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Pages 4 through 68 redacted for the following reasons:---------------------------------------------------Exemption 4
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//T|/...20New%20Jersey/FW%20Horizon%20Blue%20Cross%20Blue%20Shield%20of%20New%20Jersey%20Waiver%20Filing.htm[10/25/2011 12:45
rom: Pham, Erica (HHS/OCIIO)
ent: Wednesday, December 22, 2010 1:31 PM
o: Gary, Lapreea (HHS/OCIIO)
ubject: FW: Horizon Blue Cross Blue Shield of New Jersey Waiver Filing
ttachments: Letter and Application.pdf; EXHIBIT 1 B&E Plus Plan Waiver Filing.doc; Exhibit 1A - B&E E
Plan.doc; Exhibit 1B - IHC B&E Products 10-27-2010.xls; Exhibit 1C- Rate Information.xls;
Exhibit 2 CEO Attestation.pdf; Copy of waiver_application_form.xls
ollow Up Flag: Follow up
lag Status: Flagged
lease create a folder on the G drive for this applicant.
hey originally submitted to the wrong address ([email protected]).
rom:[email protected][mailto:[email protected]] ent: Wednesday, December 22, 2010 1:26 PMo: Pham, Erica (HHS/OCIIO)
c:[email protected]; [email protected]; [email protected];[email protected]; [email protected]; [email protected];[email protected]: Fw: Horizon Blue Cross Blue Shield of New Jersey Waiver Filing
Dear Ms. Kottenmeier,
n response to your request that Horizon Blue Cross Blue Shield of New Jersey resubmit its waiver filing
irectly to you, I have included the original email containing the filing (below). I have also attached the new
ling form that you requested. This filing pertains to an individual product.
you have any questions, please do not hesitate to contact me.
hank you very much for your assistance .
Sincerely,
ill Swyer Novak
ll Swyer Novak
ssistant General Counsel73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.-- - Forwarded by Jill Swyernovak/BCBSNJ on 12/22/2010 12:23 PM -- -- -
rom: Jill Swyernovak/BCBSNJ
Cc: Colleen Brennan/BCBSNJ@BCBSNJ, Adam Young/BCBSNJ@BCBSNJ, Edward Mailander/BCBSNJ@BCBSNJ, Robert E Meehan/BCBSNJ@BCBSNJ, PetMorey/BCBSNJ@BCBSNJ, [email protected],[email protected]
HBCBSNJ:000006
mailto:[email protected]:[email protected]:[mailto:[email protected]]mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[mailto:[email protected]]mailto:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
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//T|/...20New%20Jersey/FW%20Horizon%20Blue%20Cross%20Blue%20Shield%20of%20New%20Jersey%20Waiver%20Filing.htm[10/25/2011 12:45
ate: 11/02/2010 05:12 PM
ubject: Horizon Blue Cross Blue Shield of New Jersey Waiver Filing
Dear Mr. Mayhew:
am writing on behalf of Horizon Blue Cross Blue Shield of New Jersey to submit its application for a wai
rom restricted annual limits on the dollar value of essential benefits for Horizon BCBSNJ's Basic andEssential EPO Plus plan. Please see the attached letter and application, supporting exhibits and. CEO
ttestation.
Sincerely,
ill Swyer Novak, Esq.
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.=============================================================================his message and any attachments are solely for the intended recipient. If you are not the
ntended recipient, disclosure, copying, use, or distribution of the information included in tessage is prohibited -- please immediately and permanently delete this message.=============================================================================
HBCBSNJ:000007
mailto:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
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ANNUAL LIMIT WAIVER APPLICATION
Ann ual
Limit Waiver
Request
App licant
Name
Policy Name
(use a new
row for each
policy
application)
App licant
(Plan/ Policy
Situs) City
App licant
(Plan/
Policy
Situs)
State
Plan/ Policy
Effective Date
(mm/dd/yyyy)
Contact
Name
Street
Address City State Zip Code
Phone
Number
(including
area code)
Address
C
(e.
Be
Rx o
ApplicantABC Plan 1 Washington DC 01/01/2011 J ane Doe
100 ABCDrive Washington DC 20201
1-800-ABC-1234
abc@abchea
lthplan.com Lim
HorizonHealthcare
Services, Inc.d/b/a HorizonBlue CrossBlue Shield
of NewJ ersey Basic & Essential EPO Plus NJ 09/23/2010
J ill SwyerNovak
Three PennPlaza East,
PP 16F, Newark NJ07105-2200
1-973-466-7421
jill_swyernovak@horizonb
lue.com Lim
PRA Disclosure Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The information collection is 0938-1105. The time required to complete this information collection is estimated to average ( 8 hours) or ( 240 minutes) per response, includinsearch existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.
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ANNUAL LIMIT WAIVER APPLICATION
Ambul ator y Emerg ency Hosp italizatio n Laboratory Pediat ri c
Maternity/
Newborn
Mental Health/
Substance
Abuse
Rehabilitative/
Devices
Preventive/
Wellness
Current Essential Benefits An nual Limits (Annu al Limit fo r Each Essential Benefit)
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ANNUAL LIMIT WAIVER APPLICATION
ndividual/ Employee
Tier*
Employee
contribution
(if applicable)
Employer
contribution
(if applicable) Total
Employee
contribution
(if applicable)
Employer
contribution
(if applicable) Total
Employee
contribution
(if applicable)
Employer
contribution
(if applicable) Total
Projected Rate Increase that woul d result
from compliance with $750,000 Annual Limit
Restriction (in d ollars) (Average Premium
by Individual)*
Current Monthly Premium Rates or
Premium Equivalent Rates (in dollars)*:
Renewal Monthly Premium Rates or
Premium Equivalent Rates if Waiver Granted
(in dollars)*
* 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).
