44F2A935-093F-1234-3F0F06EFB73CE154.xlsx
XLSX spreadsheet 34 KB Posted
- Solicitation number
- RFP 2026-03-03
- Issued by
- Franklin County, Ohio
About this file
This file is a Benefit Program Comparison Variances document for Franklin County Cooperative's 2025-06-09 RFP, outlining differences between current and proposed employee health benefit plans across multiple employee categories. The document structures plan comparisons for six employee groups: Hourly HMO, New Hire Hourly HMO, Salaried HMO, Salaried PPO HDHP, Salaried Student PPO, and Student HMO. The RFP encompasses medical benefits, disability and voluntary programs including Short-Term Disability (STD), Long-Term Disability (LTD), legal services, pet insurance, and ID Theft insurance (newly added). The document serves as a template for bidders to identify and document all plan deviations from the County's current plan design, with the requirement that awarded contractors provide all programs, services, and administration currently offered by the incumbent unless specifically identified as deviations.
Key identified variances between current and proposed plans include restrictions on Preferred Specialty Drugs—reducing supply limits from 34-90 days to a maximum of 30 days with 15-day limits on select drugs—and significant changes to Mental Health and Substance Abuse coverage. The proposed plan cannot accommodate the current outpatient mental health benefit structure (Visits 1-20 at 100%, Visits 21+ with $20 copay) and cannot maintain the current inpatient deductible waiver for visits 1-45, creating potential Mental Health Parity Compliance concerns. Additionally, Legal Services benefits are reduced from a 4-session limit to 3 sessions. The document emphasizes that medical policy variations are excluded from comparison scope as proprietary information and notes that additional variances may emerge during implementation review if complete Summary Plan Descriptions were not provided during the proposal process.
View the file
Other files
Show 40 more
Latest 50 of 146 listed here. See the rest on GovTribe.
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
Hourly HMO
| BENEFIT PROGRAM COMPARISON VARIANCES |
| RFP Request |
| Following is an outline of the variances/alternatives between the current and proposed benefit programs for - |
| GROUP NAME |
Please note: Additional variances may become evident during the implementation review process. If the current carrier documents (Summary Plan Descriptions) were not provided during the proposal process, this document may not encompass all benefit variances.
Benefit Current Plan Proposed Plan Client Decision
Medical Policy variations are not included in the scope of this document. Medical Policy information is proprietary, not shared among carriers and it is not included in this aspect of benefit administration comparisons.
| 1 | Preferred Specialty Drugs | Allow 34 day supply some 60 - 90 day supply | Limited to 30 day supply, with 15 limit max on some specialty drugs |
| 2 | Mental Health & Substance Abuse Outpatient Services | Visits 1-20 process at 100%, Visits 21 and greater apply $20 copay | Cannot accommodate. Based on Payment Policy and group may not be Mental Health Parity Compliant. |
| 3 | Mental Health & Substance Abuse Inpatient Services | Deductible does not apply for first 1-45 visits, Ded & Coin applies visits 46 and greater | Cannot accommodate. Based on Payment Policy and group may not be Mental Health Parity Compliant. |
| 4 | |||
| 5 | |||
| 6 | |||
| 7 | |||
| 8 | |||
| 9 | |||
| 10 | |||
| 11 | |||
| 12 | |||
| 13 | |||
| 14 | |||
| 15 | |||
| 16 |
Plan Deviations
| Franklin County Cooperative - RFP 2025-06-09 Disability and Voluntary Programs RFP |
| Plan Deviations |
| Please note any deviations from the County’s current plan design. All plan deviations must be identified and confirmed. If awarded the contract, bidder will be required to provide all programs, services and administration that currently are provided by the incumbent unless identified in the following plan deviations document. |
This document is intended to identify all plan deviations for:
-STD
-LTD
-Legal Services -Pet Insurance Please note that ID Theft insurance would be newly added and therefore no deviations are required to be listed below.
Benefit/Policy Type Benefit/Policy Specification Current Plan Proposed Plan Deviation
| Sample | Legal Services | ____ Benefit limit | 4 session limit | 3 session limit |
| 1 | ||||
| 2 | ||||
| 3 | ||||
| 4 | ||||
| 5 | ||||
| 6 | ||||
| 7 | ||||
| 8 | ||||
| 9 | ||||
| 10 | ||||
| 11 | ||||
| 12 | ||||
| 13 | ||||
| 14 | ||||
| 15 | ||||
| 16 | ||||
| 17 | ||||
| 18 | ||||
| 19 | ||||
| 20 | ||||
| 21 | ||||
| 22 | ||||
| 23 | ||||
| 24 | ||||
| 25 | ||||
| 26 | ||||
| 27 | ||||
| 28 | ||||
| 29 | ||||
| 30 |
New Hire Hourly HMO
| BENEFIT PROGRAM COMPARISON VARIANCES |
| RFP Request |
| Following is an outline of the variances/alternatives between the current and proposed benefit programs for - |
| GROUP NAME |
Please note: Additional variances may become evident during the implementation review process. If the current carrier documents (Summary Plan Descriptions) were not provided during the proposal process, this document may not encompass all benefit variances.
