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.

View the file

Other files

File Type Posted
7-SCBOCC Experience Report Florida Blue Medical 202409.xlsx XLSX spreadsheet
18-SCBOCC SBC PLAN 03161 Florida Blue Medical 20251001.pdf PDF
6-SCBOCC Experience Report Monitoring and HCC Florida Blue Medical 202312.xlsx XLSX spreadsheet
2-SCBOCC Experience Report Florida Blue Medical 202403.xlsx XLSX spreadsheet
3-Suwannee Cert P03559 10-1-25.pdf PDF
21-0.0 Advertisement.jpg JPG image
1-Suwannee County Medical Census 3.19.2026.xlsx XLSX spreadsheet
17-SCBOCC SBC PLAN 03559 Florida Blue Medical 20251001.pdf PDF
24-0.3 Guarantee Ltr of Commit Guarantee From.pdf PDF
9-SCBOCC Monitoring Report FB DEC 2025 (1).xlsx XLSX spreadsheet
19-Suwannee Renewal Negotiated Florida Blue Medical Final 20251001 (1).pdf PDF
23-0.4 Standard Contract Terms.pdf PDF
25-1.4 Scope of Services Table.pdf PDF
29-1.1 Summary Form.pdf PDF
16-Suwannee Cert P03160 10-1-25.pdf PDF
22-0.1 Information Instructions.pdf PDF
28-1.3 Questionnaire.pdf PDF
13-SCBOCC SBC PLAN 03160 Florida Blue Medical 20251001.pdf PDF
14-Suwannee Cert P60 10-1-25.pdf PDF
12-SCBOCC Experience Report HCC Florida Blue Medical 202312.xlsx XLSX spreadsheet
20-Participants.xlsx XLSX spreadsheet
30-0.2 Scope of Work.pdf PDF
10-SCBOCC SBC PLAN 60 Florida Blue Medical 20251001.pdf PDF
4-SCBOCC Claims MARCH 2026.xlsx XLSX spreadsheet
5-SCBOCC ExpRpt FMR BCBSFL Medical 2025.12 (1).pdf PDF
8-SCBOCC Experience Report Monitoring and HCC Florida Blue Medical 202309.xlsx XLSX spreadsheet
15-Suwannee Cert P03161 10-1-25.pdf PDF
11-SCBOCC Monitoring Report Report July 2025.xlsx XLSX spreadsheet
27-1.2 Required Forms.pdf PDF
Show all 29

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

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.

File details come from the government source that posted it. Updated .