disclosures: 0050f1dc16015889b1a0b86dc9ca9aa1325d02121d813d9490309aacff8e50c4
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| 0050f1dc16015889b1a0b86dc9ca9aa1325d02121d813d9490309aacff8e50c4 | 2013/Gonzalez,_Jay_section_6_disclosure_2013-01-05.pdf | 2013 | Jay Gonzalez 2013 JAN 23 AM 10: 38 | Office of the Governor | DISCLOSURE BY NON-ELECTED STATE EMPLOYEE OF FINANCIAL INTEREST AND DETERMINATION BY APPOINTING AUTHORITY AS REQUIRED BY G. L. C. 268A, § 6 RECEIVED STATE ETHICS COMMISSION STATE EMPLOYEE INFORMATION Name: Jay Gonzalez 2013 JAN 23 AM 10: 38 Title or Position: Secretary State Agency: Executive Office for Administration and Finance Agency Address: State House, Room 373 Boston, MA 02133 Office Phone: 617-727-2040 Office E-mail: Jay.Gonzalez@state.ma.us My duties require me to participate in a particular matter, and I may not participate because of a financial interest that I am disclosing here. I request a determination from my appointing authority about how I should proceed. PARTICULAR MATTER Particular matter As chair of the Commonwealth Health Connector Authority and a statutory member of the Group Insurance Commission and the new Health Policy Commission, I participate in numerous particular E.g., a judicial or other matters that affect the financial interests of health insurers. proceeding, application, submission, request As Secretary, I also participate in certain budgetary matters that affect the financial interests of for a ruling or other health insurers. determination, contract, claim, controversy, charge, accusation, arrest, decision, determination, or finding. Your required See above. participation in the particular matter: E.g., approval, disapproval, decision, recommendation, rendering advice, investigation, other. FINANCIAL INTEREST IN THE PARTICULAR MATTER Write an X by all that apply. I have a financial interest in the matter. My immediate family member has a financial interest in the matter. My business partner has a financial interest in the matter. I am an officer, director, trustee, partner or employee of a business organization, and the business organization has a financial interest in the matter. I am negotiating or have made an arrangement concerning future employment with a person or organization, and the person or organization has a financial interest in the matter. Financial interest in the matter I spoke recently with a representative of CeltiCare Health Plan of Massachusetts (a subsidiary of Centene Corporation), a health insurance carrier, to discuss prospective employment opportunities. Employee signature: 890 Date: 1/5/13 DETERMINATION BY APPOINTING OFFICIAL APPOINTING AUTHORITY INFORMATION Name of Appointing Authority: Deval L. Patrick Title or Position: Governor Agency/Department: Office of the Governor Agency Address: State House, Room 360 Boston, MA 02133 Office Phone: (617) 725-4000 Office E-mail DETERMINATION Determination by As appointing official, as required by G.L. C. 268A, § 6, I have reviewed the particular matter and the appointing authority: financial interest identified above by a state employee. Write an X I am assigning the particular matter to another employee, or by your selection. I am assuming responsibility for the particular matter, or I have determined that the financial interest is not so substantial as to be deemed likely to affect the integrity of the services which the Commonwealth may expect from the employee. Appointing Authority signature: Date: Comment: While you are engaged in discussions with this organization about prospective employment, you should abstain from any involvement in matters that may affect this organization. Attach additional pages if necessary. File copy with: State Ethics Commission, One Ashburton Place, Room 619, Boston, MA 02108 Form Revised February, 2012 | 2013/Gonzalez,_Jay_section_6_disclosure_2013-01-05.pdf |