ATTACH Q_Pmt Employ Hlth Cr Exps.xlsx
XLSX spreadsheet 18 KB Posted
- Solicitation number
- BPM055006
- Issued by
- Maryland
About this file
This is a Payment of Employee Health Care Expenses questionnaire submitted by Morgan State University for a solicitation requiring prevailing wage compliance. The document serves as an attachment to a Request for Technical & Price Proposals for Corrective & Preventive Maintenance and Additional Device Installation of CW Security Systems at a Maryland university. The form requires the bidding company and all subcontractors to provide comprehensive documentation regarding employee health care coverage and related payroll contributions for the year ending on the bid submission date.
The questionnaire mandates completion of ten specific data fields for the bidding company and up to ten subcontractors, with all yellow-highlighted cells requiring responses. Required information includes whether the firm provides employee health care coverage on prevailing wage projects, the percentage of health insurance costs paid by the insurance company versus employees, the type and scope of coverage offered, the average monthly premium split between employer and employee, average per-employee deductibles, the percentage of total wages contributed to Social Security, and the total amount spent on employee healthcare. Bidders must enter "N/A" for any non-applicable items. The form explicitly references Maryland state legislation (SB0433 and SB0492) and allows for additional subcontractor rows as needed, indicating this is part of Maryland's prevailing wage documentation requirements for public works or service contracts.
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Text version
Sheet1
| Payment of Employee Health Care Expenses | |||||||||
| MORGAN STATE UNIVERSITY | |||||||||
| Solicitation No: | |||||||||
| 1 | 2.1 | 2.2 | 3.1 | 3.2 | 3.3 | 4.1 | 4.2 | ||
| Name of Company | Does this firm provide employee health care coverage on projects that require a prevailing wage? (Y/N) | For the year ending on the bid submission date: | What is the percentage of total health insurance coverage costs paid by the insurance company (versus the employee)? | What is the type and scope of health insurance coverage? | What is the average percentage of the monthly insurance premium paid by: | What is the average per employee deductible for each health care plan offered? | |||
| (a) What percentage of total wages were employer contributions to Social Security? | (b) what was the total amount spent on employee healthcare? | (a) the employer? | (b) employees? | ||||||
| Bidding Company: | |||||||||
| Subcontractor 1 | |||||||||
| Subcontractor 2 | |||||||||
| Subcontractor 3 | |||||||||
| Subcontractor 4 | |||||||||
| Subcontractor 5 | |||||||||
| Subcontractor 6 | |||||||||
| Subcontractor 7 | |||||||||
| Subcontractor 8 | |||||||||
| Subcontractor 9 | |||||||||
| Subcontractor 10 |
Each cell highlighted in y ellow must be completed.
If a cell is not applicable, enter "N/A".
Each question (in columns), must be answered for each company (listed by row).
Add more rows if needed to list all subcontractors on this project.
http://mgaleg.maryland.gov/webmga/frmMain.aspx?pid=billpage&stab=01&id=sb0433&tab=subject3&ys=2019RShttp://mgaleg.maryland.gov/webmga/frmMain.aspx?id=sb0492&stab=01&pid=billpage&tab=subject3&ys=2018RShttp://mgaleg.maryland.gov/webmga/frmMain.aspx?id=sb0492&stab=01&pid=billpage&tab=subject3&ys=2018RShttp://mgaleg.maryland.gov/webmga/frmMain.aspx?id=sb0492&stab=01&pid=billpage&tab=subject3&ys=2018RShttp://mgaleg.maryland.gov/webmga/frmMain.aspx?id=sb0492&stab=01&pid=billpage&tab=subject3&ys=2018RS Sheet2
Sheet3
File details come from the government source that posted it. Updated .