Sitel Corporation - Redacted Bates HW

7/27/2019 Sitel Corporation - Redacted Bates HW

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//T|/...res%20-%20YELLOW/Applications%20with%20NO%2012600%20Response%20[YELLOW]/Sitel%20Corporation/Waiver.htm[08/11/2011 3:39:

rom: Jim Flynn-HR [[email protected]]

ent: Friday, December 03, 2010 5:34 PM

o: HHS HealthInsurance (HHS)

c: Horrell, James; Ginni Goldsberry-HR

ubject: Waiver

ttachments: Sitel Corp Cornerstone Plan Waiver Request- Dec 2010.pdf

ear Mr. Mayhew:

ttached please find an annual limit waiver request for the Sitel Corporation (EIN 16-1364816), Cornerstone Medical Plan

lease let me know if you have any questions.

ind Regards,

im Flynn. Director, Global Benefits 615.301.7118 office

615.301.7297 [email protected]

itelwo American Center02 West End Avenue, Suite 1000

ashville, TN 37203 USA 877.93LOGIC

ww.sitel.com

*CONFIDENTIAL NOTICE**his e-mail and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may

ead or used only by the intended recipient. If you are not the intended recipient of the e-mail or any of itsttachments, please be advised that you have received this e-mail in error and that any use, dissemination, distributorwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this

mail in error, please immediately purge it and all attachments and notify the sender by reply e-mail.

Sitel:000001

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


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~SfrEL _._

December 3,2010

Department ofHealth and Human ServicesOffice ofConsumer Information and Insurance OversightOffice ofOversightRoom 737-F-04200 Independence Ave. SW, Washington, DC 20201Attention: James MayhewRe: WaiverVia e-mail: [email protected] compliance with the guidance issued on September 3, 2010, from the Health andHuman Services Office ofOversight, we are applying for a waiver of the annual limitrequirement for the Sitel Corporation (BIN 16-1364816), Cornerstone Plan.

1. The Cornerstone plan is offered to our new employees, who are generallylower-paid, in order to provide an affordable benefit for their ftrst two years ofemployment.The plan is affordable primarily because the plan limits total annual benefitsto $The plan is funded through a combination of employee contributions and thegeneral assets of Sitel. The plan is not insured through an insurance companybut instead is self-insured.

2. As of September, 2010, the Cornerstone plan covers approximatelyemployees and members (employees and dependents combined).3. T ent annual limit for health benefits (medical and prescription drug) is$ The total cost of the plan for the current plan year is estimated to be

$ or approximately $ per employee per month. The ratesapplicable to the Cornerstone Plan for the period July I, 2010 through June30,2011, are shown below:Single Employee: $ per mEmployee plus one dependent: $ per monthEmployee plus two or more dependents: $ per month

Sitel:000002

mailto:[email protected]:[email protected]


3/30

6jSiTEL 4, Compliance with the interim final regulations would require increasing thecurrent $ annual benefit limit per person to at least $750,000, Ouractuary has estimated that the increase of the annual limit would increase costsby between % and %. Cu l costs for the Cornerstone plan areexpected to be approximately $ The projected increase in costsnoted above would increase annual expenses by $ to $Site)'s current budgetary restrictions would require that we pass most of thisadditional cost to our employees, which we believe would seriously affectwhether the Cornerstone Plan would be affordable.

Our ac tuary's letter is enclosed with this application.5. The Cornerstone Plan was in force prior to September 23,2010 and theincrease in the annual benefit limit to $750,000 will result in a significantdecrease in access to these benefits or a significant increase in the premiumspaid by the individuals covered by the Cornerstone Plan.

I, Jim Flynn, Senior Direct ofGlobal Benefits and Plan Administrator, attest that theCornerstone Plan was in place prior to September 23, 2010, and that that the application ofthe PPACA required limits to the Cornerstone Plan would result in a significant decrease inaccess to benefits for those currently covered by such plans or policies, or a significantincrease in premiums paid by those covered by such plans or policies.

