.pdf; 524L RX an

max approved.pdf; 524S RX annual max approved.pdf; PAC 507 Presc

Drug _01-05_ .pdf; PC 427 Presc. Drugcap _01-05_ .pdf

MVP HC:000008


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Pages 9 through 106 redacted for the following reasons:-------------------------------------------------------Exemption 4

MVP HC:000009


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//T|/...Waivers%20-%20Torres/DFOI%20Processing%20Team/Mike/MVP%20Health%20Care/Request%20for%20info%20128.10.htm[11/01/2011 3:51

rom: Kottenmeier, Erika (HHS/OCIIO)ent: Wednesday, December 08, 2010 11:56 AM

To: '[email protected]'Cc: Habit, Sandra (HHS/OCIIO)ubject: Annual Limits Waiver application: MVP Health Care

Attachments: Copy of Waiver Application Form.xlsDear Ms. Kolton,

hank you for your waiver application on behalf of MVP Health Care.We would like to expedite processing yourpplication and request that you provide the following information to facilitate this:

Please complete the entire annual limits spreadsheet, attached to this email, with one row of information

each plan for which you are applying for a waiver. Please return the completed spreadsheet to this emaiaddress as an attachment. We will only be able to process spreadsheets that are fully complete (i.e., evecell should contain the information requested). If a cell on the spreadsheet does not pertain to your planplease write None, and/or provide an explanation regarding why you are unable to complete thatparticular cell in a separate document.

n order to complete your application, please provide this information by 5:00 pm, December 9, 2010. Once this

nformation is received and the application is complete, it will be processed by the Department of Health and Humaervices (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

Kind Regards,

rika M. Kottenmeier

ivision of Enforcement

ffice of Oversight

HS/OCIIO

[email protected]

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 government use only and must not be

disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the

extent of the law.

MVP HC:000010
mailto:[email protected]:[email protected]


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//T|/...%20Torres/DFOI%20Processing%20Team/Mike/MVP%20Health%20Care/Request%20for%20info%20response%2012.8.10.htm[11/01/2011 3:5

rom: Kottenmeier, Erika (HHS/OCIIO)ent: Wednesday, December 08, 2010 1:55 PM

To: Habit, Sandra (HHS/OCIIO)ubject: FW: Annual Limits Waiver application: MVP Health Care

rom: [email protected] [mailto:[email protected]]ent: Wednesday, December 08, 2010 1:39 PM

o: Kottenmeier, Erika (HHS/OCIIO)ubject: RE: Annual Limits Waiver application: MVP Health Care

Dear Erika: Thank you for your message. I am working with the plans to get the information

nto the spreadsheet. Your email came through around noon today and includes a deadline

esponse of tomorrow. 12/9. We will try very hard to meet that deadline, but it may be Friday

2/10, before we can get the complete information to you. Would that be acceptable?

Thank you,

Regards,

Miki Kolton

02-331-3134

Tax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that a

U.S. federal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was no



The information contained in this transmission may contain privileged and confidential information. It is intended only for th

se of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination,

istribution or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact theender by reply email and destroy all copies of the original message. To reply to our email administrator directly, please send an

mail to [email protected].

rom: Kottenmeier, Erika (HHS/OCIIO) [mailto:[email protected]]ent: Wednesday, December 08, 2010 11:56 AMo: Kolton, Miki (OfCnsl-DC-HC)c: Habit, Sandra (HHS/OCIIO)ubject: Annual Limits Waiver application: MVP Health Care

Dear Ms. Kolton,

hank you for your waiver application on behalf of MVP Health Care.We would like to expedite processing yourpplication and request that you provide the following information to facilitate this:

Please complete the entire annual limits spreadsheet, attached to this email, with one row of information

each plan for which you are applying for a waiver. Please return the completed spreadsheet to this emaiaddress as an attachment. We will only be able to process spreadsheets that are fully complete (i.e., evecell should contain the information requested). If a cell on the spreadsheet does not pertain to your planplease write None, and/or provide an explanation regarding why you are unable to complete thatparticular cell in a separate document.

MVP HC:000011
mailto:[email protected]:[email protected]:[email protected]


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//T|/...%20Torres/DFOI%20Processing%20Team/Mike/MVP%20Health%20Care/Request%20for%20info%20response%2012.8.10.htm[11/01/2011 3:5

n order to complete your application, please provide this information by 5:00 pm, December 9, 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

Kind Regards,

rika M. Kottenmeier

ivision of Enforcementffice of Oversight

HS/OCIIO

[email protected]

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 government use only and must not be

disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the

extent of the law.

