Proposed Acquisition of Control of Superior Vision Insurance Plan of WI

​​​Last Updated: March 2, 2016​​

Information on the Proposed Acquisition of Control of S​uperior Vision Insurance Plan of Wisconsin, Inc. (Domestic Insurer) by Wink Holdco, Inc., Wink Parent, Inc., Centerbridge Capital Partners III, L.P., Centerbridge Capital Partners SBS III, L.P., and CCP III Cayman GP Ltd. (Collectively, the Applicant)

On December 14, 2015, the Applicant filed a plan to acquire control of Superior Vision Insurance Plan of Wisconsin, Inc., pursuant to the terms and conditions set forth in the Stock Purchase Agreement by and between Wink Holdco, Inc. (Purchaser), Superior Vision Corp. (Company) and Superior Vision Holding Company, LLC (Seller) dated November 21, 2015. Pursuant to the terms and conditions set forth in the Stock Purchase Agreement, Superior Vision Corp. and its subsidiaries will become wholly owned subsidiaries of the Applicant.

Superior Vision Insurance Plan of Wisconsin, Inc., is a Wisconsin-domiciled limited service health organization and a direct subsidiary of Superior Vision Corp. The Domestic Insurer commenced operations in December 1992 and is licensed in one state (Wisconsin).

Notations on Accessing Information

Financial information concerning individual insurance companies, including key annual statement pages, may be accessed on the Consumers Information Source section of the National Association of Insurance Commissioners' Web site at http://www.naic.org/cis/.​

Form A and Exhibits, Filed with the Wisconsin OCI on December 14, 2015:

• Cover Letter to Kristin Forsberg of the Wisconsin Office of the Commissioner of Insurance (dated 12/11/15)

• Form A - Acquisition of Control of Superior Vision Insurance Plan of Wisconsin, Inc. [REDACTED]

• Exhibit A: Stock Purchase Agreement [REDACTED]

• Exhibit B: Quarterly Financial Statements of Centerbridge III as of June 30, 2015 [REDACTED]​

• Exhibit C: Quarterly Financial Statements of Centerbridge III as of September 30, 2015 [REDACTED]

• Exhibit D: Pre-Acquisition Organizational Chart of the Applicants
• Exhibit E: Post-Acquisition Organizational Chart of the Applicants
• Exhibit F: List of Current Directors of CCP and Proposed Directors and Executive Officers of Wink Parent and Wink Holdco
• Exhibit G: List of Proposed Directors and Executive Officers of the Domestic Insurer

• Exhibit H: Biographical Affidavits [REDACTED]

• Exhibit I: Commitment Letter [REDACTED]

• Exhibit J: Financial Projections [REDACTED]

• Exhibit K: Form AA - Consent to Jurisdiction Statements

Wisconsin OCI Form A Follow-up Letters:

• Exhibit B-1: WI OCI Form A follow-up letter #1, dated 1/13/16

Applicant Response Letters and Attachments:

• Exhibit B-1-1: Applicant's 2/3/16 response to WI OCI's follow-up letter #1 [REDACTED]

Hearing Documents:

• Exhibit C-1: Notice of Hearing - Case No. 15-C41067
• Exhibit C-2: List of Hearing Exhibits - Case No. 15-C41067

Wisconsin OCI Recommendation Memo:

• Exhibit D-1: OCI Recommendation Memorandum dated 2/24/16 [REDACTED]

Final Decision:

• Exhibit E-1: Final Decision - Case No. 15-C41067​​