441CE78D-F987-C11E-794F97DB70EF1A64.xlsx

XLSX spreadsheet 43 KB Posted

Attached to
Sanitary Sewer Connections of Single-Family Residences in the Hague Avenue Service Area
Solicitation number
RFP 2026-09-08
Issued by
Franklin County, Ohio

About this file

This is a pricing document for the Franklin County Cooperative RFP 2025-06-09 for Disability and Voluntary Programs. The RFP solicits pricing proposals for five distinct product and service lines: disability insurance (including voluntary and employer-paid short-term and long-term disability), legal services, ID theft insurance, pet insurance, and additional ancillary services. The contract term spans five years, from January 1, 2027, through December 31, 2031, with guaranteed rates for years one through three and rate increase caps applicable to years four and five. Vendors must provide comprehensive pricing documentation that includes initial set-up fees, per-participant or per-employee per-month costs, age-banded rates where applicable, discounts for bundled services, and any additional fees for specialized services such as independent medical examinations, communications materials, audit services, and implementation credits.

The pricing document requires vendors to specify the basis for all proposed fees and provide detailed assumptions regarding participant enrollment and service scope. Vendors may propose alternative coverage options with explanations of benefit differences. Additional charges are requested for specific county requirements including onshore work verification, designated claims units, W-2 processing for employer-paid plans, annual communications and mailings, claims subrogation services, designated customer service representatives, member satisfaction surveys, ad hoc reporting, case management implementation, and multi-household member coverage. Vendors must also propose credits to offset implementation costs and support ongoing employee communications and health promotion initiatives. The document does not specify incumbent providers, evaluation criteria, or submission deadlines.

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Disability Products

Franklin County Cooperative - RFP 2025-06-09 Disability and Voluntary Programs RFP
Disability Insurance Pricing Document (Rates, Fees and Guarantees)
Complete the table below with your proposed pricing for each year of the contract term. Be sure that the basis for fees is noted (i.e., per participant, per eligible employee per month, etc.)

Vendor - please type in your company name:

Please provide your rate guarantee for years 1 through 3
Please provide your rate increase cap for years 4 and 5, if applicable
Proposed FeesComments/Fee Assumptions (i.e., number of participants)
I. Disability InsuranceYear 1
(1/1/27 - 12/31/27)Year 2
(1/1/28 - 12/31/28)Year 3
(1/1/29 - 12/31/29)Year 4
(1/1/30 - 12/31/30)Year 5

(1/1/31 - 12/31/31)

A. Initial set-up fees
B. Voluntary STD (Age Banded Rates - per $10 Weekly STD Benefit)
0-29
30-39
40-49
50-59
60-64
65+
C. Voluntary LTD (Age Banded Rates - per $100 Monthly Covered Payroll)
0-29
30-39
40-49
50-59
60-64
65+
D. Employer Paid STD Rate (per $10 Weekly STD Benefit)
60% to $1,500 14/14/24
60% to $1,500 7/14/25
60% to $1,500 30/30/22
66.67% to $1,500 14/14/24
66.67% to $1,500 7/14/25
66.67% to $1,500 30/30/22
II. Disability Insurance - Discounts, Additional Fees and Buy-upsYear 1
(1/1/27 - 12/31/27)Year 2
(1/1/28 - 12/31/28)Year 3
(1/1/29 - 12/31/29)Year 4
(1/1/30 - 12/31/30)Year 5

(1/1/31 - 12/31/31)

Additional Fee for IME (Independent Medical Examiner)
Communication Materials
Audit Services
Discount for Bundling Services
IV. Total CostYear 1
(1/1/27 - 12/31/27)Year 2
(1/1/28 - 12/31/28)Year 3
(1/1/29 - 12/31/29)Year 4
(1/1/30 - 12/31/30)Year 5
(1/1/31 - 12/31/31)Comments
Annual fee estimate for proposed services per year
TOTAL fee estimate 1st 3 years
V. Credits for Implementation & Employee CommunicationsProposed CreditsComments
A. Amount to be used to offset Implementation-related costs
B. Amount to be used for on-going employee communications to promote overall health and welfare initiatives

