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//T|/...rres/Torres%20-%20YELLOW/Applications%20with%20NO%2012600%20Response%20[YELLOW]/Star%20Tek/Waiver.htm[08/05/2011 3:24:2

rom: Laura Zyznieuski [[email protected]]ent: Friday, October 01, 2010 4:20 PM

To: HHS HealthInsurance (HHS)ubject: Waiver

Attachments: StarTek Waiver Classic Plan.pdf; StarTek Waiver Pre-Paid Plan.pdfHS

ffice of Consumer Information and Insurance Oversight Office of Oversight

ttention: James Mayhew Room 737-F-0400 Independence Ave.

W Washington, DC 20201

lease find attached a request for two waiver applications for StarTek, Inc. Classic and Pre-Paid Healthcare Plans for plan y

eginning January 1, 2011.

eel free to contact us regarding any questions that you may have.

hank you in advance for your time.

aura Zyznieuski| Manager, Global Benefits - Compensation and Benefits - HRtarTek, Inc.

www.startek.com4 Cook Street, Suite 400enver, CO 8020620.359.1805 Direct | 303.388.9795 [email protected]

SCLAIMER:

his email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to which it is addressed. Any views or opinions

esented are solely those of the author and do not necessarily represent those of StarTek, Inc.

you are not one of the named recipients or otherwise have reason to believe that you have received this message in error, please notify the sender at the contact nu

bove and delete this message from your computer. Any other use, retention, dissemination, forwarding, printing or copying of this email is strictly prohibited.

StarTek:000001

Document obtained by CompleteColorado.com
http://www.startek.com/mailto:[email protected]:[email protected]://www.startek.com/


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//T|/...%20with%20NO%2012600%20Response%20[YELLOW]/Star%20Tek/Request%20for%20Additional%20Info%2010.25.10.htm[08/05/2011 3:24

rom: Scelzo, Kathleen (HHS/OCIIO)ent: Monday, October 25, 2010 11:51 AM

To: '[email protected]'Cc: Habit, Sandra (HHS/OCIIO)ubject: StarTek, Inc. Classic and Pre-paid Plans: Application for waiver

mportance: High

Attachments: StarTek (Pre-paid) Waiver Application Questions.doc; StarTek (Classic) Waiver ApplicationQuestions.docusan Morse,

left a message for you this morning alerting you about an e-mail you would receive from me concerning StarTek application fo

nnual Limits Requirements of the PHS Act Section 2711 for the Pre-Paid and Classic plans. Attached above are the docume

hat need to be completed in order to finalize the application process.

Many thanks for your assistance with these documents

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

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October 25, 2010

Dear Applicant:

RE: StarTek, Inc.- Classic Plan

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 the StarTek, Inc.- Classic Plan:

(The premium amounts is the total cost to the employer and the employee)

Premium(current level)

Premium(renewal)

Premium(if $750,000 annuallimit was applied)

EEEE + Child (ifapplicable or otherappropriate tier)

EE + Spouse (ifapplicable or otherappropriate tier)

Family (ifapplicable or otherappropriate tier)

Please provide this information by 5:00 pm, October 31, 2010. We look forward to

receiving your completed application. Thank you.

Sincerely,

Kathleen M. Scelzo, RN, MSN

Rules Compliance Division

Office of Insurance Oversight

Office of Consumer Information and Insurance Oversight (OCIIO)

Department of Health and Human Services

301-492-4121

StarTek:000013



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October 25, 2010

Dear Applicant:

RE: StarTek, Inc.- Pre-paid Plan

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 the StarTek, Inc.- Pre-Paid Plan:

(The premium amounts is the total cost to the employer and the employee)

Premium(current level)

Premium(renewal)

Premium(if $750,000 annuallimit was applied)

EEEE + Child (ifapplicable or otherappropriate tier)

EE + Spouse (ifapplicable or otherappropriate tier)

Family (ifapplicable or otherappropriate tier)

Please provide this information by 5:00 pm, October 31, 2010. We look forward to

receiving your completed application. Thank you.

Sincerely,

Kathleen M. Scelzo, RN, MSN

Rules Compliance Division

Office of Insurance Oversight

Office of Consumer Information and Insurance Oversight (OCIIO)

Department of Health and Human Services

301-492-4121

StarTek:000014



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//T|/...NO%2012600%20Response%20[YELLOW]/Star%20Tek/Request%20for%20Additional%20Info%20Response%2010.26.10.htm[08/05/2011 3:24

rom: Sue Morse [[email protected]]ent: Tuesday, October 26, 2010 12:59 PM

To: Scelzo, Kathleen (HHS/OCIIO)Cc: Habit, Sandra (HHS/OCIIO); Laura Zyznieuskiubject: RE: StarTek, Inc. Classic and Pre-paid Plans: Application for waiver

Attachments: StarTek (Classic) Waiver Application Questions.pdf; StarTek (Pre-paid) Waiver ApplicationQuestions.pdf

ear Kathleen,

hank you for the opportunity to provide more information. Please let me know if you have any further requirements to

omplete our application.

egards,

ue

ue Morse| SVP, Human ResourcestarTek, Inc.

www.startek.com4 Cook Street, Suite 400enver, CO 8020603.262.4526 Direct | 303.887.8109 Mobile03.316.4812 [email protected]

SCLAIMER:





rom: Scelzo, Kathleen (HHS/OCIIO) [mailto:[email protected]]ent: Monday, October 25, 2010 9:51 AMo: Sue Morsec: Habit, Sandra (HHS/OCIIO)ubject: StarTek, Inc. Classic and Pre-paid Plans: Application for waivermportance: High

usan Morse,

left a message for you this morning alerting you about an e-mail you would receive from me concerning StarTek application fo

nnual Limits Requirements of the PHS Act Section 2711 for the Pre-Paid and Classic plans. Attached above are the docume

hat need to be completed in order to finalize the application process.

