ACCGov Ancillary Provider Questionaire _ Pric.xlsx

This is a pricing questionnaire from ACCGov (Ancillary Provider Questionnaire for RFP #26036) requesting monthly premium rates for voluntary and employer-paid insurance products and ancillary benefits administration services. The RFP addresses Voluntary Long-Term Disability, Disability, Life, Accidental Death & Dismemberment (AD&D), Family Medical Leave (FML), and related coverage options. Specifically, vendors must provide pricing for voluntary long-term disability with guaranteed issue; employer-paid basic term life and AD&D insurance for employees and dependents with guaranteed issue; supplemental term life and AD&D insurance with guaranteed issue; whole life insurance with guaranteed issue; voluntary accident coverage structured in four tiers (Employee, Employee plus Spouse, Employee plus Family) with guaranteed issue; voluntary critical illness coverage with age-banded, uni-tobacco pricing and guaranteed issue; and FML monthly fee administration services.

The questionnaire requires ancillary providers to submit comprehensive monthly premium rate schedules across all specified product categories. Responses must reflect guaranteed issue provisions across voluntary and supplemental offerings, indicating no medical underwriting requirements. The pricing structure accommodates multiple coverage tiers for accident insurance and age-banded rates for critical illness products. Administration fees for FML services must also be detailed. This pricing submission is a critical component of the vendor evaluation process for ACCGov's ancillary benefits program, establishing the rate structure that will govern plan offerings to covered employees and their dependents under the awarded contract.