MVP HC:000012


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//T|/...O%20Waivers%20-%20Torres/DFOI%20Processing%20Team/Mike/MVP%20Health%20Care/Correspondence%2012.13.10.htm[11/01/2011 3:5

rom: Kottenmeier, Erika (HHS/OCIIO)ent: Monday, December 13, 2010 2:03 PM

To: '[email protected]'Cc: Habit, Sandra (HHS/OCIIO)ubject: RE: MVP Waiver Application Tablehank you very much. Whose email address should I list as the contact? I can just fill that in myself.

rika Kottenmeier

rom: [email protected] [mailto:[email protected]]ent: Monday, December 13, 2010 1:53 PMo: Kottenmeier, Erika (HHS/OCIIO)c: [email protected]; [email protected]: RE: MVP Waiver Application Table

Ms. Kottenmeier~

As requested, attached please find the exact application table sent to you on Friday in an unlocked format. Should ave any questions or if I can be of further assistance, please let me know. Thank you.

acy W. Costanzossistant Paralegalreenberg Traurig LLP | 2101 L Street N.W. | Washington, D.C. 20037el 202.331.3155 | Fax [email protected] | www.gtlaw.com

rom: Kottenmeier, Erika (HHS/OCIIO) [mailto:[email protected]]ent: Monday, December 13, 2010 12:51 PMo: Kolton, Miki (OfCnsl-DC-HC)

c: '[email protected]'ubject: RE: MVP Waiver Application Table

ear Ms. Costanzo,

am sorry to have to tell you this after all your obvious hard work, but I need you to re-send the application table again.

nfortunately it seems to be locked and I need to be able to work with the data in it in order to process your application. The fi

ersion of the table was not lockedpossibly because it was not in the .docx format? I am not sure what is different here, but

here something you could change about the document without taking out information so that I can work with it? I greatly

ppreciate it. I am certain that soon we will have a finished document.

est,

rika Kottenmeier

rom: [email protected] [mailto:[email protected]] On Behalf [email protected]: Friday, December 10, 2010 12:52 PMo: Kottenmeier, Erika (HHS/OCIIO)c: [email protected]; [email protected]: MVP Waiver Application Table

Ms. Kottenmeier,

he attached is being forwarded at Miki Kolton's request. If I can be of further assistance, please let me know. Thank

MVP HC:000013
mailto:[email protected]://www.gtlaw.com/mailto:[email protected]://www.gtlaw.com/http://www.gtlaw.com/mailto:[email protected]


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//T|/...O%20Waivers%20-%20Torres/DFOI%20Processing%20Team/Mike/MVP%20Health%20Care/Correspondence%2012.13.10.htm[11/01/2011 3:5

ou.










[email protected].

MVP HC:000014
mailto:[email protected]://www.gtlaw.com/mailto:[email protected]:[email protected]:[email protected]://www.gtlaw.com/mailto:[email protected]


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//T|/...aivers%20-%20Torres/DFOI%20Processing%20Team/Mike/MVP%20Health%20Care/Correspondence%20(2)%2012.13.10.htm[11/01/2011 3:51

rom: Kottenmeier, Erika (HHS/OCIIO)ent: Monday, December 13, 2010 2:40 PM

To: '[email protected]'Cc: Habit, Sandra (HHS/OCIIO); '[email protected]'ubject: RE: MVP Waiver Application Tableot it. That should be everything we need. Your application is complete.

rika Kottenmeier

rom: [email protected] [mailto:[email protected]]ent: Monday, December 13, 2010 2:06 PMo: Kottenmeier, Erika (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO); [email protected]: RE: MVP Waiver Application Table

Miki Kolton should be the contact ([email protected]). Thank you.


rom: Kottenmeier, Erika (HHS/OCIIO) [mailto:[email protected]]ent: Monday, December 13, 2010 2:03 PMo: Costanzo, Stacy (Secy-DC-HC)c: Habit, Sandra (HHS/OCIIO)ubject: RE: MVP Waiver Application Table

hank you very much. Whose email address should I list as the contact? I can just fill that in myself.

rika Kottenmeier


Ms. Kottenmeier~

As requested, attached please find the exact application table sent to you on Friday in an unlocked format. Should

ave any questions or if I can be of further assistance, please let me know. Thank you.


