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Pages 5 through 23 redacted for the following reasons:- - - - - - - - - - - - - - - - - - - - - - - - - - - -Exemption (b)(4)

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November 16, 2010

Dear Applicant:

RE: Anderson Media Corporation

Thank you for your application for the Waiver of the Annual Limits Requirements of

the PHS Act Section 2711. In order to complete your application, please provide the

following information about Anderson Media Corporation Bronze Plans:

1. Effective date of policy. July 1, 20102. Indicate is this is a Group or Individual policy. Group policy3. Type of Plan:

Limited Benefit Prescription HRA Comprehensive Other

4. (The premium amounts is the total cost to the employer and the employee)Bronze Plans Premium

(Current)Premium(renewal Projected)

Premium(if $750,000annual limitwas applied)

% increase if the$750,000 wasimplemented

EE

EE + Child (ifapplicable orother appropriatetier)

Not applicable

EE + Spouse (ifapplicable orother appropriatetier)

Not applicable

Family (ifapplicable orother appropriate

tier)

5. Indicate if this plan has Grandfather Status. Yes, Grandfathered

ANDERSON:000006


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Please provide this information by 5:00 pm Thursday November 18, 2010. We look

forward to receiving your completed application. Thank you.

Sincerely,

Kathleen M. Scelzo, RN, MSNRules Compliance Division

Office of Insurance Oversight

Office of Consumer Information and Insurance Oversight (OCIIO)

Department of Health and Human Services

301-492-4121

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November 16, 2010

Dear Applicant:




following information about Anderson Media Corporation Silver Plans:

1. Effective date of policy. July 1, 20102. Indicate is this is a Group or Individual policy. Group policy3. Type of Plan:


4. (The premium amounts is the total cost to the employer and the employee)Silver Plans Premium

(Current)Premium(renewal Projected)



EE


Not applicable


Not applicable


tier)

5. Indicate if this plan has Grandfather Status. Yes, Grandfathered

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Sincerely,





301-492-4121

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November 16, 2010

Dear Applicant:




following information about Anderson Media Corporation:

1. Effective date of policy.2. Indicate is this is a Group or Individual policy.3. Type of Plan:


4. (The premium amounts is the total cost to the employer and the employee)Premium(Current)

Premium(renewal)



EE




tier)

5. Indicate if this plan has Grandfather Status.

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Sincerely,





301-492-4121

ANDERSON:000011


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///co-adshare/...%20Processing%20Team/Desiree/Anderson%20Media%20Corporation/Confirmation%2012-6-2010.htm[10/27/2011 2:5

rom: Donna Norris [[email protected]]Sent: Monday, December 06, 2010 8:45 AM

o: Botwinick, Alexandra (HHS/OCIIO)Cc: OCIIO OversightSubject: Re: Waiver of the Annual Limits Requirements of PHS Act Section 2711

ollow Up Flag: Follow uplag Status: Red

ood Morning,

hank you for the favorable response to our applications for a Waiver of the Annual Limits Requirements o

he PHS Act Section 2711 for Anderson Media Corporation's Bronze and Silver Medical plans.

incerely,

onna Norris

orporate Benefit Manager

On Mon, Dec 6, 2010 at 8:30 AM, Botwinick, Alexandra (HHS/OCIIO) wrote:

Good Morning,

Thank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act

Section 2711 for Anderson Media Corporation. 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

[email protected].

Please let me know if I can be of further assistance.

Sincerely,

Alexandra Botwinick

ANDERSON:000012
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]


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///co-adshare/...%20Processing%20Team/Desiree/Anderson%20Media%20Corporation/Confirmation%2012-6-2010.htm[10/27/2011 2:5

Office of Oversight

HHS/OCIIO

[email protected]

-Donna Norris

nderson Merchandisers27-771-639127-785-9082 fax

********************************************************************he information transmitted is intended only for the person or entity to

which it is addressed and may contain confidential and/or privilegedmaterial. Any review, retransmission, dissemination or other use of, oraking of any action in reliance upon, this information by persons orntities other than the intended recipient is prohibited. If you receivehis in error, please contact the sender and delete the material includingttached files, from any computer.

