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Juno 1, 2015
<br />Dick Cook
<br />814 Hibfsous Way
<br />Placentia, GA 92870
<br />Re: City of Santa Ana #142337
<br />Renewal — 111116
<br />Dear pick Cook,
<br />MotLife appreciates the opportunity to be a part of your benefit program. This letter confirms
<br />your renewal for the 2016 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 />Rate/Foo I RotelFoe
<br />A-2015-207
<br />The Patierit PICtoetfoe and An' ardalse Care Act (" pW`ACOe )rrctudna a iaeattrs insurance iricruskry Pad fm�osaad an art
<br />health insurers. including dental and vision Insurers. As with the pftr year, this Yen Is intiuded in the dental
<br />and/or vision totes above,
<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 />Pick Sala
<br />Account Executive
<br />Requosf to NQWy Alaska Resldenta of Cmpending Covorage and/or Premium Clvingos
<br />Undw Aa sa 41tatuo7l 'G %25_ners7 inOwkilmi res'ld rig n Alas,sz must (xrRad of m t>r n(fllr,r) inty r ruav+nurn
<br />chanor.'% is apralicads, f sod Ir, n.-r's.1op=es iHaidrrd In Alas 1 M 10 GI era ufv:1ttr %li"W(a s IDn.,atilllry, DfHf1tm, Vlsum,)r
<br />AcL •4„ntai (Midi ant/ 01smombr.im«.1t wbelr;a, vm' ask tip"11 You ori vide `9 fn'silh wrIPSIm asice ntIr"9st 15 .days, in advance orft@ -
<br />efrrx 11 re, lelfr �f the., I wewal, notify, q Cheam fhrot (-'ovens)¢ :md/or or wmjms r1ay ch m q;l 011(, nnev tl letads art^ r r I ior4, a
<br />sa nu i ngre n:e t ,P „ravlcic.,t1 s itrq tnrth the : etatks of thr ,,nr.,'vJe lir ),nnJe,n Warylt. it you ai;r uld rk _ v "A: -tg r;r
<br />rR41( Vu ,`:r- -"Tp:' YOU M@P 'MC t'NI n,
<br />1
<br />C-mpinye� only,,
<br />s E pa+ F ml
<br />� 526.89 $2_6.68 W •t0.t8°/a
<br />.,. ..�. 54II.99 r�46.98
<br />The Patierit PICtoetfoe and An' ardalse Care Act (" pW`ACOe )rrctudna a iaeattrs insurance iricruskry Pad fm�osaad an art
<br />health insurers. including dental and vision Insurers. As with the pftr year, this Yen Is intiuded in the dental
<br />and/or vision totes above,
<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 />Pick Sala
<br />Account Executive
<br />Requosf to NQWy Alaska Resldenta of Cmpending Covorage and/or Premium Clvingos
<br />Undw Aa sa 41tatuo7l 'G %25_ners7 inOwkilmi res'ld rig n Alas,sz must (xrRad of m t>r n(fllr,r) inty r ruav+nurn
<br />chanor.'% is apralicads, f sod Ir, n.-r's.1op=es iHaidrrd In Alas 1 M 10 GI era ufv:1ttr %li"W(a s IDn.,atilllry, DfHf1tm, Vlsum,)r
<br />AcL •4„ntai (Midi ant/ 01smombr.im«.1t wbelr;a, vm' ask tip"11 You ori vide `9 fn'silh wrIPSIm asice ntIr"9st 15 .days, in advance orft@ -
<br />efrrx 11 re, lelfr �f the., I wewal, notify, q Cheam fhrot (-'ovens)¢ :md/or or wmjms r1ay ch m q;l 011(, nnev tl letads art^ r r I ior4, a
<br />sa nu i ngre n:e t ,P „ravlcic.,t1 s itrq tnrth the : etatks of thr ,,nr.,'vJe lir ),nnJe,n Warylt. it you ai;r uld rk _ v "A: -tg r;r
<br />rR41( Vu ,`:r- -"Tp:' YOU M@P 'MC t'NI n,
<br />1
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