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eNews <br />+eSOi_Ul'IONS <br />August 6, 2009 <br />Medicare & Medicaid Services Mandatory Insurer Reporting Project Update <br />**IMPORTANT: TO ENSURE THIS INFORMATION !S PROVIDED TO APPROPRIATE PARTIES, PLEASE FORWARD THIS <br />TO PERSONNE! WITHIN YOUR ORGANIZATION WHO ARE HANDLING CMS REPORTING** <br />Please address all questions to su ort valle oak.com or by calling 925-242-4672. <br />This the fourth of several eNews communications that will be distribu#ed to provide on-going, detailed information <br />related to the CMS project and related updates. This communication is designed to address numerous questions that <br />have been presented. ff there are additional questions that are not addressed below, please contact Aon eSolutions <br />SUppOrt and inGude "CMS reporting question" in the subject line of the email. <br />PLEASE NOTE: Aon eSolutions hosted a Webinar session on May 20,2009. For clients who were unable to attend <br />on May 20, the session was repealed on June 17, 2009. The following topics were reviewed: <br />^ How iVOS will assist clients in meeting the CMS reporting requirements. <br />^ What clients will need to do in preparation to utilize the iVOS solution. <br />^ What we have done to prepare the iVOS product. <br />^ Timeframes and goals <br />^ Q&A <br />The May 20, 2009 .Session Recording can be found in the following location: <br />httpSaloon-[3cnli rtin.,~ ,..eti,.,. ,._~ ~--- - - .. <br />1~ //aon1esn,ld09 Seus~io~n Recording can be found in the following location: <br />CMS Reporting Overview <br />Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) (P.L. 110-173), adds new <br />mandatory reporting requirements for group health plan (GHP} arrangements and for liability insurance (including seff- <br />insurance}, no-fault insurance, and workers' campensa#ion. <br />For those of you not familiar with this topic, the Centers for Medicare and Medicaid Services (CMS) overview <br />documentation is accessible at the fallowing location: <br />htta://www.cros hhs eov/mandatorvinsrea/ <br />Since this affects so many of our clients, Aon eSolutions has taken the approach of providing an iVOS solution that <br />will assist our clients in obtaining applicable claim data to meet reporting requirements. <br />Exhibit A-1 <br />1of12 <br />25Q-5 <br />