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Request for Quotes

ABC with XYZ Acquisition

Page

4

of

14

Requested Vision Quotes

Please quote a Voluntary, dual option with 4 tier rates

Standard/Low option – Mirror XYZ’s low option

BuyUp/High Option – Mirror ABC’s plan

GEO Access Summary: 2 providers within 15 miles

DENTAL

ABC Plan

Effective 1/1/2014, ABC offered a fully insured, dual option voluntary dental program through Met

Life and an Executive dental plan. Prior to January 2014, ABC self-funded their plans through

Delta Dental.

Employees are eligible for coverage the first of the month following date of hire. The company

contributes approximately 60% of premiums for employees and eligible dependents.

Plan offered to All Non-Executive ABC employees

High Option only in LA, MS, MT and TX