Medicare Advantage Benefit Attestation Agreement between WellCare of Georgia, Inc. and CMS for 2011

Summary

WellCare of Georgia, Inc. certifies that the listed Medicare Advantage plans and their benefits will be offered to eligible beneficiaries in the approved service area for the 2011 program year. The company confirms that plan benefits and pricing have been reviewed and comply with all applicable Medicare laws, regulations, and guidance. The attestation covers specific plan packages, their premiums, and effective dates, and is signed by an authorized official of WellCare of Georgia, Inc.

EX-10.7 8 attestationh1112.htm BENEFIT ATTESTATION FOR CONTRACT H1112 attestationh1112.htm
Back to Form 8-K
Exhibit 10.7
 
Medicare Advantage Attestation of Benefit Plan
 
WELLCARE OF GEORGIA, INC.
 
H1112
 
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
003
0
5
WellCare Advance (HMO)
HMO
Renewal
0.00
N/A
09/03/2010
01/01/2011
006
0
6
WellCare Access (HMO SNP)
HMO
Renewal
0.00
22.40
09/03/2010
01/01/2011
027
0
6
WellCare Value (HMO -POS)
HMOPOS
Renewal
0.00
0.00
09/03/2010
01/01/2011

H1112
 
 
 

 

Thomas Tran
 
9/2/2010 7:55:58 AM
       
     
Contracting Official Name
Date
     
     
     
WELLCARE OF GEORGIA, INC.
8735 Henderson Rd
   
Ren 1
    Tampa, FL 33634  
       
Organization
Address
     

H1112