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//T|/...ng%20Team/Mike/Horizon%20Blue%20Cross%20Blue%20Shield%20of%20New%20Jersey/Correspondence%2012.22.10.htm[10/25/2011 12:45
rom: Pham, Erica (HHS/OCIIO)ent: Wednesday, December 22, 2010 3:14 PM
To: '[email protected]'Cc: '[email protected]'; '[email protected]';[email protected]'; '[email protected]'; '[email protected][email protected]'; '[email protected]'ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Waiver Filingear Ms. Swyer Novak:
HS is in receipt of your application, We will review and process this application. We note that we did not receive your origina
pplication submitted on November 2 because it appears it was sent to an incorrect address, [email protected] rather t
hank you and happy holidays,
rica
rica Pham
ivision of Enforcement
ffice of Oversight
CIIO/HHS
01-492-4108
rom: [email protected] [mailto:[email protected]]ent: Wednesday, December 22, 2010 1:26 PMo: Pham, Erica (HHS/OCIIO)c: [email protected]; [email protected]; [email protected];[email protected]; [email protected]; [email protected];[email protected]: Fw: Horizon Blue Cross Blue Shield of New Jersey Waiver Filing
Dear Ms. Kottenmeier,
n response to your request that Horizon Blue Cross Blue Shield of New Jersey resubmit its waiver filing
irectly to you, I have included the original email containing the filing (below). I have also attached the new
ling form that you requested. This filing pertains to an individual product.
you have any questions, please do not hesitate to contact me.
hank you very much for your assistance .
Sincerely, ill Swyer Novak
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail: [email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
HBCBSNJ:000011
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
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//T|/...ng%20Team/Mike/Horizon%20Blue%20Cross%20Blue%20Shield%20of%20New%20Jersey/Correspondence%2012.22.10.htm[10/25/2011 12:45
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.-- - Forwarded by Jill Swyernovak/BCBSNJ on 12/22/2010 12:23 PM -- -- -
rom: Jill Swyernovak/BCBSNJ
Cc: Colleen Brennan/BCBSNJ@BCBSNJ, Adam Young/BCBSNJ@BCBSNJ, Edward Mailander/BCBSNJ@BCBSNJ, Robert E Meehan/BCBSNJ@BCBSNJ, PetMorey/BCBSNJ@BCBSNJ, [email protected], [email protected]
ate: 11/02/2010 05:12 PM
ubject: Horizon Blue Cross Blue Shield of New Jersey Waiver Filing
Dear Mr. Mayhew:
am writing on behalf of Horizon Blue Cross Blue Shield of New Jersey to submit its application for a wai
rom restricted annual limits on the dollar value of essential benefits for Horizon BCBSNJ's Basic and
Essential EPO Plus plan. Please see the attached letter and application, supporting exhibits and. CEO
ttestation.
Sincerely,
ill Swyer Novak, Esq.
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail: [email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.=============================================================================his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in tessage is prohibited -- please immediately and permanently delete this message.=============================================================================
HBCBSNJ:000012
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//T|/...f%20New%20Jersey/Horizon%20Blue%20Cross%20Blue%20Shield%20of%20New%20Jersey%20Waiver%20Application.htm[10/25/2011 12:45
rom: [email protected]
ent: Tuesday, January 04, 2011 3:56 PM
o: Pham, Erica (HHS/OCIIO)
c: [email protected]; [email protected];
[email protected]; [email protected];
[email protected]; [email protected];
ubject: Horizon Blue Cross Blue Shield of New Jersey Waiver Application
ttachments: New Jersey Waiver Letter.pdf
Dear Ms. Pham,
am writing to inform you that the data sheet that was submitted with
he resubmission of the Horizon Blue Cross Blue Shield of New Jerse
"Horizon BCBSNJ") application for a waiver of the annual limitestrictions on essential benefits contains an incorrect number in the
column labeled "Total Number of Individuals Cove Policy (includall depend overed)." The number should be membersnstead of listed.
would also like to bring to your attention the fact that HHS has
approved the New Jersey Department of Banking and Insurance
"NJDOBI") application for a waiver of the annual limit restrictions onessential health benefits under Section 2711 of the Public Health
Services Act (See attached letter below). The coverage that is the
subject of the NJDOBI's filing is the underlying coverage supporting th
ider in the Horizon BCBSNJ application. Horizon BCBSNJ's rider
enhances the underlying NJDOBI coverage by providing increased
benefits for members.
Since the NJDOBI's filing has been approved, Horizon BCBSNJ looks
orward to hearing shortly from HHS on its approval as well.
Happy New Year and thank you very much for your assistance in this
process.
Sincerely,HBCBSNJ:000013
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//T|/...f%20New%20Jersey/Horizon%20Blue%20Cross%20Blue%20Shield%20of%20New%20Jersey%20Waiver%20Application.htm[10/25/2011 12:45
Jill Swyer Novak
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.=============================================================================his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in tessage is prohibited -- please immediately and permanently delete this message.=============================================================================
HBCBSNJ:000014
mailto:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
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HBCBSNJ:000015
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HBCBSNJ:000016
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From: Keels, Lisa (HHS/OCIIO)Sent: Monday, January 24, 2011 2:57 PMTo: Habit, Sandra (HHS/OCIIO)Subject: FW: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application
- Request for Additional Information
Hi Sandy,
The email didnt go through. I will try again. Thanks!