MVP HC:000015
mailto:[email protected]:[email protected]://www.gtlaw.com/mailto:[email protected]://www.gtlaw.com/http://www.gtlaw.com/mailto:[email protected]://www.gtlaw.com/mailto:[email protected]:[email protected]


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//T|/...aivers%20-%20Torres/DFOI%20Processing%20Team/Mike/MVP%20Health%20Care/Correspondence%20(2)%2012.13.10.htm[11/01/2011 3:51

rom: Kottenmeier, Erika (HHS/OCIIO) [mailto:[email protected]]ent: Monday, December 13, 2010 12:51 PMo: Kolton, Miki (OfCnsl-DC-HC)c: '[email protected]'ubject: RE: MVP Waiver Application Table

ear Ms. Costanzo,



ersion of the table was not lockedpossibly because it was not in the .docx format? I am not sure what is different here, but here something you could change about the document without taking out information so that I can work with it? I greatly


est,

rika Kottenmeier

rom: [email protected] [mailto:[email protected]] On Behalf [email protected]: Friday, December 10, 2010 12:52 PMo: Kottenmeier, Erika (HHS/OCIIO)c: [email protected]; [email protected]: MVP Waiver Application Table

Ms. Kottenmeier,

he attached is being forwarded at Miki Kolton's request. If I can be of further assistance, please let me know. Thankou.










[email protected].

MVP HC:000016


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//T|/...s%20-%20Torres/DFOI%20Processing%20Team/Mike/MVP%20Health%20Care/Correspondence%20response%2012.13.10.htm[11/01/2011 3:51

rom: [email protected]: Monday, December 13, 2010 2:06 PM

To: Kottenmeier, Erika (HHS/OCIIO)Cc: Habit, Sandra (HHS/OCIIO); [email protected]: RE: MVP Waiver Application Table

Miki Kolton should be the contact ([email protected]). Thank you.

acy W. Costanzossistant Paralegal

reenberg Traurig LLP | 2101 L Street N.W. | Washington, D.C. 20037el 202.331.3155 | Fax [email protected] | www.gtlaw.com

rom: Kottenmeier, Erika (HHS/OCIIO) [mailto:[email protected]]ent: Monday, December 13, 2010 2:03 PMo: Costanzo, Stacy (Secy-DC-HC)c: Habit, Sandra (HHS/OCIIO)ubject: RE: MVP Waiver Application Table

hank you very much. Whose email address should I list as the contact? I can just fill that in myself.

rika Kottenmeier


Ms. Kottenmeier~

As requested, attached please find the exact application table sent to you on Friday in an unlocked format. Should ave any questions or if I can be of further assistance, please let me know. Thank you.


rom: Kottenmeier, Erika (HHS/OCIIO) [mailto:[email protected]]ent: Monday, December 13, 2010 12:51 PMo: Kolton, Miki (OfCnsl-DC-HC)c: '[email protected]'ubject: RE: MVP Waiver Application Table

ear Ms. Costanzo,



ersion of the table was not lockedpossibly because it was not in the .docx format? I am not sure what is different here, but

MVP HC:000017
mailto:[email protected]:[email protected]://www.gtlaw.com/mailto:[email protected]://www.gtlaw.com/http://www.gtlaw.com/mailto:[email protected]://www.gtlaw.com/mailto:[email protected]:[email protected]


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//T|/...s%20-%20Torres/DFOI%20Processing%20Team/Mike/MVP%20Health%20Care/Correspondence%20response%2012.13.10.htm[11/01/2011 3:51

here something you could change about the document without taking out information so that I can work with it? I greatly


est,

rika Kottenmeier

rom: [email protected] [mailto:[email protected]] On Behalf [email protected]: Friday, December 10, 2010 12:52 PMo: Kottenmeier, Erika (HHS/OCIIO)

c: [email protected]; [email protected]: MVP Waiver Application Table

Ms. Kottenmeier,

he attached is being forwarded at Miki Kolton's request. If I can be of further assistance, please let me know. Thankou.








r duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by repmail and destroy all copies of the original message. To reply to our email administrator directly, please send an email to

[email protected].