Legal Services

Franklin County Cooperative - RFP 2025-06-09 Disability and Voluntary Programs RFP
Legal Services Pricing Document (Rates, Fees and Guarantees)
Complete the table below with your proposed pricing for each year of the contract term. Be sure that the basis for fees is noted (i.e., per participant, per eligible employee per month, etc.)
Vendor - please type in your company name:
Subcontractor/Vendor Partner for Legal Services (if applicable)
Please provide your rate guarantee for years 1 through 3
Please provide your rate increase cap for years 4 and 5, if applicable
Proposed FeesComments/Fee Assumptions (i.e., number of participants)
I. Legal ServicesYears 1-3
(1/1/27 - 12/31/29)Years 4 - 5
(1/1/30 - 12/31/31)Comments
A. Initial set-up fees
B. Per Member Per Month (PMPM) Costs for Voluntary Legal Services Option #1
C. PMPM Costs for Voluntary Legal Services Option #2 (if applicable)
Please explain the variance in scope between Option 1 and 2 (if applicable)
II. Legal Services - Discounts, Additional Fees and Buy-upsYears 1-3
(1/1/27 - 12/31/29)Years 4 - 5
(1/1/30 - 12/31/31)Comments
Discount for bundling services
Payment Method Fees (e.g. Credit Card surcharges)
Additional fees to cover members not living in the same household (if applicable)
Additional fees for exclusively onshore work (see questionnaire County expectations)
Ad-hoc communications
Buy-up coverage 1 (e.g. appeals or class actions). Please describe in comments
Buy-up coverage 2 (e.g. appeals or class actions). Please describe in comments
Buy-up coverage 3 (e.g. appeals or class actions). Please describe in comments
Buy-up coverage 4 (e.g. appeals or class actions). Please describe in comments
III. Total Cost (Based on Current Enrollment)Years 1-3
(1/1/27 - 12/31/29)Years 4 - 5
(1/1/30 - 12/31/31)Comments
Annual fee estimate for proposed services per year
TOTAL 3-year fee estimate
IV. Credits for Implementation & Employee CommunicationsProposed CreditsComments
A. Amount to be used to offset Implementation-related costs
B. Amount to be used for on-going employee communications to promote Legal Services

ID Theft Insurance

Franklin County Cooperative - RFP 2025-06-09 Disability and Voluntary Programs RFP
ID Theft Insurance Pricing Document (Rates, Fees and Guarantees)
Complete the table below with your proposed pricing for each year of the contract term. Be sure that the basis for fees is noted (i.e., per participant, per eligible employee per month, etc.)
Vendor - please type in your company name:
Subcontractor/Vendor Partner for ID Theft Insurance (if applicable)
Please provide your rate guarantee for years 1 through 3
Please provide your rate increase cap for years 4 and 5, if applicable
Proposed FeesComments/Fee Assumptions (i.e., number of participants)
I. ID Theft InsuranceYears 1-3
(1/1/27 - 12/31/29)Years 4 - 5
(1/1/30 - 12/31/31)Comments
A. Initial set-up fees
Option 1 (Core Plan you are proposing)
B. Per Participant Per Month (PPPM) Costs for Voluntary ID Theft Insurance
Individual
Family
Max Coverage Amount
C. Per Employee Per Month (PEPM) Costs for Employer Paid ID Theft Insurance
Individual
Family
Max Coverage Amount
Option 2 (If applicable, include comments regarding any benefit differences)
D. PPPM Costs for Voluntary ID Theft Insurance Option #2 (if applicable, include comments regarding benefit differences)
Individual
Family
Max Coverage Amount
E. PEPM Costs for Employer Paid ID Theft Insurance Option #2 (if applicable, include comments regarding benefit differences)
Individual
Family
Max Coverage Amount
II. ID Theft Insurance - Discounts, Additional Fees and Buy-upsYears 1-3
(1/1/27 - 12/31/29)Years 4 - 5
(1/1/30 - 12/31/31)Comments
Discount for bundling services
Additional fees to cover members not living in the same household (if applicable)
Additional fees for exclusively onshore work (see questionnaire County expectations)
Ad-hoc communications
Buy-up coverage 1 (e.g. financial fraud protection, please describe in comments)
Buy-up coverage 2 (e.g. financial fraud protection, please describe in comments)
III. Total Cost (Based on Current Enrollment)Years 1-3
(1/1/27 - 12/31/29)Years 4 - 5
(1/1/30 - 12/31/31)Comments
Annual fee estimate for proposed services per year
TOTAL 3-year fee estimate
IV. Credits for Implementation & Employee CommunicationsProposed CreditsComments
A. Amount to be used to offset Implementation-related costs
B. Amount to be used for on-going employee communications to promote ID Theft Insurance

