2.Q&A Exh 1-Dental Premium and Enrollment 19-21_5.23.22.xls

XLS spreadsheet 103 KB Posted Apr 26, 2022

Attached to: Group Dental Insurance
Solicitation number: RFP-00747
Issued by: Leon County, Florida

About this file

Written by GovTribe AI · Jul 30, 2024

This document is a state and local contract opportunity issued by the State of Florida, Department of Management Services' Division of State Group Insurance (Department) for Group Dental Insurance. The Department is inviting interested Respondents to submit Proposals. The solicitation covers dental insurance products and services for the State of Florida, Leon County, and the City of Tallahassee. The contract term is not specified, but may include renewal options. The document includes Questions and Answers uploaded on 5/23/2022, as well as an Addendum 1 with a Timeline Update uploaded on 07/19/2022.

The document does not provide details on pricing terms, set asides, incumbents, funding requirements and sources, or other salient financial information. It focuses on the administrative details of the solicitation process, including response dates, bidder's meetings, and the award process. The scope of services, product requirements, and other technical details are not included in the provided document.

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Other files

File	Type	Posted
1.DMS-2122-027 Group Dental RFP_FINAL 4.25.22.pdf	PDF	Apr 26, 2022
3.Att. B-Price Sheet (Dental)_FINAL 4.25.22-LOCKED.xlsx	XLSX spreadsheet	Apr 26, 2022
5.Att.E-Technical Questions-FINAL 4.25.22.pdf	PDF	Apr 26, 2022
1.Q&A DMS-2122-027_5.23.22.pdf	PDF	Apr 26, 2022
4.Att D-Data Use Agreement_FINAL 4.25.22.pdf	PDF	Apr 26, 2022
4.Q&A Exh 3 - COC_5.23.22.pdf	PDF	Apr 26, 2022
2.Att A.Draft Contract (DMS-2122-027 Dental)_FINAL 4.25.22.pdf	PDF	Apr 26, 2022
6.Att.F-Network Information-FINAL 4.25.22.pdf	PDF	Apr 26, 2022
3.Q&A Exh 2 - Premium Rates_5.23.22.pdf	PDF	Apr 26, 2022
9.Att I-Yearly Claims Exp Table 2019-2021_FINAL 4.25.22.pdf	PDF	Apr 26, 2022
Addendum No. 1 Timeline Update.docx	DOCX document	Apr 26, 2022
8.Att.H-Respondent & Sub Info-FINAL 4.25.22.pdf	PDF	Apr 26, 2022
7.Att.G-Minimum Qualifications-FINAL 4.25.22.pdf	PDF	Apr 26, 2022

