3-Attachment 4 Cost Proposal.xlsx

XLSX spreadsheet 30 KB Posted

Attached to
Insurance including: Group Term Life, Accidental Death & Dismemberment, Short-Term and Long-Term Disability
Solicitation number
RFP01-260720B01-DISLIF-XXXXXX
Issued by
Florida

About this file

This is a Cost Proposal document for Florida Virtual School's insurance benefits procurement, detailing rate structures and plan provisions for Group Term Life, Accidental Death & Dismemberment (AD&D), Short-Term Disability, Long-Term Disability, and other financial benefits. The proposal covers an employee population of approximately 3,641 covered lives for basic life and AD&D, with 3,575 to 3,608 lives across the disability and supplemental benefit plans. The document presents proposed benefit volumes, rate structures, and plan provisions across multiple insurance categories, including voluntary life insurance with age-based rating brackets for employees, spouses, and children, as well as disability coverage at varying benefit levels.

The cost proposal indicates estimated monthly and annual premium figures, though specific dollar amounts are shown as $0 in most fields, suggesting either incomplete data entry or placeholder values awaiting carrier completion. The proposal includes rate guarantee provisions with a minimum three-year guarantee period across all plans and addresses plan provisions such as required participation levels, eligibility criteria, grandfather status for current participants, and open enrollment options. Additional provisions reference effective dates for age bracket changes and implementation credits, with total proposed benefit volumes reaching approximately $142.8 million for basic life coverage and $893,750 to $19.9 million for disability plans. The document also references Jelly Vision as a provider for other financial benefits with a budget allocation of $0, suggesting supplemental benefit offerings to the core insurance package.

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Other files

File Type Posted
2-Attachment 3 FLVS Life and DI RFP Plan Deviations 2026.xlsx XLSX spreadsheet
9-Attachment 10 Florida Virtual School Cert Final Lincoln LTD 20250701.pdf PDF
16-Attachment 17 Florida Virtual School Policy Final Lincoln LTD 20250701.pdf PDF
5-Attachment 6 Claims Experience STD and OSTD.pdf PDF
18-Attachment 1 Employee and Retiree Census.xlsx XLSX spreadsheet
6-Attachment 7 Claims Experience Voluntary life including Waiver Report.pdf PDF
12-Attachment 13 Florida Virtual School Cert Final Lincoln Vol Life 20250701.pdf PDF
4-Attachment 5 Claims Experience Basic Life and ADD including Waiver Report.pdf PDF
11-Attachment 12 Florida Virtual School Cert Cls 02 Final Lincoln Life AD D 20250701.pdf PDF
1-Attachment 2 Lincoln Financial - Self Bill Summary October 2025.docx DOCX document
14-Attachment 15 Florida Virtual School Policy Final Lincoln Vol Life 20250701.pdf PDF
19-RFP01-2604720B01-DISLIF-XXXXXX.pdf PDF
13-Attachment 14 Florida Virtual School Policy Final Lincoln Life AD D 20250701.pdf PDF
17-FORMS PACKET -ALL.pdf PDF
8-Attachment 9 Florida Virtual School Cert Final Lincoln STD 20250701.pdf PDF
7-Attachment 8 Claims Experience LTD.pdf PDF
15-Attachment 16 Florida Virtual School Policy Final Lincoln STD 20250701.pdf PDF
10-Attachment 11 Florida Virtual School Cert Cls 01 Final Lincoln Life AD D 20250701.pdf PDF
Show all 18

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Text version

Basic Life and AD&D Rates

Florida Virtual School
Basic Life and AD&D
Proposed Benefit
Carrier Name
COST ANALYSIS
Covered LivesProposed Benefit
Life Volume3641$142,830,000
AD&D Volume3641$142,830,000
Life Rate Per $1,000 Vol
AD&D Rate Per $1,000 Vol
Estimated Monthly Premium$0
Estimated Annual Premium$0
Dollar Difference from Current
Percent Change from Current
PLAN PROVISIONS
Rate Guarantee (Minimum 3 years)
Required Participation
Eligibility

Voluntary Life Rates

Florida Virtual School
Voluntary Life
Proposed Benefit
Carrier Name
COST ANALYSIS
Voluntary Rates per $1,000Covered LivesEmployeeSpouse
Age Range (spouse based on Spouse own age)EE: 1403;

Spouse: 675;

child:581

0 - 19
20 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45 - 49
50 - 54
55 - 59
60 - 64
65 - 69
70 - 74
75 - 79
80+
Child Rate
PLAN PROVISIONS
Rate Guarantee (Minimum 3 years)
Required Participation
Grandfather Current Participants (Yes/No)
Open Enrollment (Yes/No)
Effective Date of Age Bracket Changes
Eligibility

Short Term Disability Rates

Florida Virtual School
Short Term Disability
Proposed Benefit
Carrier Name
COST ANALYSIS
Covered Lives per
RenewalProposed Benefit
VolumeCore: 3575; Buy - up: 671$893,750$566,498
Rate Per $10 of Covered Benefit
Estimated Monthly Premium$0$0
Estimated Annual Premium$0$0
Dollar Difference from Current
Percent Change from Current
PLAN PROVISIONS
Rate Guarantee (Minimum 3 years)
Required Participation
Effective Date of Age Bracket Changes
Open Enrollment
Eligibility

Long Term Disabilty Rates

Florida Virtual School
Long Term Disability
Proposed Benefit
Carrier Name
COST ANALYSIS
Covered Lives per
RenewalProposed Benefit
Covered Payroll12/31/18993575$19,896,478
Rate Per $100 of Covered Payroll00
Estimated Monthly Premium$0
Estimated Annual Premium$0
Dollar Difference from Current
Percent Change from Current
PLAN PROVISIONS
Rate Guarantee (Minimum 3 years)
Effective Date of Age Bracket Changes
Required Participation
Eligibility

Other

Florida Virtual School
Other
Proposed Benefit
Carrier Name
Other Financial BenefitsTotal Lives
Jelly Vision Budget12/31/18993608
Other Implementation Credits00$0.000
Please note any conditions to make implementations or tech credits payable.

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