springbrook standalone hra - redacted bates hw
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7/27/2019 Springbrook Standalone HRA - Redacted Bates HW
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//T|/...20Standalone%20HRA/Waiver%20of%20Annual%20Dollar%20Limits%20Application-%20REQUIRES%20ATTENTION.htm[08/08/2011 12:08
rom: Stephanie Kier [[email protected]]ent: Tuesday, November 30, 2010 3:37 PMTo: HHS HealthInsurance (HHS)Cc: DeAnna Backus; Stephanie Kierubject: Waiver of Annual Dollar Limits Application- REQUIRES ATTENTION
mportance: High
Attachments: HRA Waiver application 113010.pdf; Springbrook Standalone HRA amended and restated 1-1-102).pdflease see the attached waiver application along with a copy of the HRA Plan Document for Springbrook.
lease respond directly to DeAnna Backus at Springbrook. Contact information is included on the application.
tephanie L. Kier
ccount Executive
elph Benefit Advisors
150-G Pittsford-Victor Rd.
ittsford, NY 14534
: 585-248-8720 Ext. 245
585-415-4323
Visit us at: http://www.relphbenefitadvisors.com for the latest news and information
elph Benefit Advisors is a member of the Benefit Advisors Network (BAN), the premier national credentialed network of independent employee benefit brokend consulting firms. BAN member firms share investment and human capital in state of the art technology and employee benefit expertise to deliver optimum resultseir clients.
ONFIDENTIALITY NOTICE: The information contained in this electronic communication, including any attachments, is confidential information, is intended only for se of the recipients named above, and may be protected by law. If the reader of this message is not an intended recipient, you are hereby notified that any review
ssemination, distribution or copying of this communication, or any of its contents, is strictly prohibited. If you have received this communication in error, please notimmediately of the error by return e-mail and please permanently remove the original message and any copy of it from your system. Thank you
Springbrook:000001
Document obtained by CompleteColorado.com
http://www.relphbenefitadvisors.com/http://www.relphbenefitadvisors.com/ -
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Springbrook:000002
Document obtained by CompleteColorado.com
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Pages 3 through 15 redacted for the following reasons:- - - - - - - - - - - - - - - - - - - - - - - - - - - -Exemption 4
Springbrook:000003
Document obtained by CompleteColorado.com
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//T|/...20NO%2012600%20Response%20[YELLOW]/Springbrook%20Standalone%20HRA/Request%20for%20info%2012.20.10.htm[08/08/2011 12:08
rom: Keels, Lisa (HHS/OCIIO)ent: Monday, December 20, 2010 1:11 PM
To: [email protected]: Habit, Sandra (HHS/OCIIO)ubject: Springbrook Standalone HRA Waiver Application - Request for Additional Information
Dear DeAnna,
hank you for speaking with me today and for your application for the Waiver of the Annual Limits Requirements
he Public Health Service Act (PHS Act) Section 2711. In order to expedite your application, please provide theollowing information:
Please state the number of people covered under each of the following tiers of coverage:
o $ single coverageo $ o-person coverageo $ family coverage
n order to complete your application, please provide this information by 5:00 pm, December 21, 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,isa
sa M. Keels, J.D.
.S. Department of Health & Human Services
ffice of Consumer Information and Insurance Oversight
ffice of Oversight
01-492-4168
Springbrook:000004
Document obtained by CompleteColorado.com
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//T|/...20NO%2012600%20Response%20[YELLOW]/Springbrook%20Standalone%20HRA/Request%20for%20info%2012.22.10.htm[08/08/2011 12:08
rom: Keels, Lisa (HHS/OCIIO)ent: Wednesday, December 22, 2010 4:46 PM
To: [email protected]: Habit, Sandra (HHS/OCIIO)ubject: FW: Springbrook Standalone HRA Waiver Application - Request for Additional Informationear DeAnna,
ust left you a voicemail message to follow up on our conversation and my email below from Monday, December 20th. A
mentioned, in order to complete your application for an annual limits waiver, please let us know how many people areovered under each tier of coverage.
will be out of the office beginning tomorrow, Thursday, December 23, through next week. I will be checking my voicema
eriodically, but I recommend trying to contact me via email if you have any questions. I will be checking my email tomor
nd intermittently next week.
hank you,
sa
rom: Keels, Lisa (HHS/OCIIO)ent: Monday, December 20, 2010 1:11 PMo: '[email protected]'c: Habit, Sandra (HHS/OCIIO)ubject: Springbrook Standalone HRA Waiver Application - Request for Additional Information
Dear DeAnna,
hank you for speaking with me today and for your application for the Waiver of the Annual Limits Requirements he Public Health Service Act (PHS Act) Section 2711. In order to expedite your application, please provide theollowing information:
Please state the number of people covered under each of the following tiers of coverage:o $ single coverageo $ o-person coverageo $ family coverage
n order to complete your application, please provide this information by 5:00 pm, December 21, 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,
isa
sa M. Keels, J.D.
