PR-Section 8 and 9

HEALTHSMART

HEALTHSMART BENEFITS MANAGEMENT, LLC

Combined Declaration of Use and/or Excusable Nonuse/Application for Renewal of Registration of a Mark under Sections 8 & 9

PTO- 1963
Approved for use through 10/31/2021. OMB 0651-0055
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number

Combined Declaration of Use and/or Excusable Nonuse/Application for Renewal of Registration of a Mark under Sections 8 & 9


The table below presents the data as entered.

Input Field
Entered
REGISTRATION NUMBER 4077413
REGISTRATION DATE 12/27/2011
SERIAL NUMBER 77557613
MARK SECTION
MARK HEALTHSMART (see, mark)
ATTORNEY INFORMATION (current)
NAME Braden W. Brown
ATTORNEY BAR MEMBERSHIP NUMBER NOT SPECIFIED
YEAR OF ADMISSION NOT SPECIFIED
U.S. STATE/ COMMONWEALTH/ TERRITORY NOT SPECIFIED
FIRM NAME HealthSmart Holdings, Inc.
STREET 222 W. Las Colinas Blvd., Suite 500N
CITY Irving
STATE Texas
POSTAL CODE 75039
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
PHONE 214-574-2839
FAX 214-574-2476
EMAIL braden.brown@healthsmart.com
ATTORNEY INFORMATION (proposed)
NAME Braden W. Brown
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME HealthSmart Benefits Management, LLC
STREET 222 W. Las Colinas Blvd., Suite 500N
CITY Irving
STATE Texas
POSTAL CODE 75039
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
PHONE 214-574-2839
FAX 214-574-2476
EMAIL braden.brown@healthsmart.com
CORRESPONDENCE INFORMATION (current)
NAME Braden W. Brown
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE braden.brown@healthsmart.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) NOT PROVIDED
CORRESPONDENCE INFORMATION (proposed)
NAME Braden W. Brown
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE braden.brown@healthsmart.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) NOT PROVIDED
GOODS AND/OR SERVICES SECTION
INTERNATIONAL CLASS 035
GOODS OR SERVICES management of health care clinics and medical practices for others; medical claims case management services, namely, assessing health insurance claims based on the medical services provided to patients; business management and consulting services in the field of health care; management of insurance agencies and brokers for others; business risk management services for others in the field of health care; promoting insurance services for others; tracking and monitoring insurance compliance; data compilation and analysis in the field of insurance
SPECIMEN FILE NAME(S) \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890002.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890003.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890004.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890005.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890006.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890007.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890008.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890009.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890010.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890011.JPG
SPECIMEN DESCRIPTION The attached are screenshots of www.healthsmart.com demonstrating the use of the HEALTHSMART word mark in public commerce to describe the services offered by HealthSmart.
WEBPAGE URL www.healthsmart.com
WEBPAGE DATE OF ACCESS 12/15/2021
INTERNATIONAL CLASS 036
GOODS OR SERVICES pharmacy benefit management services; insurance administration services; insurance claim administration, processing, adjustment, and auditing services; electronic processing of insurance claims and payment data; administration of employee benefit plans concerning insurance for others; medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payors and providers and Medicare beneficiaries; insurance underwriting services for health insurance; insurance actuarial services; insurance carrier, agency, brokerage, and subrogation services; financial evaluation services for insurance purposes; insurance information and consulting services; insurance case management services, namely, insurance eligibility review and verification of medical services in the health insurance industry; medical insurance case management and utilization review and insurance claims adjustment services for healthcare purchasers and payors and providers and Medicare beneficiaries; insurance risk management services for others in the field of health care
SPECIMEN FILE NAME(S) \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890012.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890013.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890014.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890015.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890016.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890017.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890018.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890019.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890020.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890021.JPG
SPECIMEN DESCRIPTION The attached are screenshots of www.healthsmart.com demonstrating the use of the HEALTHSMART word mark in public commerce to describe the services offered by HealthSmart.
WEBPAGE URL www.healthsmart.com
WEBPAGE DATE OF ACCESS 12/15/2021
INTERNATIONAL CLASS 044
GOODS OR SERVICES Managed health care services
SPECIMEN FILE NAME(S) \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890022.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890023.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890024.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890025.JPG
        \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890026.JPG
SPECIMEN DESCRIPTION The attached are screenshots of www.healthsmart.com demonstrating the use of the HEALTHSMART word mark in public commerce to describe the managed care services offered by HealthSmart.
WEBPAGE URL www.healthsmart.com
WEBPAGE DATE OF ACCESS 12/15/2021
INTERNATIONAL CLASS 045
GOODS OR SERVICES case management services, namely, coordination of medical services for health care patients based on their health insurance
SPECIMEN FILE NAME(S) \\TICRS\EXPORT18\IMAGEOUT 18\775\576\77557613\xml2 \ S890027.JPG
SPECIMEN DESCRIPTION The attached are screenshots of www.healthsmart.com demonstrating the use of the HEALTHSMART word mark in public commerce to describe the case management services offered by HealthSmart.
WEBPAGE URL www.healthsmart.com
WEBPAGE DATE OF ACCESS 12/15/2021
OWNER SECTION (current)
NAME HEALTHSMART BENEFITS MANAGEMENT, LLC
INTERNAL ADDRESS 222 W. LAS COLINAS BLVD.
MAILING ADDRESS SUITE 500N
CITY IRVING
STATE Texas
ZIP/POSTAL CODE 75039
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
OWNER SECTION (proposed)
NAME HEALTHSMART BENEFITS MANAGEMENT, LLC
INTERNAL ADDRESS 222 W. LAS COLINAS BLVD.
MAILING ADDRESS SUITE 500N
CITY IRVING
STATE Texas
ZIP/POSTAL CODE 75039
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
PHONE (214) 574-2839
EMAIL XXXX
LEGAL ENTITY SECTION (current)
TYPE limited liability company
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY WHERE LEGALLY ORGANIZED Texas
PAYMENT SECTION
NUMBER OF CLASSES 4
NUMBER OF CLASSES PAID 4
COMBINED §§ 8 & 9 DECLARATION/APPLICATION FILING FEE 2100
TOTAL FEE PAID 2100
SIGNATURE SECTION
SIGNATURE /Braden Brown/
SIGNATORY'S NAME Braden Brown
SIGNATORY'S POSITION Counsel
DATE SIGNED 12/15/2021
SIGNATURE METHOD Signed directly within the form
PAYMENT METHOD CC
FILING INFORMATION
SUBMIT DATE Wed Dec 15 15:08:52 ET 2021
TEAS STAMP USPTO/S08N09-XX.XXX.XX.XX
-20211215150852359453-407
7413-781d317d9e6a522bc311
293f74b9256ee604ad727c3b5
c341366f1d15753a49c-CC-08
493606-202112151448119287
75



