44F2A935-093F-1234-3F0F06EFB73CE154.xlsx
XLSX spreadsheet 34 KB Posted
- Attached to
- Site Security Cameras, LiDAR & Management System
- Solicitation number
- 2025-62-21
- Issued by
- Franklin County, Ohio
About this file
This is a benefit program comparison variances document for Franklin County Cooperative's RFP 2025-06-09 related to health insurance and voluntary benefit programs. The document outlines proposed changes to the county's current benefit offerings across multiple employee groups, including hourly HMO, new hire hourly HMO, salaried HMO, salaried PPO HDHP, salaried student PPO, and student HMO plans. The RFP addresses medical benefits, disability programs (STD and LTD), legal services, pet insurance, and newly added ID theft insurance. The document is structured as a template for bidders to identify and document all deviations from the county's existing plan designs, with the understanding that any variances must be identified and confirmed prior to contract award.
Key benefit variances identified in the document include restrictions on preferred specialty drugs (proposed plan limiting supply to 30 days with maximum 15-day limits on some drugs, compared to current 34 to 90-day supplies), elimination of current mental health and substance abuse outpatient service structures (current plan offering 100% coverage for visits 1-20 with $20 copay thereafter), inpatient mental health service modifications (elimination of current deductible waivers for visits 1-45), and a reduction in legal services from four to three sessions per benefit period. The bidder assumes responsibility for providing all programs, services, and administration currently offered by the incumbent carrier unless explicitly noted as deviations in this document.
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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. |
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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 |
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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. |
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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.
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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.
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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.
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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.
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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.
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