Managed Care Entity Disclosure of Ownership and Control Addendum Information

This page contains ownership and title information collected from MassHealth’s managed care entities (MCEs) as required by federal regulations at 42 CFR §438.602(g)(3).

For the purposes of this addendum, MCE will mean MassHealth-contracted:
•    Accountable Care Organizations (Accountable Care Partnership Plans and Primary Care ACOs);
•    Managed Care Organizations;
•    Behavioral Health Vendor;
•    One Care Plans; and
•    Senior Care Options Plans

Each MCE is required to complete a separate form for itself and for each of the MCE’s material subcontractors.

Pursuant to 42 CFR §438.602(g)(3), the following list identifies the names and titles of all individuals disclosed in Section II of the above-named MCE’s or MCE’s material subcontractor’s Federally Required Disclosures Form (FRDF) for Entities submitted to MassHealth in accordance with all instructions. By submitting this form, each MCE or MCE’s material subcontractor has certified that the information that has been provided is true, accurate, complete, and consistent with the information provided in the above-mentioned FRDF submitted to MassHealth.

BeHealthy Partnership

Plan Name on Disclosures Form: BeHealthy Partnership

Plan Name in Enrollment Guide:  BeHealthy Partnership Plan

Currently operational

Name of person submitting form: Richard Swift

Name	Title
Robert J. Bacon	Chair
Richard Bossie	Board Member
Claudia R. Coplein, D.O.	Board Member
Harriet A. DeVerry	Vice Chair
Maria P. Goncalves	Board Member
Colleen W. Holmes	Board Member
Denise R. Jordan	Board Member
Mark A. Keroack, M.D., MPH	President & Chief Executive Officer, Baystate Health
Akinyele Lovelace, D.O.	Board Member
John F. Maybury	Board Member
Kevin P. Moriarty, M.D.	Board Member
Paul R. Murphy	Board Member
Elizabeth Cardona, MPA	Board Member
James R. Phaneuf	Board Member
Paul C. Picknelly	Board Member
Irene Rodriguez-Martin, Ed.D.	Board Member
Kathleen B. Scoble, Ed.D, RN	Board Member
William R. Webber	Board Member
Kristin R. Delaney	Clerk
Raymond McCarthy	Senior Vice President, CFO & Treasurer at Baystate Health
Ruth H. Constantine	Board Member
Sara Rourke, MD	Board Member
Kevin P. Moriarty, M.D.	Board Member

Berkshire Fallon Health Collaborative

Plan Name on Disclosures Form: Berkshire Fallon Health Collaborative

Plan Name in Enrollment Guide:  Berkshire Fallon Health Collaborative

Currently operational

Name of Person Submitting Form: Milissa Obara

Name	Title
Todd Bailey	SVP and CFO
David Brumley	SVP and Chief Medical Officer
Christine Cassidy	SVP and Chief Communications Officer
James Gentile	SVP and Chief Compliance Officer
Matthew Herndon	SVP and Chief State Programs Officer
Mary C. Ritter	SVP and Chief Strategy and Government Programs Officer
Jill Green Lebow	SVP and CHRO
Emily West	SVP and COO
Alice Bonner	Board Member
James R. Buonomo	Board Member
B. John Dill	Board Member
Deborah Enos	Board Member
Frederick Misilo, Jr	Board Member
Janet Rico	Board Member
Joseph Stolberg	Board Member
Peter Straley	Board Member
Wanda J. McClain	Board Member
Victor Woolridge	Board Member
Richard Burke	President and CEO

 

Commonwealth Care Alliance One Care

Plan Name on Disclosures Form: Commonwealth Care Alliance One Care

Plan Name in Enrollment Guide:  Commonwealth Care Alliance One Care

Currently operational

Name of Person Submitting Form:  Katherine Lavallee

Name	Title
Robert Gittens	Chair
Carol Raphael	Co-Vice Chair
David Klein	Co-Vice Chair
Charles Carr	Board Member
Stephanie Dyson	Board Member
Tejal Gandhi	Board Member
Ira Gottlieb	Board Member
Syatrizal Hamdallah	Board Member
Fazle Husain	Board Member
Leslie Kirwan	Board Member
Alexandra DaCosta	Board Member
Joseph Paduda	Board Member
Christopher Palmieri	President
Mary Hamilton	Treasurer
Elizabeth Goodman	Clerk