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Data

Enrollment counts are based on enrollment for the current month. Premiums include payments for the current month enrollment, retro payments and/or credits for prior months enrollment, and payments for future months enrollment.
2019 Monthly Enrollment and Premium Paid
Plan Enrollment	Product	Option	Coverage	Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	PY Average					Premiums Paid	Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19
30	103	301	1	840	850	834	831	838	841	831	825	820	830	826	828	833	Employee Only	HUMANA DENTAL	Dental (for FTE employees)	HUMANA Indemnity w/PPO	$ 376,471	30,745	31,272	32,987	33,233	33,014	31,593	29,719	29,675	29,604	31,646	31,548	31,436
			10	248	247	246	247	244	246	246	244	245	244	244	238	245	Employee+Spouse
			11	167	170	168	170	177	177	172	171	167	175	179	182	173	Employee+Children
			20	252	257	259	259	262	264	264	270	267	273	272	268	264	Employee+Family
Plan Enrollment	Product	Option	Coverage	Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	PY Average
30	103	300	1	7,801	7,817	7,793	7,823	7,929	7,929	7,878	7,843	7,832	7,946	8,025	8,038	7,888	Employee Only	HUMANA DENTAL	Dental (for FTE employees)	HUMANA Prepaid	$ 3,659,600	302,858	303,052	316,383	318,612	320,363	306,104	290,800	289,654	290,638	305,671	306,762	308,704
			10	2,632	2,646	2,650	2,654	2,668	2,680	2,656	2,656	2,652	2,659	2,657	2,659	2,656	Employee + Spouse
			11	1,775	1,785	1,786	1,804	1,809	1,821	1,801	1,807	1,806	1,809	1,820	1,814	1,803	Employee + Child(ren)
			20	3,255	3,267	3,262	3,265	3,275	3,268	3,270	3,266	3,271	3,293	3,300	3,307	3,275	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	PY Average					Premiums Paid	Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19
80	103	602	1	3,735	3,732	3,728	3,732	3,732	3,730	3,713	3,698	3,671	3,696	3,683	3,689	3,712	Employee Only	AMERITAS	Dental (for FTE employees)	Ameritas Indemnity w/PPO	$ 7,534,400	633,610	633,394	667,733	670,547	673,224	629,180	588,451	588,526	583,032	622,423	621,826	622,452
			10	1,519	1,516	1,491	1,489	1,493	1,485	1,486	1,475	1,460	1,465	1,470	1,461	1,484	Employee+Spouse
			11	1,154	1,152	1,142	1,151	1,146	1,134	1,121	1,118	1,108	1,107	1,109	1,100	1,129	Employee+Children
			20	2,525	2,531	2,529	2,529	2,543	2,545	2,535	2,530	2,525	2,527	2,521	2,527	2,531	Employee+Family
Plan Enrollment	Product	Option	Coverage	Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	PY Average
80	103	603	1	4,324	4,319	4,298	4,329	4,349	4,326	4,317	4,290	4,295	4,320	4,346	4,349	4,322	Employee Only	AMERITAS	Dental (for FTE employees)	Ameritas Standard PPO	$ 7,346,326	614,561	615,453	648,875	649,787	649,971	611,747	575,457	573,360	573,674	610,600	611,240	611,601
			10	1,956	1,952	1,937	1,934	1,930	1,929	1,922	1,916	1,913	1,915	1,919	1,909	1,928	Employee + Spouse
			11	1,436	1,438	1,432	1,420	1,422	1,417	1,417	1,415	1,399	1,395	1,401	1,399	1,416	Employee + Child(ren)
			20	2,785	2,793	2,798	2,799	2,797	2,801	2,804	2,802	2,812	2,812	2,807	2,804	2,801	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	PY Average
80	103	604	1	1,124	1,125	1,118	1,125	1,133	1,131	1,124	1,129	1,130	1,145	1,157	1,158	1,133	Employee Only	AMERITAS	Dental (for FTE employees)	Ameritas Preventive PPO	$ 1,095,209	90,198	90,235	96,675	97,669	98,171	91,880	83,971	84,156	84,619	92,297	92,629	92,710
			10	285	285	285	286	290	293	292	287	295	298	300	302	292	Employee + Spouse
			11	249	252	253	255	257	255	256	255	252	255	258	259	255	Employee + Child(ren)
			20	598	602	600	602	609	610	606	606	610	614	612	609	607	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	PY Average					Premiums Paid	Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19
20	103	202	1	1,715	1,701	1,689	1,685	1,679	1,670	1,657	1,640	1,633	1,609	1,595	1,593	1,656	Employee Only	SUN LIFE	Dental (for FTE employees)	Sun Life Indemnity w/PPO	$ 4,323,631	372,548	370,838	400,977	400,503	398,688	362,173	325,589	321,853	320,713	352,810	349,044	347,894
			10	1,012	1,002	986	978	976	971	963	952	946	938	931	925	965	Employee+Spouse
			11	399	399	398	396	397	394	391	384	383	378	374	372	389	Employee+Children
			20	1,338	1,334	1,318	1,317	1,311	1,304	1,296	1,291	1,286	1,278	1,275	1,265	1,301	Employee+Family
Plan Enrollment	Product	Option	Coverage	Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	PY Average
20	103	225	1	2,285	2,287	2,292	2,301	2,318	2,327	2,321	2,323	2,337	2,364	2,397	2,402	2,330	Employee Only	SUN LIFE	Dental (for FTE employees)	Sun Life Prepaid	$ 1,493,973	123,363	123,662	130,455	130,974	131,864	125,190	117,028	116,774	116,676	125,732	125,997	126,258
