Premier Senior Sergeant's Insignia
Binds when picked up
Neck
+16 Stamina
+7 Spirit
Requires Level 55
Similar
Rare neck near item level 60
Archlight Talisman Neck · ilvl 60 
Chains of the Lich Neck · ilvl 60 · req 55 
Enchanted South Seas Kelp Neck · ilvl 60 
Frostwolf Advisor's Pendant Neck · ilvl 60 · req 55 
Frostwolf Legionnaire's Pendant Neck · ilvl 60 · req 55 Heathen's Brand Neck · ilvl 60 Kezan's Taint Neck · ilvl 60 Maelstrom's Tendril Neck · ilvl 60 Pebble of Kajaro Neck · ilvl 60 
Premier Master Sergeant's Insignia Neck · ilvl 60 · req 55