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P.O. Box 30416 Lansing, MI 48909-7916 February 8, 2022 Ms. Laurie Hughes Mayfield Village 6622 Wilson Mills Rd Mayfield Village, OH 44143-3407 Re: Dental Plan Rate Review, Group #0421-0001 Dear Ms. Hughes, https://www. De(taDentalOH.com Thank you for placing your confidence in Delta Dental. We are committed to improving the oral health of our communities by providing access to the nation's largest dental network at competitive rates. This allows your enrollees to obtain the dental care they need to remain healthy. We have completed a comprehensive review of your dental plan premiums. Enclosed are the rates and renewal documents related to your contract renewal. Payment of the new rates will be your consent to renew Delta Dental coverage. No action is required from you at this time unless you wish to change the benefits you offer. If your coverage or budget goals have changed, please contact Mr. Pietro Insana or me for more plan design options. We can administer many different plan designs to suit your needs and provide you with a comprehensive analysis of co how any changes would affect your rates. Benefit changes can be effective at your renewal, but you must request them no later than 15 days prior to your plan's renewal date. Enclosed is a contract for the renewal of your existing dental plan. Please have your group's authorized representative sign the contract and return it to me at your earliest convenience. If we are not in receipt of the signed contract by the effective date, we will consider remittance of payment as acceptance of the contract, and we will continue to administer your dental benefits accordingly. By permitting us to do so, you accept the terms of this contract in full and agree that this contract is binding, even if you do not return a signed copy of the contract to us. If you do not wish to renew coverage, please provide notice to us in accordance with your Contract. Notwithstanding the above terms of this contract, all delinquent balances due to Delta Dental must be paid in full prior to acceptance on the above-mentioned renewal date. If there is a deficit at the time of your acceptance, Delta Dental reserves the right to revoke this offer and terminate your existing contract upon its natural expiration date. Please call me at (216) 706-1209 if you have any questions or if I can be of help in any way. Thank you, we look forward to continuing our relationship with you and we greatly appreciate your business. Sincerely, ftp. �. *&-P,* Matthew J McPherson Account Manager cc: Mr. Pietro Insana DELTA DENTAL OF OHIO Fifth Third Center, Suite 2600 600 Superior Ave. East Cleveland, OH 44114