			10	908	909	892	889	894	899	896	891	887	892	888	894	895	Employee + Spouse
			11	489	491	493	486	491	492	486	495	484	489	494	490	490	Employee + Child(ren)
			20	1,146	1,154	1,155	1,162	1,173	1,180	1,179	1,174	1,175	1,191	1,199	1,197	1,174	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	PY Average					Premiums Paid	Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19
25	103	250	1	7,496	7,481	7,444	7,449	7,502	7,519	7,473	7,442	7,432	7,512	7,521	7,483	7,480	Employee Only	CIGNA	Dental (for FTE employees)	CIGNA Prepaid	$ 7,865,708	660,597	659,862	674,378	673,073	678,334	658,607	636,419	634,922	633,546	652,421	652,310	651,239
			10	2,450	2,439	2,425	2,419	2,440	2,443	2,442	2,444	2,435	2,443	2,434	2,424	2,437	Employee + Spouse
			11	1,949	1,953	1,920	1,919	1,925	1,919	1,919	1,904	1,891	1,895	1,889	1,888	1,914	Employee + Child(ren)
			20	3,533	3,536	3,528	3,522	3,546	3,549	3,535	3,523	3,506	3,498	3,506	3,501	3,524	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	PY Average					Premiums Paid	Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19
90	103	801	1	4,429	4,416	4,370	4,340	4,344	4,322	4,287	4,259	4,227	4,198	4,187	4,162	4,295	Employee Only	METLIFE	Dental (for FTE employees)	Metlife Indemnity w/PPO	$ 9,747,442	827,561	824,570	866,113	868,497	865,441	817,272	766,826	761,865	757,389	801,755	797,339	792,814
			10	1,898	1,893	1,881	1,876	1,883	1,867	1,859	1,840	1,826	1,816	1,811	1,800	1,854	Employee + Spouse
			11	1,213	1,208	1,196	1,192	1,199	1,202	1,186	1,181	1,176	1,174	1,170	1,161	1,188	Employee + Child(ren)
			20	2,576	2,574	2,577	2,585	2,587	2,580	2,569	2,559	2,549	2,546	2,542	2,531	2,565	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	PY Average
90	103	802	1	11,420	11,391	11,308	11,287	11,262	11,215	11,121	11,059	10,967	10,967	10,961	10,931	11,157	Employee Only	METLIFE	Dental (for FTE employees)	Metlife Standard PPO	$ 19,586,613	1,652,596	1,653,548	1,727,012	1,727,191	1,728,157	1,639,859	1,543,210	1,538,825	1,534,993	1,620,397	1,611,403	1,609,424
			10	5,515	5,510	5,464	5,456	5,451	5,440	5,400	5,364	5,339	5,341	5,287	5,254	5,402	Employee + Spouse
			11	3,754	3,738	3,729	3,719	3,708	3,703	3,671	3,671	3,645	3,635	3,636	3,618	3,686	Employee + Child(ren)
			20	7,379	7,398	7,380	7,378	7,409	7,408	7,393	7,374	7,374	7,383	7,378	7,384	7,387	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	PY Average
90	103	803	1	2,759	2,762	2,752	2,755	2,794	2,793	2,785	2,790	2,789	2,829	2,841	2,851	2,792	Employee Only	METLIFE	Dental (for FTE employees)	Metlife Preventive PPO	$ 2,489,971	205,275	206,815	219,387	220,417	220,361	207,029	192,647	193,534	192,875	210,040	209,802	211,790
			10	843	857	856	851	851	859	855	853	858	863	860	868	856	Employee + Spouse
			11	546	541	536	538	540	538	540	542	543	549	547	546	542	Employee + Child(ren)
			20	1,302	1,310	1,308	1,314	1,313	1,315	1,313	1,320	1,315	1,327	1,340	1,348	1,319	Employee + Family
2020 Monthly Enrollment and Premium Paid
Plan Enrollment	Product	Option	Coverage	Jan-20	Feb-20	Mar-20	Apr-20	May-20	Jun-20	Jul-20	Aug-20	Sep-20	Oct-20	Nov-20	Dec-20	PY Average					Premiums Paid	Jan-20	Feb-20	Mar-20	Apr-20	May-20	Jun-20	Jul-20	Aug-20	Sep-20	Oct-19	Nov-20	Dec-20
30	103	301	1	781	785	787	789	797	798	796	811	815	817	812	801	799	Employee Only	HUMANA DENTAL	Dental (for FTE employees)	HUMANA Indemnity w/PPO	$ 342,055	28,073	27,970	29,525	29,790	30,016	28,674	27,079	27,230	27,253	28,858	28,730	28,857
			10	217	217	216	214	211	214	210	211	212	213	215	215	214	Employee+Spouse
			11	161	160	162	163	163	165	162	162	165	163	165	166	163	Employee+Children
			20	216	216	218	221	224	228	228	227	227	228	229	231	224	Employee+Family
Plan Enrollment	Product	Option	Coverage	Jan-20	Feb-20	Mar-20	Apr-20	May-20	Jun-20	Jul-20	Aug-20	Sep-20	Oct-20	Nov-20	Dec-20	PY Average
30	103	300	1	8,122	8,183	8,230	8,230	8,244	8,253	8,247	8,195	8,253	8,265	8,303	8,302	8,236	Employee Only	HUMANA DENTAL	Dental (for FTE employees)	HUMANA Prepaid	$ 3,663,436	303,644	303,764	319,484	318,600	321,484	306,153	292,986	290,090	291,738	303,930	305,490	306,072
			10	2,673	2,657	2,656	2,671	2,676	2,680	2,672	2,638	2,653	2,663	2,660	2,651	2,663	Employee + Spouse
			11	1,782	1,768	1,769	1,768	1,766	1,762	1,759	1,746	1,744	1,735	1,739	1,737	1,756	Employee + Child(ren)
			20	3,135	3,139	3,168	3,187	3,200	3,189	3,183	3,182	3,195	3,202	3,200	3,193	3,181	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-20	Feb-20	Mar-20	Apr-20	May-20	Jun-20	Jul-20	Aug-20	Sep-20	Oct-20	Nov-20	Dec-20	PY Average					Premiums Paid	Jan-20	Feb-20	Mar-20	Apr-20	May-20	Jun-20	Jul-20	Aug-20	Sep-20	Oct-19	Nov-20	Dec-20
