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Financial Services3500000
AC 3272-S (Effective 4/12)
FORM B
New York State Consultant Services Contractor's Annual Employment Report
Report Period: April 1, 2015 to March 31, 2016
Contracting State Agency Name: NYS Department of Financial Services
Contract Number: C000361 Agency Business Unit: DFS01 _
Contract Term: 2/17/2011 to 2/16/2016 Agency Department ID: 35000
Contractor Name: National Committee for Quality Assurance
Contractor Address: 1100 13th Street NW Suite 1000, Washington, DC 20005
Description of Services Being Provided: Develop and produce the New York Consumer Guide to Health Insurers and the NY Health Plan Comparison Web Site.
Scope of Contract (Choose one that best fits):
D Analysis D Evaluation D Research D Training
D Data Processing D Computer Programming D Other IT consulting
D Engineering D Architect Services D Surveying D Environmental Services
D Health Services D Mental Health Services
D Accounting D Auditing D Paralegal D Legal [8] Other Consulting
Number of Number of Amount Payable Employment Category Employees Hours Worked Under the Contract
Medical and Health Services Manager 3.00 147.00 $7,973.33
Administrative Support 2.00 47.00 $2,009.93
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
Total this Page 5.00 194.00 $9,983.26
Grand Total 5.00 194 $9,983.26
Name of person who prepared this report: Tiffany Gaerlan
Title: Manager, Project Adry~ini tration ~ "'
Preparer's Signature: ..._..._l __________ ~---------~_-_-_-:_ __ Date Prepared: 05/13/2016 .
Phone#: 202-955-1771
(Use additional pages, if necessary) Page 1 of 1
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New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2014 to March 31, 2015
Contracting State Agency Name: Dept of Financial Services
Contract Number: COO0378 Agency Business Unit: OFS 0 IContract Term: 10101/2012 to 9/30/2016 Agency Department 10: 3500000Contractor Name: AliCare, Inc.Contractor Address: 333 Westchester Ave. White Plains,NY 10604Description of Services Being Provided: Third Party Administration and Medical Case Management
Scope of Contract (Choose one that best fits):
o Analysis DEvaluation o Research o Training
o Data Processing o Computer Programming DOther IT consulting
o Engineering o Architect Services o Surveying D Environmental Services
x Health Services o Mental Health Services
o Accounting o Auditing o Paralegal D Legal o Other Consulting
Employment Category Number of Number of Amount PayableEmployees Hours Worked Under the Contract
Claims 18 5,067 $ 467,495Case Management 9 8,223 $1,267,513General Management 5 1,494 $ 548,799
Total this page 32 14,784 $ 2,283.807
Grand Total 32 14,784 $ 2,283.807
Name of person who prepared this report: Gary Koscielny
Title: ConSUltant . ~ // )!Preparer's Signature: X/C.uy ~&"-~£0Date Prepared: 5/12/2015 ( /
(Use additional pages, if necessary)
Phone #: (914) 367-5523
Page 1 of 1
AC 3272-S (Effective 4/12)
FORM B
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1,2015 to March 31,2016
Contracting State Agency Name: NYS Department of Financial ServicesContract Number: C000397 Agency Business Unit: DFS01Contract Term: 08/19/2013 to 08/18/2016 Agency Department ID: 3500000Contractor Name: Sanghi Consulting, Inc.Contractor Address: PO Box 3902, Albany NY 12203Description of Services Being Provided: IT Consulting Services, IT Planner
Scope of Contract (Choose one that best fits):o Analysis DEvaluation o Research o Trainingo Data Processing o Computer Programming I:8J Other IT consultingo Engineering o Architect Services o Surveying o Environmental Serviceso Health Services o Mental Health Serviceso Accounting o Auditing o Paralegal o Legal o Other Consulting
Number of Number of Amount PayableEmployment Category Employees Hours Worked Under the Contract
0.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.00
