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Pages 18 through 20 redacted for the following reasons: ---------------------------Exemption 4

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Great thank you so much for your help, Jane. --Sara

From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Thursday, October 21, 2010 10:20 AM To: 'scote@londonhealthusa.com' Subject: Re: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

By a letter that comes through e-mail.

From: Sara Cote [mailto:scote@londonhealthusa.com] Sent: Thursday, October 21, 2010 10:10 AM To: Andrews, Jane (HHS/OCIIO) Subject : RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

Yes. I apologize for not specifying the application was mailed. How will we be notified of approval/denial?? Thanks! --Sara Sara R. Cote London Health Administrators 40 Commercial Way
UFCW Inter:000017

file:///T|/...ons%20with%20NO%2012600%20Response%20[YELLOW]/UFCW%20Interstate%20Health/Correspondence%2010.28.10.htm[07/28/2011 3:07:19 PM]

Co m

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From: Sara Cote [mailto:scote@londonhealthusa.com] Sent: Thursday, October 21, 2010 10:40 AM To: Andrews, Jane (HHS/OCIIO) Subject: RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

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INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.

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I am in the process of reviewing the application for annual limits of the fund whereas the application portion states that there are Ex. 4 Thanks. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) 202-536-6779 (Blackberry)

From: Andrews, Jane (HHS/OCIIO) Sent: Thursday, October 28, 2010 12:26 PM To: 'Sara Cote' Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

r. The cover letter states that there are Ex. 4 participants. Do you know what the righ

participants er is?

East Providence, RI 02914 401-435-4700 x 226 401-435-3938 (fax) scote@londonhealthusa.com www.londonhealthusa.com *****This email is intended for recipient(s) only, if you receive this email in error, please notify the sender immediately.

INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
From: Sara Cote [mailto:scote@londonhealthusa.com] Sent: Tuesday, October 12, 2010 11:00 AM To: Andrews, Jane (HHS/OCIIO) Subject: RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

Thank you, Jane! We actually submitted an application on Friday. Please contact me if you have any questions or concerns with that application. Sara Cote Sara R. Cote London Health Administrators 40 Commercial Way East Providence, RI 02914 401-435-4700 x 226 401-435-3938 (fax) scote@londonhealthusa.com
UFCW Inter:000018

file:///T|/...ons%20with%20NO%2012600%20Response%20[YELLOW]/UFCW%20Interstate%20Health/Correspondence%2010.28.10.htm[07/28/2011 3:07:19 PM]

Co m

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We received a letter application from Mr. Charette on behalf of UFCW on 10/15. Is that the same as the one you are referencing below? I was thinking you had submitted it electronically, but maybe your reference and the one we received on 10/15 is one and the same. Please let me know. Thanks. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) 202-536-6779 (Blackberry)

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From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Wednesday, October 20, 2010 4:46 PM To: 'Sara Cote' Subject: RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

www.londonhealthusa.com *****This email is intended for recipient(s) only, if you receive this email in error, please notify the sender immediately.
From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Friday, October 08, 2010 4:14 PM To: 'SCote@londonhealthusa.com' Cc: Botwinick, Alexandra (HHS/OCIIO) Subject: Re: Mr Charrette's letter to Secretary Sebelius dated 8/27/10 If UFCW wishes to apply for a waiver of annual limits, the bulletin with that application information is at http://www.hhs.gov/ociio/regulations/patient/ociio_2010-1_20100903_508.pdf If you do apply, please be sure to include the effective date of the plan. Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) 202-536-6779 (Blackberry)

Co m

pl

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INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.

ol o

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file:///T|/...ons%20with%20NO%2012600%20Response%20[YELLOW]/UFCW%20Interstate%20Health/Correspondence%2010.28.10.htm[07/28/2011 3:07:19 PM]

co m
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No problem. We will go with the Ex. 4 Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) 202-536-6779 (Blackberry)

From: Andrews, Jane (HHS/OCIIO) Sent: Thursday, October 28, 2010 1:03 PM To: 'Sara Cote' Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Mr Charrette's l o Secretary Sebelius dated 8/27/10

individuals affected by the waiver then. Thanks.

INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
From: Sara Cote [mailto:scote@londonhealthusa.com] Sent: Thursday, October 28, 2010 1:00 PM To: Andrews, Jane (HHS/OCIIO) Subject: RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

I am in the process of reviewing the application for annual limits Ex. 4 of the fund whereas the application portion states that there are Thanks. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) 202-536-6779 (Blackberry)

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From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Thursday, October 28, 2010 12:26 PM To: 'Sara Cote' Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

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Jane: Ex. 4 Ex. 4 Sorry for the confusion. The UFCW Fund covers lives under its Plan. under our part-time plan for which we are applying for the waiver. If you have any further questions please do not hesitate to contact me! --Sara

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of those are Part-time members who fall
r. The cover letter states that there are Ex. 4 participants. Do you know what the righ participants er is?
UFCW Inter:000020

INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information.
file:///T|/...%20Response%20[YELLOW]/UFCW%20Interstate%20Health/Request%20for%20Additional%20Information%2010.28.10.htm[07/28/2011 3:07:19 PM]

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Unauthorized disclosure may result in prosecution to the full extent of the law.
From: Sara Cote [mailto:scote@londonhealthusa.com] Sent: Thursday, October 21, 2010 10:40 AM To: Andrews, Jane (HHS/OCIIO) Subject: RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

Great thank you so much for your help, Jane. --Sara

From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Thursday, October 21, 2010 10:20 AM To: 'scote@londonhealthusa.com' Subject: Re: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

By a letter that comes through e-mail.

From: Sara Cote [mailto:scote@londonhealthusa.com] Sent: Thursday, October 21, 2010 10:10 AM To: Andrews, Jane (HHS/OCIIO) Subject : RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

Yes. I apologize for not specifying the application was mailed. How will we be notified of approval/denial?? Thanks! --Sara Sara R. Cote London Health Administrators 40 Commercial Way East Providence, RI 02914 401-435-4700 x 226 401-435-3938 (fax) scote@londonhealthusa.com www.londonhealthusa.com *****This email is intended for recipient(s) only, if you receive this email in error, please notify the sender immediately.
From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Wednesday, October 20, 2010 4:46 PM To: 'Sara Cote' Subject: RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

We received a letter application from Mr. Charette on behalf of UFCW on 10/15. Is that the same as the one you are referencing below? I was thinking you had submitted it electronically, but maybe your reference and the one we received on 10/15 is one and the same. Please let me know.
UFCW Inter:000021

file:///T|/...%20Response%20[YELLOW]/UFCW%20Interstate%20Health/Request%20for%20Additional%20Information%2010.28.10.htm[07/28/2011 3:07:19 PM]

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Thanks. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) 202-536-6779 (Blackberry)

INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.
From: Sara Cote [mailto:scote@londonhealthusa.com] Sent: Tuesday, October 12, 2010 11:00 AM To: Andrews, Jane (HHS/OCIIO) Subject: RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Friday, October 08, 2010 4:14 PM To: 'SCote@londonhealthusa.com' Cc: Botwinick, Alexandra (HHS/OCIIO) Subject: Re: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

If UFCW wishes to apply for a waiver of annual limits, the bulletin with that application information is at http://www.hhs.gov/ociio/regulations/patient/ociio_2010-1_20100903_508.pdf If you do apply, please be sure to include the effective date of the plan. Thank you. Jane W. Andrews OCIIO

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Thank you, Jane! We actually submitted an application on Friday. Please contact me if you have any questions or concerns with that application. Sara Cote Sara R. Cote London Health Administrators 40 Commercial Way East Providence, RI 02914 401-435-4700 x 226 401-435-3938 (fax) scote@londonhealthusa.com www.londonhealthusa.com *****This email is intended for recipient(s) only, if you receive this email in error, please notify the sender immediately.

pl

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file:///T|/...%20Response%20[YELLOW]/UFCW%20Interstate%20Health/Request%20for%20Additional%20Information%2010.28.10.htm[07/28/2011 3:07:19 PM]

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UFCW Inter:000022

7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) 202-536-6779 (Blackberry)

INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.

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UFCW Inter:000023

file:///T|/...%20Response%20[YELLOW]/UFCW%20Interstate%20Health/Request%20for%20Additional%20Information%2010.28.10.htm[07/28/2011 3:07:19 PM]

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From: Sara Cote [scote@londonhealthusa.com] Sent: Thursday, October 28, 2010 1:39 PM To: Andrews, Jane (HHS/OCIIO) Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10
Yes, thank you! --Sara

Jane: Sorry for the confusion. The UFCW Fund covers Ex. 4 lives under its Plan.Ex. 4 under our part-time plan for which we are applying for the waiver. If you have any further questions please do not hesitate to contact me! --Sara

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From: Sara Cote [mailto:scote@londonhealthusa.com] Sent: Thursday, October 28, 2010 1:00 PM To: Andrews, Jane (HHS/OCIIO) Subject: RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

ol o

INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.

From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Thursday, October 28, 2010 12:26 PM To: 'Sara Cote' Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

I am in the process of reviewing the application for annual limits waiver. The cover letter states that there are of the fund whereas the application portion states that there are Ex. 4 participants. Do you know what the rig Thanks.

Co m

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No problem. We will go with the Ex. 4 Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) 202-536-6779 (Blackberry)

individuals affected by the waiver then. Thanks.