80	103	602	1	3,973	3,947	3,929	3,894	3,869	3,864	3,845	3,804	3,791	3,776	3,783	3,776	3,854	Employee Only	AMERITAS	Dental (for FTE employees)	Ameritas Indemnity w/PPO	$ 8,666,804	732,753	729,753	776,618	772,438	771,729	724,542	677,640	674,857	671,167	711,392	711,532	712,383
			10	1,625	1,613	1,612	1,607	1,598	1,593	1,589	1,583	1,574	1,567	1,559	1,557	1,590	Employee+Spouse
			11	1,273	1,271	1,272	1,276	1,266	1,265	1,265	1,266	1,256	1,247	1,249	1,242	1,262	Employee+Children
			20	2,744	2,748	2,749	2,750	2,752	2,748	2,746	2,732	2,726	2,729	2,725	2,717	2,739	Employee+Family
Plan Enrollment	Product	Option	Coverage	Jan-20	Feb-20	Mar-20	Apr-20	May-20	Jun-20	Jul-20	Aug-20	Sep-20	Oct-20	Nov-20	Dec-20	PY Average
80	103	603	1	4,464	4,460	4,453	4,459	4,434	4,446	4,447	4,422	4,420	4,404	4,421	4,381	4,434	Employee Only	AMERITAS	Dental (for FTE employees)	Ameritas Standard PPO	$ 7,859,908	662,222	660,395	701,437	699,543	697,991	656,020	614,437	610,351	611,629	647,117	649,231	649,535
			10	1,922	1,908	1,899	1,890	1,888	1,886	1,876	1,857	1,852	1,844	1,839	1,832	1,874	Employee + Spouse
			11	1,381	1,380	1,371	1,370	1,368	1,369	1,361	1,358	1,354	1,348	1,353	1,349	1,364	Employee + Child(ren)
			20	2,840	2,841	2,843	2,850	2,835	2,831	2,833	2,820	2,824	2,815	2,815	2,812	2,830	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-20	Feb-20	Mar-20	Apr-20	May-20	Jun-20	Jul-20	Aug-20	Sep-20	Oct-20	Nov-20	Dec-20	PY Average
80	103	604	1	1,229	1,230	1,226	1,229	1,220	1,219	1,229	1,212	1,209	1,202	1,199	1,200	1,217	Employee Only	AMERITAS	Dental (for FTE employees)	Ameritas Preventive PPO	$ 1,227,540	101,668	102,537	111,457	111,915	111,728	102,608	94,020	93,458	92,977	101,728	101,841	101,603
			10	296	298	301	303	307	304	303	304	309	309	309	312	305	Employee + Spouse
			11	279	279	277	278	279	279	279	278	277	270	270	273	277	Employee + Child(ren)
			20	613	619	621	625	621	622	624	619	619	617	616	614	619	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-20	Feb-20	Mar-20	Apr-20	May-20	Jun-20	Jul-20	Aug-20	Sep-20	Oct-20	Nov-20	Dec-20	PY Average					Premiums Paid	Jan-20	Feb-20	Mar-20	Apr-20	May-20	Jun-20	Jul-20	Aug-20	Sep-20	Oct-19	Nov-20	Dec-20
20	103	202	1	1,617	1,618	1,615	1,602	1,596	1,586	1,579	1,567	1,548	1,531	1,528	1,520	1,576	Employee Only	SUN LIFE	Dental (for FTE employees)	Sun Life Indemnity w/PPO	$ 4,132,984	354,178	350,757	380,130	378,808	378,592	347,524	312,441	310,094	309,048	337,770	337,538	336,104
			10	942	932	925	920	915	912	907	903	892	886	878	868	907	Employee+Spouse
			11	378	376	376	377	376	376	376	374	372	363	364	366	373	Employee+Children
			20	1,278	1,265	1,259	1,257	1,255	1,253	1,249	1,247	1,249	1,249	1,244	1,241	1,254	Employee+Family
Plan Enrollment	Product	Option	Coverage	Jan-20	Feb-20	Mar-20	Apr-20	May-20	Jun-20	Jul-20	Aug-20	Sep-20	Oct-20	Nov-20	Dec-20	PY Average
20	103	225	1	2,350	2,365	2,391	2,410	2,416	2,419	2,413	2,388	2,395	2,405	2,411	2,412	2,398	Employee Only	SUN LIFE	Dental (for FTE employees)	Sun Life Prepaid	$ 1,448,693	119,851	119,393	128,112	127,844	127,977	120,943	113,741	113,544	113,924	120,263	121,460	121,642
			10	838	841	844	843	847	846	849	860	863	860	859	859	851	Employee + Spouse
			11	463	459	460	461	463	463	462	462	461	466	463	468	463	Employee + Child(ren)
			20	1,095	1,102	1,104	1,104	1,104	1,112	1,111	1,109	1,112	1,107	1,113	1,110	1,107	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-20	Feb-20	Mar-20	Apr-20	May-20	Jun-20	Jul-20	Aug-20	Sep-20	Oct-20	Nov-20	Dec-20	PY Average					Premiums Paid	Jan-20	Feb-20	Mar-20	Apr-20	May-20	Jun-20	Jul-20	Aug-20	Sep-20	Oct-19	Nov-20	Dec-20
25	103	250	1	7,306	7,275	7,296	7,310	7,302	7,326	7,321	7,283	7,283	7,284	7,335	7,285	7,301	Employee Only	CIGNA	Dental (for FTE employees)	CIGNA Prepaid	$ 7,741,530	622,470	617,788	634,863	634,971	637,231	622,230	603,388	600,278	600,923	614,856	615,935	936,595
			10	2,316	2,300	2,284	2,284	2,281	2,282	2,265	2,244	2,242	2,240	2,237	2,231	2,267	Employee + Spouse
			11	1,817	1,819	1,816	1,808	1,815	1,815	1,807	1,801	1,810	1,813	1,793	1,783	1,808	Employee + Child(ren)
			20	3,252	3,246	3,256	3,261	3,285	3,287	3,285	3,278	3,287	3,277	3,280	3,272	3,272	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-20	Feb-20	Mar-20	Apr-20	May-20	Jun-20	Jul-20	Aug-20	Sep-20	Oct-20	Nov-20	Dec-20	PY Average					Premiums Paid	Jan-20	Feb-20	Mar-20	Apr-20	May-20	Jun-20	Jul-20	Aug-20	Sep-20	Oct-19	Nov-20	Dec-20
