95PEBP-S1790 Life Insurance QA final updated version Oct 26.xlsx
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- Solicitation number
- 95PEBP-S1790
- Issued by
- Clark County, Nevada
About this file
This document contains a Request for Proposal (RFP) for Life and Disability Insurance for the Public Employees' Benefits Program (PEBP) in the state of Nevada. The RFP is seeking bids for basic life insurance and an optional long-term disability (LTD) insurance program for active employees and retirees. It includes a detailed question-and-answer section that covers census data, claims experience, plan design, administration, and other relevant details. The contract term is through June 30, 2022, with the possibility of renewal.
The RFP specifies that the life insurance plan will be self-administered, with PEBP building the rates into the monthly health insurance premium and remitting payment to the selected vendor. PEBP is currently using Aon as an actuarial consultant and The Standard as the incumbent carrier, though this contract is being competitively bid. Respondents are asked to provide detailed pricing, claims, and census information to support their proposals, with no commissions to be paid. PEBP does not have a voluntary life insurance program, but those benefits are offered through a separate platform.
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Bid Q&A for Export Report
| Bid Q&A | ||||
| QUESTION_NBR | CREATED_BY | QUESTION_SUBJECT | QUESTION_TEXT | ANSWER_TEXT |
| 1 | GKDAVIS | Consultant | Can you please share if you are working with a consultant? If so, who is it? | Aon is PEBP's current contracted actuarial consultant. |
| 2 | GKDAVIS | Aon out of Denver or Phoenix? | The address on the state's contract is: |
Aon Consulting, Inc.
707 Wilshire Boulevard, Suite 2600 Los Angeles, CA 90017
Staff from Denver, Los Angeles, Houston, Phoenix, Lincolnshire, and various other locations provide support.
| 3 | SECURIANRFP | Census | Please provide an Excel census file with the following information on each insured employee: | ||
| ? | Gender | ||||
| ? | Date of birth | ||||
| ? | Annual salary | ||||
| ? | Class of insured | ||||
| ? | Resident state | Provided updated census to include gender, DOB, state. We do not currently receive salary information. | |||
| 4 | SECURIANRFP | Census | Please provide a retiree census that includes gender, date of birth, and dates of retirement for each retiree insured. | Provided updated census | |
| 5 | SECURIANRFP | Census | If there are any employees working outside of the United States, including in U.S. territories, please identify them on the census and provide each employee?s country of citizenship and country of employment. | There are, however a small number. Updated census should capture this. | |
| 6 | SECURIANRFP | Experience and Rates | Please provide the following experience data separately for each line of coverage from 7/1/2018 to 10/31/2021: | ||
| ? | Annual paid claims | ||||
| ? | A detailed list of all death claims paid | We are providing the Basic Life experience for the period 7/1/2016 through 9/30/2021. We are providing the LTD experience for the period 7/1/2016 through 9/30/2021 (the LTD plan terminated 7/1/2021). |
We are providing a detailed claim listing (Claim Run) for this same time period that includes Basic Life (TERM/BL), Life Waiver (TPD2/BL), LTD (LT), and LTD Survivor Benefits (SB).
(Attachments 1.15 and 1.16)
| 7 | SECURIANRFP | Experience and Rates | Please provide a list of open Waiver of Premium claims, including gender, date of birth, date of disability, and amounts of life coverage for all current disabled insureds. | Available information is included in the detailed Claim Run report. |
| 8 | SECURIANRFP | Experience and Rates | Please provide a detailed listing of all death claims incurred between 7/1/2018 and 10/31/2021. | See response provided above |
| 9 | SECURIANRFP | Plan Design | Is the retiree group open to future retirees? If not, when did the group close? | It is open to retirees |
| 10 | SECURIANRFP | General | Will the life insurance plan be self-administered/self-billed by the employer, or will the insurance carrier be responsible for maintaining individual employee records and for generating monthly invoices? | PEBP builds the life insurance rates into the monthly health insurance premium for participants. PEBP remits payment to life insurance vendor based upon the monthly enrollment report generated from our eligibility and enrollment vendor. |
| 11 | SECURIANRFP | General | How long are current rates guaranteed? | Through 06/30/22 when the contract ends. Rates would have stayed at $0.539 per $1000 if the benefits did not change from $25,000/$12,500 |
| 12 | SECURIANRFP | General | Is this request for non-participating funding arrangement. | Correct, we are requesting a non-participating funding arrangement |
| 13 | SECURIANRFP | General | Why is this group out to bid? | Following standard state procurement practices. Current contract is expiring. |
| 14 | SECURIANRFP | General | When or do you expect the Voluntary coverages to go to market? | Voluntary life insurance is not being offered as part of this RFP. Voluntary coverage is offered through the voluntary benefits platform through the enrollment and eligibility system vendor. |
