103-22 Attachment.pdf

Superior Vision of New Jersey, Inc. 11090 White Rock Road, Suite 175 | Rancho Cordova, CA 95670 | 800 923 6766 | superiorvision.com Vision Benefits Renewal March 30, 2022 John Graham Fairview Insurance Agency Association 25 Fairview Avenue New Providence, NJ 07974 Re: Town of West Orange Policy #307920 Dear John, We would like to thank you and your client, Town of West Orange, for the continued support you have shown to Superior Vision. The current rates are up for renewal effective 07/01/2022, and this letter outlines the applicable renewal rates and renewal period. The renewal rates outlined below are based on the overall results, expected trend for groups with similar characteristics and other factors affecting costs. We are pleased to inform you that the current rates will remain in place for an additional four years: Employee Only Employee + Spouse Employee + Child(ren) Employee + Family Current Rates $6.76 $11.49 $12.17 $18.25 Renewal Rates $6.76 $11.49 $12.17 $18.25 Renewal Period: July 1, 2022 – June 30, 2026 Please confirm receipt of the above rates by signing and returning a copy of this letter via fax or email. Superior Vision is honored to partner with you and we appreciate the trust you have placed in us. Yours in Superior Service, Lynn Bunn Client Manager lynn.bunn@versanthealth.com Renewal acknowledged/accepted by: ____________________________________ Title: ______________________________________________________________ Date: ___________________