96-S Exhibit M 3PAO- Obligations-and-Performance-Guide v1.0.pdf

PDF 780 KB Posted

Attached to
EAD, YCER, BEVE, and eRPA Notices
Solicitation number
0096s_2019
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Exhibit M

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Other files

File Type Posted
0096sa1.pdf PDF
96-S Exhibit P - Security Assessment Report PDF
96-S EXHIBIT F - FCRA Authorization Form.pdf PDF
96-S Exhibit H- Audit and Summary Reports.pdf PDF
96-S Exhibit N - Postage Meter Activity Log.pdf PDF
96- S Exhibit R - SSP TEMPLATE FY17 - Externally Hosted System.pdf PDF
96-S_Exhibit_D_-_Fingerprint_Card.pdf PDF
96-S Exhibit A - SSA-222 - Contractor Personnel Security Certification.pdf PDF
96- S Exhibit J - Perforated Payment Stub Sample.pdf PDF
96-S Exhibit K- Email address file of Key GPO and SSA Personnel.pdf PDF
96-S Exhibit I- MRD File Spec.pdf PDF
96-S Exhibit B- Security and Suitability Requirements.pdf PDF
96-S Exhibit Q Risk Assessment Report PDF
0096s.pdf PDF
96-S Exhibit O - SSA External Service Provider.pdf PDF
96-S Exhibit G - System Plan.pdf PDF
96-S_Exhibit_S_-_ESP_SOW_Security_Requirements.pdf PDF
96-S Exhibit C - SF85P Questionnaire for Public Trust Positions.pdf PDF
96- S Exhibit L - References for External Service Providers.pdf PDF
96-S Exhibit E - Declaration of Fed Emp OF-306.pdf PDF
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Medicare Acknowledgement, Subsidy Determination, and IRMAA Non-BRI Notices Page 91 of 98 584-S (09/18)

EXHIBIT L Page 1 of 7

3PAO-Obligatinos-and-Performance-Guide v1.0

Medicare Acknowledgement, Subsidy Determination, and IRMAA Non-BRI Notices Page 92 of 98

EXHIBIT L Page 2 of 7

Medicare Acknowledgement, Subsidy Determination, and IRMAA Non-BRI Notices Page 93 of 98

EXHIBIT L Page 3 of 7

Medicare Acknowledgement, Subsidy Determination, and IRMAA Non-BRI Notices Page 94 of 98

EXHIBIT L Page 4 of 7

Medicare Acknowledgement, Subsidy Determination, and IRMAA Non-BRI Notices Page 95 of 98

EXHIBIT L Page 5 of 7

Medicare Acknowledgement, Subsidy Determination, and IRMAA Non-BRI Notices Page 96 of 98

EXHIBIT L Page 6 of 7

Medicare Acknowledgement, Subsidy Determination, and IRMAA Non-BRI Notices Page 97 of 98

EXHIBIT L Page 7 of 7

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