20190130Frontier Communications Form 555.pdf

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January 30, 3019
7979 N. Belt Line Rd
Irving, Texas 75063
Phone [phone]
Email: kimberly.a.douglass(giftr.con
Gl,< - r- tg- o /
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/bia 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 l60) requires eligible telecommunication carriers (ETCs) to annually provide the results of their re-
certification efforts performed pursuant to Section 54.4 l0 (f) to the FCC and the Universal Service
Administative Company (USAC). ETCs are also required to provide the results of their re-certification efforts to
state commissions and relevant tribal govemments.
Please call me at [phone] if you have any questions.
Sincerely,
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Kim Douglass
Manager
Compliance - Regulatory Affairs
Attachments
cc: Jessica Epley, Frontier
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Annual Lifeline Etigibte 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
IMPORTANT: PLEASE READ INSTRUCTIONS FIRST
Deadline: January 31't (Annually)
Does the reporting company have affiliated ETCs? Yes E[ No @
Provide a list of all ETCs that are ffiliated with the reporting ETC, using page 4 and additional sheets if necessary. Afiliation shall be
determined in accordance with Section 3(2) of the Communications Act. That Section defines "affiliate" as "a person that (directly or indirectly)
owns or controls, is owned or controlled by, or is under common ownership or control with, another person." 47 U.S.C. S 153(2). See also 47
c.F.R. $ 76.t200.
Affiliated ETC's SAC lnrRtiatea ETC's Name
- See attache{ worksheet -
472416 143004786
Study Area Code (SAC) Service Provider Identification Number (SPIN)
(An Eligible Telecommunications Carrier (ETC) must provide a certificationformfor each SAC through which it provides Lifeline service).
2018 ID Frontier Communications Northwest lnc.
ETC Name
FRONTI ER COMMUNICATIONS CORPORATI
DBA, Marketing, or Other Branding Name
(If same as ETC name, list "N/A" Do not leave blank)
Holding CompanyName
(lf same as ETC name, list "N/A" Do rnt leave blank)
7
Recertification Year State
N/A
OO
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 ii
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 ofsubscibers de-enrolled by month.
Is the ETC subject to the non-usage requirements? Yes E[ t,lo E[
If yes, record the number of subscibers 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 by-laws (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 Certificatiort Alt 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
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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.
lnitiat JCM
Annual Recertification
Do not leave empty blocks. Ifan 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 recertifring (A-B)
Recertification Methods
State of federal databaseD. Subscribers recertified through ETC access to state or federal database by anniversary month
the number of subscribers
E. Name of the data source(s) used to verifu consumer eligibility:
ETC Direct ContactF. Subscribers contacted by ETC directly to recertifu (You may also use this section to report subscriber initiated recertifications).
the ETC contacted to obtain recertification of
G. Subscribers who failed to recertifo through ETC direct outreach attempt
subscribers de-enrolled due to or to the ETC's outreach
3
Jan Feb Mar Apr May Jun Jul Aug sep 0ct Nov Dec Year
Total
A.199 79 63 28 43 36 32 28 51 63 99 746
B.0 0 0 0 0 0 0 0 0 0 0 0
C.199 79 63 28 43 36 32 25 28 51 63 99 746
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 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 Oct Nov Dec Year
Total
G.0 0 0 0 0 0 0 0 0 0 0 0 0
25
0
0
O O
H. Subscribers who recertified through ETC direct outreach attempt
the number of Lifeline subscribers
Third Party
L Subscribers whose eligibility was reviewed by state administrator, third party administrator, or USAC
the number of Lifeline subscribers contacted a state administrator,third or USAC for the ofrecertification.
J. Name of third party administrator used to verifr subscriber eligibility:
USAC
K. Subscribers de-enrolled as a result ofa third party recertification attempt
the number ofsubscribets as a result or to outreach from a state lhird administrator,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,ftnd administrator,or IISAC
Certification:
Recertification Method: Database
I certifu that the company listed above has procedures in place to recertify consumer eligibility by relying on a database. I
am an offlcer of the company named above. I am authorized to make this certification for the SAC(s) listed above.
Initial
4
Jan Feb Mar Apr May Jun JUI Aug sep Oct Nov Dec Year
Total
H.0 0 0 0 0 0 0 0 0 0 0 0 0
Jan Feb Mar Apr May Jun Jul Aug sep Oct Nov Dec Year
TotaI
I.199 79 63 28 43 36 32 28 51 63 99 746
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year
Total
K.69 28 25 6 15 9 5 3 6 15 12 15 208
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year
Total
L,130 51 3B 22 28 27 27 22 22 36 51 84 538
25
O a
Recertification Method: ETC
I certify that the company listed above has procedures in place to recertifr 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.
Initiat JCM
No Subscribers
I certify that my company did not claim federal low income support for any Lifeline subscribers for the current Form 555
datayear.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
5
1,4 = (G+K)N = (D+F+I)o = M/l\t*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
recertification who were de-enrolled
208 746 27.88%
AffiIiated ETCs
SAC Name
5