. I J I ~ !:PI'Signed by:

Two American Center, 3102 West End Avenue, Suite 1000 Nashville, Tennessee 37203+1 615.301.7100T I +1615.301.7150F I www.siteLcolTl

Sitel:000003

http://www.sitelcoltl/http://www.sitelcoltl/


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Page 4 redacted for the following reason:- - - - - - - - - - - - - - - - - - - - -Exemption 4

Sitel:000004



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//T|/...cations%20with%20NO%2012600%20Response%20[YELLOW]/Sitel%20Corporation/Request%20for%20info%2012.17.10.htm[08/11/2011 3:39

rom: Moultrie, Cam (HHS/OCIIO)ent: Friday, December 17, 2010 10:57 AM

To: [email protected]: Habit, Sandra (HHS/OCIIO)ubject: Waiver Application for Sitel Corp Cornerstone Plan

Dear Mr. Flynn,

hank you for your application for the Waiver of the Annual Limits Requirements of the Public Health Service Act

PHS Act) Section 2711. In order to expedite your application, please provide the following information:

I. Please complete the entire annual limits spreadsheet, [attached to the email available at:http://www.hhs.gov/ociio/regulations/annual_limit_waivers.html. Please return the completed spreadsheto this email address as an attachment. We will only be able to process spreadsheets that are fully comp(i.e., every cell should contain the information requested). If a cell on the spreadsheet does not pertain tyour plan, please write None, and/or provide an explanation regarding why you are unable to completethat particular cell in a separate document.

II. In addition, please provide the following information:

Confirm whether the plan was in existence prior to March 23, 2010. If so, is the plan in compliance with

grandfathering provisions, pursuant to 45 CFR 147.140?

Confirm whether your plan provides any lifetime limits.

Confirm whether the plan was created pursuant to the Taft-Hartley Act and, if applicable, the effective and

expiration dates of the collective bargaining agreement.

n order to complete your application, please provide this information by 5:00 pm, December 21, 2010. Once thisnformation is received and the application is complete, it will be processed by the Department of Health and Humervices (HHS). As stated in our September 3, 2010 Sub-Regulatory Guidance, HHS will issue a decision within 3ays of receiving a complete application. You will receive an e-mail from HHS notifying you of the waiver decisi

hank you.

am Lynne Moultrie

ffice of Consumer Information and Insurance Oversight

.S. Department of Health and Human Services

301) 492-4174

[email protected]

INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW:

his information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distribut

copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.

Sitel:000005



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//T|/.../Applications%20with%20NO%2012600%20Response%20[YELLOW]/Sitel%20Corporation/Corrrespondence%2012.20.10.htm[08/11/2011 3:39

rom: Moultrie, Cam (HHS/OCIIO)ent: Monday, December 20, 2010 5:30 PM

To: Moultrie, Cam (HHS/OCIIO); [email protected]: Habit, Sandra (HHS/OCIIO); [email protected]: RE: Waiver Application for Sitel Corp Cornerstone Plan

reminder that I will need this information by tomorrow, Tuesday December 21 st at 5:00 pm, in order to process your

pplication before the holidays.

am Lynne Moultrie



301) 492-4174

[email protected]




rom: Moultrie, Cam (HHS/OCIIO)ent: Friday, December 17, 2010 10:57 AMo: '[email protected]'c: Habit, Sandra (HHS/OCIIO)ubject: Waiver Application for Sitel Corp Cornerstone Plan

Dear Mr. Flynn,

hank you for your application for the Waiver of the Annual Limits Requirements of the Public Health Service ActPHS Act) Section 2711. In order to expedite your application, please provide the following information:








n order to complete your application, please provide this information by 5:00 pm, December 21, 2010. Once this

Sitel:000006



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//T|/.../Applications%20with%20NO%2012600%20Response%20[YELLOW]/Sitel%20Corporation/Corrrespondence%2012.20.10.htm[08/11/2011 3:39

nformation is received and the application is complete, it will be processed by the Department of Health and Humervices (HHS). As stated in our September 3, 2010 Sub-Regulatory Guidance, HHS will issue a decision within 3ays of receiving a complete application. You will receive an e-mail from HHS notifying you of the waiver decisi

hank you.

