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March
1, 2007
Your
Immediate Response is Required!
Dear Member,
You have received this notice because either
you have been paying an Associate Member fee
or your SAMBA payroll allotment was rounded
up to the next whole dollar amount, or both.
Effective April 1, 2007, SAMBA will no
longer charge an Associate Member fee.
Additionally, Treasury regulations no longer
require payroll allotments to be in whole
dollar amounts.
Due to these changes, your SAMBA payroll
allotment is being reduced effective the
first pay period that begins in April. In
order to effect these changes you must
complete and return the enclosed pre-printed
SAMBA 299 Payroll Allotment Form.
- Review the personal coverage
information printed on the reverse
side of the enclosed SAMBA Payroll
Allotment Form 299. It lists the
SAMBA plans in which you are
currently enrolled and reflects your
new (reduced) bi-weekly payroll
allotment that will be effective at
the beginning of the first full pay
period in April.
- Sign and date the enclosed
pre-printed SAMBA Payroll Allotment
Form 299 and return to SAMBA by
March 30, 2007. A pre-addressed
envelope is enclosed for your
convenience or you may fax your form
to 301-816-0191.
Please note: If you do not return the
completed Payroll Allotment Form 299 to
SAMBA, we will be unable to reduce your
payroll allotment to effect these changes.
Any excess allotment amounts we continue to
collect due to the above two changes will be
donated to charity.
If you have any questions, please call
1-800-638-6589 to speak with a SAMBA Group
Plans Representative.
Sincerely,

Walter E. Wilson
Executive Director
Enclosures
Visit
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