Contact:

Michael Roseto

Chief Financial Officer

(c) 440.628.4839

Email: mroseto@myperformancehlth.com

*A list of all the networks Performance Health currently works with is included on the “Member Resources” tab.

Submit the following:

1 Name and address of the company

2 Census (use document below)

3 Current Plan Designs (SBCs)

4 Two years of monthly employee counts and monthly claims

5 Two years of high claimant information including diagnosis and prognosis.

6 Current renewal if available or prior year renewal

7 Current list bill

8 Please indicate the effective date requested by the client.

Please send proposals requests to:  mroseto@myperformancehlth.com

Any questions, please call Michael Roseto at 440-628-4839