TITLE
AMENDMENT #6 - APPLICATION FOR GROUP COVERAGE FOR POLICY #50703 - TERMNATE EXPRESS SCRIPTS PBM VENDOR FOR POLICY #50703 - ACTIVE EMPLOYEES, EFFECTIVE 12/1/2007; MEDICARE ELIGIBLE, EFFECTIVE 1/1/2008; & EARLY RETIREES, EFFECTIVE 2/1/2008 (NOTE: PER HUMAN RESOURCES, GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY SIGNATURE NOT NECESSARY) (ASSISTANT CITY MANAGER SIGNED 3/6/2008)