am Lynne Moultrie



301) 492-4174

[email protected]




Sitel:000007



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//T|/...ith%20NO%2012600%20Response%20[YELLOW]/Sitel%20Corporation/Reqeust%20for%20info%20response%2012.21.10.htm[08/11/2011 3:39

rom: Jim Flynn-HR [[email protected]]ent: Tuesday, December 21, 2010 5:49 PM

To: Moultrie, Cam (HHS/OCIIO)Cc: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver Application for Sitel Corp Cornerstone Plan

Attachments: Copy of Copy of waiver_application_form sitel.xlsi Cam, per your request, attached please find the completed annual limits spreadsheet to accompany our waiver applicat

s a point of clarification the plan in question does have coinsurance rate of % company/ % employee. I mention thiecause it was not immediately clear which side of the equation was represented on the file.

n addition, please find below the answers to your other questions:

The plan was in existence prior to 3/23/10, but is NOT grandfathered (the OV copay increase on 7/1/10 exceeded the

limit).

The plan DOES have a lifetime limit of $ , but the annual limit is $ and employees can enroll in the pla

only years. As a practical matter, the limit is $ per year.

The plan was NOT created pursuant to the Taft-Hartley Act.

lease let me know if you have any further questions.

egards,

im Flynn. Director, Global Benefits 615.301.7118 office 615.301.7297 fax

[email protected]



ww.sitel.com

rom: Moultrie, Cam (HHS/OCIIO) [mailto:[email protected]]ent: Friday, December 17, 2010 9:57 AMo: Jim Flynn-HRc: Habit, Sandra (HHS/OCIIO)ubject: Waiver Application for Sitel Corp Cornerstone Plan

Dear Mr. Flynn,


I. Please complete the entire annual limits spreadsheet, [attached to the email available at:http://www.hhs.gov/ociio/regulations/annual_limit_waivers.html. Please return the completed spreadsheto this email address as an attachment. We will only be able to process spreadsheets that are fully comp(i.e., every cell should contain the information requested). If a cell on the spreadsheet does not pertain tyour plan, please write None, and/or provide an explanation regarding why you are unable to complete

Sitel:000008



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//T|/...ith%20NO%2012600%20Response%20[YELLOW]/Sitel%20Corporation/Reqeust%20for%20info%20response%2012.21.10.htm[08/11/2011 3:39

that particular cell in a separate document.








hank you.

am Lynne Moultrie



301) 492-4174

[email protected]


his information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distribu





Sitel:000009



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//T|/.../Applications%20with%20NO%2012600%20Response%20[YELLOW]/Sitel%20Corporation/Correspondence%2012.21.10.htm[08/11/2011 3:39:

rom: Jim Flynn-HR [[email protected]]ent: Tuesday, December 21, 2010 9:09 AM

To: Moultrie, Cam (HHS/OCIIO)Cc: Habit, Sandra (HHS/OCIIO); [email protected]: RE: Waiver Application for Sitel Corp Cornerstone Planhank you very much. Im reviewing our responses right now and will have them to you by tomorrow afternoon.

ind Regards,


[email protected]



ww.sitel.com

rom: Moultrie, Cam (HHS/OCIIO) [mailto:[email protected]]ent: Monday, December 20, 2010 4:30 PMo: Moultrie, Cam (HHS/OCIIO); Jim Flynn-HRc: Habit, Sandra (HHS/OCIIO); [email protected]: RE: Waiver Application for Sitel Corp Cornerstone Plan

reminder that I will need this information by tomorrow, Tuesday December 21 st at 5:00 pm, in order to process your

pplication before the holidays.

am Lynne Moultrie



301) 492-4174

[email protected]


his information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributcopied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.

