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MetLife" <br />July 20, 2017 <br />Re: City of Santa Ana <br />Renewal —1/1/2018 <br />Dear Benefits Coordinator, <br />MetLife appreciates the opportunity to be a part of your benefit program. This letter confirms <br />your renewal for the 2018 plan year. These rates will be good from 1,1`=20118.=12'31-=20 9. <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 />DHMO <br />• Em to ee <br />Current <br />Renewal <br />Change in <br />RatefFee <br />Rate/Fee <br />Rate/Fee <br />only $27.70 $28.53 �t3:OJ3 <br />• Em to ee + Famil $47.34 $48.76 (�:EUQN <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 949-202-9020 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 />Bailie Schira <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 Alaska Residents of Impending Coverage and/ar Premium Changes <br />Undei Alaska Statute 21.36.2)5, covered individuals residing in Alaska must he notified of impending coverage and)or premium <br />changes, as appl,rable if you Dave employees residing in Alaska who aie invered under Met[-Ke's Disahillty, Dental, Vision of <br />Accidental D dth and Disnembennent pohues, eve ask that you provitle them with arruten notice at least 45 days in advance of dhe <br />effective elate or the renewal, nofifyina Main that coverage andior prenhiums may change. Once renewal details are finalized, a <br />second notice must be provided setting forth the details of the coveraue nr pfenimin change_ If you would like wordrng for mese <br />notices, please contact your Mettle service team <br />25E%BIT <br />