| 15 | SECURIANRFP | General | Does Standard manage the Basic AD&D? and how long are the rates guaranteed? | There is no Basic AD&D offered. |
| 16 | SECURIANRFP | General | Please provide a copy of the current LTD policy. If unavailable, please provide eligibility requirements, definition of disability, and elimination period for the LTD coverage. | Please see here: https://pebp.state.nv.us/wp-content/uploads/2021/04/PY2022_Dental_Life_-MDP_Final_041221.pdf |
| 17 | SECURIANRFP | General | Please provide the details of your current portability and conversion administration process. | Portability and Conversion rights and notifications are provided by the State of Nevada PEBP as part of the termination of employment process. Members subsequently reach out directly to The Standard to explore portability and conversion and to receive applications and information on the process. Portability and Conversion administration is currently being explored with the current vendor. Portability and Conversion general information is available via the current vendor’s benefits website for State of Nevada PEBP. |
| 18 | SECURIANRFP | General | Will All Benefits be moving to Benefitfocus as of 1/1/2022? if not what is the rollout plan? | BF is the enrollment and eligibility system. Only voluntary benefits will be offered through their voluntary benefit platform, including voluntary life. This RFP is for basic life only with an option for long term disability. |
| 19 | BSTEPHENS | Commissions | 1. Are commissions to be paid by the carrier to any broker? If so, please indicate the amount. |
2. Are commissions currently being paid on Life insurance? If so, please indicate the commission level.
| 3. Were commissions paid in the past for LTD insurance? If so, please indicate the commission level. | PEBP does not use a broker. This policy is and has been net-of-commissions. | |||
| 20 | BSTEPHENS | Life Insurance | 1. Please provide a census of all participating Actives and Retirees. Data should include Gender, Date of Birth, Amount of Coverage, State of Residence, Home Zip Code, Salary, Active/Retiree/Disabled status, Date of Retirement, Coverage Amount. Please provide explanations of any abbreviations used in the census. |
2. Experience is necessary in order to provide a quote. Please provide five years of paid claims separated by Actives and Retirees. Please also provide interest paid, conversion/portability charges, and claim counts, as well as reserves as of the end of each year: pending, IBNR and Waiver of Premium.
3. Would you want the carrier to handle any recordkeeping functions? What recordkeeping functions are performed by the current carrier? Is the cost of these included in the rate or billed for separately?
4. Does the State currently partner with or have plans to partner with a third party entity that will assist in benefit administration? Please include the name(s) of the entity partner(s) being considered and explain the scope of services they will provide.
5. Is it possible to receive a Waiver of Premium listing by coverage that includes the date of disability, birthdate, gender, face amount, ultimate amount, and reserve currently being held?
6. Is MetLife being asked to cover employees not Actively at Work? If so, please provide a list (name, date of birth, gender, date last worked, amount of insurance by coverage, reason for not being actively at work) of those employees not Actively at Work that MetLife is being asked to cover.
7. Please provide five years of premium, volume and average enrolled lives to correspond with the claims data. The data should be separated between Actives and Retirees.
8. Please verify whether or not the Retiree coverage is 100% Employer-Paid.
9. Please provide an approximation of the number of new Retirees expected per year. 1. PEBP provided census
2. See new experience attachments
3. PEBP is transitioning to a new enrollment and elgibility system vendor. Some recordkeeping will occur within the eligibility system however PEBP is not able to provide details on that as we do not have all the information yet. It is assumed basic information, such as beneficiaries, will be collected.
4. The State partners with BenefitFocus (effective 1/1/22) to administer the eligibility enrollment system.
5. See new experience attachments
6. Not actively at work listing will be provided during implementation to the awarded carrier
7. See new experience attachments
8. Retiree life insurance is 100% employer paid.
9. Historically PEBP processes about 1300 retirements/year.
21 BSTEPHENS Long Term Disability 1. Please provide a census for are eligible employees. Data should include Gender, Date of Birth, State of Residence, Home Zip Code, Salary, Job Title.
2. Experience is needed in order to provide a quote. Please provide the most recent 5 years of premium and claims experience. Date should include: Premium, Average Monthly Volume, Average Monthly Lives, Claims Paid, Claim Count. A Paid and Incurred Analysis from the prior carrier would be ideal, and would be likely to contain most, or all, of this information.