_____________________________________________
From: System Administrator
Sent: Monday, January 24, 2011 2:57 PM
To: Keels, Lisa (HHS/OCIIO)
Subject: Undeliverable: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application -
Request for Additional Information
Your message did not reach some or all of the intended recipients.
Subject: Horizon Blue Cross Blue Shield of New Jersey Annual Limits WaiverApplication - Request for Additional Information
Sent: 1/24/2011 2:57 PM
The following recipient(s) cannot be reached:
'[email protected]' on 1/24/2011 2:57 PMNone of your e-mail accounts could send to this recipient.
HBCBSNJ:000017
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//T|/.../Horizon%20Blue%20Cross%20Blue%20Shield%20of%20New%20Jersey/Request%20for%20info%20(2)%20%201.24.11.htm[10/25/2011 12:45
rom: Keels, Lisa (HHS/OCIIO)ent: Monday, January 24, 2011 2:59 PM
To: [email protected]: Habit, Sandra (HHS/OCIIO)ubject: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additionnformation
Dear Ms. Swyer Novak:
hank you for your application for the Waiver of the Annual Limits Requirements of the Public Health Service ActPHS Act) Section 2711. I left you a voicemail earlier this afternoon. We are processing your application and havouple of questions about the waiver application spreadsheet you submitted. In order to complete your applicationlease provide the following information:
1. On the spreadsheet, enrollees are categorized under the following tiers: Individual, Employee + Spouse,Employee + Family, and Employee + Children. Since Horizon BCBSNJ is an individual policy, please conthat, by Employee + Spouse, Employee + Family, and Employee + Children, you mean Individual +Spouse, Individual + Family, and Individual + Children.
2. The spreadsheet column entitle tal Number of Individuals Covered by Policy (include all dependent covered) contains the number . However, the application letter states that the B&E Plus Plan hadenrollees at the end of the seco arter. Please confirm the number of enrollees under each tier of cov(i.e., Individual, Employee + Child, etc.).
3. Please confirm whether the policy was in existence prior to March 23, 2010. If so, is the plan in compliancwith grandfathering provisions, pursuant to 45 CFR 147.140?
lease feel free to call me if you have any questions. I look forward to hearing from you soon.
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
HBCBSNJ:000018
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//T|/...Team/Mike/Horizon%20Blue%20Cross%20Blue%20Shield%20of%20New%20Jersey/completion%202.3.11.htm[10/25/2011 12:45
rom: Keels, Lisa (HHS/OCIIO)Sent: Thursday, February 03, 2011 3:34 PMo: [email protected]
Cc: Habit, Sandra (HHS/OCIIO)Subject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request fdditional Informationear Jill,
ust wanted to let you know that your application is complete, and you should be hearing from HHS soon.
hank you,
sa
rom: [email protected] [mailto:[email protected]]ent: Thursday, February 03, 2011 2:02 PMo: Keels, Lisa (HHS/OCIIO)ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
hank you, Lisa.egards,ll
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail: [email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.
rom: "Keels, Lisa (HHS/OCIIO)"
o: "[email protected]"
Cc: "[email protected]" , "[email protected]" , "Habit, Sandra (HHS/OCIIO)"
ate: 02/03/2011 01:43 PM
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Information
hank you, Jill. I will let you know if we have additional questions.
est,
sa
rom: [email protected] [mailto:[email protected]]ent: Thursday, February 03, 2011 1:33 PMo: Keels, Lisa (HHS/OCIIO)c: [email protected]; [email protected]
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
HBCBSNJ:000019
mailto:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
20/92
//T|/...Team/Mike/Horizon%20Blue%20Cross%20Blue%20Shield%20of%20New%20Jersey/completion%202.3.11.htm[10/25/2011 12:45
Dear Lisa,
am writing to submit an answer to your question which was as follows:
The spreadsheet column entitled Total Number of Individuals Covered by Policy (include all dependent overed) contains the number . However, the application letter states that the B&E Plus Plan had
nrollees at the end of the secon arter. Please confirm the number of enrollees under each tier of cov.e., Individual, Employee + Child, etc.).
On January 4, 2011, Horizon Blue Cross Blue Shield of New Jersey sen ail to Ms. Pham corr the dataheet by indicating that the total number of of individuals covered was members instead of . HorizonCBSNJ does not maintain its data in terms of members per tier. Hori BSNJ maintains its d terms ofontracts per tier.he mem esents contracts which when broken down by tier is as follows:ing wo adults
Adult/Child/renamily____________ _____otal contracts
Obviously, the above represents members in the single category and members in the two adult categoThe question is the number of m in the Adult/Child/ren and Family c ies.hope this information is helpful.
f I can be of further assistance, please contact me.
incerely,ill
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail: [email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.============================================================================= his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in t
essage is prohibited -- please immediately and permanently delete this message. =============================================================================
=============================================================================his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in tessage is prohibited -- please immediately and permanently delete this message.=============================================================================
HBCBSNJ:000020
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//T|/...rizon%20Blue%20Cross%20Blue%20Shield%20of%20New%20Jersey/Scheduling%20a%20Call%202.15.11.htm[10/25/2011 12:4
rom: Keels, Lisa (HHS/OCIIO)
ent: Tuesday, February 15, 2011 3:41 PM
o: '[email protected]'
c: Kottenmeier, Erika (HHS/OCIIO)
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Requ
for Additional Information
ear Jill,
ur leadership would like to schedule a call with you to discuss Horizon Blue Cross Blue Shield of New Jerseys annual limit
waiver application.
