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2010-06-07_(2).pdf - 19318.8K - BridgeportCT.gov

2010-06-07_(2).pdf - 19318.8K - BridgeportCT.gov

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t<br />

Jessica S Sheriff<br />

Contract Agreement Unit Manager<br />

Contractual Agreement Unit<br />

II<br />

May 21 <strong>2010</strong><br />

Richard Weiner<br />

Benefits Manager<br />

Bridgeport City BOE<br />

45 Lyon Terrace Room 222<br />

Bridgeport CT <strong>06</strong>604<br />

CIGNAHealthCare<br />

Routing B2CAU<br />

900 Cottage Grove Road<br />

Hartford CT <strong>06</strong>152<br />

Telephone 860 226 9743<br />

Facsimile 860 730 3944<br />

jessica sheriff@cigna com<br />

RE<br />

Bridgeport City BOE Account 3213172<br />

Deferral Arrangement<br />

Dear Mr Weiner<br />

This letter confirms that Connecticut General Life Insurance Company Connecticut General<br />

agrees that beginning July 1 <strong>2010</strong> and terminating June 30 2011 the Grace Period for the<br />

payment of monthly billed charges is extended from thirty one 31 to six y 60 days<br />

1 If Employer fails to pay the monthly billed charges Connecticut GI neral may<br />

immediately terminate this deferral arrangement<br />

2 Connecticut General may terminate this arrangement upon thirty 30 days prior notice<br />

Please acknowledge acceptance of the terms ofthis letter by signing and dating where indicated<br />

below and returning a signed copy to me at the above address<br />

Very truly yours<br />

Jessica S Sheriff<br />

Contractual Agreement Unit Manager<br />

JSS cf<br />

Accepted by<br />

Name and Title<br />

For BRIDGEPORT CITY BOE<br />

This<br />

day of

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