Att_E_VISS Pricing Template.xlsx

This is a pricing template for Vision Insurance Support Services (VISS) in response to solicitation 2031JW26Q00058 issued by the Department of the Treasury Office of the Comptroller of the Currency. The template establishes pricing structure for an Administrative Services Only (ASO) arrangement covering vision insurance for OCC employees and OFR employees over a multi-year contract period.

The contract includes a transition period from the date of award through December 31, 2026, followed by a base period from January 1, 2027 through December 31, 2027, and four one-year option periods extending through December 31, 2031. Pricing is required for two primary line items during the base period and option periods: ASO monthly fees for 2,739 OCC employees and OCC disabled retirees, and ASO monthly fees for 101 OFR employees. Additionally, quoters must provide an estimated government-funded annual Not-To-Exceed (NTE) amount for in and out-of-network claim costs, which are payable only for actual covered claims and separate from ASO fees. The template notes that employee enrollment numbers are estimates subject to fluctuation, and the government assumes all financial risk for claims. All highlighted cells in the pricing template, including NTE cells, must be completed by quoters, with Attachment C (Census Data, Premium History, and Claims Detail) provided as a reference resource for estimating annual claims costs.