Many thanks for your assistance with these documents

athleen M. Scelzo, RN, MSN

ules Compliance Division

ffice of Insurance Oversight

StarTek:000016

http://www.startek.com/mailto:[email protected]:[email protected]://www.startek.com/


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//T|/...NO%2012600%20Response%20[YELLOW]/Star%20Tek/Request%20for%20Additional%20Info%20Response%2010.26.10.htm[08/05/2011 3:24

ffice of Consumer Information and Insurance Oversight (OCIIO)

epartment of Health and Human Services

501 Wisconsin Avenue

ethesda, MD

01-492-4121

StarTek:000017



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October 25, 2010Dear Applicant:

RE: StarTek, Inc.- Classic PlanThank you for your application for the Waiver of the Annual Limits Requirements ofthe PHS Act Section 2711. In order to complete your application, please provide thefollowing information about the StarTek, Inc.- Classic Plan:(The premium amounts is the total cost to the employer and the employee)Premium(current level) Premium(renewal) Premium(if $750,000 annuallimit was applied)EE

EE + Spouse (ifapplicable or otherappropriate tier)EE + Child (i fapplicable or otherappropriate tier)Family (ifapplicable or otherappropriate tier)

Please provide this information by 5:00 pm, October 31,2010. We look forward toreceiving your completed application. Thank you.Sincerely,Kathleen M. Scelzo, RN, MSNRules Compliance DivisionOffice of Insurance OversightOffice of Consumer Information and Insurance Oversight (OCIIO)Department of Health and Human Services

3 0 1 ~ 4 9 2 - 4 1 2 1

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October 25,2010Dear Applicant:

RE: StarTek, Inc.- Pre-paid PlanThank you for your application for the Waiver of the Annual Limits Requirements ofthe PHS Act Section 2711. In order to complete your application, please provide thefollowing information about th e StarTek, Inc.- Pre-Paid Plan:(The premium amounts is the total cost to the employer and the employee)Premium(current level) Premium(renewal) Premium(if$750,000 annuallimit was applied)EEEE + Spouse (ifapplicable or otherappropriate tier)EE +Child (i fapplicable ot: otherappropriate tier)Family (i fapplicable or otherappropriate tier)

Please provide this information by 5:00 pm, October 31, 2010. We look forward toreceiving your completed application. Thank you.Sincerely,Kathleen M. Scelzo, RN, MSNRules Compliance DivisionOffice of Insurance OversightOffice of Consumer Information and Insurance Oversight (OClIO)Department of Health and Human Services301-492-4121

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//T|/...ications%20with%20NO%2012600%20Response%20[YELLOW]/Star%20Tek/Approval%20Letter%20Sent%2010-29-2010.htm[08/05/2011 3:24

rom: Botwinick, Alexandra (HHS/OCIIO)ent: Friday, October 29, 2010 2:12 PM

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

mportance: High

Attachments: Updated Jan 1 Approval Letter .pdf

Ms. Morse,

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

ection for Star Tek. HHS has reviewed your application and made its determination. Please see the attached

etter.

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/[email protected]

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mailto:[email protected]:[email protected]


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rom: Laura Zyznieuski [[email protected]]ent: Monday, November 01, 2010 1:46 PM

To: Botwinick, Alexandra (HHS/OCIIO)Cc: [email protected].; Sue Morseubject: RE: Waiver of the Annual Limits Requirements of PHS Act Section 2711ello Alexandra,

We would like to confirm this waiver is for both our Classic and Pre-Paid plans.

hank you in advance.

aura Zyznieuski| Manager, Global Benefits - Compensation and Benefits - HRtarTek, Inc.

www.startek.com4 Cook Street, Suite 400enver, CO 8020620.359.1805 Direct | 303.388.9795 [email protected]

SCLAIMER:





rom: Sue Morseent: Friday, October 29, 2010 12:36 PMo: Botwinick, Alexandra (HHS/OCIIO)c: [email protected].; Laura Zyznieuskiubject: RE: Waiver of the Annual Limits Requirements of PHS Act Section 2711

Ms. Botwinick,

hank you for forwarding the determination letter to us. We have received.

egards, Sue

ue Morse| SVP, Human ResourcestarTek, Inc.

www.startek.com4 Cook Street, Suite 400enver, CO 8020603.262.4526 Direct | 303.887.8109 Mobile03.316.4812 [email protected]

SCLAIMER:





http://www.startek.com/mailto:[email protected]://www.startek.com/mailto:[email protected]:[email protected]://www.startek.com/mailto:[email protected]://www.startek.com/

Documents

Star Tek - Redacted Bates HWM