rom: Moultrie, Cam (HHS/OCIIO)ent: Friday, December 17, 2010 10:57 AMo: '[email protected]'c: Habit, Sandra (HHS/OCIIO)ubject: Waiver Application for Sitel Corp Cornerstone Plan

Dear Mr. Flynn,

hank you for your application for the Waiver of the Annual Limits Requirements of the Public Health Service ActSitel:000010



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//T|/.../Applications%20with%20NO%2012600%20Response%20[YELLOW]/Sitel%20Corporation/Correspondence%2012.21.10.htm[08/11/2011 3:39:










hank you.

am Lynne Moultrie



301) 492-4174

[email protected]







Sitel:000011



12/30


rom: Moultrie, Cam (HHS/OCIIO)ent: Wednesday, December 22, 2010 10:47 AM

To: Jim Flynn-HRCc: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver Application for Sitel Corp Cornerstone Planhank you for the information.

n your application, your plan(s) or policy(ies) provide a lifetime limit. Pursuant to Section 2711 of the PHS Act, y

may not have any lifetime limit on your plan as of September 23, 2010, except in the case of non-essential benefitshat are permitted under Federal or State law. Plans that previously had a lifetime limit may add an annual limit noess than the lifetime limit without affecting the grandfather status of the plan. Please confirm whether this lifetimemit will be eliminated from your plan.

am Lynne Moultrie



301) 492-4174

[email protected]




rom: Jim Flynn-HR [mailto:[email protected]]ent: Tuesday, December 21, 2010 5:49 PM

o: Moultrie, Cam (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver Application for Sitel Corp Cornerstone Plan

i Cam, per your request, attached please find the completed annual limits spreadsheet to accompany our waiver applicat

s a point of clarification the plan in question does have coinsurance rate of % company/ % employee. I mention thi

ecause it was not immediately clear which side of the equation was represented on the file.



limit). The plan DOES have a lifetime limit of $ , but the annual limit is $ and employees can enroll in the pla




egards,

im Flynn. Director, Global Benefits

Sitel:000012



13/30


615.301.7118 office 615.301.7297 fax

[email protected]



ww.sitel.com


Dear Mr. Flynn,

hank you for your application for the Waiver of the Annual Limits Requirements of the Public Health Service Act









n order to complete your application, please provide this information by 5:00 pm, December 21, 2010. Once thisnformation is received and the application is complete, it will be processed by the Department of Health and Hum

ervices (HHS). As stated in our September 3, 2010 Sub-Regulatory Guidance, HHS will issue a decision within 3ays of receiving a complete application. You will receive an e-mail from HHS notifying you of the waiver decisi

hank you.

am Lynne Moultrie



301) 492-4174

Sitel:000013



14/30


[email protected]







Sitel:000014



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//T|/...ith%20NO%2012600%20Response%20[YELLOW]/Sitel%20Corporation/Request%20for%20info%20response%2012.22.10.htm[08/11/2011 3:39

rom: Jim Flynn-HR [[email protected]]ent: Wednesday, December 22, 2010 11:00 AM

To: Moultrie, Cam (HHS/OCIIO)Cc: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver Application for Sitel Corp Cornerstone Plani Cam, our plan year is from July 1 through June 30. The lifetime limit will be removed as of July 1, which is the beginning

he first plan year following September 23, 2010.

ind Regards,m

rom: Moultrie, Cam (HHS/OCIIO) [mailto:[email protected]]ent: Wednesday, December 22, 2010 9:47 AMo: Jim Flynn-HRc: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver Application for Sitel Corp Cornerstone Plan

hank you for the information.

n your application, your plan(s) or policy(ies) provide a lifetime limit. Pursuant to Section 2711 of the PHS Act, ymay not have any lifetime limit on your plan as of September 23, 2010, except in the case of non-essential benefitshat are permitted under Federal or State law. Plans that previously had a lifetime limit may add an annual limit noess than the lifetime limit without affecting the grandfather status of the plan. Please confirm whether this lifetimemit will be eliminated from your plan.

am Lynne Moultrie



301) [email protected]




rom: Jim Flynn-HR [mailto:[email protected]]ent: Tuesday, December 21, 2010 5:49 PMo: Moultrie, Cam (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver Application for Sitel Corp Cornerstone Plan


s a point of clarification the plan in question does have coinsurance rate of % company/ % employee. I mention thi

ecause it was not immediately clear which side of the equation was represented on the file.