PTO- 1963
Approved for use through 10/31/2021. OMB 0651-0055
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number


Combined Declaration of Use and/or Excusable Nonuse/Application for Renewal of Registration of a Mark under Sections 8 & 9


To the Commissioner for Trademarks:

REGISTRATION NUMBER: 4077413
REGISTRATION DATE: 12/27/2011

MARK: HEALTHSMART

Current: The owner, HEALTHSMART BENEFITS MANAGEMENT, LLC, a limited liability company legally organized under the laws of Texas, having an address of
      SUITE 500N 222 W. LAS COLINAS BLVD.
       IRVING, Texas 75039
      United States

Proposed: The owner, HEALTHSMART BENEFITS MANAGEMENT, LLC, a limited liability company legally organized under the laws of Texas, having an address of
      222 W. LAS COLINAS BLVD.
      SUITE 500N
      IRVING, Texas 75039
      United States
      (214) 574-2839
      XXXX
is filing a Combined Declaration of Use and/or Excusable Nonuse/Application for Renewal of Registration of a Mark under Sections 8 & 9.

For International Class 035, the mark is in use in commerce on or in connection with all goods/services, or to indicate membership in the collective membership organization, listed in the existing registration for this specific class: management of health care clinics and medical practices for others; medical claims case management services, namely, assessing health insurance claims based on the medical services provided to patients; business management and consulting services in the field of health care; management of insurance agencies and brokers for others; business risk management services for others in the field of health care; promoting insurance services for others; tracking and monitoring insurance compliance; data compilation and analysis in the field of insurance ; or, the owner is making the listed excusable nonuse claim.

The owner is submitting one(or more) specimen(s) showing the mark as used in commerce on or in connection with any item in this class, consisting of a(n) The attached are screenshots of www.healthsmart.com demonstrating the use of the HEALTHSMART word mark in public commerce to describe the services offered by HealthSmart..
Specimen File1
Specimen File2
Specimen File3
Specimen File4
Specimen File5
Specimen File6
Specimen File7
Specimen File8
Specimen File9
Specimen File10

Webpage URL: www.healthsmart.com
Webpage Date of Access: 12/15/2021
For International Class 036, the mark is in use in commerce on or in connection with all goods/services, or to indicate membership in the collective membership organization, listed in the existing registration for this specific class: pharmacy benefit management services; insurance administration services; insurance claim administration, processing, adjustment, and auditing services; electronic processing of insurance claims and payment data; administration of employee benefit plans concerning insurance for others; medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payors and providers and Medicare beneficiaries; insurance underwriting services for health insurance; insurance actuarial services; insurance carrier, agency, brokerage, and subrogation services; financial evaluation services for insurance purposes; insurance information and consulting services; insurance case management services, namely, insurance eligibility review and verification of medical services in the health insurance industry; medical insurance case management and utilization review and insurance claims adjustment services for healthcare purchasers and payors and providers and Medicare beneficiaries; insurance risk management services for others in the field of health care ; or, the owner is making the listed excusable nonuse claim.

