26-1.5 Financial Response Forms.pdf
PDF 70 KB Posted
- Attached to
- Group Medical Benefits
- Solicitation number
- 2026-10
- Issued by
- Seminole County, Florida
About this file
Financial Response Forms Summary
This Financial Response Forms document is a pricing submission template for the Suwannee County Board of County Commissioners' Group Medical Benefits procurement. The form requires bidders to submit monthly premium rates for three fully insured health plans across four coverage tiers: Employee, Employee + Spouse, Employee + Child/ren, and Family Plan. The solicitation seeks competitive proposals from qualified health insurance providers to establish group medical coverage for employees and eligible retirees of Suwannee County and its constitutional offices, including the Sheriff, Tax Collector, Property Appraiser, Clerk of Courts, and Supervisor of Elections. No specific response deadlines, site visits, bidders' conferences, or award dates are indicated within this forms document itself.
Bidders must address rate guarantees and rate caps for years two and three if applicable to their proposals, and describe any alternative funding arrangements such as profit sharing or minimum premium options with associated costs clearly itemized. The form requires detailed specifications of calculation components for any alternative funding mechanisms proposed. This pricing submission structure establishes the framework for evaluating competitive bids based on cost and coverage options, enabling the County to compare financial proposals across multiple health plan alternatives for the multi-year contract term.
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FINANCIAL RESPONSE FORMS
Provide monthly premium rates as outlined below.
FULLY INSURED
RATES
Employee Employee + Spouse
Employee + Child/ren
Family
Plan 1
Plan 2
Plan 3
FULLY INSURED
1. Are you willing to provide rate guarantees/rate caps for years two and three? Yes ___ No ___ If yes, describe the rate guarantees/rate caps you are proposing.
2. Please describe any alternative funding arrangements such as Profit Sharing or Minimum Premium you are offering. If there is additional cost associated with these arrangements, please specify what those costs are. Please detail with specificity the components of any calculations associated with this type of arrangement.
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