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 Request for Proposal (RFP 25-0106-P) issued by the Pinellas County Unified Personnel System (UPS) in Florida. The solicitation seeks a vision benefit plan for county employees, with an estimated 8,087 total members (employees and dependents) over a 5-year contract period from 2026 to 2030. The contract includes a per employee per month (PEPM) administrative service fee structure, with an estimated 5,000 PEPM quantity for each contract year.
The fee schedule provides a template for bidders to propose their administrative service fees and estimated claims costs, with space to fill in pricing for each contract year. The total contract period is 60 months, with the opportunity for vendors to calculate their 5-year administrative service fee and estimated claims cost. The document allows for detailed financial proposal submission, requiring vendors to estimate administrative fees and projected claims costs based on the provided experience reports. The total contract value will be determined by combining the administrative service fees and estimated claims costs across the 5-year term.
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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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