.S. Department of Health & Human Services
ffice of Consumer Information and Insurance Oversight
ffice of Oversight
01-492-4168
Springbrook:000005
Document obtained by CompleteColorado.com
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//T|/...0with%20NO%2012600%20Response%20[YELLOW]/Springbrook%20Standalone%20HRA/Correspondence%2012.23.10.htm[08/08/2011 12:08
rom: Keels, Lisa (HHS/OCIIO)ent: Thursday, December 23, 2010 9:33 AM
To: Stephanie Kier; [email protected]; Kim Sawdey; John BartholfCc: Habit, Sandra (HHS/OCIIO)ubject: RE: Springbrook Standalone HRA Waiver Application - Request for Additional Informationhanks, Stephanie.
sa
rom: Stephanie Kier [mailto:[email protected]]ent: Thursday, December 23, 2010 9:32 AMo: [email protected]; Stephanie Kier; Kim Sawdey; Keels, Lisa (HHS/OCIIO); John Bartholfubject: Re: Springbrook Standalone HRA Waiver Application - Request for Additional Information
isa,
Here is the info you requested.
Opt out ( )ingle ($ personamily ($ lease let DeAnna and me know if you need anything else.
tephanie Kierent from my HTC on the Now Network from Sprint!
---- Reply message -----rom: "DeAnna Backus"
Date: Wed, Dec 22, 2010 4:49 pm
ubject: FW: Springbrook Standalone HRA Waiver Application - Request for Additional Informationo: "Stephanie Kier" , "Kim Sawdey"
will need assistance on this. Please see below. I wont be back in the office until Wednesday, 12/29.
DeAnna Backus
Assistant Director, Human Resources
pringbrook
607) 286-7171, ext. 268
Email: [email protected]
www.springbrookny.org
rom: Keels, Lisa (HHS/OCIIO) [mailto:[email protected]]ent: Wednesday, December 22, 2010 4:46 PMo: DeAnna Backusc: Habit, Sandra (HHS/OCIIO)ubject: [!! SPAM] FW: Springbrook Standalone HRA Waiver Application - Request for Additional Information
ear DeAnna,
ust left you a voicemail message to follow up on our conversation and my email below from Monday, December 20th. A
mentioned, in order to complete your application for an annual limits waiver, please let us know how many people are
Springbrook:000006
Document obtained by CompleteColorado.com
http://www.springbrookny.org/http://www.springbrookny.org/ -
7/27/2019 Springbrook Standalone HRA - Redacted Bates HW
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//T|/...0with%20NO%2012600%20Response%20[YELLOW]/Springbrook%20Standalone%20HRA/Correspondence%2012.23.10.htm[08/08/2011 12:08
overed under each tier of coverage.
will be out of the office beginning tomorrow, Thursday, December 23, through next week. I will be checking my voicema
eriodically, but I recommend trying to contact me via email if you have any questions. I will be checking my email tomor
nd intermittently next week.
hank you,
sa
rom: Keels, Lisa (HHS/OCIIO)
ent: Monday, December 20, 2010 1:11 PM
o: '[email protected]'
c: Habit, Sandra (HHS/OCIIO)
ubject: Springbrook Standalone HRA Waiver Application - Request for Additional Information
ear DeAnna,
hank you for speaking with me today and for your application for the Waiver of the Annual Limits Requirements of the Pu
ealth Service Act (PHS Act) Section 2711. In order to expedite your application, please provide the following information
Please state the number of people covered under each of the following tiers of coverage:
$ single coverage$ two-person coverage$ family coverage
n order to complete your application, please provide this information by 5:00 pm, December 21, 2010. Once this informa
received and the application is complete, it will be processed by the Department of Health and Human Services (HHS). A
tated in our September 3, 2010 Sub-Regulatory Guidance, HHS will issue a decision within 30 days of receiving a complet
pplication. You will receive an e-mail from HHS notifying you of the waiver decision.
hank you,
sa
sa M. Keels, J.D.