lease let me know if you would be available for a call at 10:00am next Wednesday, February 23 rd.
hank you,
sa
rom:[email protected][mailto:[email protected]] ent: Thursday, February 03, 2011 4:24 PMo: Keels, Lisa (HHS/OCIIO)c:[email protected]: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
ear Lisa,
hank you very much for the information. I appreciate your help.will look forward to hearing from you soon.
egards,ll
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.
rom: "Keels, Lisa (HHS/OCIIO)"
o: "[email protected] "
Cc: "Habit, Sandra (HHS/OCIIO)"
ate: 02/03/2011 03:33 PM
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Information
HBCBSNJ:000021
mailto:[email protected]:[mailto:[email protected]]mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[mailto:[email protected]]mailto:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
22/92
//T|/...rizon%20Blue%20Cross%20Blue%20Shield%20of%20New%20Jersey/Scheduling%20a%20Call%202.15.11.htm[10/25/2011 12:4
ear Jill,
ust wanted to let you know that your application is complete, and you should be hearing from HHS soon.
hank you,
sa
rom:[email protected] [mailto:[email protected]]ent: Thursday, February 03, 2011 2:02 PM
o: Keels, Lisa (HHS/OCIIO)ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
hank you, Lisa.egards,ll
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.rom: "Keels, Lisa (HHS/OCIIO)"
o: "[email protected] "
Cc: "[email protected]" , "[email protected]" , "Habit, Sandra (HHS/OCIIO)"
ate: 02/03/2011 01:43 PM
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Information
hank you, Jill. I will let you know if we have additional questions.
est,
sa
rom:[email protected] [mailto:[email protected]]ent: Thursday, February 03, 2011 1:33 PMo: Keels, Lisa (HHS/OCIIO)c:[email protected]; [email protected]
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
Dear Lisa,
am writing to submit an answer to your question which was as follows:HBCBSNJ:000022
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
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//T|/...rizon%20Blue%20Cross%20Blue%20Shield%20of%20New%20Jersey/Scheduling%20a%20Call%202.15.11.htm[10/25/2011 12:4
The spreadsheet column entitled Total Number of Individuals Covered by Policy (include all dependent overed) contains the number . However, the application letter states that the B&E Plus Plan hadnrollees at the end of the seco arter. Please confirm the number of enrollees under each tier of cov.e., Individual, Employee + Child, etc.).
On January 4, 2011, Horizon Blue Cross Blue Shield of New Jersey sen ail to Ms. Pham cor the dataheet by indicating that the total number of of individuals covered was members instead of HorizonCBSNJ does not maintain its data in terms of members per tier. Hori SNJ maintains its d terms ofontracts per tier.he mem esents contracts which when broken down by tier is as follows:inglewo adults
Adult/Child/renamily_____________ _____otal contracts
Obviously, the above represents members in the single category and members in the two adult categoThe question is the number of members in the Adult/Child/ren and Family categories.
hope this information is helpful.f I can be of further assistance, please contact me.
incerely,ill
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.============================================================================= his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in t
essage is prohibited -- please immediately and permanently delete this message. ============================================================================= ============================================================================= his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in t
essage is prohibited -- please immediately and permanently delete this message. =============================================================================
=============================================================================his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in tessage is prohibited -- please immediately and permanently delete this message.=============================================================================
HBCBSNJ:000023
mailto:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
24/92
//T|/...20Cross%20Blue%20Shield%20of%20New%20Jersey/Scheduling%20a%20Call%20Follow-Up%202.15.11.htm[10/25/2011 12:45
rom: Keels, Lisa (HHS/OCIIO)
ent: Tuesday, February 15, 2011 4:06 PM
o: '[email protected]'
c: Kottenmeier, Erika (HHS/OCIIO)
ubject: FW: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application -
Request for Additional Information
ello again, Jill,
n addition to letting me know if you are available at 10:00am next Wednesday, February 23rd, could you also please let m
now your availability for two additional dates/times? Scheduling changes often arise, and we would like to be able to
chedule this call at everyones earliest convenience.
hank you again,
sa
rom: Keels, Lisa (HHS/OCIIO)
ent: Tuesday, February 15, 2011 3:41 PMo: '[email protected]'c: Kottenmeier, Erika (HHS/OCIIO)ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
ear Jill,
ur leadership would like to schedule a call with you to discuss Horizon Blue Cross Blue Shield of New Jerseys annual limit
waiver application.
lease let me know if you would be available for a call at 10:00am next Wednesday, February 23 rd.
hank you,
sa
rom:[email protected][mailto:[email protected]] ent: Thursday, February 03, 2011 4:24 PMo: Keels, Lisa (HHS/OCIIO)c:[email protected]: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
ear Lisa,
hank you very much for the information. I appreciate your help.will look forward to hearing from you soon.
egards,ll
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
HBCBSNJ:000024
mailto:[email protected]:[mailto:[email protected]]mailto:[email protected]:[email protected]:[mailto:[email protected]]mailto:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
25/92
//T|/...20Cross%20Blue%20Shield%20of%20New%20Jersey/Scheduling%20a%20Call%20Follow-Up%202.15.11.htm[10/25/2011 12:45
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.
rom: "Keels, Lisa (HHS/OCIIO)"
o: "[email protected] "
Cc: "Habit, Sandra (HHS/OCIIO)"
ate: 02/03/2011 03:33 PMubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Information
ear Jill,
ust wanted to let you know that your application is complete, and you should be hearing from HHS soon.