Commonwealth Care Alliance SCO

Plan Name on Disclosures Form: Commonwealth Care Alliance SCO

Plan Name in Enrollment Guide:  Commonwealth Care Alliance Senior Care Options

Currently operational

Name of Person Submitting Form:  Katherine Lavallee

Name	Title
Robert Gittens	Chair
Carol Raphael	Co-Vice Chair
David Klein	Co-Vice Chair
Charles Carr	Board Member
Stephanie Dyson	Board Member
Tejal Gandhi	Board Member
Ira Gottlieb	Board Member
Syatrizal Hamdallah	Board Member
Fazle Husain	Board Member
Leslie Kirwan	Board Member
Alexandra DaCosta	Board Member
Joseph Paduda	Board Member
Christopher Palmieri	President
Mary Hamilton	Treasurer
Elizabeth Goodman	Clerk

Community Care Cooperative, Inc.

Plan Name on Disclosures Form: Community Care Cooperative, Inc.

Plan Name in Enrollment Guide:  Community Care Cooperative (C3)

Currently operational

Name of person submitting form: Ben Janelli

Name	Title
Susan Joss	Board Member
Joe Panerio-Langer	Board Member
Karen Gardner	Board Member
David Tager	Board Member
Allison van der Velden	Board Member
Elizabeth Browne	Board Member
Charles Anderson	Board Member
Nandini Sengupta	Board Member
Pablo Hernandez	Board Member
Steve Kerrigan	Board Member
Louis Brady	Board Member
Robert Zavoski	Board Member
Ellen LaPointe	Board Member
Brian Bakofen	Board Member
Monica Liao	Board Member
John DeMalia	Board Member
Mark Francoisa	Board Member
Stephen F Segatore	Board Member
Eliza Lake	Board Member
Marisela Fermin-Schon	Board Member
Alejandro J. Esparaza Parez	Board Member
Geoff Pechinsky	Board Member
Cynthia Mitchell	Board Member
James Wolff	Board Member
Kiame Mahaniah	Board Member
Vincenzo Scibelli	Board Member
Anne Murray-Chiriboga	Board Member
Margaret Brennan	Board Member
Damian Archer	Board Member
Jagdeep Trivedi	Board Member
Paul Geltman	Board Member
Eugene Flaherty III	Board Member
Christina Severin	Board Member
Julita Mir	Board Member

East Boston Neighborhood Health WellSense Alliance

Plan Name on Disclosures Form: East Boston Neighborhood Health WellSense Alliance

Plan Name in Enrollment Guide:  East Boston Neighborhood Health WellSense Alliance

Currently operational

Name of Person Submitting Form:  James Collins

Name	Title
James Collins	Corporate Treasurer; Chief Financial Officer
Serina Q. Barkley	Corporate Clerk; Chief Legal Officer
Alastair Bell	Trustee
James Blue	Trustee
Amanda Eisel	Trustee
Christopher R. Gordon	Trustee
Susan Levine	Trustee
Paul Mendis	Trustee
Neela Montgomery	Trustee
Jeffrey Schwartz	Trustee
Robert Sweet	Trustee
Mark Taber	Trustee
Heather Thiltgen	President
Tarsha Weaver	Trustee

Fallon 365 Care

Plan Name on Disclosures Form: Fallon 365 Care

Plan Name in Enrollment Guide:  Fallon 365 Care

Currently operational

Name of Person Submitting Form: Milissa Obara

 

