21-09 - Stop Loss.pdf

This is a Stop Loss insurance quotation form for the City of Lewisville's Employee Health and Welfare Benefits program. The document outlines requirements for stop loss coverage, which provides protection against catastrophic health claims in the City's employee benefit plan. The City is accepting competitive sealed proposals for comprehensive employee health and welfare benefits, including third-party administrators for medical and dental coverage, pharmacy services, medical/Rx stop loss insurance, ASO dental, fully insured vision, basic and voluntary life/AD&D, long-term disability, EAP, HSA, FSA, and COBRA administration. All questions must be submitted through the Bonfire procurement platform, and award will be determined in accordance with Local Government Code Chapter 252.

The stop loss quotation form requests pricing on three alternative carrier options with specific deductibles of $175,000, $200,000, and $225,000, all with paid specific contract types covering medical and Rx. Each option includes an aggregate corridor of 120% with paid aggregate contracts covering medical and Rx. Vendors must provide composite rates and include provisions for laser policies, renewal rate caps, plan mirroring, new laser provisions, and gene therapy riders, along with terminal liability and AM Best ratings. All goods and services must comply with the Americans with Disabilities Act, and successful bidders must provide certification of ADA compliance.