.S. Department of Health & Human Services
ffice of Consumer Information and Insurance Oversight
ffice of Oversight
01-492-4168
Clickhere to report this email as spam.
Visit us on the web at http://www.springbrookny.org
Springbrook:000007
Document obtained by CompleteColorado.com
https://www.mailcontrol.com/sr/wQw0zmjPoHdJTZGyOCrrhg==http://www.springbrookny.org/http://www.springbrookny.org/https://www.mailcontrol.com/sr/wQw0zmjPoHdJTZGyOCrrhg== -
7/27/2019 Springbrook Standalone HRA - Redacted Bates HW
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//T|/...ns%20with%20NO%2012600%20Response%20[YELLOW]/Springbrook%20Standalone%20HRA/Completion%2012.27.10.txt[08/08/2011 12:08
rom: Keels, Lisa (HHS/OCIIO)ent: Monday, December 27, 2010 6:50 PMo: Stephanie Kier
Cc: Habit, Sandra (HHS/OCIIO)ubject: RE: Springbrook Standalone HRA Waiver Application - Request for
Additional Information
Hi Stephanie,
hanks for your email. The Springbrook HRA application is currently being processed with the information yourovided on Thursday, December 23rd. At this point, your application is complete, and you should be hearing from
HHS soon.
hanks again,isa_______________________________________rom: Stephanie Kier [[email protected]]ent: Monday, December 27, 2010 3:28 PMo: Keels, Lisa (HHS/OCIIO)
Cc: Habit, Sandra (HHS/OCIIO)
ubject: RE: Springbrook Standalone HRA Waiver Application - Request for Additional Information
isa,
hope you had a wonderful holiday. Per your email below I can see that you are out of the office this week but we checking email periodically. Can you please let me know the status of the HRA Waiver Application forpringbrook? I wanted to reach out to you early this week to make sure Springbrook was all set. Please let me kno
when you get a chance. Thank you.
incerely,tephanie
tephanie KierAccount ExecutiveRelph Benefit Advisors
rom: Keels, Lisa (HHS/OCIIO) [mailto:[email protected]]ent: Thursday, December 23, 2010 9:33 AMo: Stephanie Kier; [email protected]; Kim Sawdey; John Bartholf
Cc: Habit, Sandra (HHS/OCIIO)ubject: RE: Springbrook Standalone HRA Waiver Application - Request for Additional Information
hanks, Stephanie.
isa
rom: Stephanie Kier [mailto:[email protected]]ent: Thursday, December 23, 2010 9:32 AMo: [email protected]; Stephanie Kier; Kim Sawdey; Keels, Lisa (HHS/OCIIO); John Bartholfubject: Re: Springbrook Standalone HRA Waiver Application - Request for Additional Information
isa,
Springbrook:000008
Document obtained by CompleteColorado.com
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//T|/...ns%20with%20NO%2012600%20Response%20[YELLOW]/Springbrook%20Standalone%20HRA/Completion%2012.27.10.txt[08/08/2011 12:08
Here is the info you requested.
Opt out ingle pers amily
lease let DeAnna and me know if you need anything else.
tephanie Kierent from my HTC on the Now Network from Sprint!---- Reply message -----rom: "DeAnna Backus"
Date: Wed, Dec 22, 2010 4:49 pmubject: FW: Springbrook Standalone HRA Waiver Application - Request for Additional Informationo: "Stephanie Kier" , "Kim Sawdey" will need assistance on this. Please see below. I wont be back in the office until Wednesday, 12/29.
DeAnna BackusAssistant Director, Human Resources
pringbrook607) 286-7171, ext. 268mail: [email protected]
www.springbrookny.org
rom: Keels, Lisa (HHS/OCIIO) [mailto:[email protected]]ent: Wednesday, December 22, 2010 4:46 PMo: DeAnna Backus
Cc: Habit, Sandra (HHS/OCIIO)ubject: [!! SPAM] FW: Springbrook Standalone HRA Waiver Application - Request for Additional Information
Dear DeAnna,
just left you a voicemail message to follow up on our conversation and my email below from Monday, December0th. As I mentioned, in order to complete your application for an annual limits waiver, please let us know how meople are covered under each tier of coverage.
