WELLCARE HEALTH PLANS, INC. - FORM 8-K - EX-10.13 - 2012 BENEFIT ATTESTATION TO CONTRACT H3361 - October 13, 2011

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8-K - FORM 8-K - WELLCARE HEALTH PLANS, INC.form8-k.htm
EX-10.2 - FORM OF MA CONTRACT - WELLCARE HEALTH PLANS, INC.macontract.htm
EX-10.1 - CONTRACT S5967 - WELLCARE HEALTH PLANS, INC.contracts5967.htm
EX-10.3 - 2012 BENEFIT ATTESTATION TO CONTRACT H0117 - WELLCARE HEALTH PLANS, INC.attestationh0117.htm
EX-10.8 - 2012 BENEFIT ATTESTATION TO CONTRACT H1216 - WELLCARE HEALTH PLANS, INC.attestationh1216.htm
EX-10.9 - 2012 BENEFIT ATTESTATION TO CONTRACT H1264 - WELLCARE HEALTH PLANS, INC.attestationh1264.htm
EX-10.6 - 2012 BENEFIT ATTESTATION TO CONTRACT H1032 - WELLCARE HEALTH PLANS, INC.attestationh1032.htm
EX-10.7 - 2012 BENEFIT ATTESTATION TO CONTRACT H1112 - WELLCARE HEALTH PLANS, INC.attestationh1112.htm
EX-10.10 - 2012 BENEFIT ATTESTATION TO CONTRACT H1416 - WELLCARE HEALTH PLANS, INC.attestationh1416.htm
EX-10.12 - 2012 BENEFIT ATTESTATION TO CONTRACT H2491 - WELLCARE HEALTH PLANS, INC.attestationh2491.htm
EX-10.11 - 2012 BENEFIT ATTESTATION TO CONTRACT H1903 - WELLCARE HEALTH PLANS, INC.attestationh1903.htm
EX-10.5 - 2012 BENEFIT ATTESTATION TO CONTRACT H0913 - WELLCARE HEALTH PLANS, INC.attestationh0913.htm
EX-10.14 - FORM OF MEDICARE MARK LICENSE - WELLCARE HEALTH PLANS, INC.medicaremarklicense.htm
EX-10.4 - 2012 BENEFIT ATTESTATION TO CONTRACT H0712 - WELLCARE HEALTH PLANS, INC.attestationh0712.htm

Medicare Advantage Attestation of Benefit Plan
 
WELLCARE_OF NEW YORK, INC.
 
H3361
 

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 2012. 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 2011 and 2012, including but not limited to, the 2012 Call Letter, the 2012 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
043
0
8
WellCare Liberty (HMO
SNP)
HMO
Renewal
0.00
39.80
09/06/11
01/01/12
059
0
6
WellCare Advance (HMO)
HMO
Renewal
0.00
N/A
09/06/11
01/01/12
065
0
7
WellCare Access (HMO
SNP)
HMO
Renewal
0.00
34.90
09/06/11
01/01/12
098
0
8
WellCare Liberty (HMO
SNP)
HMO
Renewal
0.00
30.10
09/06/11
01/01/12
099
0
7
WellCare Value (HMO-
POS)
HMOPOS
Renewal
0.00
0.00
09/06/11
01/01/12
105
0
7
WellCare Advocate
Complete (HMO SNP)
HMO
Renewal
0.00
39.80
09/06/11
01/01/12
106
0
7
WellCare Choice (HMO-
POS)
HMOPOS
Renewal
0.00
0.00
09/06/11
01/01/12
109
0
7
WellCare Access (HMO
SNP)
HMO
Renewal
0.00
39.80
09/06/11
01/01/12
129
0
8
WellCare Choice (HMO-
POS)
HMOPOS
Renewal
0.00
0.00
09/06/11
01/01/12
130
0
8
WellCare Rx (HMO)
HMO
Renewal
0.00
37.50
09/06/11
01/01/12
 
 
 
 
 
 
       H3361
                                                                         
 
 
 
 
 
 
THOMAS TRAN
 
    9/1/2011 10:53:39 AM  
 
Contracting Official Name 
    Date  
 
 
 
 
WELLCARE_OF NEW YORK, INC.
 
  
P.O.Box 1652
NEWBURGH, NY 12551
 
  
 
Organization 
  
 
Address
  
                    
 
 
 
 
                                                        
       H3361
                                                                         

WELLCARE HEALTH PLANS, INC. Reports

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