8-Cost Proposal Template.xlsx

This is a Cost Proposal Template for a Stop Loss Insurance RFP issued by Salt Lake Community College for the 2026-27 plan year. The RFP seeks to procure stop loss insurance coverage with an initial contract term of one year, with the option for up to four additional one-year renewals contingent upon satisfactory performance. The solicitation anticipates a single contract award to the responsive and responsible vendor with the highest evaluation score. Bidders must propose specific stop loss coverage with unlimited lifetime reimbursement that includes both medical and prescription drug (Rx) benefits, along with aggregate stop loss coverage.

The cost proposal template requires vendors to submit premium quotations across four distinct options, each with varying specific deductible levels ($300,000 or $350,000) and aggregating deductible amounts ($0 or $150,000). All options must include aggregate stop loss coverage with a 125% corridor and a maximum annual reimbursement of $5,000,000. Vendors must provide monthly premiums structured by coverage tier (Single, Two-Party, Family, and PEPM), specify any lasered individual amounts, and establish attachment factors for aggregate coverage. Proposals must confirm the contract type being quoted (Paid or 36/12) and include comprehensive pricing for both specific and aggregate stop loss components covering all required medical and pharmacy benefits.