120084 O5 Cost Proposal.xlsx
XLSX spreadsheet 14 KB Posted
- 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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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 ILLNESS | Initial Period Year One | Initial Period Year Two | Optional Renewal One | Optional Renewal Two | Optional 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 PERIOD | Initial Period Year One | Initial Period Year Two | Optional Renewal One | Optional Renewal Two | Optional 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 .