hank you,
sa
rom:[email protected] [mailto:[email protected]]ent: Thursday, February 03, 2011 2:02 PMo: Keels, Lisa (HHS/OCIIO)
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
hank you, Lisa.egards,ll
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.rom: "Keels, Lisa (HHS/OCIIO)"
o: "[email protected] "
Cc: "[email protected]" , "[email protected]" , "Habit, Sandra (HHS/OCIIO)"
ate: 02/03/2011 01:43 PM
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Information
HBCBSNJ:000025
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
26/92
//T|/...20Cross%20Blue%20Shield%20of%20New%20Jersey/Scheduling%20a%20Call%20Follow-Up%202.15.11.htm[10/25/2011 12:45
hank you, Jill. I will let you know if we have additional questions.
est,
sa
rom:[email protected] [mailto:[email protected]]ent: Thursday, February 03, 2011 1:33 PMo: Keels, Lisa (HHS/OCIIO)
c:[email protected]; [email protected]: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
Dear Lisa,
am writing to submit an answer to your question which was as follows:
The spreadsheet column entitled Total Number of Individuals Covered by Policy (include all dependent overed) contains the number However, the application letter states that the B&E Plus Plan had
nrollees at the end of the second quarter. Please confirm the number of enrollees under each tier of cov.e., Individual, Employee + Child, etc.).
On January 4, 2011, Horizon Blue Cross Blue Shield of New Jersey sent an email to Ms. Pham cor the dataheet by indicating that the total number of of individuals covered was members instead of . HorizonCBSNJ does not maintain its data in terms of members per tier. Hori BSNJ maintains its d terms ofont r tier.he mem sents contracts which when broken down by tier is as follows:ing wo adults
Adult/Child/renamily____________ _____otal contracts
Obviously, the above represents members in the single category and members in the two adult categoThe question is the number of m in the Adult/Child/ren and Family c ies.hope this information is helpful.
f I can be of further assistance, please contact me.
incerely,ill
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.============================================================================= his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in t
HBCBSNJ:000026
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
27/92
//T|/...20Cross%20Blue%20Shield%20of%20New%20Jersey/Scheduling%20a%20Call%20Follow-Up%202.15.11.htm[10/25/2011 12:45
essage is prohibited -- please immediately and permanently delete this message. ============================================================================= ============================================================================= his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in t
essage is prohibited -- please immediately and permanently delete this message. =============================================================================
=============================================================================his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in t
essage is prohibited -- please immediately and permanently delete this message.=============================================================================
HBCBSNJ:000027
7/27/2019 Horizon BCBS New Jersey - Redacted HWM
28/92
//T|/...Blue%20Cross%20Blue%20Shield%20of%20New%20Jersey/Correspondence%20about%20call%202.16.11.htm[10/25/2011 12:4
rom: Keels, Lisa (HHS/OCIIO)
ent: Wednesday, February 16, 2011 4:33 PM
o: '[email protected]'
c: [email protected]; Kottenmeier, Erika (HHS/OCIIO)
ubject: RE: FW: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application -
Request for Additional Information
ollow Up Flag: Follow up
lag Status: Flagged
hank you, Jill. I will work on scheduling the call and will confirm with you as soon as possible.
ll the best,
sa
rom:[email protected][mailto:[email protected]] ent: Wednesday, February 16, 2011 4:30 PM
o: Keels, Lisa (HHS/OCIIO)c:[email protected]: Re: FW: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additionalnformation
ello Lisa.
Wednesday, February 23, 2011 at 10 am is fine. As alternative dates and times, I would like to suggest Thursday, February 24
011 at 11 am and Friday, February 25, 2011 at 10 am.
egards,
ll
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.
rom: "Keels, Lisa (HHS/OCIIO)"
o: "[email protected] "
Cc: "Kottenmeier, Erika (HHS/OCIIO)"
ate: 02/15/2011 04:06 PM
ubject: FW: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Information
HBCBSNJ:000028
mailto:[email protected]:[mailto:[email protected]]mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[mailto:[email protected]]mailto:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
29/92
//T|/...Blue%20Cross%20Blue%20Shield%20of%20New%20Jersey/Correspondence%20about%20call%202.16.11.htm[10/25/2011 12:4
ello again, Jill,
addition to letting me know if you are available at 10:00am next Wednesday, February 23 rd, could you also please let me know your
vailability for two additional dates/times? Scheduling changes often arise, and we would like to be able to schedule this call at everyone
arliest convenience.
hank you again,
sa
rom: Keels, Lisa (HHS/OCIIO)ent: Tuesday, February 15, 2011 3:41 PMo: '[email protected]'c: Kottenmeier, Erika (HHS/OCIIO)
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
ear Jill,
ur leadership would like to schedule a call with you to discuss Horizon Blue Cross Blue Shield of New Jerseys annual limits waiver applicat
ease let me know if you would be available for a call at 10:00am next Wednesday, February 23 rd.
hank you,
sa
rom:[email protected] [mailto:[email protected]]ent: Thursday, February 03, 2011 4:24 PMo: Keels, Lisa (HHS/OCIIO)c:[email protected]
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
ear Lisa,
hank you very much for the information. I appreciate your help.will look forward to hearing from you soon.
