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;t tl, <br />June 25, 2016 <br />Dick Cook Insurance Services <br />Attn: Dick Cook <br />814 Hibiscus Way <br />Placentia, CA 92870 <br />Re: City of Santa Ana <br />Renewal — January 1, 2017 <br />Dear Mr, Cook, <br />MetLife appreciates the opportunity to be a part of your benefit program. This letter confirms <br />your renewal for the 2017 plan year. <br />In determining the rates for the coming plan year, we have evaluated your plan experience, <br />taking into account the credibility of the experience and the demographics of your group. Our <br />objective in the renewal process is to identify rates that will maintain the overall financial stability <br />of your benefit program. <br />We have set the following rates for the coming year: <br />Coverage <br />Current <br />Renewal <br />Changeln <br />Em to ee onl <br />Rate/Fee <br />RatefFee <br />Rate /Fee <br />Em to ee + Family <br />DHMb <br />Em to ee onl <br />Em to ee + Family <br />The rates shown above assume your existing plan design, contribution structure and group <br />demographics remain the same. <br />Please do not hesitate to contact me at 949 -471 -2310 if I may answer any questions or assist in <br />any way. <br />Once again, thank you for the privilege you have extended to us. You are the reason we are in <br />business. We look forward to continuing our relationship in the months and years ahead. <br />Sincerely, <br />Nick Sala <br />Account Executive <br />Dental HMO plans in California, Florida and Texas are available through a domestic company In the applicable state named <br />SafeGuard Health Plans, Inc. The SafeGuard companies are part of the MetLife family of companies. <br />Request to Notify Ai.isk , Residents of Ito pending Coverago, and! or Premium Changes <br />Urnx i AldSka 9au t; . ,3t esidw i o A.aok n2..... t utftei Q, <br />the is s z _�1"_a v. tr yoti h� ,. � rp oq� , aUerq x;r P �., , _ air we �Q unvz [lotl_4. , C k h , D�ntn , .NSon Cr <br />F,P as% ttlt K u r )' ae tn[ nr vZ0, :vr ±1. ,ion, , aE f -&I 11i ,;ey_ ur dtrVBllt <br />r I. r .gal, n ,Ui P'ru Chem . , +, +vim vyc aq3 .r °rgm� m t " ,non�ti tt _- eiau5 d, n ,, cW J. <br />_"_Ufid oolice iwg >CU_ J.e.DG rFYa o,n data` ;Oftt r.. ,r protniun r.ti,n,. if vit:._,,..0 iiomuq'x <br />i' Ui <br />