3. Please provide an Open and Closed detailed claim listing for the experience period that includes the following: Date of Disability, Benefit Start Date, Termination Date, Date of Birth or Age at Disability, Gender, Monthly Gross Benefit, Monthly Net Benefit, Accumulated Benefits Paid, Social Security Status, Claim Status (active, terminated, pending, etc.), Class/Plan indicator, Reserve For Each Open Claim, PERS/STRS offset amounts for each claim (if applicable).
4. The RFP states that the LTD Plan was terminated 06/30/2021. Is there any LTD coverage in place for employees who become diabled at the present time?
5. Will the prospective carrier be expected to cover employees who may be out on disability on the 07/01/2022 effective date, even if no coverage has been in effect? Or, is the expectation that they would be insured as of the date they reurn to work, with any future disabilities coveraged by the prospective carrier?
6. Are the employees eligible for any state persion benefits (PERs, STRs, etc.)? If yes, is participation in the state program voluntary or mandatory? If voluntary, please add an indicator to the census showing whether an individual participates in the state pension plan.
7. Are the employees eligible for Social Security? If yes, is participation in Social Security voluntary or mandatory? If voluntary, please add an indicator to the census showing whether an individual participates in Social Security. 1. Census provided. No salary, job title.
2. See new experience attachments
3. See new experience attachments
4. No. LTD was not funded in the current budget so that benefit stopped on 7/1/21
5. The carrier who covers the disability will be based upon the determined date of disability. If it is determined that the date of disability is 7/1/22 or later, it will be covered by the prospective carrier.
6. All participants in the PEBP program are eligible for PERS. However a % of higher ed staff have access to a different pension option, therefore some do not participate in PERS.
7. State employees do not pay into SS
| 22 | BSTEPHENS | FICA | Is Employer FICA Match to be included? | Employer FICA Match for LTD coverage may be included for members who participate and pay into the Social Security system. Many PEBP members do not participate in Social Security. Also, traditionally, FICA is applicable during the first 6 months of disability coverage and the 180-day elimination period has eliminated the need for FICA in most cases. | |
| 23 | BSTEPHENS | Out of Scope Services | 1. On the Technical tab, questions 1.21-23 ask questions specific to optional/dependent life. As these benefits are out of scope for this proposal, how would you like us to approach the responses to these questions? Similar to the Customer Service tab, questions 1.19-21. | ||
| 2. On the Technical tab, question 1.38, indicates that ?Contractor will develop electronic interface between the States online benefit enrollment system and/or the Contractor?s optional life individual health underwriting department. The purpose of the interface is to allow an employee or spouse/same-gender domestic partner/civil union partner to electronically submit their health underwriting information?? As this RFP is specific to Basic Life (and LTD) and there is no individual underwriting involved, please explain further this request. | N/A since these coverages are not applicable to this RFP | ||||
| 24 | BSTEPHENS | LTD | In the contract information provided, it appears The Standard offered voluntary LTD programs with an effective date of 1/1/2022. Is this programing being put in place? | Confirmed. LTD will be offered through voluntary platform through BF beginning on 1/1/2022 | |
| 25 | BSTEPHENS | Optional Life | While we understand optional life is not part of this rfp, it would be helpful to know who is insuring this service so that we can determine if there is some coordination that we may do to ease the process on the beneficiary of utilizing separate carriers for the coverages. | The Standard is currently offering voluntary life through the voluntary benefits platform. | |
| 26 | BSTEPHENS | Beneficiaries | 1. Please confirm who distributes claim forms to beneficiaries, and how the carrier is notified of a claim. |
2. Please provide a copy of your current beneficiary claim packet.
? Please confirm who maintains the beneficiary designation records, and if they are stored on paper (including images) or electronically. 1. The State of Nevada PEBP provides claim forms to beneficiaries and notifies the carrier of a claim.
