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x%-avw.deltadent:)lin&cola <br />June 23, 2017 <br />CITY OF SANTA ANA <br />20 Civic Center Piz <br />Santa Ana, CA 92701-4058 <br />RE: Contract Renewal for CITY OF SANTA ANA <br />Delta Dental PPO' Group# 00599 <br />We appreciate your business and thank you for choosing Delta Dental of California. Your employees <br />are among the millions nationwide who trust their smiles to Delta Dental. <br />We are pleased to present you with your dental plan contract renewal information. We are committed <br />to providing you with quality plan designs combined with excellent customer service. <br />When reviewing your dental plan, we considered cost factors related to CITY OF SANTA ANA's <br />dental service utilization and claims experience. Our analysis indicates that no increase in your current <br />rate is necessary. <br />We have calculated your rates based on the employer/employee contribution levels in your contract <br />remaining the same. If the contribution levels and/or enrollment guidelines have changed or will <br />change, please notify. us immediately, as such a change may affect your renewal rate. <br />The following is the renewal information for your Delta Dental PPO' dental plan: <br />Effective Date January 01, 2018 <br />Contract Term�JniiCr7Cry> .,1, �O]8�-DecemherA,],-2019*'r <br />% increase E000° <br />Enrollee Only <br />Current Rates <br />$52.56 <br />Enrollee + I or more Dependents $129.44 <br />*PPO Premium Holiday: <br />Renewal includes a one month premum holiday for January 2018. <br />Delta Dental h)sumnce Canyrury. <br />Iclephonc: 800.521-2651 <br />Della Dental of Calilbmia <br />1'elephone: SNS -335-8227 <br />EXHIBIT C <br />25E-11 <br />Renewal Rates <br />$52.56 <br />$129.44 <br />Della Dental Mid -Allan ie Region <br />Delia Dccnml nl Deh n:ue, Inc. <br />DcOa I)cmnl nl'thr District of Colwnhin <br />Delta Dente oI*Nc, York. Inc. <br />Delta Denud of I'auls)'I :mia (\Inrrl:null <br />Delta Dental ol'Wem Virginia <br />telephone. %0()-932-07x3 <br />O <br />