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.,-94 WED 22 ; 09 <br />. <br />Dlanna Davali <br />MSnetgCit <br />Small Gr0up Alans <br />MARCH 14,1994 <br />RDMIMISTRATION <br />FAX N0, 2164610552 <br />Fortis Benefits Insurance Company <br />2323 Grand Avenue Kar?sas Crry, Mp 64i08 <br />1-800-927-1027 <br />MAYFIELD VIL.RAGE <br />FINANCE DEPT. <br />6621 WILS(aN MILLS ROAO <br />MAYFIELD VlLLAG, OH 44743 <br />Re: Rate Change Effective <br />MAY 01, 1994 <br />Participatian No. <br />0492140 <br />Dear Customer: <br />P. 03 <br />? , -a ... <br />I VI <br />As yau are aware, health care costs continua ta be higher than the general inflation rate. Increasod <br />utilization, new technolagies and rising provider fees a11 contribute to this result, <br />To ensura the financial integrity cf your group dental plan, we must adjust your rates on the afiective <br />date indicated above. The new rates for your plan ara stated below and are guaranteed far 12 months <br />from the rate chsnge effective date. For Comparison, we have also provided your current rates. <br />EMPLOYEE RATE <br />SPOUSE <br />CURRENr NFW CIJRREAtT NEW <br />22.71 22.75 ) 17.08 17.10 <br />DEPENDENT RATE <br />SPOUSE & <br />CH1LD(REN) CHILDREN) <br />CUARNr MEW C!lRRENT NE{N <br />' 22.93 22,96 40.00 40.06 <br />1t is a privilege to be able to provide for ydur group dental insurance needs. pur goal is to provide <br />quality aoverage while maintaining a financially stable product. Please ccntact your insurance <br />representatfve or us if you haVa any questions concerning your group plan. <br />Sincerely, <br /> <br />c; DIBART INSURANCE/AGENCY CORP <br />CLEVEl.AND SALES OFFiCE <br />, ?. <br />,? i . .?,. ?? I ?'?L.?? ?•?.. ' c?_ ` f ? <br />f y' ?f y/ <br /> <br />?`=?;?/F+LF?.f•C.? ?/// / ? ?y/?A <br /> <br />`?1?/.??/G+?s j?` ? <br />V <br />J I <br />'(y;.J ?d ?- <br />(..?",'?.-'-i'r:?l!:\+?1??:`.#?t?` Jll? <br />I <br />fi^ /",? <br />GJOO?q01 <br />_ 940300 D1 10040215020.950 77