22-11 - Voluntary Life - ADD Benefits.pdf
PDF 97 KB Posted
- Solicitation number
- 26-71-P
- Issued by
- Denton County, Little Cypress CDP, Texas
About this file
This is a Voluntary Life and Accidental Death & Dismemberment (AD&D) Benefits proposal form for the City of Lewisville, Texas, part of a comprehensive Employee Health and Welfare Benefits competitive sealed proposal process. The City of Lewisville is procuring multiple employee benefit services including third-party administrators for medical and dental coverage, pharmacy services, medical and pharmacy stop loss insurance, dental and vision coverage, basic life and AD&D insurance, voluntary life and AD&D insurance, long-term disability, employee assistance programs, health savings accounts, flexible spending accounts, and COBRA administration. This voluntary life and AD&D benefits form requests carrier proposals that define employee life schedules with maximum benefit amounts, guarantee issue amounts, and age reduction schedules, as well as spouse life coverage with corresponding maximums and guarantee issue amounts, child life coverage, and AD&D benefits. The proposal form also requires definition of earnings, waiver of premium provisions, accelerated death benefits, conversion and portability options, and suicide clauses.
The form requests detailed financial pricing per $10,000 of coverage across multiple age bands for both employees and spouses, including separate rates for children's coverage and AD&D benefits. Carriers must specify employer contribution amounts, actively-at-work provisions, rate guarantees, open enrollment terms, annual coverage increase options, effective dates, and AM Best ratings. Additional requirements include participation levels, takeover provisions, and submission of comprehensive quotes beyond the pricing table. All goods and services must comply with the Americans with Disabilities Act and applicable regulations. Award will be determined under Local Government Code Chapter 252, with all questions requiring submission 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 Voluntary Life/AD&D Benefits Proposed Class Description Definition of Earnings Employee Life Schedule Employee Maximum Benefit Your Max offer Employee Guarantee Issue Amount Your Max offer Age Reduction Schedule Waiver of Premium Accelerated Death Benefit Spouse Life Schedule Your Max offer Spouse Age Reduction Schedule Spouse Maximum Benefit Spouse Guarantee Issue Amount Spouse Termination Child(ren) Life Schedule Your Max offer Conversion Portability Suicide Clause FINANCIALS (per $10,000)
Age (Rate applies to Employee AND/OR Spouse?) (Spouse Rate is Based on Employee or Spouse age?)
30 or under 30 – 34 35 – 39 40 – 44 45 – 49 50 – 54 55 – 59 60 – 64 65 – 69
Children
AD&D
OTHER
Participation Required Employer Contribution Actively At Work Actively At Work Takeover Provision Rate Guarantee True Open Enrollment Annual Coverage Increase Effective Date AM Best Rating
Please provide a quote in addition to providing pricing on this page.
CITY OF LEWISVILLE PURCHASING DIVISION – REQUIRED DOCUMENT
Voluntary Life AD&D
File details come from the government source that posted it. Updated .