90	103	801	1	4,558	4,529	4,518	4,495	4,467	4,452	4,428	4,399	4,372	4,332	4,333	4,273	4,430	Employee Only	METLIFE	Dental (for FTE employees)	Metlife Indemnity w/PPO	$ 10,689,801	894,994	888,585	942,723	936,941	933,397	881,028	828,811	825,674	823,088	864,586	865,964	1,004,009
			10	2,031	2,026	2,025	2,005	1,999	1,992	1,983	1,966	1,952	1,927	1,915	1,907	1,977	Employee + Spouse
			11	1,308	1,299	1,293	1,290	1,282	1,278	1,275	1,265	1,262	1,253	1,247	1,244	1,275	Employee + Child(ren)
			20	2,632	2,630	2,632	2,639	2,633	2,637	2,635	2,627	2,631	2,631	2,630	2,624	2,632	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-20	Feb-20	Mar-20	Apr-20	May-20	Jun-20	Jul-20	Aug-20	Sep-20	Oct-20	Nov-20	Dec-20	PY Average
90	103	802	1	11,992	11,965	11,961	11,920	11,901	11,901	11,896	11,867	11,888	11,851	11,815	11,778	11,895	Employee Only	METLIFE	Dental (for FTE employees)	Metlife Standard PPO	$ 21,777,106	1,807,785	1,804,412	1,897,255	1,887,548	1,888,154	1,790,572	1,696,229	1,692,675	1,691,904	1,773,114	1,776,408	2,071,050
			10	5,703	5,686	5,654	5,633	5,616	5,598	5,577	5,558	5,523	5,509	5,488	5,473	5,585	Employee + Spouse
			11	3,870	3,874	3,864	3,843	3,839	3,834	3,824	3,809	3,812	3,805	3,791	3,780	3,829	Employee + Child(ren)
			20	7,868	7,858	7,862	7,857	7,862	7,870	7,872	7,853	7,848	7,832	7,834	7,819	7,853	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-20	Feb-20	Mar-20	Apr-20	May-20	Jun-20	Jul-20	Aug-20	Sep-20	Oct-20	Nov-20	Dec-20	PY Average
90	103	803	1	3,208	3,220	3,243	3,244	3,239	3,248	3,237	3,207	3,223	3,228	3,207	3,182	3,224	Employee Only	METLIFE	Dental (for FTE employees)	Metlife Preventive PPO	$ 3,032,631	246,404	248,237	266,688	267,123	266,378	249,561	232,091	231,080	232,269	248,540	248,535	295,726
			10	924	928	936	939	942	952	948	942	941	935	941	942	939	Employee + Spouse
			11	614	611	613	613	609	608	606	606	610	610	610	612	610	Employee + Child(ren)
			20	1,551	1,548	1,564	1,575	1,567	1,567	1,563	1,553	1,557	1,556	1,557	1,556	1,560	Employee + Family
2021 Monthly Enrollment and Premium Paid
Plan Enrollment	Product	Option	Coverage	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	PY Average					Premiums Paid	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21
30	103	301	1	788	791	791	789	787	788	784	775	773	768	770	775	782	Employee Only	HUMANA DENTAL	Dental (for FTE employees)	HUMANA Indemnity w/PPO	$ 321,583	27,180	27,268	28,819	28,669	28,613	26,981	25,153	25,344	25,100	26,161	26,222	26,071
			10	204	204	205	203	201	198	194	195	195	189	190	183	197	Employee+Spouse
			11	156	162	160	160	159	160	159	161	162	162	163	156	160	Employee+Children
			20	205	201	208	206	202	200	202	198	197	193	191	187	199	Employee+Family
Plan Enrollment	Product	Option	Coverage	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	PY Average
30	103	300	1	8,284	8,337	8,338	8,347	8,297	8,246	8,185	8,122	8,141	8,073	8,093	8,094	8,213	Employee Only	HUMANA DENTAL	Dental (for FTE employees)	HUMANA Prepaid	$ 3,553,487	301,437	300,334	312,614	311,537	311,987	298,378	283,246	281,619	280,125	290,532	291,220	290,459
			10	2,648	2,635	2,628	2,624	2,621	2,606	2,581	2,549	2,540	2,519	2,517	2,495	2,580	Employee + Spouse
			11	1,713	1,701	1,701	1,686	1,699	1,695	1,689	1,692	1,687	1,668	1,668	1,658	1,688	Employee + Child(ren)
			20	3,053	3,054	3,047	3,050	3,035	3,032	3,029	3,021	3,023	3,017	3,018	2,973	3,029	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	PY Average					Premiums Paid	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21
80	103	602	1	3,961	3,932	3,919	3,889	3,875	3,828	3,812	3,785	3,747	3,720	3,684	3,684	3,820	Employee Only	AMERITAS	Dental (for FTE employees)	Ameritas Indemnity w/PPO	$ 9,453,918	806,294	806,768	850,890	852,333	845,394	794,523	737,852	731,999	725,559	771,134	768,096	763,075
			10	1,721	1,723	1,720	1,717	1,701	1,702	1,693	1,671	1,661	1,642	1,630	1,618	1,683	Employee+Spouse
			11	1,292	1,288	1,277	1,281	1,281	1,283	1,270	1,259	1,259	1,253	1,248	1,234	1,269	Employee+Children
			20	2,854	2,858	2,846	2,833	2,826	2,823	2,819	2,808	2,789	2,782	2,774	2,725	2,811	Employee+Family
Plan Enrollment	Product	Option	Coverage	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	PY Average
80	103	603	1	4,581	4,601	4,615	4,591	4,566	4,539	4,521	4,488	4,493	4,488	4,449	4,460	4,533	Employee Only	AMERITAS	Dental (for FTE employees)	Ameritas Standard PPO	$ 8,547,390	722,150	722,698	765,519	766,412	763,868	714,571	665,987	661,087	660,051	705,843	698,681	700,524
			10	1,954	1,948	1,931	1,922	1,922	1,911	1,909	1,897	1,893	1,879	1,854	1,841	1,905	Employee + Spouse
			11	1,432	1,421	1,420	1,425	1,420	1,418	1,413	1,398	1,407	1,402	1,394	1,373	1,410	Employee + Child(ren)
