120084 O5 BAFO Cost Proposal.xlsx

XLSX spreadsheet 14 KB Posted

Attached to
State of Nebraska Short-Term Disability (STD) and Long-Term Disability (LTD) Insurance
Solicitation number
120084 O5
Issued by
Lancaster County, Nebraska

About this file

The document is a Cost Proposal for RFP 120084 O5 for Short-Term Disability (STD) and Long-Term Disability (LTD) Insurance issued by the State of Nebraska's Department of Administrative Services and State Purchasing Bureau. The procurement seeks a fully insured disability insurance program for approximately 17,221 state employees working 20+ hours per week, with STD offering first-day accident and eighth-day illness coverage at 60% income replacement for up to six months, and LTD providing a six-month elimination period with 60% income replacement. Key procurement dates include proposal submissions due December 19, 2024, at 2:00 PM Central Time, Intent to Award posting on January 8, 2025, and contract award on February 10, 2025. The initial contract term will run from July 1, 2025, through June 30, 2027, with three optional one-year renewal periods.

The cost proposal specifies that submitted premium prices will remain fixed for the first two contract years, with potential price increases not exceeding 4% and requiring 120-day advance written notice. The current program is 100% voluntary, with employees paying full premiums through post-tax deductions, and existing enrollment shows 3,100 employees in STD and 5,763 in LTD coverage. Monthly premiums are approximately $172,798.51 for STD and $87,366.51 for LTD, suggesting an annual contract value around $3.1 million. UnitedHealthcare is the incumbent vendor since July 1, 2019, and has demonstrated significant program growth, with STD premiums increasing from $1.15 million in 2019/20 to $1.95 million in 2023/24, and LTD premiums rising from $822,725 to $1 million during the same period. Vendors must maintain comprehensive insurance coverage and provide an open enrollment with no Evidence of Insurability requirement for current enrollees.

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Other files

File Type Posted
120084 O5 SOLICITATION ADDENDUM ONE final.docx DOCX document
Attachment I - STD Payment Details.xlsx XLSX spreadsheet
120084 O5- Addendum Two- Revised Schedule of Events.pdf PDF
120084 O5 RFP STD LTD Insurance.docx DOCX document
Attachment P Claim details for SAE from 07.01.2019.pdf PDF
Attachment A Requirements Matrix.docx DOCX document
Attachment C Current Short Term Disability Benefits.pdf PDF
UnitedHealthCare BAFO cost.pdf PDF
120084 O5 Cost Proposal.xlsx XLSX spreadsheet
BAFO 120084 O5 FinalEvaluationDocument.pdf PDF
Attachment F - LTD Group Paid by month.pdf PDF
Attachment J - LTD Claims Status.pdf PDF
List of Respondents.pdf PDF
Attachment G- STD Group Paid by month.pdf PDF
120084 O5 RFP STD LTD Insurance.pdf PDF
Attachment K - STD Claims Status.pdf PDF
UnitedHealthCare (stacked).pdf PDF
120084 O5- Addendum Three - Revised Schedule of Events.pdf PDF
Metlife Response (stacked).pdf PDF
Addendum 4 - Revised Schedule of Events.pdf PDF
120084 O5 Intent to Award.pdf PDF
Attachment N Historical LTD and STD Premium Payments.xlsx XLSX spreadsheet
Attachment O October 2024 STD LTD Monthly Invoice.pdf PDF
Attachment E - STD open and closed paid claim summary.pdf PDF
120084 O5 SolicitationEvaluationCriteria.pdf PDF
Metlife Response BAFO cost.pdf PDF
Attachment D - LTD open and closed paid claim summary.pdf PDF
Attachment H - LTD Payment Details.xlsx XLSX spreadsheet
Attachment M EligibilityCensus.xlsx XLSX spreadsheet
Attachment L Census LTD STD.xlsx XLSX spreadsheet
Attachment B Current Long Term Disability Benefits.pdf PDF
120084 O5 RFP STD LTD Insurance.docx DOCX document
Attachment L Census LTD STD.xlsx XLSX spreadsheet
Attachment G- STD Group Paid by month.pdf PDF
120084 O5 SOLICITATION ADDENDUM ONE final.docx DOCX document
Attachment B Current Long Term Disability Benefits.pdf PDF
Attachment I - STD Payment Details.xlsx XLSX spreadsheet
120084 O5 Cost Proposal.xlsx XLSX spreadsheet
Attachment O October 2024 STD LTD Monthly Invoice.pdf PDF
Attachment J - LTD Claims Status.pdf PDF
Metlife Response (stacked).pdf PDF
Attachment H - LTD Payment Details.xlsx XLSX spreadsheet
Attachment K - STD Claims Status.pdf PDF
Metlife Response BAFO cost.pdf PDF
120084 O5 Intent to Award.pdf PDF
Attachment E - STD open and closed paid claim summary.pdf PDF
120084 O5- Addendum Three - Revised Schedule of Events.pdf PDF
Attachment D - LTD open and closed paid claim summary.pdf PDF
Attachment C Current Short Term Disability Benefits.pdf PDF
Attachment M EligibilityCensus.xlsx XLSX spreadsheet
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Text version

Cost Proposal

COST PROPOSAL
RFP 120084 O5 BAFO
STD AND LTD INSURANCE PLAN OPTIONS

Bidder Name: _______________________________________________________________

Bidders shall fill in proposed premium amounts for each column provided below.

Prices submitted on the cost sheet, once accepted by the State, shall remain fixed for the first two (2) years of the contract. Any request for a price increase subsequent to the first two (2) years of the contract shall not exceed four percent (4 %) of the price proposed for the period. Increases shall not be cumulative and will only apply to that period of the contract. The request for a price increase must be submitted in writing to the State Purchasing Bureau a minimum of 120 days prior to the end of the current contract period. Documentation may be required by the State to support the price increase.
Each monthly premium amount proposed should be evenly divisible by "2" with no rounding to accommodate two even deductions per month through our payroll system. Any premium amount not divisible by “2” will be reduced to the nearest lower amount that is divisible by “2” for scoring. By submitting this proposal, Bidder accepts this lower amount if a contract is awarded.
This is the rate an employee will pay for 60% of basic gross monthly pay.
SHORT TERM DISABILITY INSURANCE,
1ST DAY ACCIDENT, 8TH DAY ILLNESSEstimated # of EmployeesInitial Period Year OneInitial Period Year TwoOptional Renewal OneOptional Renewal TwoOptional Renewal Three
Rate per $10 of Weekly Benefit
Under 25202
25-29330
30-34358
35-39361
40-44433
45-49362
50-54412
55-59357
60-64249
65 & Over86
LONG TERM DISABILITY INSURANCE,
6 MONTH ELIMINATION PERIODEstimated # of EmployeesInitial Period Year OneInitial Period Year TwoOptional Renewal OneOptional Renewal TwoOptional Renewal Three
Rate per $100 of Monthly Covered Payroll
Under 25221
25-29478
30-34551
35-39627
40-44749
45-49669
50-54749
55-59747
60-64715
65-69248
70 & Over43

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