20190130Citizens Telecom Form 555.pdf

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7979 N. Belt Line Rd
Irving, Texas 75063
Phone [phone]
Email: kimberly.a.douelass(a;ftr.con
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Ms, Diane Hanian
Commission Secretary
Idaho Public Utilities Commission
47 2 W est Washington Street
Boise,Idaho 83720
RE: Annual Eligibility Re-Certification of Lifeline Subscribers
Dear Ms. Hanian:
Citizens Telecommunications Company of Idaho d/b/a Frontier Communications of Idaho (Study Area
Code 474427) and Frontier Communications Northwest, [nc. (Study Area Code 472416) herein after
referred to as "Frontier" hereby provides a copy of its Annual Lifeline Eligible Telecommunications Carrier
Certification FCC Form 555 in compliance with 47 CFR 54.416 as adopted by the Federal Communication
Commission (FCC) in its Lifeline Reform Order, FCC l2-l l, released February 6,2012.
Section 54.4 16{p.) requires eligible telecommunication carriers (ETCs) to annuallyprovide the results of their re-
certification efforts performed pursuant to Section 54.4 l0 (f) to the FCC and the Universal Service
Administrative Company (USAC). ETCs are also required to provide the results of their re-certification efforts to
state commissions and relevant tribal governments.
Please call me at (972) 9084415 if you have any questions.
Sincerely,
January 30, 3019
Kim Douglass
Manager
Compliance - Regulatory Affairs
Attachments
cc: Jessica Epley, Frontier
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Annual Lifeline Etigible Telecommunications Carrier Certilication Form All carriers must complete all or portions
of all sections Form must be submitted to USAC and filed with the Federal Communications Commission
IMPORTAIIT: PLEASE READ INSTRUCTIONS FIRST
Deadline: January 31't (Annually)
Does the reporting company have afliliated ETCs? Yes E[ No Eil
Provide a list of all ETCs that are afiliated with the reporting ETC, using page 4 and additional sheets if necessary. Afiliation shall be
determined in accordance with Section 3(2) of the Communicalions Act. That Section defines "afiliate" as "a person that (directly or indirectly)
owns or controls, is owned or controlled by, or is under common ownership or conlrol with, another person." 47 U.S.C. S 153(2). See also 47
c.r.n. $ 76.1200.
Affiliated ETC's SAC larnmt.a ETC's Name
-- See attache{worksheet
474427 143002528
Study Area Code (SAC) Service Provider Identification Number (SPIN)
(An Eligible Telecommunications Carrier @TC) must proide a certificationformfor each SAC through which it provides Lifeline semice).
2018 ID CITIZENS TELECOMM CO OF IDAHO
Recertification Year
N/A
State ETC Name
Frontier Commnunications Corporation
DBA, Marketing, or Other Branding Name
(lf same as ETC name, list "N/A" Do rct leave blank)
Holding Company Name
(If same as ETC name, list "N/A" Do not leate blank)
1
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ETCs Subject to the Non-Usage Requirements
All ETCs must complete the appropiate check-box. ETCs that do not assess and collect a monthlyfeefrom their Lifeline subscribers are subject
to the non-usage requirements. ETCs subject to the non-usage requirements must indicate the number of subscribers de-enrolled by month in
Section 4. ETCs that only assess a fee but do not collect such fees are subject to the non-usage requirements and must also indicate the number of
subscribers de-enrolled by month.
Is the ETC subject to the non-usage requirements? Yes En No E[
If yes, record the number of subscribers de-enrolledfor non-usage by month in Block Q below.
P a
Month Subscribers De-Enrolled for Non-Usage
January 0
February 0
March 0
April 0
May 0
June 0
July 0
August 0
September 0
October 0
November 0
December 0
Total Subscribers 0
For purposes of this filing, an officer is an occupant of a position listed in the article of incorporation, articles of formation,
or other similar legal document. An officer is a person who occupies a position specified in the corporate byJaws (or
partnership agreement), and would typically be president, vice president for operations, vice president for finance,
comptroller, treasurer, or a comparable position. If the filer is a sole proprietorship, the owner must sign the certification.
Initial Certificatiott Att ETCs must complete this section
I certify that the company listed above has certification procedures in place to:
A) Review income and program-based eligibility documentation prior to enrolling a consumer in the Lifeline program, and
that, to the best of my knowledge, the company was presented with documentation of each consumer's household
income and/or program-based eligibility prior to his or her enrollment in Lifeline; and/or
B) Confirm consumer eligibility by relying upon access to a state database and/or notice of eligibility from the state
Lifeline administrator prior to enrolling a consumer in the Lifeline program.
I am an officer of the company named above. I am authorized to make this certification for the Study Area Code listed
above.
JCMInitial
2
oo
Minimum Service Level
I certify that the company listed above is in compliance with the minimum service levels set forth in the 47 CFR Section
54.408.
