Civil Service Bar Association - Redacted HWM

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///co-adshare/...ers%20-%20Torres/DFOI%20Processing%20Team/Brandon/Civil%20Service%20Bar%20Association/Waiver%20.htm[11/08/2011 5:06

rom: Vincent F. O'Hara [[email protected]]ent: Wednesday, November 10, 2010 10:30 AM

To: HHS HealthInsurance (HHS)Cc: 'Gloria Johnson'; [email protected]; 'Aguiar, Sandra'; 'Timothy Klimpl'ubject: Waiver

Attachments: CSBA SBF Annual Limits Waiver Application.pdf; Letter for Waiver Application for CSBA SBF.pear HHS:

nclosed please find a letter dated November 9,2010 and application for Waiver from the Civil Service Bar Association Securitenefit Fund for your attention.

ery truly yours,

incent F. OHara

olm & O'Hara LLP

West 35th Street- 9th Floor

ew York, New York 10001

el (212)682-2280, Fax (212)682-2153

ww.hohlaw.com

----------------------------------------------------------------------------------

ONFIDENTIALITY: The information contained in this email is privileged and confidential and is intended exclusively for the addressee. If

ave received it in error, please notify the sender by return email and delete it from your system.

ou should not reproduce, distribute, store, retransmit, use or

sclose its contents to anyone.

RS CIRCULAR 230 DISCLOSURE: To ensure compliance with requirements imposed by the IRS, we inform you that any U.S. federal tax

dvice contained in this communication (including any attachments) is not intended or written to be used, and cannot be used, for the purpose o

voiding penalties under the Internal Revenue Code or (ii) promoting, marketing or recommending to another party any transaction or matter

ddressed herein.

hank you for your attention to this matter.

----------------------------------------------------------------------------------

CIVIL SVC:000001


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///co-adshare/...g%20Team/Brandon/Civil%20Service%20Bar%20Association/Reqeust%20for%20additional%20info%2011.17.10.htm[11/08/2011 5:06:

rom: Habit, Sandra (HHS/OCIIO)ent: Wednesday, November 17, 2010 3:41 PM

To: [email protected]: Waiver Application - Civil Service Bar Association Security Benefit Fund

Mr. O'Hara,

hank you for your application for the Waiver of the Annual Limits Requirements of the PHS Act Section

711. In order to complete your application, please provide the following information regading CSBA SBF:

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

Premium(current level)

Premium(renewal)

Premium(if $750,000annual limit wasapplied)

% increase if the$750,000 wasimplemented

EE

EE + Child (if

applicable or otherappropriate tier)

EE + Spouse (ifapplicable or otherappropriate tier)

Family (ifapplicable or otherappropriate tier)

n addition, please provide the effective renewel date of this plan.

lease provide this information by 5:00 pm, November 19, 2010. We look forward to receiving your complepplication. Thank you.

andy

CIVIL SVC:000005


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///co-adshare/...n/Response%20to%20Questions%20Regarding%20Waiver%20Application%20for%20CSBA%20SBF%2011.19.10.htm[11/08/2011 5:0

rom: Vincent F. O'Hara [[email protected]]ent: Friday, November 19, 2010 4:41 PM

To: Habit, Sandra (HHS/OCIIO)Cc: 'Timothy Klimpl'; 'Aguiar, Sandra'; 'Gloria Johnson'ubject: Response to Questions Regarding Waiver Application for CSBA SBF

Attachments: Response to Questions Regarding Waiver Application- CSBA SBF.pdfear Ms. Habit:

nclosed please find a response to your email dated November 17, 2010, requesting information relating to the Civil Service Bssociation Security Benefit Funds application for Waiver.

ery truly yours,

incent F. OHara

olm & O'Hara LLP

West 35th Street- 9th Floor

ew York, New York 10001

el (212)682-2280, Fax (212)682-2153

ww.hohlaw.com

----------------------------------------------------------------------------------

ONFIDENTIALITY: The information contained in this email is privileged and confidential and is intended exclusively for the addressee. If

ave received it in error, please notify the sender by return email and delete it from your system.

ou should not reproduce, distribute, store, retransmit, use or

sclose its contents to anyone.

RS CIRCULAR 230 DISCLOSURE: To ensure compliance with requirements imposed by the IRS, we inform you that any U.S. federal tax

dvice contained in this communication (including any attachments) is not intended or written to be used, and cannot be used, for the purpose o

voiding penalties under the Internal Revenue Code or (ii) promoting, marketing or recommending to another party any transaction or matter

ddressed herein.

hank you for your attention to this matter.

----------------------------------------------------------------------------------

CIVIL SVC:000006


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///co-adshare/...DFOI%20Processing%20Team/Brandon/Civil%20Service%20Bar%20Association/Additional%20info%2011.30.10.htm[11/08/2011 5:07

rom: Timothy Klimpl [[email protected]]ent: Tuesday, November 30, 2010 2:40 PM

To: Habit, Sandra (HHS/OCIIO)Cc: [email protected]: Addition to Application for Wavier of PHS Act 2711- SPD for Civil Service Bar Association Securityenefit Fund

Attachments: CSBA Your Plan at a Glance.pdfear Ms. Habit:

he law firm of Holm & OHara LLP represents the Civil Service Bar Association Security Benefit Fund. The Fund filed anpplication by email dated November 10, 2010 with HHS for a Waiver of the Annual Limits Requirement of PHS Act 2711. It home to our attention that a file for the Funds Summary Plan Description was not attached with the emailed application. Sihen, our office has located a copy of the Funds SPD, which is attached. Thank you for your courtesy and cooperation in thi

matter.

ery truly yours,

imothy S. KlimplHolm & O'Hara LLP

West 35th Street- 9th FloorNew York, New York 10001

el (212)682-2280, Fax (212)[email protected]

www.hohlaw.com-----------------------------------------------------------------------------------

CONFIDENTIALITY: The information contained in this email is privileged and confidential and is intendedxclusively for the addressee. If you have received it in error, please notify the sender by return email and delete itrom your system.

You should not reproduce, distribute, store, retransmit, use orisclose its contents to anyone.RS CIRCULAR 230 DISCLOSURE: To ensure compliance with requirements imposed by the IRS, we inform you

hat any U.S. federal tax advice contained in this communication (including any attachments) is not intended or wrio be used, and cannot be used, for the purpose of (i) avoiding penalties under the Internal Revenue Code or (ii)romoting, marketing or recommending to another party any transaction or matter addressed herein.hank you for your attention to this matter.-----------------------------------------------------------------------------------

CIVIL SVC:000053
mailto:[email protected]:[email protected]


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///co-adshare/...FOI%20Processing%20Team/Brandon/Civil%20Service%20Bar%20Association/Approval%20letter%2012-6-2010.htm[11/08/2011 5:07

rom: Botwinick, Alexandra (HHS/OCIIO)ent: Monday, December 06, 2010 8:58 AM

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

mportance: High

Attachments: Updated Jan 1 Approval Letter .pdf

ood Morning,

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

ection 2711 for Civil Service Bar Association Security Benefit Fund. HHS has reviewed your application

nd made its determination. 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/[email protected]

CIVIL SVC:000054
mailto:[email protected]:[email protected]


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Civil Service Bar Association - Redacted HWM