20-12 - Voluntary Short Term Disability.pdf

This is a voluntary short-term disability (STD) insurance proposal form issued by the City of Lewisville Purchasing Division as part of a competitive sealed proposal process for Employee Health and Welfare Benefits in Texas. The City of Lewisville is soliciting comprehensive benefits coverage including third-party administrators for medical and dental services, pharmacy administration, medical and prescription drug stop loss coverage, dental and vision plans, life and accidental death and dismemberment insurance, long-term disability, employee assistance programs, and health savings and flexible spending accounts. The proposal document requests detailed information regarding voluntary STD benefits, including benefit structures, eligibility requirements, and operational terms.

The form requires carriers to provide specific pricing and plan details, including weekly benefit amounts and percentages, benefit duration, elimination periods, pre-existing condition provisions, maternity and cesarean section coverage, and premium rates quoted per $10 of covered payroll with monthly and annual totals. Carriers must confirm that rates are quoted for a voluntary plan on a net-of-commissions basis, specify minimum participation requirements, clarify actively-at-work provisions, and indicate whether employees must exhaust accrued leave before accessing STD benefits. Additional requirements include an effective date, rate guarantee period, AM Best rating, and confirmation that all services provided comply with the Americans with Disabilities Act. Award will be made in accordance with Texas Local Government Code Chapter 252.