3.Q&A Exh 2 - Premium Rates_5.23.22.pdf

833 KB Posted

Attached to
Group Dental Insurance
Solicitation number
RFP-00747
Issued by
Leon County, Florida

About this file

Written by GovTribe AI ·

The document is an exhibit containing premium rate tables for a Request for Proposals (RFP) No. DMS-21/22-027 issued by the State of Florida, Department of Management Services' Division of State Group Insurance for Group Dental Insurance. The RFP seeks to establish a contract for group dental insurance coverage with multiple rating tiers such as Employee Only, Employee + Spouse, Employee + Child(ren), and Employee + Spouse + Child(ren). The premium rates are provided for the Ameritas Indemnity PPO plan, Ameritas Standard PPO plan, and Ameritas Preventative PPO plan for the years 2019, 2020, and 2021.

The related state and local contract opportunity covers the state of Florida, as well as the local jurisdictions of Leon County and Tallahassee City. An addendum with a timeline update was uploaded on 07/19/2022, and a separate document with questions and answers was uploaded on 5/23/2022.

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Request for Proposals (RFP) No.: DMS-21/22-027

GROUP DENTAL INSURANCE

Exhibit 2 - Premium Rates

RFP No.: DMS-21/22-027 Exhibit 2 Page 1 of 2

Monthly Premium Rates by Plan and by Tier Plan Rating Tier 2019 2020 2021 Ameritas Employee Only $ 37.96 $ 40.62 $ 43.46 Indemnity Employee + Spouse $ 70.40 $ 75.32 $ 80.60 w PPO Employee + Child(ren) $ 80.16 $ 85.76 $ 91.78

Employee + Spouse + Child(ren) $ 115.76 $ 123.86 $ 132.54 Ameritas Employee Only $ 31.50 $ 33.72 $ 36.06 Standard Employee + Spouse $ 59.04 $ 63.16 $ 67.60 PPO Employee + Child(ren) $ 66.08 $ 70.72 $ 75.64

Employee + Spouse + Child(ren) $ 96.22 $ 102.96 $ 110.16 Ameritas Employee Only $ 22.84 $ 24.44 $ 26.16 Preventative Employee + Spouse $ 43.20 $ 46.24 $ 49.46 PPO Employee + Child(ren) $ 46.24 $ 49.48 $ 52.94

Employee + Spouse + Child(ren) $ 67.76 $ 72.50 $ 77.58

RFP No.: DMS-21/22-027 Exhibit 2 Page 2 of 2

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