Benefit Current Plan Proposed Plan Client Decision
Medical Policy variations are not included in the scope of this document. Medical Policy information is proprietary, not shared among carriers and it is not included in this aspect of benefit administration comparisons.
| 1 | Preferred Specialty Drugs | Allow 34 day supply some 60 - 90 day supply | Limited to 30 day supply, with 15 limit max on some specialty drugs |
| 2 | Mental Health & Substance Abuse Outpatient Services | Visits 1-20 process at 100%, Visits 21 and greater apply $20 copay | Cannot accommodate. Based on Payment Policy and group may not be Mental Health Parity Compliant. |
| 3 | Mental Health & Substance Abuse Inpatient Services | Deductible does not apply for first 1-45 visits, Ded & Coin applies visits 46 and greater | Cannot accommodate. Based on Payment Policy and group may not be Mental Health Parity Compliant. |
| 4 | |||
| 5 | |||
| 6 | |||
| 7 | |||
| 8 | |||
| 9 | |||
| 10 | |||
| 11 | |||
| 12 | |||
| 13 | |||
| 14 | |||
| 15 | |||
| 16 |
Salaried HMO
| BENEFIT PROGRAM COMPARISON VARIANCES |
| RFP Request |
| Following is an outline of the variances/alternatives between the current and proposed benefit programs for - |
| GROUP NAME |
Please note: Additional variances may become evident during the implementation review process. If the current carrier documents (Summary Plan Descriptions) were not provided during the proposal process, this document may not encompass all benefit variances.
Benefit Current Plan Proposed Plan Client Decision
Medical Policy variations are not included in the scope of this document. Medical Policy information is proprietary, not shared among carriers and it is not included in this aspect of benefit administration comparisons.
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 7 |
| 8 |
| 9 |
| 10 |
| 11 |
| 12 |
| 13 |
| 14 |
| 15 |
| 16 |
Salaried PPO HDHP
| BENEFIT PROGRAM COMPARISON VARIANCES |
| RFP Request |
| Following is an outline of the variances/alternatives between the current and proposed benefit programs for - |
| GROUP NAME |
Please note: Additional variances may become evident during the implementation review process. If the current carrier documents (Summary Plan Descriptions) were not provided during the proposal process, this document may not encompass all benefit variances.
Benefit Current Plan Proposed Plan Client Decision
Medical Policy variations are not included in the scope of this document. Medical Policy information is proprietary, not shared among carriers and it is not included in this aspect of benefit administration comparisons.
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 7 |
| 8 |
| 9 |
| 10 |
| 11 |
| 12 |
| 13 |
| 14 |
| 15 |
| 16 |
Salaried Student PPO
| BENEFIT PROGRAM COMPARISON VARIANCES |
| RFP Request |
| Following is an outline of the variances/alternatives between the current and proposed benefit programs for - |
| GROUP NAME |
Please note: Additional variances may become evident during the implementation review process. If the current carrier documents (Summary Plan Descriptions) were not provided during the proposal process, this document may not encompass all benefit variances.
Benefit Current Plan Proposed Plan Client Decision
Medical Policy variations are not included in the scope of this document. Medical Policy information is proprietary, not shared among carriers and it is not included in this aspect of benefit administration comparisons.
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 7 |
| 8 |
| 9 |
| 10 |
| 11 |
| 12 |
| 13 |
| 14 |
| 15 |
| 16 |
Student HMO
| BENEFIT PROGRAM COMPARISON VARIANCES |
| RFP Request |
| Following is an outline of the variances/alternatives between the current and proposed benefit programs for - |
| GROUP NAME |
Please note: Additional variances may become evident during the implementation review process. If the current carrier documents (Summary Plan Descriptions) were not provided during the proposal process, this document may not encompass all benefit variances.
Benefit Current Plan Proposed Plan Client Decision
Medical Policy variations are not included in the scope of this document. Medical Policy information is proprietary, not shared among carriers and it is not included in this aspect of benefit administration comparisons.
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 7 |
| 8 |
| 9 |
| 10 |
| 11 |
| 12 |
| 13 |
| 14 |
| 15 |
| 16 |
Sheet7
| BENEFIT PROGRAM COMPARISON VARIANCES |
| RFP Request |
| Following is an outline of the variances/alternatives between the current and proposed benefit programs for - |
| GROUP NAME |
Please note: Additional variances may become evident during the implementation review process. If the current carrier documents (Summary Plan Descriptions) were not provided during the proposal process, this document may not encompass all benefit variances.
Benefit Current Plan Proposed Plan Client Decision
Medical Policy variations are not included in the scope of this document. Medical Policy information is proprietary, not shared among carriers and it is not included in this aspect of benefit administration comparisons.
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 7 |
| 8 |
| 9 |
| 10 |
| 11 |
| 12 |
| 13 |
| 14 |
| 15 |
| 16 |
File details come from the government source that posted it. Updated .