Sitel:000015



16/30



limit).

The plan DOES have a lifetime limit of $ , but the annual limit is $ and employees can enroll in the pla




egards,


[email protected]



ww.sitel.com


Dear Mr. Flynn,









Sitel:000016



17/30



hank you.

am Lynne Moultrie



301) 492-4174

[email protected]






mail in error, please immediately purge it and all attachments and notify the sender by reply e-mail.*CONFIDENTIAL NOTICE**his e-mail and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may

ead or used only by the intended recipient. If you are not the intended recipient of the e-mail or any of its

ttachments, please be advised that you have received this e-mail in error and that any use, dissemination, distributorwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this


Sitel:000017



18/30

ANNUAL LIMIT WAIVER APPLICATION

Ann ual

Limit Waiver

Request

App licant

Name

Policy Name

(use a new

row for each

policy

application)

App licant

(Plan/ Policy

Situs) City

App licant

(Plan/

Policy

Situs)

State

Plan/ Policy

Effective Date

(mm/dd/yyyy)

Contact

Name

Street

Address City State Zip Code

Phone

Number

(including

area code)

Email

Address

C

(e.

Be

Rx o

Applicant

ABC Plan 1 Washington DC 01/01/2011 J ane Doe

100 ABC

Drive Washington DC 20201

1-800-ABC-

1234

abc@abchea

lthplan.com Lim

Applicant

ABC Plan 1 Washington DC 01/01/2011 J ane Doe

100 ABC

Drive Washington DC 20202

1-800-ABC-

1234

abc@abchea

lthplan.com Lim

Sitel, Inc. ornerstone Pla Nashville TN 07/01/2010 J im Flynn West End Av Nashville TN 37203 -615-301-711 [email protected]

Sitel, Inc. ornerstone Pla Nashville TN 07/01/2010 J im Flynn West End Av Nashville TN 37203 -615-301-711 [email protected]

Sitel Inc ornerstone Pla Nashville TN 07 01 2010 imFl nn West End Av Nashville TN 37203 -615-301-711 fl nn sitelc, . - - - . .

PRA Disclosure Statement

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless itdisplays a valid OMB control number. The information collection is 0938-1105. The time required to complete this information collection is estimated to average ( 8 hours) or ( 240 minutes) per response, includinsearch existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.

Document obtained by CompleteColorado.


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Ambul ator y Emerg ency Hosp italizatio n Laboratory Pediat ri c

Maternity/

Newborn

Mental Health/

Substance

Abuse

Rehabilitative/

Devices

Preventive/

Wellness

None None None None None None None None None





Current Essential Benefits Annual Limits (Annual Limit f or Each Essential Benefit)



20/30


ndividual/ Employee

Tier*

Employee

contribution

(if applicable)

Employer

contribution

(if applicable) Total

Employee

contribution

(if applicable)

Employer

contribution


Employee

contribution

(if applicable)

Employer

contribution


Employee $100.00 $600.00 $700.00 $110.00 $650.00 $760.00 $125.00 $800.00 $925.00

Employee +Family

Employee

Employee +1

Em lo ee+2

Projected Rate Increase that would result

from c ompliance with $750,000 Annual Limit

Restriction (in dollars) (Average Premium

by Individual)*

Current Monthly Premium Rates or

Premium Equivalent Rates (in dollars)*:

Renewal Monthly Premium Rates or

Premium Equivalent Rates if Waiver Granted

(in dollars)*

* When completing the columns requesting premium rate information, please express the premium rates as a composite rate (ifpremiums are a range based on years of service or age) and by tier (Employee, Employee +Spouse, Employee +Child, Family,etc.) as applicable. If you are an issuer, please provide the premium amount in the column titled, "Total" (Column AN, AQ and AT).