2. See Attached 1.17 Life Claim Packet.
3. Beneficiary Designation records are maintained by the enrollment TPA for the State of Nevada PEBP electronically.
| 27 | BSTEPHENS | EOI | Are there separate rates for portability if an EOI is completed? | No | |
| 28 | BSTEPHENS | Value Adds | Are there any value adds that are highly utilized by your employees? | Not at this time. | |
| 29 | BSTEPHENS | LTD | With regard to the LTD, when it was inforce, how were claims submitted to the carrier? | In the past 5 years, we have averaged 20-30 new claims per year. Claimants go directly to the carrier, Carrier works with PEBP/state staff for information at time of claim. | |
| 30 | SECURIANRFP | General | Please provide a description of your claims submission process; including such items as information gathering, submission, follow up and resolution. | The State of Nevada PEBP Member Services Department completes the claim form, collects and provides proof of death information, and provide beneficiary information to The Standard life claim team for processing. The Standard life claims team assists PEBP throughout this process. This process may be able to become more automated as the state transitions into a statewide ERP system and PEBP transitions to a new E&E system vendor. | |
| 31 | SECURIANRFP | General | Are current beneficiary designations held electronically or on paper? | ||
| a. | Who holds current beneficiary designations? | ||||
| b. | What is the process to share beneficiary information with the current carrier? | ||||
| c. | Are designation details (e.g. name, class, share) stored as system data, images or both? | a. PEBP shares this information with the carrier at the time of claim |
b. PEBP shared that information at the time of claim with the carrier
c. Data
| 32 | KROGERS | Life and LTD Census | Can we get a complete, classed out (active/retiree) life and LTD census that includes job occupations? | PEBP does not currently receive job occupations from the various employers. | |
| 33 | KROGERS | Experience Information | Can we get complete experience information for both Life and LTD lines of coverage? | See new experience attachments | |
| 34 | JHINTON | Census | Please provide a full census for all eligible employees that includes, gender, date of birth, salary, and work zip code. | Updated census provided. No salary and job title. | |
| 35 | JHINTON | Experience | Please provide life experience that includes: | ||
| o | Monthly Premium/Volume/Lives data since 1/1/2016 | ||||
| o | Actives and Retirees Basic Life claims listing since 1/1/2016 | ||||
| o | Premium Waiver listing | See new experience attachments | |||
| 36 | JHINTON | Experience | Please provide LTD experience that includes: | ||
| o | Monthly Premium/Volume/Lives data since 1/1/2016 | ||||
| o | Open and Closed Claims listing including Date of Birth, Gender, Date of Disability, Gross Benefit, Net Benefit, Total Paid and Reserves | See new experience attachments | |||
| 37 | JHINTON | Please confirm the group participates in Nevada Public Employees Retirement System (PERS #25). | All state employees participate in the PERS system with the exception of some higher education employees which have the option to participate in another pension program. | ||
| 38 | JHINTON | Please confirm $50k Implementation Credit request is for all lines of coverage. | Since the RFP award will be based upon the Life quote only, please include this tied to the Life proposal. | ||
| Please include a full census with date of birth, gender, job description, annual salary, and work zip code. | Updated census provided. No salary and job title. | ||||
| Please include the Basic Life Active Claims listing with date of death, amount paid, and waiver of premium claims for the past five years. | https://pebp.state.nv.us/wp-content/uploads/2021/09/4.3.4-2020-2021-Q4-Quarterly-PEBP-Report.pdf | ||||
| Please include the Basic Life Retiree Claims listing with date of death and amount paid for the past five years. | See new experience attachments for available information | ||||
| Please include the LTD Open claims listing with date of birth, date of disability, monthly salary, gross benefit, net benefit, offsets, and reserve amounts. | See new experience attachments for available information | ||||
| Please include paid premium vs. paid claims experience for the Basic Life and LTD policies for the past five years. | See new experience attachments for available information | ||||
| Please clarify details of any implementation credits requested. | All details are provided in the "Financial1" tab of the workbook | ||||
| Please confirm quote is net of commission. | PEBP does not use a broker and does not pay commissions. | ||||
| Who is the current carrier on the Voluntary Life lines and will it go out to bid? | The Standard however this is part of the Voluntary Benefit platform offered by the enrollment and eligibility system vendor, therefore those products and carriers can change yearly. | ||||
| Confirm no plan changes on the LTD going back to 01/01/2018. | Confirmed. | ||||
| Group Basic Life Rates for FY 2014 through FY 2022 | FY14 - $0.566 per $1000 ($10k Active/$5k Retiree) FY15-FY18 - $0.566 per $1000 ($25k Active/$12,500 Retiree) FY19-FY21 - $0.539 per $1000 ($25k Active/$12,500 Retiree) FY22 - $0.561 per $1000 ($15k Active/$7,500 Retiree) | ||||
| Long Term Disability Rates for FY 2014 through FY 2022 | FY14 - $12.56 per active employee FY15-FY17 - $14.06 per active employee FY18-FY20 -$15.08 per active employee FY21 -$14.30 per active employee FY22 - NA |
https://pebp.state.nv.us/wp-content/uploads/2021/09/4.3.4-2020-2021-Q4-Quarterly-PEBP-Report.pdf
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