Page 136 - Cover Letter and Evaluation for Anne Ellzey

/0123145067819580:;5<1;=

@A0:;3:87A0:;3:87F;GH;A0:;3:87A6I9LAMAN

DFVW>XW?D BFC?JUY?Z?C?Z [F\JBF/W WFWUZMJ\YBF/W
>?BC/D:E69DHGE8:;HJK S
"
@6IHB;19OP))Q*RT
"
d
^
S^`)Q,a %
bbbbfa
b

S^`)a %
P

P$ dS^`
S^`
b
^)a % % % %
These are 2017
$S^`)a#a^S)ae#a % j^
^_S^`)a %
b c)' cccccccccc+c
i"
h S
TjTjSdSTSSdSdSTS^STS^

+ TjTjTjSd
costs.
]^_S^`)a %
b c)) c)))')')+)*'+*)')g*,*)'g++*kqrnlqoss CEH2U66D14509
In 2017 in this plan,

( _ dS^`)a %
b c)')*'+*)')*,'*)^bklmnoppbk]tmosm kmommmommqrnlqoss
you will be enrolled
for only one month
and will pay
e$
S^`)a %
b ccccccccccSTSSdSTS^,STS^bk]tmosm kkkmommmommqrnlqoss
$608.99 total for
90-day refills of all
of your Rx drugs.
b
S^`)a %
bbbbTjSdTjTjSdTjSd'STS^bk]rmsqonnosmbk]tmosm kkkmommmommqrnlqoss
Cost includes
monthly premium.
* TjSd*STSSdTjSd+STS^bk]tm^STS^bknltoupbk]tmosmbk]tmosm k
,') TjSd)STS^bk]tm^STS^bk]rmsqonnosmbk]tmosm kkkmommmomm v,)

! "#$%

%&'()*'(('+'+,+*'-.