Professional Documents
Culture Documents
com] Sent: Tuesday, November 09, 2010 3:41 PM To: HHS HealthInsurance (HHS) Cc: Heins, John Subject: Attn: James Mayhew_SFN Group_Application for Waiver of Limited Plan Attachments: Letter of application_11082010.pdf; Limited Plan_05012010.pdf; Fully Insured PPO_Prior to 05012010.pdf; Fully Insured PPO_Proposed Rates 05012010.pdf
Dear Mr. Mayhew, Attached, please find our application requesting a waiver from the Annual Limit Requirements of Section 2711 of the Public Health Service Act for our Limited Medical Option under the SFN Group (formerly known as Spherion Corporation) Health and Welfare Benefits Program, effective with our Plan Year commencing on May 1, 2011. Thank you for your consideration of this request.
Mary Ross
Co m
pl
et eC
ol o
ra do .
SFN:000001
co m
et eC
ol o
ra do .
Ex. 4 Ex. 4
pl
Ex. 4
Co m
Ex. 4
Ex. 4
Ex. 4
co m
Ex. 4
SFN:000002
Ex. 4
Ex. 4
Co m
pl
et eC
ol o
ra do .
SFN:000003
co m
Ex. 4
Ex. 4
Co m
pl
et eC
ol o
ra do .
SFN:000004
co m
From: Botwinick, Alexandra (HHS/OCIIO) Sent: Tuesday, November 23, 2010 1:24 PM To: 'maryross@sfngroup.com' Subject: Waiver of the Annual Limits Requirements of PHS Act Section 2711 Importance: High Attachments: May 1 .pdf Good Afternoon, Thank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act Section for SFN Group. HHS has reviewed your application and made its determination. Please see the attached letter. Please confirm receipt of this letter by replying to this e-mail address with a copy to OCIIOOversight@hhs.gov. Please let me know if I can be of further assistance. Sincerely,
alexandra.botwinick@hhs.gov
et eC Co m pl
ol o
ra do .
co m
SFN:000005
Co m
pl
et eC
ol o
ra do .
SFN:000006
co m
Co m
pl
et eC
ol o
ra do .
SFN:000007
co m
From: Ross, Mary [MaryRoss@sfngroup.com] Sent: Tuesday, November 23, 2010 2:51 PM To: Botwinick, Alexandra (HHS/OCIIO) Cc: OCIIO Oversight Subject: RE: Waiver of the Annual Limits Requirements of PHS Act Section 2711 Follow Up Flag: Follow up Flag Status: Red
Receipt confirmed.
Mary Ross
Director, Benefits Human Resources SFN Group 2050 Spectrum Blvd Ft. Lauderdale, FL 33309
alexandra.botwinick@hhs.gov
Co m
Good Afternoon, Thank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act Section for SFN Group. HHS has reviewed your application and made its determination. Please see the attached letter. Please confirm receipt of this letter by replying to this e-mail address with a copy to OCIIOOversight@hhs.gov. Please let me know if I can be of further assistance. Sincerely,
pl
et eC
ol o
ra do .
From: Botwinick, Alexandra (HHS/OCIIO) [mailto:Alexandra.Botwinick@hhs.gov] Sent: Tuesday, November 23, 2010 1:24 PM To: Ross, Mary Subject: Waiver of the Annual Limits Requirements of PHS Act Section 2711 Importance: High
co m
SFN:000008