120084 O5 BAFO Cost Proposal.xlsx

This is a cost proposal spreadsheet template issued by the State of Nebraska for RFP 120084 O5 for Short Term Disability (STD) and Long Term Disability (LTD) Insurance Plan Options. The document requires bidders to provide premium rates for both STD and LTD coverage across multiple age bands, with prices to remain fixed for the first two years of the contract. The STD coverage is structured for first-day accident and eighth-day illness coverage at 60% of basic gross monthly pay, while the LTD coverage includes a six-month elimination period.

The pricing structure requires that all monthly premiums be evenly divisible by two to accommodate payroll deductions, with any non-conforming amounts automatically reduced to the nearest lower amount divisible by two for scoring purposes. Price increases after the initial two-year period are capped at 4% per period and must be requested in writing at least 120 days before the end of the current contract period. The spreadsheet includes employee count estimates by age band, ranging from under 25 to over 70 years old, with STD rates quoted per $10 of weekly benefit and LTD rates quoted per $100 of monthly covered payroll.