******************************************************************************

ANDERSON:000013
mailto:[email protected]:[email protected]


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ANDERSON:000014


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///co-adshare/...eam/Desiree/Anderson%20Media%20Corporation/reqeust%20for%20additional%20info%20response%2011.19.10.htm[10/27/2011 2:57

rom: Scelzo, Kathleen (HHS/OCIIO)ent: Friday, November 19, 2010 8:04 AM

To: Habit, Sandra (HHS/OCIIO)ubject: FW: Anderson Media Corporation Waiver Application

Attachments: Anderson Media Corporation Waiver Application Questions- Silver Plans.docx; Anderson MediaCorporation Waiver Application Questions- Bronze Plans.docx

athleen M. Scelzo, RN, MSN

ules Compliance Division

ffice of Insurance Oversight

ffice of Consumer Information and Insurance Oversight (OCIIO)

epartment of Health and Human Services

501 Wisconsin Avenue

ethesda, MD

01-492-4121

rom: Donna Norris [mailto:[email protected]]ent: Wednesday, November 17, 2010 11:10 AM

o: Scelzo, Kathleen (HHS/OCIIO)ubject: Re: Anderson Media Corporation Waiver Application

Ms. Scelzo:

lease find attached the requested information for Anderson Media Corporation's Limited Waiver Application. Weook forward to receiving your final determination and trust we have presented everything necessary to support aavorable response to our application.

lease do not hesitate to contact me should you require anything additional.

est regards,

Donna [email protected] fax

********************************************************************he information transmitted is intended only for the person or entity to

which it is addressed and may contain confidential and/or privilegedmaterial. Any review, retransmission, dissemination or other use of, or

aking of any action in reliance upon, this information by persons orntities other than the intended recipient is prohibited. If you receivehis in error, please contact the sender and delete the material includingttached files, from any computer.******************************************************************************

On Tue, Nov 16, 2010 at 11:24 AM, Scelzo, Kathleen (HHS/OCIIO) < [email protected]> wrote:onna Norris

hanks for talking with me yesterday afternoon about your Limited Waiver Application. Attached above is the document that ne

o be completed in order to finalize the application process concerning Anderson Media Corporation application for Annual Limit

equirements of the PHS Act Section 2711.ANDERSON:000016
mailto:[email protected]:[email protected]:[email protected]:[email protected]


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///co-adshare/...eam/Desiree/Anderson%20Media%20Corporation/reqeust%20for%20additional%20info%20response%2011.19.10.htm[10/27/2011 2:57

Many thanks for your assistance with this document.





epartment of Health and Human Services

501 Wisconsin Avenue

ethesda, MD01-492-4121

ANDERSON:000017


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///co-adshare/...cessing%20Team/Desiree/Anderson%20Media%20Corporation/Request%20for%20additional%20info%2011.16.10.htm[10/27/2011 2:57

rom: Scelzo, Kathleen (HHS/OCIIO)ent: Tuesday, November 16, 2010 11:25 AM

To: '[email protected]'Cc: Habit, Sandra (HHS/OCIIO)ubject: Anderson Media Corporation Waiver Application

mportance: High

Attachments: Anderson Media Corporation Waiver Application Questions.doconna Norrishanks for talking with me yesterday afternoon about your Limited Waiver Application. Attached above is the document that ne

o be completed in order to finalize the application process concerning Anderson Media Corporation application for Annual Limit

equirements of the PHS Act Section 2711.

Many thanks for your assistance with this document.





epartment of Health and Human Services501 Wisconsin Avenue

ethesda, MD

01-492-4121

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rom: Botwinick, Alexandra (HHS/OCIIO)ent: Monday, December 06, 2010 8:31 AM

To: '[email protected]'ubject: Waiver of the Annual Limits Requirements of PHS Act Section 2711

mportance: High

Attachments: July 1 .pdf

ood Morning,

hank you for submitting an application for a Waiver of the Annual Limits Requirements of the PHS Act

ection 2711 for Anderson Media Corporation. HHS has reviewed your application and made its

etermination. Please see the attached letter.

lease confirm receipt of this letter by replying to this e-mail address with a copy to [email protected]

lease let me know if I can be of further assistance.

incerely,

Alexandra Botwinick

ffice of Oversight

HHS/OCIIO

[email protected]
mailto:[email protected]:[email protected]

Documents

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