Name	Title
Todd Bailey	SVP and CFO
David Brumley	SVP and Chief Medical Officer
Christine Cassidy	SVP and Chief Communications Officer
James Gentile	SVP and Chief Compliance Officer
Matthew Herndon	SVP and Chief State Programs Officer
Mary C. Ritter	SVP and Chief Strategy and Government Programs Officer
Jill Green Lebow	SVP and CHRO
Emily West	SVP and COO
Alice Bonner	Board Member
James R. Buonomo	Board Member
B. John Dill	Board Member
Deborah Enos	Board Member
Frederick Misilo, Jr	Board Member
Janet Rico	Board Member
Joseph Stolberg	Board Member
Peter Straley	Board Member
Wanda J. McClain	Board Member
Victor Woolridge	Board Member
Richard Burke	President and CEO

Fallon Health

Plan Name on Disclosures Form:   Fallon Community Health Plan, Inc. DBA Fallon Health

Plan Name in Enrollment Guide:  Fallon Community Health Plan

Currently operational

Person Submitting Form:  James Gentile

Name	Title
Todd Bailey	Chief Financial Officer
David Brumley, MD	Chief Medical Officer
Christine Cassidy	Chief Communications Officer
James Gentile	Chief Compliance Officer
Matthew Herndon	Chief State Programs Officer
Mary C. Ritter	Chief Strategy & Government Programs Officer
Jill Green Lebow	Chief Human Resources Officer
Emily West	Chief Operating Officer
Alice Bonner	Director, Board of Directors
James R. Buonomo	Clerk, Board of Directors
B. John Dill	Vice Chair, Board of Directors
Deborah Enos	Director, Board of Directors
Frederick Misilo, Jr.	Chair, Board of Directors
Janet Rico	Director, Board of Directors
Joseph Stolberg	Treasurer, Board of Directors
Peter Straley	Director, Board of Directors
Wanda J. McClain	Director, Board of Directors
Victor Woolridge	Director, Board of Directors
Richard Burke	President & CEO and Director - ex officio, Board of Directors
Kristine Bostek	Senior Vice President, PACE Programs

Fallon Health-Atrius Health Care Collaborative

Plan Name on Disclosures Form: Fallon Health-Atrius Health Care Collaborative

Plan Name in Enrollment Guide:  Fallon Health-Atrius Health Care Collaborative

Currently operational

Name of Person Submitting Form: Milissa Obara

 

Name	Title
Todd Bailey	SVP and CFO
David Brumley	SVP and Chief Medical Officer
Christine Cassidy	SVP and Chief Communications Officer
James Gentile	SVP and Chief Compliance Officer
Matthew Herndon	SVP and Chief State Programs Officer
Mary C. Ritter	SVP and Chief Strategy and Government Programs Officer
Jill Green Lebow	SVP and CHRO
Emily West	SVP and COO
Alice Bonner	Board Member
James R. Buonomo	Board Member
B. John Dill	Board Member
Deborah Enos	Board Member
Frederick Misilo, Jr	Board Member
Janet Rico	Board Member
Joseph Stolberg	Board Member
Peter Straley	Board Member
Wanda J. McClain	Board Member
Victor Woolridge	Board Member
Richard Burke	President and CEO

Mass General Brigham ACO, LLC

Plan Name on Disclosures Form: Mass General Brigham ACO, LLC

Plan Name in Enrollment Guide:  Mass General Brigham

Operational through 3/31/23

Name of Person Submitting Form: Grace K Moulton

Name	Title
Gregg S. Meyer, M.D., M.Sc	Chair/President; Board Member
Niyum Gandhi	Treasurer; Board Member
Lindsay E. Jubelt, M.D.	CMO for Medicaid; Board Member
Andrea Geiger Re, Esq.	Officer-Clerk
William Stephen Black-Schaffer, M.D.	Board Member
David P. Connolly	Board Member
Marcela G. del Carmen, M.D.	Board Member
John J.W. Fangman, M.D.	Board Member
Brent P. Forester, M.D., M.Sc.	Board Member
Lauren A. Geddes, M.D.	Board Member
Davina N. Harris, Esq.	Board Member
Denise M. Mayo, M.D.	Board Member
Maury E. McGough, M.D	Board Member
Patrick R. Mcsweeney, M.D	Board Member
Mallika Mendu, M.D.	Board Member
George Marshall Moriarty, Esq.	Board Member
Lynn A. Stofer	Board Member