The owner is submitting one(or more) specimen(s) showing the mark as used in commerce on or in connection with any item in this class, consisting of a(n) The attached are screenshots of www.healthsmart.com demonstrating the use of the HEALTHSMART word mark in public commerce to describe the services offered by HealthSmart..
Specimen File1
Specimen File2
Specimen File3
Specimen File4
Specimen File5
Specimen File6
Specimen File7
Specimen File8
Specimen File9
Specimen File10

Webpage URL: www.healthsmart.com
Webpage Date of Access: 12/15/2021
For International Class 044, the mark is in use in commerce on or in connection with all goods/services, or to indicate membership in the collective membership organization, listed in the existing registration for this specific class: Managed health care services ; or, the owner is making the listed excusable nonuse claim.

The owner is submitting one(or more) specimen(s) showing the mark as used in commerce on or in connection with any item in this class, consisting of a(n) The attached are screenshots of www.healthsmart.com demonstrating the use of the HEALTHSMART word mark in public commerce to describe the managed care services offered by HealthSmart..
Specimen File1
Specimen File2
Specimen File3
Specimen File4
Specimen File5

Webpage URL: www.healthsmart.com
Webpage Date of Access: 12/15/2021
For International Class 045, the mark is in use in commerce on or in connection with all goods/services, or to indicate membership in the collective membership organization, listed in the existing registration for this specific class: case management services, namely, coordination of medical services for health care patients based on their health insurance ; or, the owner is making the listed excusable nonuse claim.

The owner is submitting one(or more) specimen(s) showing the mark as used in commerce on or in connection with any item in this class, consisting of a(n) The attached are screenshots of www.healthsmart.com demonstrating the use of the HEALTHSMART word mark in public commerce to describe the case management services offered by HealthSmart..
Specimen File1

Webpage URL: www.healthsmart.com
Webpage Date of Access: 12/15/2021
The owner's/holder's current attorney information: Braden W. Brown. Braden W. Brown of HealthSmart Holdings, Inc., is located at

      222 W. Las Colinas Blvd., Suite 500N
      Irving, Texas 75039
      United States

The phone number is 214-574-2839.

The fax number is 214-574-2476.

The email address is braden.brown@healthsmart.com

The owner's/holder's proposed attorney information: Braden W. Brown. Braden W. Brown of HealthSmart Benefits Management, LLC, is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, is located at

      222 W. Las Colinas Blvd., Suite 500N
      Irving, Texas 75039
      United States

The phone number is 214-574-2839.

The fax number is 214-574-2476.

The email address is braden.brown@healthsmart.com

Braden W. Brown submitted the following statement: The attorney of record is an active member in good standing of the bar of the highest court of a U.S. state, the District of Columbia, or any U.S. Commonwealth or territory.Correspondence Information (current):
      Braden W. Brown
      PRIMARY EMAIL FOR CORRESPONDENCE: braden.brown@healthsmart.com
      SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): NOT PROVIDED
Correspondence Information (proposed):
      Braden W. Brown
      PRIMARY EMAIL FOR CORRESPONDENCE: braden.brown@healthsmart.com
      SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): NOT PROVIDED

Requirement for Email and Electronic Filing: I understand that a valid email address must be maintained by the owner/holder and the owner's/holder's attorney, if appointed, and that all official trademark correspondence must be submitted via the Trademark Electronic Application System (TEAS).

A fee payment in the amount of $2100 will be submitted with the form, representing payment for 4 class(es), plus any additional grace period fee, if necessary.


Declaration

Unless the owner has specifically claimed excusable nonuse, the mark is in use in commerce on or in connection with the goods/services or to indicate membership in the collective membership organization identified above, as evidenced by the attached specimen(s).
Unless the owner has specifically claimed excusable nonuse, the specimen(s) shows the mark as currently used in commerce on or in connection with the goods/services/collective membership organization.
The registrant requests that the registration be renewed for the goods/services/collective organization identified above.
To the best of the signatory's knowledge, information, and belief, formed after an inquiry reasonable under the circumstances, the allegations and other factual contentions made above have evidentiary support.
The signatory being warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. § 1001, and that such willful false statements and the like may jeopardize the validity of this submission and the registration, declares that all statements made of his/her own knowledge are true and all statements made on information and belief are believed to be true.

Signature: /Braden Brown/    Date: 12/15/2021
Signatory's Name: Braden Brown
Signatory's Position: Counsel
Signature method: Signed directly within the form


Mailing Address (current):
   HealthSmart Holdings, Inc.
   222 W. Las Colinas Blvd., Suite 500N
   Irving, Texas 75039

Mailing Address (proposed):
   HealthSmart Benefits Management, LLC
   222 W. Las Colinas Blvd., Suite 500N
   Irving, Texas 75039

Serial Number: 77557613
Internet Transmission Date: Wed Dec 15 15:08:52 ET 2021
TEAS Stamp: USPTO/S08N09-XX.XXX.XX.XX-20211215150852
359453-4077413-781d317d9e6a522bc311293f7
4b9256ee604ad727c3b5c341366f1d15753a49c-
CC-08493606-20211215144811928775

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