attesttationh1032.htm


Back to Form 8-K


Exhibit 10.6


 


Medicare Advantage Attestation of Benefit Plan 


 



WELL CARE OF FLORIDA, INC.


 





H1032







 


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










 


H1032












  





  











  














	

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










 


H1032












  





  











  








 


 



	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

	 





 






H1032