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Renewal Revisedn Lincoln Financial Groups November 08, 2012 City of Salina 300 West Ash Salina. KS 67401 Lincoln Financial Group is the marketing name for Lincoln National Corporation and its affiliates. RE: Renewal for Policy Number(s): 01- 0124979 The Lincoln National Life Insurance Company 8801 Indian Hills Drive Omaha, NE 68114-4066 toll free (800) 423 -2765 www.LFG.com REVISED We are proud to provide your company with quality group products and services at a cost that delivers sound value. Each renewal period, we analyze current benefit and rate structures to determine the appropriate rates for continued group insurance protection for your valued employees. This process includes recalculation of the premium rates to reflect factors like: • plan features • demographics • nature of business • experience • any adjustments to our underlying rate structure Based upon our review, your renewal rates, effective 1/1/2013, are as follows: Coverage Rate Basis Current Rate Current Monthly Premium Renewal Rate Renewal Monthly Premium Renewal Monthly Premium Change Rate Guarantee Until Life per $1,000 0.140 $3,085.88 0.140 $3,085.88 $0.00 1/1/2015 Dependent Life per dep unit 1.820 $742.56 1.820 $742.56 $0.00 1/1/2015 Dependent Life per dep unit 2.000 $816.00 2.000 $816.00 $0.00 1/1/2015 Dependent Life per dep unit 2.990 $1,219.92 2.990 $1,219.92 $0.00 1/1/2015 Premium Totals: $5,864.36 $5,864.36 $0.00 The monthly premium shown is based upon current billed lives and volume. We appreciate your business and look forward to the continued opportunity to meet your group insurance needs. If you have any questions or if we can be of further assistance, please contact your local group representative at 1- 866 - 422 -4487. Sincerely, Robert Thiele Group Underwriting cc: HARDMAN BENEFIT PLANS INC 8110 E 32ND ST NORTH #100 WICHITA, KS 67226 cc: Douglas S. Riggert This letter serves as a policy amendment and should be kept with your policy. Lincoln Financial Group focuses on making life easier for you by doing business the way you want to do business - via the Web, telephone, IVR, e -mail and fax. We are committed to being there when you need us! Visit us on the web at www.lincoln4benefits.com or contact us at 1 (800) 423 -2765.