Mass General Brigham Health Plan with Mass General Brigham ACO

Plan Name on Disclosures Form: AllWays Health Partners, Inc. d/b/a Mass General Brigham Health Plan with Mass General Brigham ACO 

Plan Name in Enrollment Guide:  Mass General Brigham Health Plan with Mass General Brigham ACO

Currently operational

Name of Person Submitting Form:  Steven J. Tringale

 

Name	Title
Richard Holbrook	Director
Alan James	Director
James Hunt	Director
Anne Wilkins	Director
Jack Higham	Clerk
Steven J. Tringale	Director, President
Matiliew Fishman	Director
Niyum Gandhi	Treasurer

Massachusetts Behavioral Health Partnership

Plan Name on Disclosures Form: Massachusetts Behavioral Health Partnership

Plan Name in Enrollment Guide:  Massachusetts Behavioral Health Partnership

Currently operational

Name of Person Submitting Form:  Sharon Hanson

 

Person submitting form indicated there are no individuals reported in Section 2 of the FRDF.

My Care Family

EntityPlan Name on Disclosures Form: My Care Family

Plan Name in Enrollment Guide:  My Care Family

Operational through 3/31/23

Name of Person Submitting Form: Steven J. Tringale

Name	Title
Richard Holbrook	Director
Alan James	Director
James Hunt	Director
Anne Wilkins	Director
Jack Higham	Clerk
Steven J. Tringale	Director, President
Matiliew Fishman	Director
Niyum Gandhi	Treasurer

Senior Whole Health, LLC

Plan Name on Disclosures Form: Senior Whole Health, LLC

Plan Name in Enrollment Guide:  Senior Whole Health

Currently operational

Name of Person Submitting Form:  William Graham

 

Submitter indicated that there are no individuals reported in Section 2 of the FRDF.

Steward Health Choice, Inc.

Plan Name on Disclosures Form: Steward Health Choice, Inc.

Plan Name in Enrollment Guide:  Steward Health Choice

Currently operational

Name of Person Submitting Form:  Jennie Vital

Name	Title
Joseph Weinstein, MD	President, Steward Health Care Network
Mark Mande ll, MD	Chief Pediatric Medical Officer
Andrew Herman	CFO
Sr. Glorina Jugo	Consumer Representative
Lars Lundgren, MD	Physician
Craig Jesiolowski	President, Holy Family Hospital
Frederica Williams	President & CEO, Whittier Street Health Care Center
Joseph August	National Director of Primary Care and Network Development

Tufts Health Plan

Plan Name on Disclosures Form: Tufts Health Plan

Plan Name in Enrollment Guide:  Tufts Health Plan Senior Care Options

Currently operational

Name of person submitting form: Stephen Camper

 

Name	Title
Eileen Auen	Chair
Cain A. Hayes	Chief Executive Officer, President, Director
Scott Hartz	Director
Michael McColgan	Director
Myechia Minter-Jordan, M.D.	Director
Joyce A. Murphy	Director
Thomas P. O'Neill, III	Director
Raymond Pawlicki	Director
Bertram Scott	Director
Michael Shea	Director
Greg Shell	Vice-Chair
Irina Simmons	Director
Greg Tranter	Director
Todd Whitbeck	Director
Hedwig Veith Whitney	Director
Peter L. Slavin, M.D.	Director

Tufts Health Together

Plan Name on Disclosures Form: Tufts Health Together

Plan Name in Enrollment Guide:  Tufts Health Together

Currently operational

Name of Person Submitting Form:  Stephen Camper

 

Name	Title
Eileen Auen	Chair
Cain A. Hayes	Chief Executive Officer, President, Director
Scott Hartz	Director
Michael McColgan	Director
Myechia Minter-Hordan, M.D.	Director
Joyce A. Murphy	Director
Thomas P. O'Neill, III	Director
Raymond Pawlicki	Director
Bertram Scott	Director
Michael Shea	Director
Greg Shell	Vice-Chair
Irina Simmons	Director
Greg Tranter	Director
Todd Whitbeck	Director
Hedwig Veith Whitney	Director
Peter L. Slavin, M.D.	Director

