25-0106-P_-_Section_F_-_Fee_Schedule.xlsx
XLSX spreadsheet 35 KB Posted
- Attached to
- 25-0106-RFP Vision Benefit Services
- Solicitation number
- 25-0106-P
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This document is a Fee Schedule for a Vision Benefits - Personnel Services Request for Proposal (RFP Number 25-0106-P), targeting administrative services for a vision benefits program. The proposal covers a 5-year contract period from 2026 to 2030, with an estimated 5,000 participants per month and a total potential membership of 8,087 members (employees and dependents). The contract duration is 60 months, with pricing to be proposed on a per employee per month (PEPM) basis for each contract year.
The fee schedule provides a structured template for bidders to complete their administrative service fees and estimated claims costs, with sections for yearly PEPM rates and projected claims expenditures. While the document shows placeholder values of zero, it indicates that vendors are expected to provide their specific pricing for administrative fees and estimated claims costs across the five-year contract term. The bidder will need to calculate their total administrative service fee and estimated claims cost, which will be used to determine the 5-year lump sum total for the vision benefits contract.
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Text version
FEE SCHEDULE
| RFP TITLE: Vision Benefits – Personnel Services | Please fill in the areas highlighted. |
| RFP NUMBER: 25-0106-P | |
| SECTION F - FEE SCHEDULE |
| Administrative Service Fee | Estimated Quantity (A) | UOM | Price (B) | Total Price Per Month (A X B) | 60 MONTHS | EXTENDED TOTAL |
| Proposed per employee per month administrative fee (PEPM) for 2026 | 5,000 | PEPM | $ - 0 | $ - 0 | x 60 MONTHS | $ - 0 |
| Proposed per employee per month administrative fee (PEPM) for 2027 | 5,000 | PEPM | $ - 0 | $ - 0 | x 60 MONTHS | $ - 0 |
| Proposed per employee per month administrative fee (PEPM) for 2028 | 5,000 | PEPM | $ - 0 | $ - 0 | x 60 MONTHS | $ - 0 |
| Proposed per employee per month administrative fee (PEPM) for 2029 | 5,000 | PEPM | $ - 0 | $ - 0 | x 60 MONTHS | $ - 0 |
| Proposed per employee per month administrative fee (PEPM) for 2030 | 5,000 | PEPM | $ - 0 | $ - 0 | x 60 MONTHS | $ - 0 |
| ADMINISTRATIVE SERVICE FEE 5-YEAR TOTAL | $ - 0 |
| Estimated Claims Cost | 2026 | 2027 | 2028 | 2029 | 2030 |
| Estimated Claims Cost: Please provide your estimate of claims cost based on the average of 8,087 total members (employee/dependents) and utilizing the attached Experience Reports. | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| ESTIMATED CLAIMS COST 5-YEAR TOTAL | $ - 0 |
| BID SUMMARY TABLE | |
| DESCRIPTION | TOTAL |
| Administrative Service Fee | $ - 0 |
| Estimated Claims Cost | $ - 0 |
| 5-YEAR LUMP SUM TOTAL | $ - 0 |
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