			20	2,884	2,885	2,885	2,891	2,883	2,871	2,861	2,853	2,857	2,847	2,840	2,815	2,864	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	PY Average
80	103	604	1	1,219	1,225	1,227	1,219	1,227	1,212	1,196	1,178	1,176	1,176	1,174	1,194	1,202	Employee Only	AMERITAS	Dental (for FTE employees)	Ameritas Preventive PPO	$ 1,326,302	111,419	111,719	121,678	121,454	121,378	111,464	101,568	99,749	99,452	108,518	108,769	109,134
			10	334	339	339	341	342	335	338	331	337	331	329	323	335	Employee + Spouse
			11	278	276	274	275	271	268	264	265	266	268	265	267	270	Employee + Child(ren)
			20	625	627	630	632	632	632	635	626	623	622	619	611	626	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	PY Average					Premiums Paid	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21
20	103	202	1	1,583	1,580	1,577	1,571	1,569	1,546	1,525	1,511	1,499	1,465	1,469	1,476	1,531	Employee Only	SUN LIFE	Dental (for FTE employees)	Sun Life Indemnity w/PPO	$ 4,062,752	348,841	348,763	374,948	373,961	374,125	341,802	305,901	304,944	301,910	330,446	328,123	328,987
			10	909	891	889	881	872	865	859	860	855	844	830	817	864	Employee+Spouse
			11	363	356	355	353	354	356	353	352	348	348	348	352	353	Employee+Children
			20	1,284	1,286	1,281	1,283	1,279	1,274	1,268	1,261	1,256	1,254	1,251	1,234	1,268	Employee+Family
Plan Enrollment	Product	Option	Coverage	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	PY Average
20	103	225	1	2,416	2,423	2,440	2,432	2,435	2,428	2,397	2,355	2,364	2,357	2,343	2,346	2,395	Employee Only	SUN LIFE	Dental (for FTE employees)	Sun Life Prepaid	$ 1,368,348	116,014	115,780	124,249	122,069	122,514	115,305	106,687	105,617	105,107	112,495	111,632	110,879
			10	822	817	812	805	798	796	786	776	779	767	767	757	790	Employee + Spouse
			11	445	448	446	448	450	445	439	438	429	435	431	429	440	Employee + Child(ren)
			20	1,026	1,024	1,020	1,014	1,012	1,011	1,003	1,002	1,006	1,005	997	977	1,008	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	PY Average					Premiums Paid	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21
25	103	250	1	7,301	7,320	7,320	7,323	7,327	7,267	7,262	7,187	7,154	7,106	7,090	7,129	7,232	Employee Only	CIGNA	Dental (for FTE employees)	CIGNA Prepaid	$ 6,819,805	485,071	598,264	612,054	465,704	612,195	595,473	576,891	572,512	567,863	578,445	577,390	577,944
			10	2,196	2,186	2,174	2,164	2,165	2,164	2,153	2,140	2,129	2,113	2,099	2,067	2,146	Employee + Spouse
			11	1,803	1,802	1,784	1,775	1,780	1,781	1,780	1,754	1,755	1,725	1,722	1,739	1,767	Employee + Child(ren)
			20	3,090	3,101	3,084	3,086	3,084	3,078	3,059	3,053	3,028	3,014	2,999	2,927	3,050	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	PY Average					Premiums Paid	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21
90	103	801	1	4,603	4,589	4,559	4,530	4,505	4,466	4,416	4,362	4,322	4,267	4,238	4,229	4,424	Employee Only	METLIFE	Dental (for FTE employees)	Metlife Indemnity w/PPO	$ 10,853,815	818,348	942,889	987,616	987,677	980,986	924,283	863,728	852,462	843,947	888,165	882,748	880,966
			10	2,006	1,996	1,987	1,987	1,975	1,965	1,958	1,934	1,917	1,878	1,866	1,834	1,942	Employee + Spouse
			11	1,311	1,315	1,305	1,303	1,289	1,284	1,277	1,263	1,266	1,246	1,241	1,242	1,279	Employee + Child(ren)
			20	2,700	2,687	2,677	2,675	2,667	2,658	2,649	2,627	2,612	2,595	2,592	2,542	2,640	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	PY Average
90	103	802	1	12,492	12,488	12,476	12,424	12,406	12,311	12,262	12,147	12,063	11,988	11,924	11,965	12,246	Employee Only	METLIFE	Dental (for FTE employees)	Metlife Standard PPO	$ 22,565,061	1,676,038	1,935,822	2,028,935	2,026,643	2,021,155	1,913,182	1,806,411	1,787,627	1,778,160	1,873,637	1,863,550	1,853,898
			10	5,754	5,704	5,670	5,656	5,644	5,623	5,588	5,553	5,531	5,493	5,442	5,384	5,587	Employee + Spouse
			11	3,890	3,889	3,880	3,878	3,857	3,846	3,818	3,791	3,779	3,778	3,757	3,760	3,827	Employee + Child(ren)
			20	8,196	8,182	8,153	8,142	8,131	8,096	8,080	8,058	8,036	8,017	7,986	7,844	8,077	Employee + Family
Plan Enrollment	Product	Option	Coverage	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	PY Average
90	103	803	1	3,335	3,350	3,337	3,323	3,311	3,291	3,277	3,255	3,238	3,221	3,205	3,213	3,280	Employee Only	METLIFE	Dental (for FTE employees)	Metlife Preventive PPO	$ 3,157,446	229,656	271,948	289,899	289,383	288,031	268,082	248,622	246,151	243,712	262,678	259,515	259,769
			10	993	990	984	992	978	974	968	954	950	952	946	926	967	Employee + Spouse
			11	671	670	660	654	652	653	650	642	639	632	624	624	648	Employee + Child(ren)
			20	1,620	1,618	1,618	1,613	1,603	1,600	1,598	1,591	1,583	1,569	1,563	1,550	1,594	Employee + Family

