You are on page 1of 8

From: Ross, Mary [MaryRoss@sfngroup.

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

Document obtained by CompleteColorado.com

SFN Group 2050 Spectrum Blvd Ft. Lauderdale, FL 33309

Phone: 954-308-7749 Fax: 954-308-7666 maryross@sfngroup.com

Co m

pl

et eC

ol o

ra do .
SFN:000001

Director, Benefits Human Resources

file:///T|/...N%20Group/Attn%20%20James%20Mayhew_SFN%20Group_Application%20for%20Waiver%20of%20Limited%20Plan.htm[08/12/2011 11:27:41 AM]

co m

Document obtained by CompleteColorado.com

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

Document obtained by CompleteColorado.com

Ex. 4 Ex. 4 Ex. 4

Ex. 4

Ex. 4 Ex. 4 Ex. 4 Ex. 4 Ex. 4

Ex. 4

Co m

pl

et eC

ol o

ra do .
SFN:000003

co m
Ex. 4

Ex. 4

Document obtained by CompleteColorado.com

Pages 4 through 29 redacted for the following reasons: ---------------------------Exemption 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,

Document obtained by CompleteColorado.com

alexandra.botwinick@hhs.gov

et eC Co m pl

ol o

Alexandra Botwinick Office of Oversight HHS/OCIIO

ra do .

co m

SFN:000005

file:///T|/...ions%20with%20NO%2012600%20Response%20[YELLOW]/SFN%20Group/Approval%20letter%20sent%2011-23-2010.htm[08/12/2011 11:27:42 AM]

Document obtained by CompleteColorado.com

Co m

pl

et eC

ol o

ra do .
SFN:000006

co m

Document obtained by CompleteColorado.com

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

Document obtained by CompleteColorado.com

Phone: 954-308-7749 Fax: 954-308-7666 maryross@sfngroup.com

Alexandra Botwinick Office of Oversight HHS/OCIIO

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

file:///T|/...0NO%2012600%20Response%20[YELLOW]/SFN%20Group/Confrimation%20of%20Approval%20letter%2011-29-2010.htm[08/12/2011 11:27:43 AM]