Department of Health and Human Services

Office of Inspector General -- AUDIT

"Administrative Costs Projected by Windsor Health Plan of TN for Calendar Year 2007," (A-04-07-06001)

June 29, 2007


PDF FileComplete Text of Report is available in PDF format (477 kb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


EXECUTIVE SUMMARY:

Our objective was to determine whether Windsor Health Plan of TN, Inc.ís (Windsor) anticipated administrative costs were actuarially supported and reasonably and equitably reflected revenue requirements in accordance with Federal regulations.  Bid summary forms submitted by Windsor contained revenue estimates, including administrative costs, required for each plan.  Windsor projected $24,517,598 in administrative costs for calendar year 2007 that were actuarially supported and reasonably and equitably reflected revenue requirements in accordance with Federal regulations.  Therefore, we did not make any recommendations.