Case 2:13-cv-20000-RDP Document 2457-6 Filed 06/18/19 Page 1 of 4
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`FILED
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` 2019 Jun-18 PM 07:56
`U.S. DISTRICT COURT
`N.D. OF ALABAMA
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`EXHIBIT 379
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`Case 2:13-cv-20000-RDP Document 2457-6 Filed 06/18/19 Page 2 of 4
`CaselecVZOQQQRDPDocument24576 Filed06/l8119Page20f4
`Kellogg, Deborah
`MILLER, MARK; Kertesz, Jerry; MIRANDA, JAMES; Bills, Jai; Weber, Sara
`3/1/2011 10:47:05 AM
`
`From:
`To:
`Sent:
`
`Subject:
`
`RE: Notes from 12-28 Lunch Shital Dave
`
`Good Morning - here are my thoughts regarding accounts listed below :
`
`—(North Carolina) - I do not see the decision by BCBS NC changing. They have ceded business to us for
`- and have ceded several other groups to ANA. The
`lost a lot of national account business on 1/1/2011 (8 accounts)
`and will be losing—to us on 1/1/2012. ‘is 30K subs .
`I can not see that they will want to cede additonal
`
`business our way .
`
`—- I think everyone is aware that BCBS Mass does not cede, regardless of the situation. We are in a difficult
`situation with Mass right now on another account
`
`We can take a look at the—and let you know if any of it looks viable
`
`—is in Dallas - will need to get a cede from HCSC .
`doing PE programs with them
`
`I believe that Shital has also spoken with HCSC in the past about
`
`It is in the CareFirst service area and is currently
`-- this customer is not headquartered in our VA service area.
`enrolled with BCBS Alabama . It has been with BCBS Alabama for many years .
`I think obtaining a cede from CareFirst to pull
`the customer away from Alabama will be very difficult. Mark - please call me about this .
`I am concerned about the issues that
`occured the last time Shital spoke with an Alabama customer
`
`-- We can ask Florida for a cede again. They have been agreeable last couple of years .
`
`_- we can ask keeping in mind that we already have 2 ANA groups ceded by Excellus .
`
`Thank you
`
`Deborah A. Kellogg
`Director,
`lnterPlan Management and Ceding
`Anthem National Accounts
`
`203-654-3252 (voice)
`203-239-8675 (fax)
`203-752-6495 (cell)
`
`From: MILLER, MARK
`Sent: Monday, February 28, 2011 9:37 PM
`To: Kertesz, Jerry; Kellogg, Deborah; MIRANDA, JAMES
`Subject: Notes from 12-28 Lunch Shital Dave
`
`I thought this information would be of interest
`I had lunch with Shital today and below are my notes.
`which is not to be shared widely at this point.... Thanks.
`
`Joan - we discussed the- marketing and the role procurement is playing. He said they will be
`extremely focused on fees, disruption, discounts — he said that we need to figure out our disruption issue
`as it will hurt us — he said that Mercer knows we should have excellent disruption results but that the
`data needs to reflect this.
`
`CONFIDENTIAL - OUTSIDE COUNSEL ONLY
`
`WLP-01797520
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`

`Case 2:13-cv-20000-RDP Document 2457-6 Filed 06/18/19 Page 3 of 4
`Rory - seeders-disrssuiiqup-fieigqsseieiosarssfiiiartsidqsiiweecesgsaqiiey are
`considering carving out.
`
`Shital shared off the record that Mercer is looking out carve-out DM and wellness vendors for the
`-
`PBA overall. This new vendor would sit over UHC and ANA. The dedicated UM/CM unit we have built for
`
`the PBA would remain in place.
`
`Deb - we always ask about groups that BCBS did not cede that left the BCBS. Shital brought up
`-
`—. BCBSNC would not cede. Because of this the case went to United for 6/1/10 and this
`group continues to grow. He said that—is expected to go to United as well since
`BCBSMA is not expected to cede — Deb, can ask BCBSMA for a cede?
`
`Shital has been meeting with-, PE firm which will represent a good opportunity for ANA.
`Very little of their business is with BCBS today.
`
`Shital said that the pipeline is looking good and the thinks there will be a 8K employee and 14K
`employee group (unnamed) that we will get asked to quote on. Shital brought up our inability to get
`cedes and that he has stopped pushing for many cedes because of this. He said that United wrote 12
`large and small groups last year — small group is <3,000 and could go down to 50 employees, etc. Deb,
`we know the deal.... Just sharing, FYI.
`
`We discussed the renewals for the existing Mercer PE business and the expected range 1.5% of
`6.5% - Shital said they can sell 3.5% and that he may want to work with us to move some of the
`increases around among the groups — I said groups generally need to stand on their own but that we are
`open to discussing
`He is speaking with —which is a Cerberus client with 5,000 employees (two 2,500
`life groups)
`
`He is speaking with_ which is 6k lives — their leadership is based on Dallas but Shital felt
`the group may be based on Virginia
`
`He is going after-which is with CIGNA
`
`He is going after—which is owned by— — I
`discussed the Blues of Rochester and ceding is not likely.
`
`We discussed—which is owned by a PE firm and is enrolled with a TPA,
`HealthComp, who leases our network.
`I indicated that there is a non-compete with HealthComp, which
`prohibits us from quoting on this business based on feedback from the West Coast team (Amy Mattivi).
`Shital said that if we cannot quote there is a good chance of United getting this business — I spoke with
`Anita Lohrs as a follow up — she said to hold off on taking any action as a TPA ASO fee (cheap) with the
`BCBS networks may be the best value proposition for this client. Mercer is running a NetPic analysis for
`
`Shital said that there is a good chance that Mercer is going to bring _into the PBA—
`he said he would keep me posted - Howard Goldin is the AE for ANA.
`
`(CO Based) — RFP will arrive in the next two months for 1/1/12 to include them as
`-
`part of the PBA (full East Coast model)
`
`—(existing customer) will go to bid for 1/1/12 and Mercer would like a PBA quote
`and to have service take place in the PBA center in Middletown — he asked for Account Management to
`either take place in the East or a hybrid model split between the East and the West — I think we can talk
`him into West Coast Account Management if that makes the most sense. The RFP will be sent to me in
`the next two months.
`
`Best,
`
`CONFIDENTIAL - OUTSIDE COUNSEL ONLY
`
`WLP-01797521
`
`

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`Case 2:13-cv-20000-RDP Document 2457-6 Filed 06/18/19 Page 4 of 4
`Case 2:13-cv-20000-RDP Document 2457-6 Filed 06/18/19 Page 4 of 4
`
`Mark Miller
`
`Regional Vice President - Sales
`
`Anthem National Accounts
`
`90 Park Avenue, 19th Floor
`
`New York, NY 10016
`
`Cell: 917-575-9045
`
`Office: 646-432-8620
`
`HEALTH | DENTAL | VISION | LIFE | DISABILITY
`
`CONFIDENTIAL - OUTSIDE COUNSEL ONLY
`
`WLP-01797522
`
`