Financial Services - New York State Comptroller
[Pages:10]Financial Services
3500000
FORM B
New York State Consultant Services Contractor's Annual Employment Report
Report Period: April 1, 2016 to March 31, 2017
Contracting State Agency Name: Dept of Financial Services
Contract Number: COO0378 Contract Term: 10101/2012 to 9/3012017
Agency Code:
J 3CS~
Contractor Name: AIiCare, Inc.
Contractor Address: 333 Westchester Ave. White Plains, NY 10604 Description 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
o Environmental Services
x Health Services
o Mental Health Services
o Accounting
o Auditing
o Paralegal
o Legal
o Other Consulting
Employment Category
Claims Case Management General Management
Number of Employees
20 13
8
Number of Hours Worked
9,783 14,864
3,212
Amount Payable Under the Contract
$ 991,598 $2,248,567 $ 811,307
Total this page
41
Grand Total
41
Name of person who prepared this report: Gary Koscieln~
Title: Consultant
Preparer's Signature:
(Use additional pages, if necessary)
27,859 27,859
$ 4,051.472 $ 4,051.472
Phone #: (914) 367-5523
Page 1 of 1
AC 3272-S (Effective 4/12)
FORMB
New York State Consultant Services Contractor's Annual Employment Report
Report Period: April 1,2016 to March 31,2017
Contracting State Agency Name: Department of Financial Services (DFS)
Contract Number: C000387
Agency Business Unit:
Contract Term: 1/7/2016 to 1/6/2018
Agency Department 10: 3500000
Contractor Name: Deloitte Consulting
Contractor Address: 39 N. Pearl Street, Albany, NY 12207
Description of Services Being Provided: Actuarial Services
Scope of Contract (Choose one that best fits):
D Analysis
DEvaluation
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 [gJ Other Consulting
Employment Category Actuaries
Total this Page Grand Total
Number of Employees
21.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21.00 21.00
Number of Hours Worked
241.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
241.75 241
Amount Payable Under the Contract
$78521.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
.-
$0.00 $0.00 $78,521.25 $78,521.25
O~ Name of person who prepared this report: Connie Rowe Rauhauser
Title: Client Account Mana~
_ /;;
Phone #: 518-424-0885
AA Preparer's Signature: __'_(-4j(-,,-~~~=.;._.:_.._../:'
_
Date Prepared: 5115/2017
(Use additional pages, if necessary)
Page 1 of 1
AC 3272-S (Effective 4/12)
FORMB
New York State Consultant Services Contractor's Annual Employment Report
Report Period: April 1, 2016 to March 31, 2017
Contracting State Agency Name: Department of Financial Services (DFS)
Contract Number: C000441
3Sooooo Agency Business Unit:
Contract Term: 10/17/2016 to 10/16/2017
Agency Department 10:
Contractor Name: Deloitte Consulting
Contractor Address: 39 N. Pearl Street, Albany, NY 12207
Description of Services Being Provided: Actuarial Services
Scope of Contract (Choose one that best fits):
o Analysis DEvaluation
o o Research
Training
o o o Data Processing
Computer Programming
Other IT consulting
o o o o Engineering
Architect Services
Surveying
Environmental Services
o D Health Services
Mental Health Services
o D Accounting
Auditing D Paralegal D Legal ~ Other Consulting
Employment Category Actuaries
Total this Page Grand Total
Number of Employees
44.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
44.00 44.00
Number of Hours Worked
2,597.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2,597.22 2,597
Amount Payable Under the Contract
$676,129.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
.-
$0.00 $0.00 $676,129.20 $676,129.20
1 .. Name of person who prepared this report:
Title: Client Account Manager
nnie Rowe Rauhauser Phone #: 518-424-0885
Preparer's Signature: _ _.....~(_c_~_~ ____.
