18-10 - Life - ADD Benefits.pdf
PDF 96 KB Posted
- Solicitation number
- 26-71-P
- Issued by
- Denton County, Little Cypress CDP, Texas
About this file
This is a Life and Accidental Death & Dismemberment (AD&D) Benefits proposal form issued by the City of Lewisville Purchasing Division for the Annual Contract for Employee Health and Welfare Benefits. The City of Lewisville is seeking competitive sealed proposals for comprehensive employee health and welfare benefits, including third-party administrators for medical and dental services, pharmacy services, medical/Rx stop loss coverage, ASO dental, fully insured vision, basic life/AD&D, voluntary life/AD&D, long-term disability, Employee Assistance Program (EAP), Health Savings Accounts (HSA), Flexible Spending Accounts (FSA), and COBRA administration. The Life/AD&D Benefits proposal form establishes two benefit classes: Class 1 covering all active employees working 40 or more hours per week, and Class 2 covering all eligible retirees with at least 10 years of service at retirement. The form requests detailed benefit structures including basic life insurance schedules, maximum benefit amounts, guarantee issue amounts, age reduction schedules, waiver of premium provisions, accelerated death benefits, conversion rights, portability options, and spousal and child life coverage amounts. Basic AD&D benefits must be specified with corresponding schedules, maximum benefits, age reduction provisions, and supplemental benefits such as education, seatbelt, airbag, and bereavement counseling coverage.
Bidders must provide comprehensive pricing information including employee rates per $1,000 for life and AD&D coverage, family rates per unit for life coverage, spouse and child rates per unit, retiree life rates, monthly and annual premium costs, changes from current pricing with percentage calculations, effective dates, and rate guarantee periods. An AM Best rating must be provided along with a formal quote in addition to the pricing presented on the form. All goods and services must be compliant with the Americans with Disabilities Act (ADA), and the successful bidder must certify such compliance. Award will be based on Local Government Code Chapter 252, with all questions to be submitted through the Bonfire platform's questions and answers section.
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Text version
26-71-P Employee Health and Welfare Benefits CARRIER NAME Life/AD&D Benefits Proposed
Class 1: All Active Employees working 40+ hours per week Class 2: All Eligible Retirees With at least 10 Years of Service At Retirement
Definition of Earnings Basic Life Schedule Maximum Benefit Guarantee Issue Amount Age Reduction Schedule Terminates at Retirement Waiver of Premium Accelerated Death Benefit Conversion Portability Spouse Life Amount Child(ren) Life Amount
BASIC AD&D BENEFITS
Class Description Definition of Earnings Basic AD&D Schedule Maximum Benefit Age Reduction Schedule Education Seatbelt Air Bag Bereavement Counseling
FINANCIALS
Volume EE Rate (per $1,000) - Life EE Rate (per $1,000) - AD&D Family Rate (per unit) - Life Spouse Rate (per unit) - Life Child Rate (per unit) - Life Retiree Life Rate Monthly Premium Annual Premium $ Change from Current % Change from Current Effective Date Rate Guarantee AM Best Rating
Class Description
Please provide a quote in addition to providing pricing on this page.
CITY OF LEWISVILLE PURCHASING DIVISION – REQUIRED DOCUMENT
Life AD&D
File details come from the government source that posted it. Updated .