&C&"-,Bold" Request for Proposals (RFP) No.: DMS-21/22-027

GROUP DENTAL INSURANCE

Exhibit 1 - Dental Premium and Enrollment &L&"-,Bold"RFP No.: DMS-21/22-027&C&"-,Bold"Exhibit 1&R&"-,Bold"Page &P of &N

Code Key

Plan Enrollment	Code Description	Option Code	Code Description
20	SUN LIFE	202	SUN LIFE INDEMNITY w/PPO
25	CIGNA	225	SUN LIFE PREPAID
30	HUMANA DENTAL	250	CIGNA PREPAID
80	AMERITAS	300	HUMANA PREPAID
90	METLIFE	301	HUMANA INDEMNITY w/PPO
		602	AMERITAS INDEMNITY w/PPO
		603	AMERITAS STANDARD PPO
Product Code	Code Description	604	AMERITAS PREVENTATIVE PPO
103	Dental (for FTE employees)	801	METLIFE INDEMNITY w/PPO
		802	METLIFE STANDARD PPO
		803	METLIFE PREVENTATIVE PPO
Coverage Code	Code Description
1	Employee Only
10	Employee + Spouse
11	Employee+ Child(ren)
20	Employee + Family

&C&"-,Bold" Request for Proposals (RFP) No.: DMS-21/22-027

GROUP DENTAL INSURANCE

Exhibit 1 - Codes &L&"-,Bold"RFP No.: DMS-21/22-027&C&"-,Bold"Exhibit 1&R&"-,Bold"Page &P of &N