will be out of the office beginning tomorrow, Thursday, December 23, through next week. I will be checking myoicemail periodically, but I recommend trying to contact me via email if you have any questions. I will be checki
my email tomorrow and intermittently next week.
hank you,isa
rom: Keels, Lisa (HHS/OCIIO)ent: Monday, December 20, 2010 1:11 PMo: '[email protected]'
Cc: Habit, Sandra (HHS/OCIIO)ubject: Springbrook Standalone HRA Waiver Application - Request for Additional Information
Dear DeAnna,
hank you for speaking with me today and for your application for the Waiver of the Annual Limits Requirements he Public Health Service Act (PHS Act) Section 2711. In order to expedite your application, please provide the
Springbrook:000009
Document obtained by CompleteColorado.com
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7/27/2019 Springbrook Standalone HRA - Redacted Bates HW
10/23
//T|/...ns%20with%20NO%2012600%20Response%20[YELLOW]/Springbrook%20Standalone%20HRA/Completion%2012.27.10.txt[08/08/2011 12:08
ollowing information:
lease state the number of people covered under each of the following tiers of coverage:
single coveragetwo-person coverage
family coveragen order to complete your application, please provide this information by 5:00 pm, December 21, 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,isa
isa M. Keels, J.D.U.S. Department of Health & Human Services Office of Consumer Information and Insurance Oversight Office ofOversight [email protected]
01-492-4168
Click here to report this email as spam.
Visit us on the web at http://www.springbrookny.org
Springbrook:000010
Document obtained by CompleteColorado.com
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7/27/2019 Springbrook Standalone HRA - Redacted Bates HW
11/23
//T|/...0with%20NO%2012600%20Response%20[YELLOW]/Springbrook%20Standalone%20HRA/Status%20check%2012.27.10.htm[08/08/2011 12:08
rom: Stephanie Kier [[email protected]]ent: Monday, December 27, 2010 3:28 PM
To: Keels, Lisa (HHS/OCIIO)Cc: Habit, Sandra (HHS/OCIIO)ubject: RE: Springbrook Standalone HRA Waiver Application - Request for Additional Informationsa,
hope you had a wonderful holiday. Per your email below I can see that you are out of the office this week but will be
hecking email periodically. Can you please let me know the status of the HRA Waiver Application for Springbrook? I wano reach out to you early this week to make sure Springbrook was all set. Please let me know when you get a chance. Tha
ou.
ncerely,
tephanie
tephanie Kier
ccount Executive
elph Benefit Advisors
rom: Keels, Lisa (HHS/OCIIO) [mailto:[email protected]]ent: Thursday, December 23, 2010 9:33 AMo: Stephanie Kier; [email protected]; Kim Sawdey; John Bartholfc: Habit, Sandra (HHS/OCIIO)ubject: RE: Springbrook Standalone HRA Waiver Application - Request for Additional Information
hanks, Stephanie.
sa
rom: Stephanie Kier [mailto:[email protected]]ent: Thursday, December 23, 2010 9:32 AMo: [email protected]; Stephanie Kier; Kim Sawdey; Keels, Lisa (HHS/OCIIO); John Bartholfubject: Re: Springbrook Standalone HRA Waiver Application - Request for Additional Information
isa,
Here is the info you requested.
Opt ouingle perso amily lease let DeAnna and me know if you need anything else.
tephanie Kierent from my HTC on the Now Network from Sprint!
---- Reply message -----rom: "DeAnna Backus"
Date: Wed, Dec 22, 2010 4:49 pmubject: FW: Springbrook Standalone HRA Waiver Application - Request for Additional Information
Springbrook:000011
Document obtained by CompleteColorado.com
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7/27/2019 Springbrook Standalone HRA - Redacted Bates HW
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//T|/...0with%20NO%2012600%20Response%20[YELLOW]/Springbrook%20Standalone%20HRA/Status%20check%2012.27.10.htm[08/08/2011 12:08
o: "Stephanie Kier" , "Kim Sawdey"
will need assistance on this. Please see below. I wont be back in the office until Wednesday, 12/29.
