09-08-2022

KRIS LIANNE DEL ROSARIO

6947 Sky Trials,
LAS VEGAS, NV 89142

Dear KRIS LIANNE,

The Teachers Health Trust is here for you and your family. Every day we are striving to improve and provide you with the best
health plan experience.

You are receiving this letter today as an assurance that we have reviewed and processed your enrollment submission. Please
review the following plans you have selected.

Enrollment Details
Participant Name Benefit Plan Name Dental Plan Effective Date

KRIS LIANNE DEL ROSARIO Signature PPO DHMO - CIGNA DENTAL CARE PLAN 10-01-2022

Based on your family size and plan selections, your premium amount is $15.00 per pay period.

If you are enrolling for the first time or adding/removing dependent(s), your new ID cards should be arriving in the mail within the
next three weeks.

If the enrollment information above does not look correct, please feel free to contact the Teachers Health Trust with any questions
or concerns.

We are available to you Monday - Friday from 8:00 A.M to 5:00 P.M at (702) 794-0272 or you can reach us via email at
enroll@ththealth.org.

Most sincerely,

Eligibility Department
Teachers Health Trust