Codes

Enrollment File	PTB Files	Code Description	Enrollment File	Code Description	Enrollment File	Code Description
Current Plan Type Code (product code on the vendor file)			Current Benefit Plan Code (option code on vendor files)		Current Company Code
101	101	PPP&30/20 Hosp (for FTE employees)	050	CIGNA 30/20 PLUS	005	CIGNA HEALTH AND LIFE INSURANCE COMPANY
101	101	SIS & 365+ Hosp (for FTE employees)	051	CIGNA PREFERRED PROVIDER PLUS	010	NEW ERA
101	101	New Era 1-2-3 (for FTE employees)	052	CIGNA STATE INSURANCE SUPP	015	AFLAC
101	111	PPP&30/20 Hosp (for OPS employees)	053	CIGNA 365+ /$100 PER DAY	020	ASSURANT
101	111	SIS & 365+ Hosp (for OPS employees)	054	CIGNA 365+ /$200 PER DAY	025	CIGNA
101	111	New Era 1-2-3 (for OPS employees)	055	CIGNA 365+ /$300 PER DAY	030	HUMANA DENTAL (formerly ADP)
102	102	Cancer (for FTE employees)	101	NEW ERA 1-2-3 PLAN $100/DAY	035	COLONIAL
102	102	Intensive Care (for FTE employees)	102	NEW ERA 1-2-3 PLAN $200/DAY	047	HUMANA VISION
102	112	Cancer (for OPS employees)	111	NEW ERA 1-2-3 PLAN $100/ECR	050	HUMANA DENTAL (formerly COMPBENEFITS)
102	112	Intensive Care (for OPS employees)	112	NEW ERA 123 PLAN / $200 /ECR	060	UNITED DENTAL
103	103	Dental (for FTE employees)	141	AFLAC CANCER PLAN PCI LVL 1	080	AMERITAS
103	113	Dental (for OPS employees)	142	AFLAC CANCER PCI LVL 1 + SDR
105	105	Accident/Disab (for FTE employees)	143	AFLAC CANCER PCI LVL 1 + BBR
105	105	Accident (for FTE employees)	144	AFLAC CANCER PCI LVL 1 + BOTH	Enrollment File	Code Description
105	105	Disability (for FTE employees)	145	AFLAC CANCER PLAN PCI LVL 3	Current Coverage Code
105	115	Accident/Disab (for OPS employees)	146	AFLAC CANCER PCI LVL 3 + SDR	001	Employee Only
105	115	Accident (for OPS employees)	147	AFLAC CANCER PCI LVL 3 + BBR	002	Employee + 1
105	115	Disability (for OPS employees)	148	AFLAC CANCER PCI LVL 3 + BOTH	003	Employee + 2 or more
107	107	Vision (for FTE employees)	150	AFLAC B PLAN	010	Employee + Spouse
107	117	Vision (for OPS employees)	151	AFLAC OLD GOLD PLAN	011	Employee+ Child(ren)
			152	AFLAC X PLAN	012	EE, Spouse, Deps
			153	AFLAC L PLAN	020	Employee + Family
			154	AFLAC R PLAN	022	EE + 1 child
			155	AFLAC W PLAN	023	EE + 2 children
			157	AFLAC A PLAN (INDEMNITY)	024	EE + 3 children
			162	AFLAC P PLAN	025	EE + 4 children
			164	AFLAC INTENSIVE CARE (1-4UNIT)	026	EE + 5 children
			165	AFLAC INTENSIVE CARE	027	EE + 6 children
			166	AFLAC INTENSIVE CARE	051	EE+Spouse+1 child
			167	AFLAC INTENSIVE CARE	052	EE+Spouse+2 children
			169	AFLAC INTENSIVE CARE	053	EE+Spouse+3 children
			171	AFLAC PREMIER-OPTION 1	054	EE+Spouse+4 children
			172	AFLAC PREMIER-OPTION 1 + DDR	055	EE+Spouse+5 children
			173	AFLAC PREMIER-OPTION 2	056	EE+Spouse+6 children
			174	AFLAC PREMIER-OPTION 2 + DDR
			175	AFLAC PREMIER-OPTION 3
			176	AFLAC PREMIER-OPTION 3 + DDR
			177	AFLAC PREMIER-OPTION 1 + BBR
			178	AFLAC PREMIER-OPTION 1 + BOTH
			179	AFLAC PREMIER-OPTION 2 + BBR
			180	AFLAC PREMIER-OPTION 2 + BOTH
			181	AFLAC PREMIER-OPTION 3 + BBR
			182	AFLAC PREMIER-OPTION 3 + BOTH
			183	AFLAC BLUE PLAN
			184	AFLAC GOLD PLAN
			185	AFLAC BLUE PLAN + DDR
			186	AFLAC BLUE PLAN + BBR
			187	AFLAC BLUE PLAN + BOTH RIDERS
			188	AFLAC GOLD PLAN + DDR
			189	AFLAC GOLD PLAN + BBR
			190	AFLAC GOLD PLAN + BOTH RIDERS
			191	AFLAC INTENSIVE CARE PLAN
			192	AFLAC RED PLAN
			193	AFLAC RED PLAN + DDR
			194	AFLAC RED PLAN + BBR
			195	AFLAC RED PLAN + BOTH RIDERS
			202	ASSURANT FREEDOM ADVANCE
			225	ASSURANT PREPAID 225
			250	CIGNA DENTAL
			300	HUMANA SELECT 15
			301	HUMANA SCHEDULE B
			350	COLONIAL ACCIDENT PROTECTION
			351	COL. ACC/DIS INCOME PROTECTION
			352	COLONIAL ACCIDENT PROTECTION
			352	CLOSED COLONIAL CANCER
			353	COLONIAL DISABILITY PROTECTION
			353	COLONIAL CANCER/INTENSIVE CARE
			354	COLONIAL CANCER
			470	HUMANA VISION - EXAM+MATERIALS
			480	HUMANA VISION - MATERIALS ONLY
			501	HUMANA NETWORK PLUS
			502	HUMANA PREFERRED PLUS
			601	AMERITAS INDEMNITY/PPO
			700	UNITED SOLSTICE S700

File details come from the government source that posted it. Updated Jul 30, 2024.