DeAnna Backus
Assistant Director, Human Resources
pringbrook
607) 286-7171, ext. 268
Email: [email protected]
www.springbrookny.org
rom: Keels, Lisa (HHS/OCIIO) [mailto:[email protected]]ent: Wednesday, December 22, 2010 4:46 PMo: DeAnna Backusc: Habit, Sandra (HHS/OCIIO)ubject: [!! SPAM] FW: Springbrook Standalone HRA Waiver Application - Request for Additional Information
ear DeAnna,
ust left you a voicemail message to follow up on our conversation and my email below from Monday, December 20th. A
mentioned, in order to complete your application for an annual limits waiver, please let us know how many people are
overed under each tier of coverage.
will be out of the office beginning tomorrow, Thursday, December 23, through next week. I will be checking my voicema
eriodically, but I recommend trying to contact me via email if you have any questions. I will be checking my email tomor
nd intermittently next week.
hank you,
sa
rom: Keels, Lisa (HHS/OCIIO)ent: Monday, December 20, 2010 1:11 PM
o: '[email protected]'
c: Habit, Sandra (HHS/OCIIO)
ubject: Springbrook Standalone HRA Waiver Application - Request for Additional Information
ear DeAnna,
hank you for speaking with me today and for your application for the Waiver of the Annual Limits Requirements of the Pu
ealth Service Act (PHS Act) Section 2711. In order to expedite your application, please provide the following information
Please state the number of people covered under each of the following tiers of coverage:
$ single coverage$ two-person coverage$ family coverage
n order to complete your application, please provide this information by 5:00 pm, December 21, 2010. Once this informa
received and the application is complete, it will be processed by the Department of Health and Human Services (HHS). A
tated in our September 3, 2010 Sub-Regulatory Guidance, HHS will issue a decision within 30 days of receiving a complet
pplication. You will receive an e-mail from HHS notifying you of the waiver decision.
Springbrook:000012
Document obtained by CompleteColorado.com
http://www.springbrookny.org/http://www.springbrookny.org/ -
7/27/2019 Springbrook Standalone HRA - Redacted Bates HW
13/23
//T|/...0with%20NO%2012600%20Response%20[YELLOW]/Springbrook%20Standalone%20HRA/Status%20check%2012.27.10.htm[08/08/2011 12:08
hank you,
sa
sa M. Keels, J.D.
.S. Department of Health & Human Services
ffice of Consumer Information and Insurance Oversight
ffice of Oversight
Clickhere to report this email as spam.
Visit us on the web at http://www.springbrookny.org
Springbrook:000013
Document obtained by CompleteColorado.com
https://www.mailcontrol.com/sr/wQw0zmjPoHdJTZGyOCrrhg==http://www.springbrookny.org/http://www.springbrookny.org/https://www.mailcontrol.com/sr/wQw0zmjPoHdJTZGyOCrrhg== -
7/27/2019 Springbrook Standalone HRA - Redacted Bates HW
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//T|/...ications%20with%20NO%2012600%20Response%20[YELLOW]/Springbrook%20Standalone%20HRA/Question%201.3.11.txt[08/08/2011 12:08
rom: Stephanie Kier [[email protected]]ent: Monday, January 03, 2011 8:42 AMo: Keels, Lisa (HHS/OCIIO)
Cc: Habit, Sandra (HHS/OCIIO)ubject: RE: Springbrook Standalone HRA Waiver Application - Request for
Additional Information
mportance: High
Hi Lisa,
Can you please tell me the status of the waiver for Springbrook?
tephanie KierAccount ExecutiveRelph Benefit Advisors
----Original Message-----rom: Keels, Lisa (HHS/OCIIO) [mailto:[email protected]]ent: Monday, December 27, 2010 6:50 PM
o: Stephanie KierCc: Habit, Sandra (HHS/OCIIO)
ubject: RE: Springbrook Standalone HRA Waiver Application - Request for Additional Information
Hi Stephanie,
hanks for your email. The Springbrook HRA application is currently being processed with the information yourovided on Thursday, December 23rd. At this point, your application is complete, and you should be hearing from
HHS soon.
hanks again,
isa_______________________________________rom: Stephanie Kier [[email protected]]ent: Monday, December 27, 2010 3:28 PMo: Keels, Lisa (HHS/OCIIO)
Cc: Habit, Sandra (HHS/OCIIO)ubject: RE: Springbrook Standalone HRA Waiver Application - Request for Additional Information
isa,
hope you had a wonderful holiday. Per your email below I can see that you are out of the office this week but w
e checking email periodically. Can you please let me know the status of the HRA Waiver Application forpringbrook? I wanted to reach out to you early this week to make sure Springbrook was all set. Please let me knowhen you get a chance. Thank you.