egards,ll
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.rom: "Keels, Lisa (HHS/OCIIO)"
o: "[email protected] "
Cc: "Habit, Sandra (HHS/OCIIO)"
ate: 02/03/2011 03:33 PM
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Information
HBCBSNJ:000029
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
30/92
//T|/...Blue%20Cross%20Blue%20Shield%20of%20New%20Jersey/Correspondence%20about%20call%202.16.11.htm[10/25/2011 12:4
ear Jill,
ust wanted to let you know that your application is complete, and you should be hearing from HHS soon.
hank you,
sa
rom:[email protected] [mailto:[email protected]]ent: Thursday, February 03, 2011 2:02 PMo: Keels, Lisa (HHS/OCIIO)
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
hank you, Lisa.egards,ll
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.rom: "Keels, Lisa (HHS/OCIIO)"
o: "[email protected] "
Cc: "[email protected]" , "[email protected]" , "Habit, Sandra (HHS/OCIIO)"
ate: 02/03/2011 01:43 PM
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Information
hank you, Jill. I will let you know if we have additional questions.
est,
sa
HBCBSNJ:000030
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
31/92
//T|/...Blue%20Cross%20Blue%20Shield%20of%20New%20Jersey/Correspondence%20about%20call%202.16.11.htm[10/25/2011 12:4
rom:[email protected] [mailto:[email protected]]ent: Thursday, February 03, 2011 1:33 PMo: Keels, Lisa (HHS/OCIIO)c:[email protected]; [email protected]
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
Dear Lisa,
am writing to submit an answer to your question which was as follows:
The spreadsheet column entitled Total Number of Individuals Covered by Policy (include all dependents
overed) contains the number . However, the application letter states that the B&E Plus Plan hadnrollees at the end of the seco arter. Please confirm the number of enrollees under each tier of cov.e., Individual, Employee + Child, etc.).
On January 4, 2011, Horizon Blue Cross Blue Shield of New Jersey sen ail to Ms. Pham correcting the dataheet by indicating that the total number of of individuals covered was members instead of HorizonCBSNJ does not maintain its data in terms of members per tier. Hori BSNJ maintains its d terms ofontracts per tier.he members represents contracts which when broken down by tier is as follows:ing wo adults
Adult/Child/renamily____________ _____otal contracts
Obviously, the above represents members in the single category and members in the two adult categoThe question is the number of m in the Adult/Child/ren and Family c es.hope this information is helpful.
f I can be of further assistance, please contact me.
incerely,ill
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.============================================================================= his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in t
essage is prohibited -- please immediately and permanently delete this message. ============================================================================= ============================================================================= his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in t
essage is prohibited -- please immediately and permanently delete this message. =============================================================================
HBCBSNJ:000031
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
32/92
//T|/...Blue%20Cross%20Blue%20Shield%20of%20New%20Jersey/Correspondence%20about%20call%202.16.11.htm[10/25/2011 12:4
============================================================================= his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in t
essage is prohibited -- please immediately and permanently delete this message. =============================================================================
=============================================================================his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in tessage is prohibited -- please immediately and permanently delete this message.=============================================================================
HBCBSNJ:000032
7/27/2019 Horizon BCBS New Jersey - Redacted HWM
33/92
//T|/...ue%20Shield%20of%20New%20Jersey/Correspondence%20about%20scheduling%20a%20call%202.16.11.htm[10/25/2011 12:4
rom: [email protected]
ent: Wednesday, February 16, 2011 4:35 PM
o: Keels, Lisa (HHS/OCIIO)
ubject: RE: FW: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application -
Request for Additional Information
ollow Up Flag: Follow up
lag Status: Flagged
hank you very much, Lisa.
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.
rom: "Keels, Lisa (HHS/OCIIO)"
o: "[email protected] "
Cc: "[email protected]" , "Kottenmeier, Erika (HHS/OCIIO)"
ate: 02/16/2011 04:33 PM
ubject: RE: FW: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Information
hank you, Jill. I will work on scheduling the call and will confirm with you as soon as possible.
l the best,
sa
rom:[email protected] [mailto:[email protected]]ent: Wednesday, February 16, 2011 4:30 PMo: Keels, Lisa (HHS/OCIIO)c:[email protected]
ubject: Re: FW: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additionalnformation
ello Lisa.
Wednesday, February 23, 2011 at 10 am is fine. As alternative dates and times, I would like to suggest Thursday, February 24
011 at 11 am and Friday, February 25, 2011 at 10 am.
egards,ll
HBCBSNJ:000033
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
34/92
//T|/...ue%20Shield%20of%20New%20Jersey/Correspondence%20about%20scheduling%20a%20call%202.16.11.htm[10/25/2011 12:4
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by mail if you have received this e-mail by mistake and delete this e-mail from your system.
rom: "Keels, Lisa (HHS/OCIIO)"
o: "[email protected] "
Cc: "Kottenmeier, Erika (HHS/OCIIO)"
ate: 02/15/2011 04:06 PM
ubject: FW: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Information
ello again, Jill,
addition to letting me know if you are available at 10:00am next Wednesday, February 23 rd, could you also please let me know your
vailability for two additional dates/times? Scheduling changes often arise, and we would like to be able to schedule this call at everyone
arliest convenience.
hank you again,sa
rom: Keels, Lisa (HHS/OCIIO)ent: Tuesday, February 15, 2011 3:41 PMo: '[email protected]'c: Kottenmeier, Erika (HHS/OCIIO)
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
ear Jill,
ur leadership would like to schedule a call with you to discuss Horizon Blue Cross Blue Shield of New Jerseys annual limits waiver applicat
ease let me know if you would be available for a call at 10:00am next Wednesday, February 23 rd.