_
Date Prepared: 5/15/2017
(Use additional pages, if necessary)
Page 1 of 1
FORM B
State Consultant Services Contractor's Annual Employment Report Re ort Period: A ril1, 2016 to March 31,2017
Contracting State Agency Name: NYS DFS
Contract Number: HBITS - PH65768 Contract Term: : 11/01/2012 to 10/31/2017 Contractor Name: Computer Aid, Inc. Contractor Address: 1390 Ridgeview Drive, Allentown, PA 18104 Description of Services Being Provided: IT Consulting Services
Scope of Contract (Choose one that best fits):
0 Analysis X Evaluation Research 0 Training 0
0 Data Processing
Computer Programming X Other IT consulting
0 0 0 0 Engineering
Architect Services
Surveying
Environmental Services
0 0 Health Services
Mental Health Services
Accounting 0 Auditing 0 Paralegal 0 Legal 0 0 Other Consulting
Employment Category Computer Programmers 15-1021.00
Total
Numberof employees
1 1
Amount Payable under
Hours
Contract
2,008.00 2,008.00
$81,665.36 $81,665.36
Name of person wh
Preparer's Signatur'C-.L...,r:;::::,....p..--K~(L...,_,.u.-I-,,..4.
_
Title: Sr. Director, Oper ti
Date Pre ared: 05/121 017
Use additional pages if necessary)
FORM B
New York State Consultant Services Contractor's Annual Employment Report
Report Period: April 1, 2016 to March 31, 2017
Contracting State Agency Name: NYS Office of General ServiceslNYS Department of Financial Services Contract Number: PH65775
Contract Term: 11/1/2012 to 10/31/2017
Agency Business Unit:
Agency Department ID: : 3X)MJ~
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
[gIOther 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
Computer Systems Eng ineersl Arch itects
Number of Employees
1
Number of Hours Worked
Amount Payable Under the Contract
1884
$172,857.00
Total this page
1
Grand Total
1
Name of person who prepared this report: Carol Fitzgerald
Title: Senior Program Manager
Preparer's Signature: ~~
Date Prepared: 05/04/2017 (Use additional pages, if necessary)
1884 1884
$172,857.00 $172,857.00
Phone #: (518) 815-2057
Page 1 of 1
AC 3272-S (Effective 4/12) FORM B
New York State Consultant Services Contractor's Annual Employment Report
Report Period: April 1, 2016 to March 31, 2017
Contracting State Agency Name: NYS Department of Financial Services
Contract Number: PH65776 Contract Term: 11/01/2012 to 10/31/2018
Agency Business Unit:
-:3 Agency Department 10: S"DOODO
Contractor Name: Knowledge Builders Inc.
Contractor Address: 1977 Western Avenue; Ste #1; Albany, NY -12203
Description of Services Being Provided: Project Manager
Scope of Contract (Choose one that best fits):
~ Analysis
[gJ Evaluation
D Research
D Training
[gJ Data Processing
[gJ 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
D Other Consulting
Employment Category 15-1199.09
Total this Page Grand Total
Number of Employees
3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3 3
Number of Hours Worked
4,981 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4,981 4,981
Amount Payable Under the Contract
$445,070.12 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$445,070.12 $445,070.12
Name of person who prepared this report: Sanjay Kapalli Title: Executive Vice President
Preparer's Signature:
_
Date Prepared: 04/25/2017
(Use additional pages, if necessary)
Phone #: 518-810-7478 Page 1 of 1
AC 3272-S (Effective 4/12) FORM B
New York State Consultant Services Contractor's Annual Employment Report
Report Period: April 1, 2016 to March 31,2017
Contracting State Agency Name: NYS Department of Financial Services
Contract Number: PH65776 Contract Term: 11/01/2012 to 10/31/2018 Contractor Name: Knowledge Builders Inc.
Agency Business Unit:
Agency Department ID: 3>ODabD
Contractor Address: 1977 Western Avenue; Ste #1; Albany, NY - 12203
Description of Services Being Provided: Technical Architect
Scope of Contract (Choose one that best fits):
[gJ Analysis
[gJ Evaluation
o Research
o Training
[gJ Data Processing
[gJ Computer Programming
o Other IT consulting
o Engineering
o Architect Services
o Surveying
o Health Services
o Mental Health Services
o Environmental Services
o Accounting
o Auditing
o Paralegal
o Legal
o Other Consulting
Employment Category 15-1199.02
Total this Page Grand Total
Number of Employees
2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2 2
Number of Hours Worked
607 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 607 607
Amount Payable Under the Contract
$57,616.44 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$57,616.44 $57,616.44
Name of person who prepared this report: Sanjay Kapalli Title: Executive Vice President
Preparer's Signature:
_
Date Prepared: 04/25/2017
(Use additional pages, if necessary)
Phone #: 518-810-7478
Page 1 of 1
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