incerely,tephanie
tephanie KierAccount ExecutiveRelph Benefit Advisors
Springbrook:000014
Document obtained by CompleteColorado.com
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7/27/2019 Springbrook Standalone HRA - Redacted Bates HW
15/23
//T|/...ications%20with%20NO%2012600%20Response%20[YELLOW]/Springbrook%20Standalone%20HRA/Question%201.3.11.txt[08/08/2011 12:08
rom: Keels, Lisa (HHS/OCIIO) [mailto:[email protected]]ent: Thursday, December 23, 2010 9:33 AMo: Stephanie Kier; [email protected]; Kim Sawdey; John Bartholf
Cc: Habit, Sandra (HHS/OCIIO)ubject: RE: Springbrook Standalone HRA Waiver Application - Request for Additional Information
hanks, Stephanie.
isa
rom: Stephanie Kier [mailto:[email protected]]ent: Thursday, December 23, 2010 9:32 AMo: [email protected]; Stephanie Kier; Kim Sawdey; Keels, Lisa (HHS/OCIIO); John Bartholfubject: Re: Springbrook Standalone HRA Waiver Application - Request for Additional Information
isa,
Here is the info you requested.
Opt ouingle pers amily
lease let DeAnna and me know if you need anything else.
tephanie Kierent from my HTC on the Now Network from Sprint!---- Reply message -----rom: "DeAnna Backus"
Date: Wed, Dec 22, 2010 4:49 pmubject: FW: Springbrook Standalone HRA Waiver Application - Request for Additional Informationo: "Stephanie Kier" , "Kim Sawdey" will need assistance on this. Please see below. I won't be back in the office until Wednesday, 12/29.
DeAnna BackusAssistant Director, Human Resources
pringbrook607) 286-7171, ext. 268mail: [email protected]
www.springbrookny.org
rom: Keels, Lisa (HHS/OCIIO) [mailto:[email protected]]
ent: Wednesday, December 22, 2010 4:46 PMo: DeAnna Backus
Cc: Habit, Sandra (HHS/OCIIO)ubject: [!! SPAM] FW: Springbrook Standalone HRA Waiver Application - Request for Additional Information
Dear DeAnna,
just left you a voicemail message to follow up on our conversation and my email below from Monday, December0th. As I mentioned, in order to complete your application for an annual limits waiver, please let us know how meople are covered under each tier of coverage.
Springbrook:000015
Document obtained by CompleteColorado.com
-
7/27/2019 Springbrook Standalone HRA - Redacted Bates HW
16/23
//T|/...ications%20with%20NO%2012600%20Response%20[YELLOW]/Springbrook%20Standalone%20HRA/Question%201.3.11.txt[08/08/2011 12:08
will be out of the office beginning tomorrow, Thursday, December 23, through next week. I will be checking myoicemail periodically, but I recommend trying to contact me via email if you have any questions. I will be checki
my email tomorrow and intermittently next week.
hank you,isa
rom: Keels, Lisa (HHS/OCIIO)ent: Monday, December 20, 2010 1:11 PM
o: '[email protected]'Cc: Habit, Sandra (HHS/OCIIO)
ubject: Springbrook Standalone HRA Waiver Application - Request for Additional Information
Dear DeAnna,
hank you for speaking with me today and for your application for the Waiver of the Annual Limits Requirements he Public Health Service Act (PHS Act) Section 2711. In order to expedite your application, please provide theollowing information:
lease state the number of people covered under each of the following tiers of coverage:
single coveragetwo-person coverage
family coverage
n order to complete your application, please provide this information by 5:00 pm, December 21, 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,isa
isa M. Keels, J.D.U.S. Department of Health & Human Services Office of Consumer Information and Insurance Oversight Office ofOversight [email protected]
01-492-4168
Click here to report this email as spam.
