6-2026 Current Requested Terms - City of Frisco Questionnaire.pdf

PDF 85 KB Posted

Attached to
Stop Loss Insurance
Solicitation number
2507-106
Issued by
Collin County, Garland City, Texas

About this file

This is a stop loss insurance Request for Proposal (RFP) issued by Lockton on behalf of the City of Frisco, Texas. The RFP seeks stop loss insurance coverage for the City's self-funded health plan, covering 3,462 eligible employees with 3,312 participating members, with an effective date of January 1, 2026, and quotes due September 22, 2025. The requested coverage includes both specific and aggregate stop loss protection with Medical and Rx coverage on a paid contract basis, offering multiple deductible options ranging from $225,000 to $325,000 for specific coverage and maintaining $1,000,000 maximum annual reimbursement for aggregate coverage with a 125% deductible corridor.

The current stop loss coverage includes specific composite rates of $102.48 and aggregate composite rates of $6.05 with aggregate factors at $2,059.55, with no current lasers, exclusions, or limitations in place. The City currently uses Cigna as both their medical administrator/TPA and Rx vendor, with Cigna OAP as their PPO network. Key requirements include a 45% renewal rate cap, no new lasers at renewal, plan mirroring of SPD definitions, and all quotes must be submitted net of commissions or service fees. The RFP includes retiree coverage for members under 65 and seven COBRA participants, with no case management vendor or reference-based pricing programs currently utilized.

View the file

Other files

File Type Posted
4-Historical Stop Loss Policies.zip ZIP file
5-Plan Documents.zip ZIP file
1-Supplemental Information.pdf PDF
2-2507-106 Stop Loss RFP.pdf PDF
3-Historical Claims.zip ZIP file

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

Current/Requested Terms

Lockton Series: Dunning Lockton Office: Dallas Effective Date: Due Date: 9/22/2025

Employer Name: Marketing Contact: Kristina Limsuwan

Address: Phone #: 952-737-4836

Email: Klimsuwan@lockton.com

SIC/Industry: Sr. Marketing Contact: Rory Clarke

# of Employees: Phone #: 972-204-9221

Current Coverage: Self Funded Email: RClarke@lockton.com

Stop Loss Bundled: Domestic % (hospitals) N/A

Medical Administrator/TPA: Retiree Coverage Included: Yes Under 65

Rx Vendor: # of COBRA Participants: 7 Included in census

PPO Network(s):

Case Management Vendor: No

Reference Based Pricing Program Utilized: If yes, PS Vendor(s): N/A

If Yes, RBP Repricer: If yes, PS Type(s): N/A

IMPORTANT ITEMS TO CONSIDER:

Acquisitions/Divestitures:

Proposed Changes:

STOP LOSS TERMS: Current Renewal/Option 1 Option 2 Option 3 Option 4 Option 5

Specific Coverage: Medical & Rx Medical & Rx Medical & Rx Medical & Rx Medical & Rx Medical & Rx

Deductible: $250,000 $250,000 $275,000 $300,000 $325,000 $225,000

Contract Basis: Paid (48/12) Paid Paid Paid Paid Paid

Maximum Coverage Limit: Unlimited Unlimited Unlimited Unlimited Unlimited Unlimited

Aggregating Specific/Split Fund: N/A N/A N/A N/A N/A N/A

Simultaneous Advance Reimbursement: Yes Yes Yes Yes Yes Yes

Terminal Liability Provision: No No No No No No

TLO Run Out Period (Months): N/A N/A N/A N/A N/A N/A

Rate Schedule: Composite Composite Composite Composite Composite Composite

Aggregate Coverage: Medical & Rx Medical & Rx Medical & Rx Medical & Rx Medical & Rx Medical & Rx

Contract Basis: Paid (48/12) Paid Paid Paid Paid Paid

Maximum Annual Reimbursement: $1,000,000 $1,000,000 $1,000,000 $1,000,000 $1,000,000 $1,000,000

Deductible Corridor (Margin): 125% 125% 125% 125% 125% 125%

Minimum Attachment Point %: 100% 100% 100% 100% 100% 100%

Monthly Accommodation: No No No No No No

Terminal Liability Provision: No No No No No No

TLO Run Out Period (Months): N/A N/A N/A N/A N/A N/A

Rate Schedule: Composite Composite Composite Composite Composite Composite

Factor Schedule: Composite Composite Composite Composite Composite Composite

Renewal Protections Renewal Rate Cap 45% Include Include Include Include Include

No New Lasers at Renewal Included Include Include Include Include Include

Experience Refund Excluded Exclude Exclude Exclude Exclude Exclude

Commissions/Fees Consulting Team Commissions: 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

STOP LOSS TERMS: Current Renewal/Option 1 Option 2 Option 3 Option 4 Option 4

Current Rates/Factors Specific:

Composite $102.48

Aggregate:

Composite $6.05

Aggregate Factors:

Composite $2,059.55

Deductible Lasers:

Deductible Lasers (cont'd):

Contract-Based Lasers:

Conditional Lasers:

Split Conditional Lasers:

Exclusions:

6. If applicable, please confirm if capitated fees, Rx rebates and shared savings are included in the aggregate factors.

Additional Lockton Standard Required Terms:

1. This is a Lockton Dunning/Dallas Office consulting client, with Stop Loss handling marketing and ongoing service. Please remit all questions and quotes to the marketing contacts listed above.

2. Include your lowest available rate cap with a guarantee of no new lasers within your quote, to include any pricing adjustment needed.

3. All quotes must incorporate Plan Mirroring of SPD definitions, to include: benefits covered, limitations and exclusions, eligibility definitions, IRO

4. All carriers responding to this RFP must confirm if your quote will adopt your current state filed policy document, or advise if there are to be changes.

5. If applicable, please confirm the interface fee that will apply if a third party stop loss carrier is selected.

Frisco, TX 76504

Vendor Considerations: N/A

9111 / Executive offices

3462 Eligible / 3312 Participating

No

Cigna

Cigna

No

N/A

Last 12 Months: N/A

Next 12 Months: N/A

Proposed Plan Design Changes: N/A

Lockton Stop Loss

*Please review all information thoroughly and quote as requested

01/01/2026

City of Frisco

6101 Frisco Square Blvd

7. Proposals should be quoted NET of any commissions or service fees.

Cigna OAP Specialty Point Solution (PS)

Programs Utilized:N/A

Proposed Program Types: N/A

Current Lasers/Exclusions/Limitations N/A

N/A

N/A

N/A

N/A

N/A

Other Requests/Notes:

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