Tufts Health Together with Atrius Health

EntityPlan Name on Disclosures Form: Tufts Health Together with Atrius Health

Plan Name in Enrollment Guide:  Tufts Health Together with Atrius Health

Operational through 3/31/23

Name of Person Submitting Form:  Stephen Camper

Name	Title
Eileen Auen	Chair
Cain A. Hayes	Chief Executive Officer, President, Director
Scott Hartz	Director
Michael McColgan	Director
Myechia Minter-Jordan, M.D.	Director
Joyce A. Murphy	Director
Thomas P. O'Neill, III	Director
Raymond Pawlicki	Director
Bertram Scott	Director
Michael Shea	Director
Greg Shell	Vice-Chair
Irina Simmons	Director
Greg Tranter	Director
Todd Whitbeck	Director
Hedwig Veith Whitney	Director
Peter L. Slavin, M.D.	Director

Tufts Health Together With BIDCO

Plan Name on Disclosures Form: Tufts Health Together With BIDCO

Plan Name in Enrollment Guide:  Tufts Health Together with BIDCO

Operational through 3/31/23

Name of Person Submitting Form:  Stephen Camper

 

Name	Title
Eileen Auen	Chair
Cain A. Hayes	Chief Executive Officer, President, Director
Scott Hartz	Director
Michael McColgan	Director
Myechia Minter-Hordan, M.D.	Director
Joyce A. Murphy	Director
Thomas P. O'Neill, III	Director
Raymond Pawlicki	Director
Bertram Scott	Director
Michael Shea	Director
Greg Shell	Vice-Chair
Irina Simmons	Director
Greg Tranter	Director
Todd Whitbeck	Director
Hedwig Veith Whitney	Director
Peter L. Slavin, M.D.	Director

Tufts Health Together With Boston Children's ACO

Plan Name on Disclosures Form: Tufts Health Together With Boston Children's ACO

Plan Name in Enrollment Guide:  Tufts Health Together with Boston Children’s ACO

Operational through 3/31/23

Name of Person Submitting Form:  Stephen Camper

Title	Name
Eileen Auen	Chair
Cain A. Hayes	Chief Executive Officer, President, Director
Scott Hartz	Director
Michael McColgan	Director
Myechia Minter-Jordan, M.D.	Director
Joyce A. Murphy	Director
Thomas P. O'Neill, III	Director
Raymond Pawlicki	Director
Bertram Scott	Director
Michael Shea	Director
Greg Shell	Director
Irina Simmons	Director
Greg Tranter	Director
Todd Whitbeck	Director
Hedwig Veith Whitney	Director
Peter L. Slavin, M.D.	Director

Tufts Health Together with CHA

Plan Name on Disclosures Form: Tufts Health Together with CHA

Plan Name in Enrollment Guide:  Tufts Health Together with Cambridge Health Alliance (CHA)

Currently operational

Name of Person Submitting Form:  Stephen Camper

Name	Title
Eileen Auen	Chair
Cain A. Hayes	Chief Executive Officer, President, Director
Scott Hartz	Director
Michael McColgan	Director
Myechia Minter-Jordan, M.D.	Director
Joyce A. Murphy	Director
Thomas P. O'Neill, III	Director
Raymond Pawlicki	Director
Bertram Scott	Director
Michael Shea	Director
Greg Shell	Vice-Chair
Irina Simmons	Director
Greg Tranter	Director
Todd Whitbeck	Director
Hedwig Veith Whitney	Director
Peter L. Slavin, M.D.	Director

Tufts Health Together with UMass Memorial Health

Plan Name on Disclosures Form: Tufts Health Together with Umass Memorial Health

Plan Name in Enrollment Guide:  Tufts Health Together with UMass Memorial Health

Currently operational

Name of Person Submitting Form:  Stephen Camper

 