0.00 0.00 $0.000.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.000.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.000.00 0.00 $0.00
0.00 0.00 $0.00
Total this Page 0.00 0.00 $ 0.00
Grand Total 0.00 0 $0.00
Name of person who prepared this report: Atul Sanghi
Phone #: 888-465-7867
(UseaddWonalpages, ~necessar0 Page 1 of 1
Savannah Wolfgang
xxxx C00040000
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xxxxxxxxxxxxxxxxxxxxxxxxxx Dept. of Financial Servicesxxxxxx DFS01xxxxxxx3500000
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Reporting Code:
Cateqory Code:
State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2015 to March 31, 2016
Contracting State Agency Name: Department of Financial ServicesAgency Code:'3 S~Contract Number: PH65768Contract Term: : 11/01/2012 to 10/31/2017Contractor Name: Computer Aid, Inc.Contractor Address: 1390 Ridgeview Drive, Allentown, PA 18104Description of Services Being Provided: IT Consulting Services
Scope of Contract (Choose one that best fits):Analysis DEvaluation D Research D Training DData Processing D Computer Programming x Other IT consulting DEngineering D Architect Services D Surveying D Environmental Services DHealth Services D Mental Health Services DAccounting D Auditing D Paralegal D Legal D Other Consulting D
Employment Category Number of Employees Number of Hours Worked Amount Payable Underthe Contract
Programming and Software Dev.15.1131.00 1 416 $9,435.44
Total this paqe 1 416 $9,435.44Grand Total .A 1 416 $9,435.44
// I JName of person WhO:~tffi~ HarperPreparer's Signature: /I ~ -""Title: Sr. Director, O~f1fIS -7;...... Phone #~O_5043Date Prepared: 05/0 016Use additional pages if n~cessary) Page 1 of 1
FORMB
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2015 to March 31, 2016
Contracting State Agency Name: NYS Office of GeneralServices/NYS Department of Financial ServicesContract Number: PH65775 Agency Business Unit: ---:::P' pS 0 IContract Term: 11/1/2012 to 10/31/2017 Agency Department ID: 75aoZ)(){)
Contractor Name: NTT DATA Inc.
Contractor Address: 18 Corporate Woods Blvd.Description of Services Being Provided: Consulting Services
Scope of Contract (Choose one that best fits):
D Analysis DEvaluation D Research D Training
D Data Processing D Computer Programming [8JOther IT consulting
D Engineering D Architect Services D Surveying D Environmental Services
D Health Services D Mental Health Services
D Accounting D Auditing D Paralegal D Legal D Other Consulting
Employment Category Number of Number of Amount PayableEmployees Hours Worked Under the Contract
Computer Systems 1 1167 $ 107,072.25Engineers/Architects
Total this page 1 1167 $ 107,072.25
Grand Total 1 1167 $ 107,072.25
Name of person who prepared this report: Carol Fitzgerald
Title: Senior Program ~n~g/)e~fl;;- ;-.rI • r. !)1)Preparer's Signature: ~~
Date Prepared: 05/09/2016
(Use additional pages, if necessary)
Phone #: (518) 815-2057
Page 1 of 1
AC 3272-5 (Effective 4/12)
FORM B
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2015 to March 31, 2016
Contracting State Agency Name: NYS Department of Financial Services (DFS)Contract Number: PH65776 Agency Business Unit: OFSO'Contract Term: 11/01/2012 to 10/31/2017 Agency Department ID:3500000Contractor Name: Knowledge Builders IncContractor Address: 1977 Western Avenue; Ste #1; Albany, NY - 12203Description of Services Being Provided: Technical Architect
Scope of Contract (Choose one that best fits):~ Analysis DEvaluation o Research o Trainingo Data Processing ~ Computer Programming o Other IT consultingo Engineering o Architect Services o Surveying o Environmental Serviceso Health Services o Mental Health Serviceso Accounting o Auditing o Paralegal o Legal o Other Consulting
Number of Number of Amount PayableEmployment Category Employees Hours Worked Under the Contract
15-1121.00 1 213 $17,781.24
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
Total this Page 1 213 $17,781.24
Grand Total 1 213 $17,781.24