hank you,
sa
rom:[email protected] [mailto:[email protected]]ent: Thursday, February 03, 2011 4:24 PMo: Keels, Lisa (HHS/OCIIO)c:[email protected]
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
HBCBSNJ:000034
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
35/92
//T|/...ue%20Shield%20of%20New%20Jersey/Correspondence%20about%20scheduling%20a%20call%202.16.11.htm[10/25/2011 12:4
ear Lisa,
hank you very much for the information. I appreciate your help.will look forward to hearing from you soon.
egards,ll
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.rom: "Keels, Lisa (HHS/OCIIO)"
o: "[email protected] "
Cc: "Habit, Sandra (HHS/OCIIO)" ate: 02/03/2011 03:33 PM
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Information
ear Jill,
ust wanted to let you know that your application is complete, and you should be hearing from HHS soon.
hank you,
sa
rom:[email protected] [mailto:[email protected]]ent: Thursday, February 03, 2011 2:02 PMo: Keels, Lisa (HHS/OCIIO)
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
hank you, Lisa.egards,ll
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
HBCBSNJ:000035
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
36/92
//T|/...ue%20Shield%20of%20New%20Jersey/Correspondence%20about%20scheduling%20a%20call%202.16.11.htm[10/25/2011 12:4
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.rom: "Keels, Lisa (HHS/OCIIO)"
o: "[email protected] "
Cc: "[email protected]" , "[email protected]" , "Habit, Sandra (HHS/OCIIO)"
ate: 02/03/2011 01:43 PM
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Information
hank you, Jill. I will let you know if we have additional questions.
est,
sa
rom:[email protected] [mailto:[email protected]]ent: Thursday, February 03, 2011 1:33 PMo: Keels, Lisa (HHS/OCIIO)
c:[email protected]; [email protected]: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
Dear Lisa,
am writing to submit an answer to your question which was as follows:
The spreadsheet column entitle tal Number of Individuals Covered by Policy (include all dependent overed) contains the number . However, the application letter states that the B&E Plus Plan hadnrollees at the end of the secon arter. Please confirm the number of enrollees under each tier of cov.e., Individual, Employee + Child, etc.).
On January 4, 2011, Horizon Blue Cross Blue Shield of New Jersey sent an email to Ms. Pham corr the dataheet by indicating that the total number of of individuals covered was members instead of HorizonCBSNJ does not maintain its data in terms of members per tier. Hori BSNJ maintains its d terms ofont er tier.he mem sents contracts which when broken down by tier is as follows:ing wo adults
Adult/Child/renamily
HBCBSNJ:000036
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
37/92
//T|/...ue%20Shield%20of%20New%20Jersey/Correspondence%20about%20scheduling%20a%20call%202.16.11.htm[10/25/2011 12:4
____________ _______otal contracts
Obviously, the above represents members in the single category and members in the two adult categoThe question is the number of m in the Adult/Child/ren and Family c ies.hope this information is helpful.
f I can be of further assistance, please contact me.
incerely,ill
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.============================================================================= his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in t
essage is prohibited -- please immediately and permanently delete this message. ============================================================================= ============================================================================= his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in t
essage is prohibited -- please immediately and permanently delete this message. ============================================================================= ============================================================================= his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in t
essage is prohibited -- please immediately and permanently delete this message. ============================================================================= ============================================================================= his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in t
essage is prohibited -- please immediately and permanently delete this message. =============================================================================
=============================================================================his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in tessage is prohibited -- please immediately and permanently delete this message.=============================================================================
HBCBSNJ:000037
mailto:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
38/92
//T|/...%20Cross%20Blue%20Shield%20of%20New%20Jersey/Scheduling%20a%20Call%20response%202.16.11.htm[10/25/2011 12:4
rom: [email protected]
ent: Wednesday, February 16, 2011 4:30 PM
o: Keels, Lisa (HHS/OCIIO)
ubject: Re: FW: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application -
Request for Additional Information
ollow Up Flag: Follow up
lag Status: Flagged
ello Lisa.
Wednesday, February 23, 2011 at 10 am is fine. As alternative dates and times, I would like to suggest Thursday, February 24
011 at 11 am and Friday, February 25, 2011 at 10 am.
egards,ll
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.
rom: "Keels, Lisa (HHS/OCIIO)"
o: "[email protected] "
Cc: "Kottenmeier, Erika (HHS/OCIIO)"
ate: 02/15/2011 04:06 PM
ubject: FW: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Information
ello again, Jill,
addition to letting me know if you are available at 10:00am next Wednesday, February 23 rd, could you also please let me know your
vailability for two additional dates/times? Scheduling changes often arise, and we would like to be able to schedule this call at everyone
arliest convenience.
hank you again,
sa
rom: Keels, Lisa (HHS/OCIIO)ent: Tuesday, February 15, 2011 3:41 PM
HBCBSNJ:000038
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
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o: '[email protected]'c: Kottenmeier, Erika (HHS/OCIIO)
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
ear Jill,
ur leadership would like to schedule a call with you to discuss Horizon Blue Cross Blue Shield of New Jerseys annual limits waiver applicat
ease let me know if you would be available for a call at 10:00am next Wednesday, February 23 rd.
hank you,
sa
rom:[email protected] [mailto:[email protected]]ent: Thursday, February 03, 2011 4:24 PMo: Keels, Lisa (HHS/OCIIO)c:[email protected]
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
ear Lisa,
hank you very much for the information. I appreciate your help.will look forward to hearing from you soon.
egards,ll
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.rom: "Keels, Lisa (HHS/OCIIO)"
o: "[email protected] "
Cc: "Habit, Sandra (HHS/OCIIO)"
ate: 02/03/2011 03:33 PM
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Information
ear Jill,
ust wanted to let you know that your application is complete, and you should be hearing from HHS soon.
