Page 6 - Muchmore Harrington Renewal Booklet 2020
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MHSA, INC.


                                          SEPTEMBER 1, 2020 DENTAL AND VISION RENEWAL
                                                     PREPARED BY:  GREGORY D. BROGAN

                                                                    Delta/PHP             Delta/PHP
                                                                    Current                Renewal
                                                    # of
             DENTAL                              employees       DELTA DENTAL           DELTA DENTAL


             Single                                  1               $37.69                 $37.69
             Two Person                              3               $70.17                 $70.17
             Family                                  6               $129.01                $129.01

             Total Est. Monthly Premium              10             $1,022.26              $1,022.26
             Total Est. Annual Premium                             $12,267.12             $12,267.12
                                                                                         NO INCREASE
                                                       Benefits


             Deductible                                             $50/$150               $50/$150

             Preventive Services                                      100%                   100%
             Basic Services                                           80%                    80%
             Major Services                                           50%                    50%


             Yearly Maximum                                          $1,000                 $1,000

             2019 no rate increase
             2018 rates decreased 1%, 2017 and 2016 rates decreased, 2015 rates decreased 5%.
             Includes Pediatric dental

             VISION                                                  Current               Renewal
                                                # of employees    Eye Med Vision         Eye Med Vision

             Single                                  1               $11.22                 $11.22
             Two Person                              3               $21.31                 $21.31
             Family                                  6               $31.30                 $31.30

             Est. Monthly Premium                    10              $262.95                $262.95
             Est. Annual Premium                                    $3,155.40              $3,155.40
                                                                                         NO INCREASE
             Benefits

             Frequency                                              12/12/12               12/12/12

             Eye Exam                                                  $10                    $10
             Lenses and Frames                                         $10                    $10

                  Enhanced Lens Options                               YES                    YES
             Elective Contact Lenses                                  $160                   $160
             Rates Guaranteed                                                            9/1/20 - 9/1/24
             Eye Med revised their plan to include Photochromic/Transition Lenses, Standard
             and Premium Anti-Reflective Coating and Standard and Premium Progressive
             Lenses effective 4/1/17.

             Prepared June 2020
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