MVP HC:000018


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//T|/...-%20Torres/DFOI%20Processing%20Team/Mike/MVP%20Health%20Care/Request%20for%20further%20info%2012.10.10.htm[11/01/2011 3:5

rom: Kottenmeier, Erika (HHS/OCIIO)ent: Friday, December 10, 2010 9:44 AM

To: Habit, Sandra (HHS/OCIIO)ubject: FW: MVP Waiver Application Table

rom: Kottenmeier, Erika (HHS/OCIIO)ent: Friday, December 10, 2010 9:44 AM

o: '[email protected]'ubject: RE: MVP Waiver Application Table

ear Ms. Kolton,

hank you for your response. Before I can continue to work with your application, there were many blank cells in the spreadsh

articularly for employee and employer contributions. If these do not apply to your plan, please fill the blanks for all cells conta

applicable information with None and re-send. We need a copy that you have filled out completely with no missing informat

or empty cells in rows that are filled out) to prevent inaccuracies in data collection. If the missing information was an oversight

ease provide it for us. Thank you for your assistance.

est,

rika Kottenmeier

rom: [email protected] [mailto:[email protected]]ent: Thursday, December 09, 2010 7:30 PMo: Kottenmeier, Erika (HHS/OCIIO); [email protected]: Fw: MVP Waiver Application Table

rika: per your request attached please find a completed excel table with the data regarding MVP's waiver application. Please l

me know if you have any questions.

egards,

Miki Kolton.

Miki Kolton

rom: Randy Kolton o: Kolton, Miki (OfCnsl-DC-HC)ent: Thu Dec 09 19:26:01 2010ubject: MVP Waiver Application Table

Tax Advice Disclosure: To ensure compliance with requirements imposed by the IRS under Circular 230, we inform you that a

U.S. federal tax advice contained in this communication (including any attachments), unless otherwise specifically stated, was no

ntended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code oromoting, marketing or recommending to another party any matters addressed herein.

The information contained in this transmission may contain privileged and confidential information. It is intended only for th

se of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination,

istribution or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the

ender by reply email and destroy all copies of the original message. To reply to our email administrator directly, please send an

mail to [email protected].

MVP HC:000019
mailto:[email protected]:[email protected]:[email protected]


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//T|/...-%20Torres/DFOI%20Processing%20Team/Mike/MVP%20Health%20Care/Request%20for%20further%20info%2012.10.10.htm[11/01/2011 3:5

MVP HC:000020


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//T|/...VP%20Approval%20Letter%20for%20a%20Waiver%20of%20the%20Annual%20Limits%20Requirements%2012-30-2010.htm[11/01/2011 3:51:

rom: Habit, Sandra (HHS/OCIIO)ent: Thursday, December 30, 2010 5:20 PM

To: 'Miki Kolton'ubject: MVP Approval Letter for a Waiver of the Annual Limits Requirements 12-30-2010

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 MVP. HHS has reviewed your application and made its determination. Please see the

ttached letter. The following plans have been approved:

MVP

Health

Insurance

Company

501S

MVP

HealthInsurance

Company

502S

MVP

Health

Insurance

Company

508S

MVP

Health

Insurance

Company510S

MVP

Health

Insurance

Company

511S

MVP

Health

Insurance

Company

524S

PreferredAssurance

Company,

Inc

PAC507

MVP

Health

Plan, Inc.

PC427

MVP

MVP HC:000021


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//T|/...VP%20Approval%20Letter%20for%20a%20Waiver%20of%20the%20Annual%20Limits%20Requirements%2012-30-2010.htm[11/01/2011 3:51:

Health

Plan, Inc.

PC450

MVP

Health

Insurance

Company

501L

MVP

Health

Insurance

Company

502L

MVP

Health

Insurance

Company

508L

MVP

Health

Insurance

Company

510L

MVP

Health

Insurance

Company

511L

MVP

Health

Insurance

Company

524L

lease confirm receipt of this letter by replying to this e-mail.

lease let me know if I can be of further assistance.

incerely,

andy Habit

epartment of Health and Human Services

ffice of Consumer Information and Insurance Oversight

01-492-4175

[email protected]

NFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly

sclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distribu

r copied to persons not authorized to receive the information. Unauthorized disclosures may result in prosecution to the full e

f the law.

MVP HC:000022


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MVP HC:000023


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MVP Healthcare - Redacted HWM

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Transcript of MVP Healthcare - Redacted HWM