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//T|/...LOW/Applications%20with%20NO%2012600%20Response%20[YELLOW]/Sitel%20Corporation/Completion%2012.28.10.htm[08/11/2011 3:39

rom: Moultrie, Cam (HHS/OCIIO)ent: Tuesday, December 28, 2010 10:25 AM

To: Habit, Sandra (HHS/OCIIO)ubject: FW: Waiver Application for Sitel Corp Cornerstone Plan

am Lynne Moultrie


.S. Department of Health and Human Services301) 492-4174

[email protected]




rom: Moultrie, Cam (HHS/OCIIO)ent: Tuesday, December 28, 2010 10:25 AMo: 'Jim Flynn-HR'ubject: RE: Waiver Application for Sitel Corp Cornerstone Plan

hank you for your information. Your application is now complete and you will receive a determination of yourpplication within 30 days.

hank you.

am Lynne Moultrie



301) 492-4174

[email protected]




rom: Jim Flynn-HR [mailto:[email protected]]ent: Wednesday, December 22, 2010 11:00 AMo: Moultrie, Cam (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver Application for Sitel Corp Cornerstone Plan

i Cam, our plan year is from July 1 through June 30. The lifetime limit will be removed as of July 1, which is the beginning

Sitel:000021



22/30


he first plan year following September 23, 2010.

ind Regards,

m

rom: Moultrie, Cam (HHS/OCIIO) [mailto:[email protected]]ent: Wednesday, December 22, 2010 9:47 AM

o: Jim Flynn-HRc: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver Application for Sitel Corp Cornerstone Plan

hank you for the information.

n your application, your plan(s) or policy(ies) provide a lifetime limit. Pursuant to Section 2711 of the PHS Act, ymay not have any lifetime limit on your plan as of September 23, 2010, except in the case of non-essential benefitshat are permitted under Federal or State law. Plans that previously had a lifetime limit may add an annual limit noess than the lifetime limit without affecting the grandfather status of the plan. Please confirm whether this lifetimemit will be eliminated from your plan.

am Lynne Moultrie



301) 492-4174

[email protected]




rom: Jim Flynn-HR [mailto:[email protected]]ent: Tuesday, December 21, 2010 5:49 PMo: Moultrie, Cam (HHS/OCIIO)c: Habit, Sandra (HHS/OCIIO)ubject: RE: Waiver Application for Sitel Corp Cornerstone Plan


s a point of clarification the plan in question does have coinsurance rate of % company/ % employee. I mention thiecause it was not immediately clear which side of the equation was represented on the file.



limit).

The plan DOES have a lifetime limit of $ the annual limit is $ and employees can enroll in the pla



Sitel:000022



23/30



egards,


[email protected]



ww.sitel.com


Dear Mr. Flynn,


I. Please complete the entire annual limits spreadsheet, [attached to the email available at:http://www.hhs.gov/ociio/regulations/annual_limit_waivers.html. Please return the completed spreadshe

to this email address as an attachment. We will only be able to process spreadsheets that are fully comp(i.e., every cell should contain the information requested). If a cell on the spreadsheet does not pertain tyour plan, please write None, and/or provide an explanation regarding why you are unable to completethat particular cell in a separate document.








hank you.

Sitel:000023



24/30


am Lynne Moultrie



301) 492-4174

[email protected]






mail in error, please immediately purge it and all attachments and notify the sender by reply e-mail.*CONFIDENTIAL NOTICE**his e-mail and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may



Sitel:000024



25/30

//T|/...Inc.%20Approval%20Letter%20for%20a%20Waiver%20of%20the%20Annual%20Limits%20Requirements%2012-30-2010.htm[08/11/2011 3:39

rom: Habit, Sandra (HHS/OCIIO)ent: Thursday, December 30, 2010 3:50 PM

To: '[email protected]'ubject: Sitel, Inc. Approval Letter for a Waiver of the Annual Limits Requirements 12-30-2010

mportance: High

Attachments: Updated Jan 1 Approval Letter .pdf

ood Afternoon,

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

ection 2711 for Sitel, Inc. HHS has reviewed your application and made its determination. Please see the

ttached letter.

lease confirm receipt of this letter by replying to this e-mail.