Visit us on the web at http://www.springbrookny.org
Springbrook:000016
Document obtained by CompleteColorado.com
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7/27/2019 Springbrook Standalone HRA - Redacted Bates HW
17/23
//T|/...Response%20[YELLOW]/Springbrook%20Standalone%20HRA/Response%20to%20second%20status%20check%201.3.11.htm[08/08/2011 12:08
rom: Keels, Lisa (HHS/OCIIO)
ent: Monday, January 03, 2011 10:25 AM
o: 'Stephanie Kier'
ubject: FW: Springbrook Standalone HRA Approval Letter for a Waiver of the Annual Limits
Requirements 12-30-2010
ttachments: Updated Jan 1 Approval Letter .pdf
mportance: High
i Stephanie,
n response to your email from his morning, the Springbrook HRA waiver application was approved. DeAnna Backus shoul
ave received the approval letter (attached to this email) on Thursday, December 30th.
s stated below, please confirm receipt of the letter by replying to Sandra Habit ([email protected]).
hank you,
sa
rom: Habit, Sandra (HHS/OCIIO)ent: Thursday, December 30, 2010 5:36 PMo: '[email protected]'ubject: Springbrook Standalone HRA Approval Letter for a Waiver of the Annual Limits Requirements 12-30-2010mportance: High
ood Afternoon,
hank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act
ection 2711 for Springbrook Standalone HRA. HHS has reviewed your application and made its
etermination. 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,
andy Habit
epartment of Health and Human Services
ffice of Consumer Information and Insurance Oversight
01-492-4175
Springbrook:000017
Document obtained by CompleteColorado.com
mailto:[email protected]:[email protected]:[email protected]:[email protected] -
7/27/2019 Springbrook Standalone HRA - Redacted Bates HW
18/23
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7/27/2019 Springbrook Standalone HRA - Redacted Bates HW
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//T|/...ions%20with%20NO%2012600%20Response%20[YELLOW]/Springbrook%20Standalone%20HRA/SpringbrookApproval.htm[08/08/2011 12:08
rom: Habit, Sandra (HHS/OCIIO)ent: Thursday, December 30, 2010 5:36 PM
To: '[email protected]'ubject: Springbrook Standalone HRA Approval Letter for a Waiver of the Annual Limits Requirements 12-30-20
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 Springbrook Standalone HRA. HHS has reviewed your application and made its
etermination. 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,
andy Habit
epartment of Health and Human Services
ffice of Consumer Information and Insurance Oversight
01-492-4175
NFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publiclysclosed 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.
Springbrook:000019
Document obtained by CompleteColorado.com
mailto:[email protected]:[email protected] -
7/27/2019 Springbrook Standalone HRA - Redacted Bates HW
20/23
Springbrook:000020
Document obtained by CompleteColorado.com
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7/27/2019 Springbrook Standalone HRA - Redacted Bates HW
21/23
Springbrook:000021
Document obtained by CompleteColorado.com
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7/27/2019 Springbrook Standalone HRA - Redacted Bates HW
22/23
//T|/...ith%20NO%2012600%20Response%20[YELLOW]/Springbrook%20Standalone%20HRA/Approval%20receipt%201.3.11.htm[08/08/2011 12:08:
rom: DeAnna Backus [[email protected]]ent: Monday, January 03, 2011 10:51 AM
To: Habit, Sandra (HHS/OCIIO)ubject: RE: Springbrook Standalone HRA Approval Letter for a Waiver of the Annual Limits Requirements 12-3010i Sandra,
did receive this email, and have forwarded it on to Stephanie Kier at Relph Benefits.
hank you!
DeAnna Backus
Assistant Director, Human Resources
pringbrook
607) 286-7171, ext. 268
Email: [email protected]
www.springbrookny.org
rom: Habit, Sandra (HHS/OCIIO) [mailto:[email protected]]ent: Thursday, December 30, 2010 5:36 PMo: DeAnna Backusubject: [!! SPAM] Springbrook Standalone HRA Approval Letter for a Waiver of the Annual Limits Requirements 12-30-2010mportance: High
ood Afternoon,
hank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act
ection 2711 for Springbrook Standalone HRA. HHS has reviewed your application and made its
etermination. 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,
andy Habit
epartment of Health and Human Services
ffice of Consumer Information and Insurance Oversight
01-492-4175
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.
Springbrook:000022
Document obtained by CompleteColorado.com
http://www.springbrookny.org/mailto:[email protected]:[email protected]://www.springbrookny.org/ -
7/27/2019 Springbrook Standalone HRA - Redacted Bates HW
23/23
Clickhere to report this email as spam.
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Document obtained by CompleteColorado.com
https://www.mailcontrol.com/sr/wQw0zmjPoHdJTZGyOCrrhg==http://www.springbrookny.org/http://www.springbrookny.org/https://www.mailcontrol.com/sr/wQw0zmjPoHdJTZGyOCrrhg==