Document:

cmsrenewalnotice.htm

    Back to From 8-K

    Exhibit 10.1

     

     

    CMS LOGO

     

     

    
      	
              Date:

            	
              October 28, 2009

               

            
	
               

               

            	
               

               

            
	
              To:

            	
              Medicare Advantage and Section 1876 Cost Plan
  Organizations

            
	
              From:

               

            	
              Teresa DeCaro, RN, M.S.

              Acting Director 

              Medicare Drug and Health Plan Contract Administration
  Group

            
	
               

               

            	
               

               

            
	
              Subject:    

               

            	
               2010 Service Area Expansion & Contract
      Renewal [contract number]

               

               

               

            

                                                                                       

    The
Centers for Medicare & Medicaid Services (CMS) is pleased to inform you that
we are renewing your contract and have approved your organization’s service area
expansion application effective January 1, 2010, through December 31, 2010. This
approval/renewal is issued based on our receipt of your 2010 benefit
attestation, all applicable contract addenda, and our approval of your
bid.  CMS approves each benefit plan for a particular service area. 
Your organization’s contractual authority to offer benefits in its CMS-approved
service area is documented by your signed benefit attestation. 

    

    If your
organization offers a prescription drug plan benefit package, an executed copy
of your new Part D addendum is included as an attachment to this memo.  If
your organization applied for and was found qualified to offer new 2010
Employer/Union-Only Group Waiver Plans (EGWP)/ “800 series” plan benefit
packages, an executed EGWP addendum is included as an attachment to this memo.

    

    CMS will
continue to provide Medicare Advantage and Prescription Drug Benefit program
information (including information about your CMS Central Office and Regional
Office contacts) to contracting organizations through the Health Plan Management
System (HPMS) and the CMS website.  It is imperative that you monitor both
websites to stay current on program requirements and information.  In
addition, you must ensure that your organization’s contact information in HPMS
remains up-to-date since this is our primary source for contacting our
contracting organizations.

    

    We look
forward to continuing to work with you in serving Medicare beneficiaries in your
service area.  If you have any questions, please contact your Regional
Office Account Manager.  

    

    Attachment(s)h0117cmsrenwal.htm

    Back to Form 8-K

    Exhibit 10.3

    
      Medicare
Advantage Attestation of Benefit Plan

    

    
      WELLCARE
OF OHIO, INC.

    

    
      H0117

    

    
      Date:
09/01/2009

       

      

    

    
      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 2010. 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 2009 and 2010,
including but not limited to, the 2010 Call Letter, the 2010 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

              

            
	
              
                005

              

            	
              
                0

              

            	
              
                5

              

            	
              
                WellCare
      Value 

                (HMO)

              

            	
              
                HMO

              

            	
              
                Renewal

              

            	
              
                0.00

              

            	
              
                0.00

              

            	
              
                08/31/2009

              

            	
              
                01/01/2010

              

            
	
              
                007

              

            	
              
                0

              

            	
              
                5

              

            	
              
                WellCare
      Access 

                (HMO)

              

            	
              
                HMO

              

            	
              
                Renewal

              

            	
              
                0.00

              

            	
              
                30.50

              

            	
              
                08/31/2009

              

            	
              
                01/01/2010

              

            

    

    
       

       

       

       

      Page 1 of
2   - WELLCARE OF OHIO, INC. - H0117 -
09/01/2009

    

    
      
         

      

      
         

        
          

        

      

      
         

      

    

    
      

    

    
      	
              /s/
      Heath Schiesser

            	 
      	
              9/4/09

            	 
	
              CEO:

              Heath
      Schiesser

              CEO/President

              8735
      Henderson Road

              Tampa,
      FL 33634

              813-290-6205

            	 
      	
              Date:

            	 
	 
      	 
      	 
      	 
	 
      	 
      	 
      	 
	
              /s/
      Thomas L. Tran

            	 
      	
              9/4/09

            	 
	
              CFO:

              Tom
      Tran

              CFO

              8735
      Henderson Road

              Tampa,
      FL 33634

              813-290-6200
      (1770)

               

            	 
      	
              Date:

            	 

    

    
      Medicare
Advantage benefit attestations should be sent by overnight carrier
to:

    

    
       

      Centers
for Medicare & Medicaid Services

    

    
      ATTN:
Marilyn Hunter/Medicare Advantage Benefit Attestation

    

    
      Mail Stop
C4-22-04

    

    
      7500
Security Boulevard

    

    
      Baltimore,
MD 21244-1850

       

       

       

      Page 2 of
2   - WELLCARE OF OHIO, INC. - H0117 -
09/01/2009h0712cmsrenewal.htm

    Back to Form 8-K

    Exhibit 10.5

    
      Medicare
Advantage Attestation of Benefit Plan

    

    
      WELLCARE
OF CONNECTICUT, INC.

    

    
      H0712

    

    
      Date:
09/01/2009

      

      

    

    
      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 2010. 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 2009 and 2010,
including but not limited to, the 2010 Call Letter, the 2010 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

              

            	
              
                6

              

            	
              
                WellCare
      Choice (HMO -POS)

              

            	
              
                HMOPOS

              

            	
              
                Renewal

              

            	
              
                22.40

              

            	
              
                6.60

              

            	
              
                08/31/2009

              

            	
              
                01/01/2010

              

            
	
              
                005

              

            	
              
                0

              

            	
              
                5

              

            	
              
                WellCare
      Access 

                (HMO)

              

            	
              
                HMO

              

            	
              
                Renewal

              

            	
              
                0.00

              

            	
              
                34.60

              

            	
              
                08/31/2009

              

            	
              
                01/01/2010

              

            
	
              
                018

              

            	
              
                0

              

            	
              
                5

              

            	
              
                WellCare
      Premium 

                (HMO-POS)

              

            	
              
                HMOPOS

              

            	
              
                Renewal

              

            	
              
                89.80

              

            	
              
                9.20

              

            	
              
                08/31/2009

              

            	
              
                01/01/2010

              

            

    

    
       

       

       

       

      Page 1 of
2   - WELLCARE OF CONNECTICUT, INC. - H0712 -
09/01/2009

    

    
      
         

      

      
         

        
          

        

      

      
         

      

    

    
      	
              /s/
      Heath Schiesser

            	 
      	
              9/4/09

            	 
	
              CEO:

              Heath
      Schiesser

              CEO/President

              8735
      Henderson Road

              Tampa,
      FL 33634

              813-290-6205

            	 
      	
              Date:

            	 
	 
      	 
      	 
      	 
	 
      	 
      	 
      	 
	
              /s/
      Thomas L. Tran

            	 
      	
              9/4/09

            	 
	
              CFO:

              Tom
      Tran

              CFO

              8735
      Henderson Road

              Tampa,
      FL 33634

              813-290-6200
      (1770)

               

            	 
      	
              Date:

            	 

    

    
      Medicare
Advantage benefit attestations should be sent by overnight carrier
to:

    

    
       

      Centers
for Medicare & Medicaid Services

    

    
      ATTN:
Marilyn Hunter/Medicare Advantage Benefit Attestation

    

    
      Mail Stop
C4-22-04

    

    
      7500
Security Boulevard

    

    
      Baltimore,
MD 21244-1850

       

       

       

      Page 2 of
2   - WELLCARE OF CONNECTICUT, INC. - H0712 -
09/01/2009

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