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of those are Part-time members who fall
Ex. 4

From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Thursday, October 28, 2010 1:03 PM To: 'Sara Cote' Cc: Habit, Sandra (HHS/OCIIO) Subject: RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

participants er is?

UFCW Inter:000024

file:///T|/...0NO%2012600%20Response%20[YELLOW]/UFCW%20Interstate%20Health/Additional%20Correspondence%2010.28.10.htm[07/28/2011 3:07:19 PM]

Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) 202-536-6779 (Blackberry)

INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.

From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Thursday, October 21, 2010 10:20 AM To: 'scote@londonhealthusa.com' Subject: Re: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

By a letter that comes through e-mail.

Yes. I apologize for not specifying the application was mailed. How will we be notified of approval/denial?? Thanks! --Sara Sara R. Cote London Health Administrators 40 Commercial Way East Providence, RI 02914 401-435-4700 x 226 401-435-3938 (fax) scote@londonhealthusa.com www.londonhealthusa.com *****This email is intended for recipient(s) only, if you receive this email in error, please notify the sender immediately.

Co m

pl

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From: Sara Cote [mailto:scote@londonhealthusa.com] Sent: Thursday, October 21, 2010 10:10 AM To: Andrews, Jane (HHS/OCIIO) Subject : RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

ol o
UFCW Inter:000025

file:///T|/...0NO%2012600%20Response%20[YELLOW]/UFCW%20Interstate%20Health/Additional%20Correspondence%2010.28.10.htm[07/28/2011 3:07:19 PM]

ra do .

Great thank you so much for your help, Jane. --Sara

co m

From: Sara Cote [mailto:scote@londonhealthusa.com] Sent: Thursday, October 21, 2010 10:40 AM To: Andrews, Jane (HHS/OCIIO) Subject: RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10


From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Wednesday, October 20, 2010 4:46 PM To: 'Sara Cote' Subject: RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.

Thank you, Jane! We actually submitted an application on Friday. Please contact me if you have any questions or concerns with that application. Sara Cote Sara R. Cote London Health Administrators 40 Commercial Way East Providence, RI 02914 401-435-4700 x 226 401-435-3938 (fax) scote@londonhealthusa.com www.londonhealthusa.com *****This email is intended for recipient(s) only, if you receive this email in error, please notify the sender immediately.
From: Andrews, Jane (HHS/OCIIO) [mailto:Jane.Andrews@hhs.gov] Sent: Friday, October 08, 2010 4:14 PM To: 'SCote@londonhealthusa.com'
UFCW Inter:000026

file:///T|/...0NO%2012600%20Response%20[YELLOW]/UFCW%20Interstate%20Health/Additional%20Correspondence%2010.28.10.htm[07/28/2011 3:07:19 PM]

Co m

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From: Sara Cote [mailto:scote@londonhealthusa.com] Sent: Tuesday, October 12, 2010 11:00 AM To: Andrews, Jane (HHS/OCIIO) Subject: RE: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

ra do .

co m

We received a letter application from Mr. Charette on behalf of UFCW on 10/15. Is that the same as the one you are referencing below? I was thinking you had submitted it electronically, but maybe your reference and the one we received on 10/15 is one and the same. Please let me know. Thanks. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) 202-536-6779 (Blackberry)

Cc: Botwinick, Alexandra (HHS/OCIIO) Subject: Re: Mr Charrette's letter to Secretary Sebelius dated 8/27/10

Co m

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UFCW Inter:000027

file:///T|/...0NO%2012600%20Response%20[YELLOW]/UFCW%20Interstate%20Health/Additional%20Correspondence%2010.28.10.htm[07/28/2011 3:07:19 PM]

ra do .

INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.

co m

If UFCW wishes to apply for a waiver of annual limits, the bulletin with that application information is at http://www.hhs.gov/ociio/regulations/patient/ociio_2010-1_20100903_508.pdf If you do apply, please be sure to include the effective date of the plan. Thank you. Jane W. Andrews OCIIO 7501 Wisconsin Ave Bethesda, MD 20814 301-492-4122 (desk) 202-536-6779 (Blackberry)

From: Botwinick, Alexandra (HHS/OCIIO) Sent: Thursday, November 04, 2010 2:53 PM To: 'scote@londonhealthusa.com' Subject: Waiver of the Annual Limits Requirements of PHS Act Section 2711 Importance: High Attachments: May 1 .pdf Ms. Cote, Thank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act Section for UFCW Interstate Health. 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

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Alexandra Botwinick Office of Oversight HHS/OCIIO

file:///T|/...20NO%2012600%20Response%20[YELLOW]/UFCW%20Interstate%20Health/Approval%20Letter%20sent%2011-4-2010.htm[07/28/2011 3:07:20 PM]

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