HBCBSNJ:000039
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
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hank you,
sa
rom:[email protected] [mailto:[email protected]]ent: Thursday, February 03, 2011 2:02 PMo: Keels, Lisa (HHS/OCIIO)
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
hank you, Lisa.egards,ll
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.rom: "Keels, Lisa (HHS/OCIIO)"
o: "[email protected] "
Cc: "[email protected]" , "[email protected]" , "Habit, Sandra (HHS/OCIIO)"
ate: 02/03/2011 01:43 PM
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Information
hank you, Jill. I will let you know if we have additional questions.
est,
sa
rom:[email protected] [mailto:[email protected]]ent: Thursday, February 03, 2011 1:33 PMo: Keels, Lisa (HHS/OCIIO)c:[email protected]; [email protected]
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
Dear Lisa,
am writing to submit an answer to your question which was as follows:
HBCBSNJ:000040
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
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The spreadsheet column entitled Total Number of Individuals Covered by Policy (include all dependent overed) contains the number . However, the application letter states that the B&E Plus Plan hadnrollees at the end of the second quarter. Please confirm the number of enrollees under each tier of covera
.e., Individual, Employee + Child, etc.).
On January 4, 2011, Horizon Blue Cross Blue Shield of New Jersey se ail to Ms. Pham correcting the dataheet by indicating that the total number of of individuals covered was members instead of HorizonCBSNJ does not maintain its data in terms of members per tier. Hori BSNJ maintains its d terms ofont r tier.he members represents contracts which when broken down by tier is as follows:in wo adults
Adult/Child/renamily____________ _____otal contracts
Obviously, the above represents members in the single category and members in the two adult categoThe question is the number of in the Adult/Child/ren and Family c ies.hope this information is helpful.
f I can be of further assistance, please contact me.
incerely,ill
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.============================================================================= his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in t
essage is prohibited -- please immediately and permanently delete this message. ============================================================================= ============================================================================= his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in t
essage is prohibited -- please immediately and permanently delete this message.
============================================================================= ============================================================================= his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in t
essage is prohibited -- please immediately and permanently delete this message. =============================================================================
=============================================================================his message and any attachments are solely for the intended recipient. If you are not thentended recipient, disclosure, copying, use, or distribution of the information included in tessage is prohibited -- please immediately and permanently delete this message.=============================================================================
HBCBSNJ:000041
mailto:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
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rom: [email protected]
ent: Thursday, February 17, 2011 10:56 AM
o: Keels, Lisa (HHS/OCIIO)
ubject: RE: FW: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application -
Request for Additional Information
ollow Up Flag: Follow up
lag Status: Flagged
i Lisa.Would it be possible to provide me with an agenda for the call? We would like to be able to have the appropriate people on t
all to respond to your questions.
hanks very much for your help. ll
ll Swyer Novakssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.
rom: "Keels, Lisa (HHS/OCIIO)"
o: "[email protected] "
Cc: "[email protected]" , "Kottenmeier, Erika (HHS/OCIIO)"
ate: 02/16/2011 04:33 PM
ubject: RE: FW: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Information
hank you, Jill. I will work on scheduling the call and will confirm with you as soon as possible.
l the best,
sa
rom:[email protected] [mailto:[email protected]]ent: Wednesday, February 16, 2011 4:30 PMo: Keels, Lisa (HHS/OCIIO)c:[email protected]: Re: FW: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional
nformation
ello Lisa.
HBCBSNJ:000042
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
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Wednesday, February 23, 2011 at 10 am is fine. As alternative dates and times, I would like to suggest Thursday, February 24
011 at 11 am and Friday, February 25, 2011 at 10 am.
egards,ll
ll Swyer Novak
ssistant General Counsel
73 - 466 - 7421
73 - 466 - 7759
mail:[email protected]
his message contains confidential attorney/client privileged information and is intended only for the individual(s) named. If you
ot the named addressee, you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by
mail if you have received this e-mail by mistake and delete this e-mail from your system.rom: "Keels, Lisa (HHS/OCIIO)"
o: "[email protected] "
Cc: "Kottenmeier, Erika (HHS/OCIIO)"
ate: 02/15/2011 04:06 PM
ubject: FW: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Information
ello again, Jill,
addition to letting me know if you are available at 10:00am next Wednesday, February 23 rd, could you also please let me know your
vailability for two additional dates/times? Scheduling changes often arise, and we would like to be able to schedule this call at everyone
arliest convenience.
hank you again,
sa
rom: Keels, Lisa (HHS/OCIIO)ent: Tuesday, February 15, 2011 3:41 PMo: '[email protected]'c: Kottenmeier, Erika (HHS/OCIIO)
ubject: RE: Horizon Blue Cross Blue Shield of New Jersey Annual Limits Waiver Application - Request for Additional Informatio
ear Jill,
ur leadership would like to schedule a call with you to discuss Horizon Blue Cross Blue Shield of New Jerseys annual limits waiver applicat
ease let me know if you would be available for a call at 10:00am next Wednesday, February 23 rd.
hank you,
sa
HBCBSNJ:000043
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]7/27/2019 Horizon BCBS New Jersey - Redacted HWM
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