Name	Title
Eileen Auen	Chair
Cain A. Hayes	Chief Executive Officer, President, Director
Scott Hartz	Director
Michael McColgan	Director
Myechia Minter-Jordan, M.D.	Director
Joyce A. Murphy	Director
Thomas P. O'Neill, III	Director
Raymond Pawlicki	Director
Bertram Scott	Director
Michael Shea	Director
Greg Shell	Vice-Chair
Irina Simmons	Director
Greg Tranter	Director
Todd Whitbeck	Director
Hedwig Veith Whitney	Director
Peter L. Slavin, M.D.	Director

Tufts Health Unify

Plan Name on Disclosures Form: Tufts Health Unify

Plan Name in Enrollment Guide:  Tufts Health Unify

Currently operational

Name of Person Submitting Form:  Stephen Camper

 

Name	Title
Eileen Auen	Chair
Cain A. Hayes	Chief Executive Officer, President, Director
Scott Hartz	Director
Michael McColgan	Director
Myechia Minter-Jordan, M.D.	Director
Joyce A. Murphy	Director
Thomas P. O'Neill, III	Director
Raymond Pawlicki	Director
Bertram Scott	Director
Michael Shea	Director
Greg Shell	Vice-Chair
Irina Simmons	Director
Greg Tranter	Director
Todd Whitbeck	Director
Hedwig Veith Whitney	Director
Peter L. Slavin, M.D.	Director

UnitedHealthcare Insurance Company OneCare

Plan Name on Disclosures Form: UnitedHealthcare Insurance Company OneCare

Plan Name in Enrollment Guide:  United Healthcare Connected for One Care

Currently operational

Name of Person Submitting Form:  John Madondo

Name	Title
Jessica Paik	Present & Director, UnitedHealthcare Insurance Company
Thomas Roos	Senior Vice President & Director, UnitedHealthcare Insurance Company
Courtney Mattson	Assistant Treasurer & Director, UnitedHealthcare Insurance Company
Linda Thiery	Chief Financial Officer & Director, UnitedHealthcare Insurance Company
Timothy Noel	Director, UnitedHealthcare Insurance Company
Tracy Arney	Secretary, UnitedHealthcare Insurance Company
Nyle Brent Cottington	Vice President, UnitedHealthcare Insurance Company
Gary Iannone	Chief Acturary, UnitedHealthcare Insurance Company
Peter Gill	Treasurer, UnitedHealthcare Insurance Company

UnitedHealthcare Insurance Company SCO

Plan Name on Disclosures Form: UnitedHealthcare Insurance Company SCO

Plan Name in Enrollment Guide:  United Healthcare Connected for Senior Care Options

Currently operational

Name of Person Submitting Form:  John Madondo

Name	Title
Jessica Paik	Present & Director, UnitedHealthcare Insurance Company
Thomas Roos	Senior Vice President & Director, UnitedHealthcare Insurance Company
Courtney Mattson	Assistant Treasurer & Director, UnitedHealthcare Insurance Company
Linda Thiery	Chief Financial Officer & Director, UnitedHealthcare Insurance Company
Timothy Noel	Director, UnitedHealthcare Insurance Company
Tracy Arney	Secretary, UnitedHealthcare Insurance Company
Nyle Brent Cottington	Vice President, UnitedHealthcare Insurance Company
Gary Iannone	Chief Acturary, UnitedHealthcare Insurance Company
Peter Gill	Treasurer, UnitedHealthcare Insurance Company

Wellforce Care Plan

Plan Name on Disclosures Form: Wellforce Care Plan

Plan Name in Enrollment Guide:  Wellforce Care Plan

Operational through 3/31/23

Name of Person Submitting Form:  Milissa Obara

Name	Title
Todd Bailey	SVP and CFO
David Brumley	SVP and Chief Medical Officer
Christine Cassidy	SVP and Chief Communications Officer
James Gentile	SVP and Chief Compliance Officer
Matthew Herndon	SVP and Chief State Programs Officer
Mary C. Ritter	SVP and Chief Strategy and Government Programs Officer
Jill Green Lebow	SVP and CHRO
Emily West	SVP and COO
Alice Bonner	Board Member
James R. Buonomo	Board Member
B. John Dill	Board Member
Deborah Enos	Board Member
Frederick Misilo, Jr	Board Member
Janet Rico	Board Member
Joseph Stolberg	Board Member
Peter Straley	Board Member
Wanda J. McClain	Board Member
Victor Woolridge	Board Member
Richard Burke	President and CEO