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

incerely

andy Habit

epartment of Health and Human Services


01-492-4175

[email protected]

NFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publiclysclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distribu

r copied to persons not authorized to receive the information. Unauthorized disclosures may result in prosecution to the full e

f the law.

Sitel:000025



26/30

Sitel:000026



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Sitel:000027



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//T|/...Applications%20with%20NO%2012600%20Response%20[YELLOW]/Sitel%20Corporation/Approval%20receipt%201.3.11.htm[08/11/2011 3:39

rom: Jim Flynn-HR [[email protected]]ent: Monday, January 03, 2011 10:13 AM

To: Habit, Sandra (HHS/OCIIO)ubject: RE: Sitel, Inc. Approval Letter for a Waiver of the Annual Limits Requirements 12-30-2010

Ms Habit:

hank you for your approval. I noticed in the approval letter the effective date of this waiver is January 1, 2011 to January

012. Our actual policy year is July 1, 2011 to July 1, 2012. My understanding is the annual limits requirement is effective

he first policy year beginning on or after September 23, 2010. Will this waiver apply to our entire policy year beginning ouly 1, 2011?

ind Regards,


[email protected]



ww.sitel.com

rom: Habit, Sandra (HHS/OCIIO) [mailto:[email protected]]ent: Thursday, December 30, 2010 2:50 PMo: Jim Flynn-HRubject: Sitel, Inc. Approval Letter for a Waiver of the Annual Limits Requirements 12-30-2010

mportance: High

ood Afternoon,



ttached letter.



incerely

andy Habit



01-492-4175

[email protected]

Sitel:000028

mailto:[email protected]://www.clientlogic.com/mailto:[email protected]:[email protected]://www.clientlogic.com/mailto:[email protected]


29/30

//T|/...20with%20NO%2012600%20Response%20[YELLOW]/Sitel%20Corporation/Approval%20receipt%20corrected%201.3.11.htm[08/11/2011 3:39

rom: Habit, Sandra (HHS/OCIIO)ent: Monday, January 03, 2011 4:03 PM

To: 'Jim Flynn-HR'ubject: RE: Sitel, Inc. Approval Letter for a Waiver of the Annual Limits Requirements 12-30-2010

Attachments: July 1 .pdfMr. Flynn,

My apologies. I have attached the July 1, 2011 approval letter. Please let me know if I can be of any further assistance.

hank you,

andy

rom: Jim Flynn-HR [mailto:[email protected]]ent: Monday, January 03, 2011 10:13 AMo: Habit, Sandra (HHS/OCIIO)ubject: RE: Sitel, Inc. Approval Letter for a Waiver of the Annual Limits Requirements 12-30-2010

Ms Habit:

hank you for your approval. I noticed in the approval letter the effective date of this waiver is January 1, 2011 to January012. Our actual policy year is July 1, 2011 to July 1, 2012. My understanding is the annual limits requirement is effective

he first policy year beginning on or after September 23, 2010. Will this waiver apply to our entire policy year beginning o

uly 1, 2011?

ind Regards,


[email protected]



ww.sitel.com

rom: Habit, Sandra (HHS/OCIIO) [mailto:[email protected]]ent: Thursday, December 30, 2010 2:50 PM

o: Jim Flynn-HRubject: Sitel, Inc. Approval Letter for a Waiver of the Annual Limits Requirements 12-30-2010mportance: High

ood Afternoon,



ttached letter.

Sitel:000029



30/30



incerely

andy Habit



01-492-4175

[email protected]

NFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly

sclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distribu

r copied to persons not authorized to receive the information. Unauthorized disclosures may result in prosecution to the full e

f the law.





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