2011 Benefit Attestation to Contract H1032 between the Centers for Medicare & Medicaid Services and WellCare of Florida, Inc
EX-10.6 7 attesttationh1032.htm BENEFIT ATTESTATION FOR CONTRACT H1032 attesttationh1032.htm
Back to Form 8-K
Exhibit 10.6
Medicare Advantage Attestation of Benefit Plan
WELL CARE OF FLORIDA, INC.
H1032
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 2011. 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 2010 and 2011, including but not limited to, the 2011 Call Letter, the 2011 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 |
| 002 | 0 | 5 | WellCare Choice (HMO-POS) | HMOPOS | Renewal | 35.60 | 12.40 | 09/03/2010 | 01/01/2011 |
| 008 | 0 | 5 | WellCare Choice (HMO) | HMO | Renewal | 0.00 | 0.00 | 09/03/2010 | 01/01/2011 |
| 012 | 0 | 5 | WellCare Choice (HMO-POS) | HMOPOS | Renewal | 0.00 | 0.00 | 09/03/2010 | 01/01/2011 |
| 014 | 0 | 5 | WellCare Choice (HMO-POS) | HMOPOS | Renewal | 0.00 | 0.00 | 09/03/2010 | 01/01/2011 |
| 025 | 0 | 5 | WellCare Choice (HMO-POS) | HMOPOS | Renewal | 27.70 | 11.30 | 09/03/2010 | 01/01/2011 |
| 032 | 0 | 7 | WellCare Dividend (HMO) | HMO | Renewal | 0.00 | 0.00 | 09/03/2010 | 01/01/2011 |
| 035 | 0 | 4 | WellCare Value (HMO- POS) | HMOPOS | Renewal | 0.00 | 0.00 | 09/03/2010 | 01/01/2011 |
| 037 | 0 | 4 | WellCare Advance (HMO) | HMO | Renewal | 0.00 | N/A | 09/03/2010 | 01/01/2011 |
| 040 | 0 | 4 | WellCare Dividend (HMO) | HMO | Renewal | 0.00 | 0.00 | 09/03/2010 | 01/01/2011 |
| 061 | 0 | 6 | WellCare Select (HMO-POS SNP) | HMOPOS | Renewal | 0.00 | 23.30 | 09/03/2010 | 01/01/2011 |
| 073 | 0 | 7 | WellCare Choice (HMO-POS) | HMOPOS | Renewal | 0.00 | 0.00 | 09/03/2010 | 01/01/2011 |
| 079 | 0 | 5 | WellCare Value (HMO) | HMO | Renewal | 0.00 | 0.00 | 09/03/2010 | 01/01/2011 |
| 091 | 0 | 6 | WellCare Value (HMO-POS) | HMOPOS | Renewal | 0.00 | 0.00 | 09/03/2010 | 01/01/2011 |
H1032
| Plan ID | Segment ID | Version | Plan Name | Plan Type | Transaction Type | MA Premium | Part D Premium | CMS Approval Date | Effective Date |
| 101 | 0 | 7 | WellCare Select (HMO-POS SNP) | HMOPOS | Renewal | 0.00 | 25.40 | 09/03/2010 | 01/01/2011 |
| 124 | 0 | 6 | WellCare Access (HMO- SNP) | HMO | Renewal | 0.00 | 20.30 | 09/03/2010 | 01/01/2011 |
| 131 | 0 | 6 | WellCare Dividend (HMO) | HMO | Renewal | 0.00 | 0.00 | 09/03/2010 | 01/01/2011 |
| 132 | 0 | 6 | WellCare Value (HMO-POS) | HMOPOS | Renewal | 0.00 | 0.00 | 09/03/2010 | 01/01/2011 |
| 133 | 0 | 6 | WellCare Value (HMO-POS) | HMOPOS | Renewal | 0.00 | 0.00 | 09/03/2010 | 01/01/2011 |
H1032
| Thomas Tran | 9/2/2010 7:55:33AM | ||
| Contracting Official Name | Date |
| WELL CARE OF FLORIDA, INC. | 8735 Henderson Road Tampa, FL 33634 | ||
| Organization | Address |
H1032