Name of person who prepared this report: Sanjay KapalliTitle: Executive Vice President Phone #: 518-810-7478
Preparer's Signature: _
Date Prepared: 05/05/2016
(Use additional pages, if necessary)Page 1 of 1
AC 3272-S (Effective 4/12)
FORM B
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2015 to March 31, 2016
Contracting State Agency Name: NYS Department of Financial Services (DFS)Contract Number: PH65776 Agency Business Unit: DFSO'Contract Term: 11/01/2012 to 10/31/2017 Agency Department 10: 3500000Contractor Name: Knowledge Builders IncContractor Address: 1977 Western Avenue; Ste #1; Albany, NY -12203Description of Services Being Provided: Project Management
Scope of Contract (Choose one that best fits):o Analysis DEvaluation o Research o TrainingD Data Processing o Computer Programming D Other IT consultingD Engineering D Architect Services D Surveying D Environmental ServicesD Health Services D Mental Health Services
o Accounting D Auditing D Paralegal o Legal D Other Consulting
Number of Number of Amount PayableEmployment Category Employees Hours Worked Under the Contract
15-1199.09 5 6,742.5 $602,371.54
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
Total this Page 5 6,742.5 602,371.54
Grand Total 5 6,742.5 602,371.54
Name of person who prepared this report: Sanjay KapalliTitle: Executive Vice President Phone #: 518-810-7478
Preparer's Signature:Date Prepared: 05/05/2016
(Use additional pages, if necessary)Page 1 of 1
AC 3272-S (Effective 4/12)
FORM B
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2015 to March 31,2016
Contracting State Agency Name: NYS Department of Financial Services (DFS)Contract Number: PH65776 Agency Business Unit: PFSO IContract Term: 11/01/2012 to 10/31/2017 Agency Department ID: 3500000Contractor Name: Knowledge Builders Inc.Contractor Address: 1977 Western Avenue; Ste #1; Albany, NY -12203Description of Services Being Provided: Programmer
Scope of Contract (Choose one that best fits):C8J Analysis ~ Evaluation o Research o TrainingC8J Data Processing ~ Computer Programming o Other IT consultingo Engineering o Architect Services o Surveying o Environmental Serviceso Health Services o Mental Health Serviceso Accounting o Auditing o Paralegal o Legal o Other Consulting
Number of Number of Amount PayableEmployment Category Employees Hours Worked Under the Contract
15-1131.00 2 143 $9,895.60
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
Total this Page 2 143 $9,895.60
Grand Total 2 143 $9,895.60
Name of person who prepared this report: Sanjay KapalliTitle: Executive Vice President Phone #: 518-810-7478
Preparer's Signature: _
Date Prepared: 05/05/2016
(Use additional pages, if necessary)Page 1 of 1
AC 3272-S (Effective 4/12)
FORM B
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2015 to March 31, 2016
Contracting State Agency Name: NYS Department of Financial Services (DFS)Contract Number: PH65776 Agency Business Unit: DFSO lContract Term: 11/01/2012 to 10/31/2017 Agency Department 10: 3500000Contractor Name: Knowledge Builders IncContractor Address: 1977 Western Avenue; Ste #1; Albany, NY -12203Description of Services Being Provided: Project Management
Scope of Contract (Choose one that best fits):[gJ Analysis DEvaluation D Research D Training
D Data Processing [gJ Computer Programming D Other IT consulting
D Engineering D Architect Services D Surveying D Environmental ServicesD Health Services D Mental Health ServicesD Accounting D Auditing D Paralegal D Legal D Other Consulting
Number of Number of Amount PayableEmployment Category Employees Hours Worked Under the Contract
15-1199.09 3 4,635.50 $423,703.10
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
Total this Page 3 4,635.50 $423,703.10
Grand Total 3 4,635.50 $423,703.10
Name of person who prepared this report: Sanjay KapalliTitle: Executive Vice President Phone #: 518-810-7478
Preparer's Signature:Date Prepared: 05/05/2016
(Use additional pages, if necessary)Page 1 of 1
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