120084 O5 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

This is a cost proposal spreadsheet template from 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 submit premium rates for both STD and LTD coverage across multiple age bands, with rates to remain fixed for the first two years of the contract, followed by three optional renewal periods.

The pricing structure specifies that monthly premiums must be evenly divisible by two to accommodate payroll deductions, with any non-conforming amounts automatically reduced to the nearest lower amount that is divisible by two for scoring purposes. The STD rates are calculated per $10 of weekly benefit for 60% of basic gross monthly pay with first-day accident and eighth-day illness coverage, while LTD rates are calculated per $100 of monthly covered payroll with a six-month elimination period. 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.

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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
120084 O5 BAFO Cost Proposal.xlsx XLSX spreadsheet
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
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
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 ILLNESSInitial Period Year OneInitial Period Year TwoOptional Renewal OneOptional Renewal TwoOptional Renewal Three
Rate per $10 of Weekly Benefit
Under 25
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70 & Over
LONG TERM DISABILITY INSURANCE,
6 MONTH ELIMINATION PERIODInitial Period Year OneInitial Period Year TwoOptional Renewal OneOptional Renewal TwoOptional Renewal Three
Rate per $100 of Monthly Covered Payroll
Under 25
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70 & Over

File details come from the government source that posted it. Updated .