Document:

h1216-hhpil.htm

    Back to Form 8-K

    Exhibit 10.2

    
      Medicare Advantage Attestation of
Benefit Plan

    

    
      HARMONY
HEALTH PLAN OF ILLINOIS, INC.

    

    
      H1216

    

    
      Date:
09/02/2008

    

    
      

    

    
      

    

    
      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 2009. 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 2008 and 2009,
including but not limited to, the 2009 Call Letter, the 2009 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

              

            
	
              
                001

              

            	
              
                0

              

            	
              
                9

              

            	
              
                WellCare
      Value

              

            	
              
                HMOPOS

              

            	
              
                Renewal

              

            	
              
                0.00

              

            	
              
                0.00

              

            	
              
                09/02/2008

              

            	
              
                01/01/2009

              

            
	
              
                003

              

            	
              
                0

              

            	
              
                8

              

            	
              
                WellCare
      Access

              

            	
              
                HMO

              

            	
              
                Renewal

              

            	
              
                0.00

              

            	
              
                29.30

              

            	
              
                09/02/2008

              

            	
              
                01/01/2009

              

            
	
              
                004

              

            	
              
                0

              

            	
              
                8

              

            	
              
                WellCare
      Select

              

            	
              
                HMOPOS

              

            	
              
                Renewal

              

            	
              
                0.00

              

            	
              
                16.80

              

            	
              
                09/02/2008

              

            	
              
                01/01/2009

              

            

    

    
      

    

    
      Page 1 of
2    - HARMONY HEALTH PLAN OF ILLINOIS, INC. - H1216 -
09/02/2008

    

     

    
      
        
        

      

      
        
        

        
          

        

      

      
        
        

      

    

     

    
      	
              /s/
      Heath Schiesser

            	 
      	
              9/5/08

            
	
              CEO:

            	 
      	
              Date:

            
	
              Heath
      Schiesser

            	 
      	 
      
	
              CEO/President

            	 
      	 
      
	
              8735
      Henderson Road

            	 
      	 
      
	
              Tampa,
      FL 33634

            	 
      	 
      
	
              813-290-6205

            	 
      	 
      

    

    
       

      
 

    

    
      	
              /s/
      Thomas L. Tran

            	 
      	
              9/5/08

            
	
              CFO:

            	 
      	
              Date:

            
	
              Tom
      Tran

            	 
      	 
      
	
              CFO

            	 
      	 
      
	
              8735
      Henderson Road

            	 
      	 
      
	
              Tampa,
      FL 33634

            	 
      	 
      
	
              813-290-6200
      (1770)

            	 
      	 
      

    

    
      

    

    
      Page 2 of
2    - HARMONY HEALTH PLAN OF ILLINOIS, INC. - H1216 -
09/02/2008h0913-wcnj.htm

    Back to Form 8-K

    Exhibit 10.3

    
 

    
      Medicare
Advantage Attestation of Benefit Plan

    

    
      WELLCARE
HEALTH PLANS OF NEW JERSEY, INC.

    

    
      H0913

    

    
      Date:
08/29/2008

    

    
      

    

    
      

    

    
      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 2009. 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 2008 and 2009, including
but not limited to, the 2009 Call Letter, the 2009 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

              

            
	
              
                001

              

            	
              
                0

              

            	
              
                9

              

            	
              
                WellCare
      Choice

              

            	
              
                HMO

              

            	
              
                Renewal

              

            	
              
                0.00

              

            	
              
                0.00

              

            	
              
                08/29/2008

              

            	
              
                01/01/2009

              

            
	
              
                002

              

            	
              
                0

              

            	
              
                7

              

            	
              
                WellCare
      Value

              

            	
              
                HMO

              

            	
              
                Renewal

              

            	
              
                0.00

              

            	
              
                0.00

              

            	
              
                08/29/2008

              

            	
              
                01/01/2009
      

              

            
	
              
                003

              

            	
              
                0

              

            	
              
                7

              

            	
              
                WellCare
      Access

              

            	
              
                HMO

              

            	
              
                Renewal

              

            	
              
                0.00

              

            	
              
                31.00

              

            	
              
                08/29/2008

              

            	
              
                01/01/2009

              

            
	
              
                004

              

            	
              
                0

              

            	
              
                8

              

            	
              
                WellCare
      Select

              

            	
              
                HMO

              

            	
              
                Renewal

              

            	
              
                0.00

              

            	
              
                31.00

              

            	
              
                08/29/2008

              

            	
              
                01/01/2009

              

            
	
              
                005

              

            	
              
                0

              

            	
              
                7

              

            	
              
                WellCare
      Select

              

            	
              
                HMO

              

            	
              
                Renewal

              

            	
              
                0.00

              

            	
              
                31.00

              

            	
              
                08/29/2008

              

            	
              
                01/01/2009

              

            
	
              
                006

              

            	
              
                0

              

            	
              
                5

              

            	
              
                WellCare
      Dividend

              

            	
              
                HMO

              

            	
              
                Renewal

              

            	
              
                0.00

              

            	
              
                N/A

              

            	
              
                08/29/2008

              

            	
              
                01/01/2009

              

            

    

    
       

    

    
      Page 1 of
2    - WELLCARE HEALTH PLANS OF NEW JERSEY, INC. - H0913 -
08/29/2008

    

    
      
         

      

      
         

        
          

        

      

      
         

      

    

    
      	
              /s/
      Heath Schiesser

            	 
      	
              9/5/08

            
	
              CEO:

            	 
      	
              Date:

            
	
              Heath
      Schiesser

            	 
      	 
      
	
              CEO/President

            	 
      	 
      
	
              8735
      Henderson Road

            	 
      	 
      
	
              Tampa,
      FL 33634

            	 
      	 
      
	
              813-290-6205

            	 
      	 
      
	
               
      

               

            	 
      	 
      
	
              /s/
      Thomas L. Tran

            	 
      	
              9/5/08

            
	
              CFO:

            	 
      	
              Date:

            
	
              Tom
      Tran

            	 
      	 
      
	
              CFO

            	 
      	 
      
	
              8735
      Henderson Road

            	 
      	 
      
	
              Tampa,
      FL 33634

            	 
      	 
      
	
              813-290-6200
      (1770)

            	 
      	 
      

    

    
      

    

    Page 2
of 2    - WELLCARE HEALTH PLANS OF NEW JERSEY, INC. - H0913
- 08/29/2008

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