Pet Insurance

Franklin County Cooperative - RFP 2025-06-09 Disability and Voluntary Programs RFP
Pet Insurance Pricing Document (Rates, Fees and Guarantees)
Complete the table below with your proposed pricing for each year of the contract term. Be sure that the basis for fees is noted (i.e., per participant, per eligible employee per month, etc.)
Vendor - please type in your company name:
Subcontractor/Vendor Partner for Pet Insurance (if applicable)
Please provide your rate guarantee for years 1 through 3
Please provide your rate increase cap for years 4 and 5, if applicable
Proposed FeesComments/Fee Assumptions (i.e., number of participants)
I. Pet Insurance RatesYears 1-3
(1/1/27 - 12/31/29)Years 4 - 5
(1/1/30 - 12/31/31)Comments
A. Initial set-up fees
B. Rate Comparison
Monthly Cost for Coverage (using assumptions below) WITH Wellness Visits
Monthly Cost for Coverage (using assumptions below) WITHOUT Wellness Visits
Please assume the following:
1 dog; 0 cats, 0 exotic animals
Age: 3 years old, Male, Mixed Breed, Medium size (50lbs), already spayed/neutered
Reimbursement: 80%
Annual Benefit: $5,000
Deductible: $250
Do NOT assume any additional buy-up services or coverage level that are NOT part of your standard coverage level (e.g. Hydrotherapy, additional wellness visits, medications, etc.)
Assume only discounts that would be applicable to ALL Franklin County employees (e.g. group rate or discount). Do NOT assume any individual or identity-based discounts (e.g. military or first-responder discounts)
C. Available cost discounts
Discount based on frontloaded payments (e.g. annual payment instead of monthly)
First Responder Discount
Multiple pet discount
Discount for bundling services (assume bundling all lines of coverage requested)
Other (please specify)
D. Additional Buy-ups and Fees
Payment Method Fees (e.g. Credit Card surcharges)
Ad-hoc communications
Buy-up coverage 1 (e.g. additional well visits, please describe in comments)
Buy-up coverage 2 (e.g. additional well visits, please describe in comments)
Buy-up coverage 3 (e.g. additional well visits, please describe in comments)
II. Credits for Implementation & Employee CommunicationsProposed CreditsComments
A. Amount to be used to offset Implementation-related costs
B. Amount to be used for on-going employee communications to promote Pet Insurance

Additional Charges

Franklin County Cooperative - RFP 2025-06-09 Disability and Voluntary Programs RFP
Pricing Document (Additional Charges)
Please fill out the information below based on the corresponding question in the questionnaire. Be sure that the basis for fees is noted (i.e., per participant, per eligible employee, per eligible member, etc.). If no fees apply, enter N/A.

Vendor - please type in your company name:

Additional Services and Charges (Noted in Questionnaire)Years 1-3
(1/1/27 - 12/31/29)Years 4 - 5
(1/1/30 - 12/31/31)Comments / Fee Assumptions
Q3 - confirm any additional charge related to all onshore work.
Q48 - confirm any additional charges related a designated claims unit for Franklin County.
Q59 - confirm any additional costs for producing LTD/STD W-2s (if the plan becomes employer-paid) and mail those W-2s to the employees.
Q65 - confirm any additional charges for annual communication pieces for Franklin County's benefits and product mailing to homes of Franklin County employees
Q91 - confirm any additional charges related to claim subrogation.
Q95 - confirm any additional charges for designated customer service representatives for County employees.
Q104 - confirm any additional charges for administering an annual member satisfaction survey, specific to the County.
Q114 - confirm any additional fees for ad hoc disability claim reports for the County.
Q133 - confirm any set-up fees for implementing the County's case and confirm they can be paid after 1/1/2027 effective date.
Q178 - confirm any additional fees for Legal Services would be required if members are covered not in the same household.

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