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Home > Insurance Division > Managed Care > Contact Information for Managed Care Filings
Contact Information for Managed Care Filings
All correspondence may be addressed to:

New Jersey Department of Banking and Insurance
20 West State Street, 11th Floor
P.O. Box 325
Trenton, NJ 08625-0325
 
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Valuation Bureau
(Applications for licenses and certifications; provider agreements and related contracts; annual supplements)
Main Telephone Number: (609) 292-5427
FAX: (609) 633-0527
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Timothy Costello, MBA, FLMI
Chief, Valuation Bureau
Specialties: Health insurer admissions, Third Party Administrators & billing services, Organized Delivery Systems (financial)
Extension: 50313
E-mail		 Holly Gaenzle
Assistant Chief, Valuations Bureau
Specialties: Managed care operational systems evaluation, and monitoring (UM, QA, CQI, network adequacy, credentialing); provider contracts and management agreements; HMO licensing; HMO annual reports, surveys and examinations
Extension: 50308
E-mail
Sherri Eure-Washington
Health Care Consultant
Specialties: Systems, network adequacy and contract reviews for HMOs, ODSs, SCAs, and WCMCOs; evaluation of HMO Annual Supplements, quality assessment of HMO operations
Extension: 50356
E-mail
 Barbara Hanlon
Health Care Consultant
Specialties: Systems, network adequacy and contract reviews for HMOs, ODS, SCAs, and WCMCOs; evaluation of HMO Annual Supplements, quality assessment of HMO operations
Extension: 50325
E-mail
Diane Scholl
Health Care Consultant
Specialties: HMO applications and modifications, acquisitions and merger applications and all management contracts. Licensed ODSs and Self-Funded Multiple Employer Welfare Arrangement (MEWA) contracts. Dental Service Corporations (DSC) contracts and provider agreements. WCMCO provider agreements.
Extension: 50330
E-mail		 David Graber
Supervising Accountant
Specialties: Third Party Administrators and Billing Services
Extension: 50376
E-mail
Anthony Masucci, MBA, FLMI, ACS
Insurance Analyst
Specialties: Health Insurer Admissions
Extension: 50346
E-mail
  
 
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Life and Health Actuarial
(Rate filings, certain data submissions, including HMO Performance Reports, enrollment data, prompt pay reports, provider negotiation reports)
Main Telephone Number: (609) 292-5427
FAX: (609) 633-0527
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Health Insurance Bureau
(Policy forms and related document filings)
Main Telephone Number: (609) 292-5427
FAX: (609) 633-0527
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Michael J. Malloy, FLMI, HIA
Chief, Health Insurance Bureau
Extension: 50322
E-mail		 James A. Benyon, FLMI, HIA, MHP
Insurance Analyst
Specialty: Group life and health including Group Medicare Supplement, Stop-Loss, and other group form filings.
Extension: 50309
E-mail		 Thomas Frascella
Insurance Analyst
Extension: 50317
E-mail
Charles R. Uhl, FLMI, HIA, MHP, ALHC, PAHM
Insurance Analyst
Specialty: Group life and health including Group Long Term Care, legal insurance, TDB, Selective Contracting Arrangements, Health Service Corporations, SEH decreasing benefit riders and other group form filings
Extension: 50336
E-mail		    
 
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For questions related to Financial Reports for all Managed Care Products:
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Frank Cipriani
Manager, Health Entities Financial Operations, Office of Solvency Regulation
(609) 292-5350 extension 50452
E-mail
 
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Contacts for Managed Care Complaints and the Independent Health Care Appeals Program:
Office of Managed Care Hotline: 1-888-393-1062
Office of Managed Care Fax: (609) 633-0807
Consumer Protection Services Main Line: (609) 292-7272
Online assistance form
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Sylvia Allen-Ware, JD, MT (ASCP)
Chief, Office of Managed Care, Consumer Protection Services
Extension: 50476
E-mail
 Veronica Schmitt, RN, BSN, MA
Special Investigator, Provider Prompt Pay, Office of Managed Care, Consumer Protection Services
Provider complaints and claims issues
Extension: 50528
E-mail		 Robert Williams, RN, JD, CPHQ
Assistant Chief, Office of Managed Care, Consumer Protection Services
Managed Care complaints and the Independent Health Care Appeals Program
Extension: 50484
E-mail

Betsy Reetz, RN, BSN
Supervisor of Complaint Investigation, Office of Managed Care, Consumer Protection Services
Extension: 50491
E-mail

    

 
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New Jersey Department of Banking and Insurance