I am an officer of the company named above. I am authorized to make this certification for the SACs listed above.
Initiat JCM
Annual Recertification
Do not leave empty blocl<s. If an ETC has nothing to report in a block, enter a zero.
Report the number oflifeline subscribers due for recertification by month (January-December)A. Subscribers eligible for recertification by anniversary monthB. Subscribers de-enrolled prior to recertification attemptsC. Total number of subscribers ETC is responsible for recertifuing (A-B)
Recertification Methods
State of federal databaseD. Subscribers recertified through ETC access to state or federal database by anniversary month
verified access to or federal database.
E. Name of the data sourc{s) used to verift consumer eligibility:
ETC Direct ContactF. Subscribers contacted by ETC directly to recertifu (You may also use this section to report subscriber initiated recertifications).
the number of Lifeline subscribers the ETC contacted to obtain recertification of
G. Subscribers who failed to recertifu through ETC direct outreach attempt
the number of Lifeline subscribers de-enrolled due to or to the ETC's outreach
of
3
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year
Total
A.33 1B 11 3 7 5 10 5 3 19 17 137
B 0 0 0 0 0 0 0 0 0 0 0 0 0
C.33 18 11 3 7 5 10 5 3 6 19 17 137
Jan Feb Mar Apr May Jun Jul Aug sep Oct Nov Dec Year
Total
D.0 0 0 0 0 0 0 0 0 0 0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year
Total
F 0 0 0 0 0 0 0 0 0 0 0 0 0
Jan Feb Mar Apr May Jun Jul Aug sep 0ct Nov Dec Year
Total
G.0 0 0 0 0 0 0 0 0 o 0 0 0
6
0 0
o o
H. Subscribers who recertified through ETC direct outreach attempt
the number of Lifeline subscribers that recertified ETC's outreach
Third Party
I. Subscribers whose eligibility was reviewed by state adminishator, third party administrator, or USAC
the number of Lifeline subscribers contacted a state thtud or USAC for the ofrecertification.
Name of third party administrator used to verifu subscriber eligibility:
USAC
K. Subscribers de-enrolled as a result ofa third party recertification attempt
the numbsr of subscribers as a result of or to outroach from a state dtird adminisEator,or USAC.
L. Subscribers who recertified through a state administrator, third party administrator, or USAC's recertification effort
the number of subscribers that recertified a from a state administrator,thild administrator or USAC
Certification:
Recertifi cation Method: Database
I certifr that the company listed above has procedures in place to recertify consumer eligibility by relying on a database. I
am an officer of the company named above. I am authorized to make this certification for the SAC(s) listed above.
4
Jan Mar Apr May Jun JulFeb Aug Sep Oct Nov Dec Year
Total
H.0 0 0 0 00 0 0 0 0 0 0 0
Jan Feb Mar Apr May Jun Jul sep Oct Nov Dec Year
Total
I.33 11 3 7 5 1018 5 3 19 17 137
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year
Total
K.12 7 2 1 3 4 3 0 2 2 4 2 42
Apr Nlay JunJanFebMar JUI Aug Sep Oct Nov Dec Year
Total
L.21 11 I 2 4 1 7 5 1 4 15 15 95
Aug
6
Initial
a a
Recertification Method: ETC
I certifu that the company listed above has procedures in place to recertify the continued eligibility of all of its Lifeline
subscribers, and that, to the best of my knowledge, the company obtained sigrred certifications from all subscribers attesting
to their continuing eligibility for Lifeline. I am an officer of the company named above. I am authorized to make this
certification for the SAC(s) listed above.
Initial
Recertification Method: Third Party
I certify that the company listed above has procedures in place to recertify consumer eligibility by relying on an
administrator. I am an officer of the company named above. I am authorized to make this certification for the SAC(s)
listed above.
166s1 JCM
No Subscribers
I certify that my company did not claim federal low income support for any Lifeline subscribers for the current Form 555
data year. I am an officer of the company named above. I am authorized to make this certification for the SAC listed
above.
Initial
Signature Block
By signing below, I certify that the company listed above is in compliance with all federal Lifeline certification
procedures. I am an officer of the company named above. I am authorized to make this certification for the Study
Area Code (SAC) listed above.
Signed,
Jessica C. Matushek Director Accour Jessica C. Matushek Director, A
Signature of Officer
jessica. matushek@ft r. com
Email Address of Officer
Christine Burke
Person Completing This Certification Form
Printed Name and Title of Officer
Jan 29,2019
Date
585-777-6719
Contact Phone Number
y = 1a+K)N = (D+F+I)O = M/N*100
Total number of subscribers de-enrolled as
a result of recertification
Total number of subscribers ETC is
responsible for recertifying
Percent of subscribers due for
recertifi cation who were de-enrolled
42 137 30.66%
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Affiliated ETCs
SAC Name
6