WellSense BILH Performance Network ACO

Plan Name on Disclosures Form: Boston Medical Center Health Plan, Inc. d/b/a WellSense BILH Performance Network ACO

Plan Name in Enrollment Guide: WellSense Beth Israel Lahey Health (BILH) Performance Network ACO

Currently operational

Name of Person Submitting Form:  James Collins

Name	Title
James Collins	Corporate Treasurer; Chief Financial Officer
Serina Q. Barkley	Corporate Clerk; Chief Legal Officer
Alastair Bell	Trustee
James Blue	Trustee
Amanda Eisel	Trustee
Christopher R. Gordon	Trustee
Susan Levine	Trustee
Paul Mendis	Trustee
Neela Montgomery	Trustee
Jeffrey Schwartz	Trustee
Robert Sweet	Trustee
Mark Taber	Trustee
Heather Thiltgen	President
Tarsha Weaver	Trustee

WellSense Boston Children's ACO

Plan Name on Disclosures Form: Boston Medical Center Health Plan, Inc. d/b/a WellSense Boston Children's ACO

Plan Name in Enrollment Guide:  WellSense Boston Children’s ACO

Currently operational

Name of Person Submitting Form:  James Collins

Name	Title
James Collins	Corporate Treasurer; Chief Financial Officer
Serina Q. Barkley	Corporate Clerk; Chief Legal Officer
Alastair Bell	Trustee
James Blue	Trustee
Amanda Eisel	Trustee
Christopher R. Gordon	Trustee
Susan Levine	Trustee
Paul Mendis	Trustee
Neela Montgomery	Trustee
Jeffrey Schwartz	Trustee
Robert Sweet	Trustee
Mark Taber	Trustee
Heather Thiltgen	President
Tarsha Weaver	Trustee

WellSense Care Alliance

Plan Name on Disclosures Form: Boston Medical Center Health Plan, Inc. d/b/a WellSense Care Alliance

Plan Name in Enrollment Guide:  WellSense Care Alliance

Currently operational

Name of Person Submitting Form:  James Collins

Name	Title
James Collins	Corporate Treasurer; Chief Financial Officer
Serina Q. Barkley	Corporate Clerk; Chief Legal Officer
Alastair Bell	Trustee
James Blue	Trustee
Amanda Eisel	Trustee
Christopher R. Gordon	Trustee
Susan Levine	Trustee
Paul Mendis	Trustee
Neela Montgomery	Trustee
Jeffrey Schwartz	Trustee
Robert Sweet	Trustee
Mark Taber	Trustee
Heather Thiltgen	President
Tarsha Weaver	Trustee

WellSense Community Alliance

EntityPlan Name on Disclosures Form: Boston Medical Center Health Plan, Inc. d/b/a WellSense Community Alliance

Plan Name in Enrollment Guide:  WellSense Community Alliance

Currently operational

Name of Person Submitting Form:  James Collins

Name	Title
James Collins	Corporate Treasurer; Chief Financial Officer
Robert (David) Beck	Corporate Clerk; Chief Legal Officer
David Ament	Trustee
Alastair Bell	Trustee
James Blue	Trustee
Susan Levine	Trustee
Stacy Cowan	Trustee
Christopher R. Gordon	Trustee
Jeffrey  Schwartz	Trustee
Robert  Sweet, Jr.	Trustee
Mark  Taber	Trustee
Tarsha Weaver	Trustee
Paul Mendis	Trustee
Heather Thiltgen	President

WellSense Essential -MCO Plan

Plan Name on Disclosures Form: Boston Medical Center Health Plan, Inc. d/b/a WellSense Essential -MCO Plan

