Back to Form 8-K [form8-k.htm]
Exhibit 10.6
 
Medicare Advantage Attestation of Benefit Plan
 
WELL CARE OF FLORIDA, INC.
 
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I attest that I have examined the Plan Benefit Packages (PBPs) identified below
and that the benefits identified in the PBPs are those that the above-stated
organization will make available to eligible beneficiaries in the approved
service area during program year 2011.  I further attest that we have reviewed
the bid pricing tools (BPTs) with the certifying actuary and have determined
them to be consistent with the PBPs being attested to here.

 
I further attest that these benefits will be offered in accordance with all
applicable Medicare program authorizing statutes and regulations and program
guidance that CMS has issued to date and will issue during the remainder of 2010
and 2011, including but not limited to, the 2011 Call Letter, the 2011
Solicitations for New Contract Applicants, the Medicare Prescription Drug
Benefit Manual, the Medicare Managed Care Manual, and the CMS memoranda issued
through the Health Plan Management System (HPMS).

 
Plan
ID
Segment
ID
Version
Plan Name
Plan
Type
Transaction
Type
MA
Premium
Part D
Premium
CMS Approval Date
Effective
Date
002
0
5
WellCare Choice (HMO-POS)
HMOPOS
Renewal
35.60
12.40
09/03/2010
01/01/2011
008
0
5
WellCare Choice (HMO)
HMO
Renewal
0.00
0.00
09/03/2010
01/01/2011
012
0
5
WellCare Choice (HMO-POS)
HMOPOS
Renewal
0.00
0.00
09/03/2010
01/01/2011 
014
0
5
WellCare Choice (HMO-POS)
HMOPOS
Renewal
0.00
0.00
09/03/2010
01/01/2011
025
0
5
WellCare Choice (HMO-POS)
HMOPOS
Renewal
27.70
11.30
09/03/2010
01/01/2011
032
0
7
WellCare Dividend (HMO)
HMO
Renewal
0.00
0.00
09/03/2010
01/01/2011
035
0
4
WellCare Value (HMO- POS)
HMOPOS
Renewal
0.00
0.00
09/03/2010
01/01/2011
037
0
4
WellCare Advance (HMO)
HMO
Renewal
0.00
N/A
09/03/2010
01/01/2011 
040
0
4
WellCare Dividend (HMO)
HMO
Renewal
0.00
0.00
09/03/2010
01/01/2011
061
0
6
WellCare Select (HMO-POS SNP)
HMOPOS
Renewal
0.00
23.30
09/03/2010
01/01/2011
073
0
7
WellCare Choice (HMO-POS)
HMOPOS
Renewal
0.00
0.00
09/03/2010
01/01/2011
079
0
5
WellCare Value (HMO)
HMO
Renewal
0.00
0.00
09/03/2010
01/01/2011
091
0
6
WellCare Value (HMO-POS)
HMOPOS
Renewal
0.00
0.00
09/03/2010
01/01/2011

 
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Plan
ID
Segment
ID
Version
Plan Name
Plan
Type
Transaction
Type
MA
Premium
Part D
Premium
CMS Approval Date
Effective
Date
101
0
7
WellCare Select (HMO-POS SNP)
HMOPOS
Renewal
0.00
25.40
09/03/2010
01/01/2011
124
0
6
WellCare Access (HMO- SNP)
HMO
Renewal
0.00
20.30
09/03/2010
01/01/2011
131
0
6
WellCare Dividend (HMO)
HMO
Renewal
0.00
0.00
09/03/2010
01/01/2011
132
0
6
WellCare Value (HMO-POS)
HMOPOS
Renewal
0.00
0.00
09/03/2010
01/01/2011
133
0
6
WellCare Value (HMO-POS)
HMOPOS
Renewal
0.00
0.00
09/03/2010
01/01/2011

 
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Thomas Tran   9/2/2010 7:55:33AM          
 
Contracting Official Name
 
 
Date
 

 

 
 
 
WELL CARE OF FLORIDA, INC.
 
8735 Henderson Road
Tampa, FL 33634
         
 
Organization
 
 
Address
 

 
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