Plan Name in Enrollment Guide:  WellSense Essential MCO

Currently operational
 

Name of Person Submitting Form:  James Collins

Name	Title
James Collins	Corporate Treasurer; Chief Financial Officer
Serina Q. Barkley	Corporate Clerk; Chief Legal Officer
Alastair Bell	Trustee
James Blue	Trustee
Amanda Eisel	Trustee
Christopher R. Gordon	Trustee
Susan Levine	Trustee
Paul Mendis	Trustee
Neela Montgomery	Trustee
Jeffrey Schwartz	Trustee
Robert Sweet	Trustee
Mark Taber	Trustee
Heather Thiltgen	President
Tarsha Weaver	Trustee

WellSense Mercy Alliance

Plan Name on Disclosures Form: Boston Medical Center Health Plan, Inc. d/b/a WellSense Mercy Alliance

Plan Name in Enrollment Guide:  WellSense Mercy Alliance

Currently operational

Name of Person Submitting Form:  James Collins

Name	Title
James Collins	Corporate Treasurer; Chief Financial Officer
Serina Q. Barkley	Corporate Clerk; Chief Legal Officer
Alastair Bell	Trustee
James Blue	Trustee
Amanda Eisel	Trustee
Christopher R. Gordon	Trustee
Susan Levine	Trustee
Paul Mendis	Trustee
Neela Montgomery	Trustee
Jeffrey Schwartz	Trustee
Robert Sweet	Trustee
Mark Taber	Trustee
Heather Thiltgen	President
Tarsha Weaver	Trustee

WellSense Senior Care Options Plan

Plan Name on Disclosures Form: Boston Medical Center Health Plan, Inc. d/b/a WellSense Senior Care Options Plan

Plan Name in Enrollment Guide:  WellSense Senior Care Options Plan

Currently operational

Name of Person Submitting Form:  James Collins

Name	Title
James Collins	Corporate Treasurer; Chief Financial Officer
Serina Q. Barkley	Corporate Clerk; Chief Legal Officer
Alastair Bell	Trustee
James Blue	Trustee
Amanda Eisel	Trustee
Christopher R. Gordon	Trustee
Susan Levine	Trustee
Paul Mendis	Trustee
Neela Montgomery	Trustee
Jeffrey Schwartz	Trustee
Robert Sweet	Trustee
Mark Taber	Trustee
Heather Thiltgen	President
Tarsha Weaver	Trustee

WellSense Signature Alliance

Plan Name on Disclosures Form: Boston Medical Center Health Plan, Inc. d/b/a WellSense Signature Alliance

Plan Name in Enrollment Guide:  WellSense Signature Alliance

Currently operational

Name of Person Submitting Form:  James Collins

Name	Title
James Collins	Corporate Treasurer; Chief Financial Officer
Serina Q. Barkley	Corporate Clerk; Chief Legal Officer
Alastair Bell	Trustee
James Blue	Trustee
Amanda Eisel	Trustee
Christopher R. Gordon	Trustee
Susan Levine	Trustee
Paul Mendis	Trustee
Neela Montgomery	Trustee
Jeffrey Schwartz	Trustee
Robert Sweet	Trustee
Mark Taber	Trustee
Heather Thiltgen	President
Tarsha Weaver	Trustee

WellSense Southcoast Alliance

Plan Name on Disclosures Form: Boston Medical Center Health Plan, Inc. d/b/a WellSense Southcoast Alliance

Plan Name in Enrollment Guide:  WellSense Southcoast Alliance

Currently operational

Name of Person Submitting Form:  James Collins

Name	Title
James Collins	Corporate Treasurer; Chief Financial Officer
Serina Q. Barkley	Corporate Clerk; Chief Legal Officer
Alastair Bell	Trustee
James Blue	Trustee
Amanda Eisel	Trustee
Christopher R. Gordon	Trustee
Susan Levine	Trustee
Paul Mendis	Trustee
Neela Montgomery	Trustee
Jeffrey Schwartz	Trustee
Robert Sweet	Trustee
Mark Taber	Trustee
Heather Thiltgen	President
Tarsha Weaver	Trustee

Last updated:	March 26, 2024