Attachment 1-Blank OCC Group Life Pricing Structure.pdf

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Attached to
OCC's Group Life Insurance Services
Solicitation number
2031JW24N00005
Issued by

About this file

This document is an Attachment 1 - Pricing Structure for a federal contract opportunity related to group life insurance services for the Office of the Comptroller of the Currency (OCC). It provides pricing templates for the base year and four option years for the following coverages: basic life for active employees, basic life for retirees, optional employee coverage, optional spouse/domestic partner coverage, and optional family coverage. The pricing is structured by biweekly rates per $1,000 of coverage and includes estimated annual price ranges for the different coverage types. The related federal contract opportunity is a pre-solicitation for OCC's Group Life Insurance Services, which seeks information from potential sources to underwrite and administer the group life insurance program. The primary NAICS code is 524113 - Direct Life Insurance Carriers.

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ATTACHMENT 1 – PRICING STRUCTURE

BASIC LIFE FOR ACTIVE EMPLOYEES

Base Year (January 1, 2026 through December 31, 2026) Type of Coverage Biweekly Rate Per $1000 of Coverage Life coverage for employee (maximum coverage of $500,000)

Option Year 1 (January 1, 2027 through December 31, 2027) Type of Coverage Biweekly Rate Per $1000 of Coverage

Option Year 2 (January 1, 2028 through December 31, 2028)

Option Year 3 (January 1, 2029 through December 31, 2029)

Option Year 4 (January 1, 2030 through December 31, 2030)

BASIC LIFE FOR RETIREES

Life coverage for retirees $________

OPTIONAL EMPLOYEE COVERAGE

Base Year (January 1, 202 through December 31, 2026)

Age Brackets Biweekly Rate Per $1000 (maximum coverage $500,000)

<35 35-39 40-44 45-49 50-54 55-59 60-64 65>

Age Brackets Biweekly Rate Per $1000 (maximum coverage $500,000)

<35 35-39 40-44 45-49 50-54 55-59

$500,000)

<35 35-39 40-44 45-49

50-54 55-59

Option Year 3 (January 1, 2029 through December 31, 2029) Age Brackets Biweekly Rate Per $1000 (maximum coverage

$500,000) <35

35-39 40-44 45-49 50-54 55-59

$500,000)

<35 35-39 40-44 45-49 50-54 55-59

OPTIONAL SPOUSE/DOMESTIC PARTNER COVERAGE

Age Brackets Biweekly Rate Per $1000 <35

35-39 40-44 45-49 50-54 55-59

Age Brackets Biweekly Rate Per $1000

<35 35-39 40-44 45-49 50-54 55-59

<35

35-39 40-44 45-49 50-54 55-59

<35

35-39 40-44 45-49 50-54 55-59

Option Year 4 (January 1, 2030 through December 31, 20230

<35

35-39 40-44 45-49 50-54 55-59

OPTIONAL FAMILY COVERAGE

Age Brackets Biweekly Rate (per $5,000 employee and $2,500 child) <35

35-39 40-44 45-49 50-54 55-59

Age Brackets Biweekly Rate (per $5,000 employee and $2,500 child) <35

35-39 40-44 45-49 50-54 55-59 child) <35

35-39 40-44 45-49 50-54 55-59 child) <35

35-39 40-44 45-49 50-54 55-59 child) <35

35-39 40-44 45-49 50-54 55-59

ANNUAL PRICE ESTIMATES

Base Year: January 1, 2026 – December 31, 2026 Type of Coverage Estimated Annual Price Retiree Basic Life (excluding AD&D) $ ________________ Employee Basic Life (including AD&D) $ ________________ Employee Optional Life $ ________________ Spousal Optional Life $ ________________ Optional Family Life $ ________________ Total Estimated Price $ ________________

Option Year 1: January 1, 2027 – December 31, 2027

Employee Basic Life (including AD&D) $ ________________ Retiree Basic Life (excluding AD&D) $ ________________ Employee Optional Life $ ________________ Spousal Optional Life $ ________________

Option Year 2: January 1, 2028 – December 31, 2028

Employee Basic Life (including AD&D) $ ________________ Retiree Basic Life (excluding AD&D) $ ________________ Employee Optional Life $ ________________ Spousal Optional Life $ ________________

Option Year 3: January 1, 2029 – December 31, 2029

Employee Basic Life (including AD&D) $ ________________ Retiree Basic Life (excluding AD&D) $ ________________ Employee Optional Life $ ________________ Spousal Optional Life $ ________________

Option Year 4: January 1, 2030 – December 31, 2030

Employee Basic Life (including AD&D) $ ________________ Retiree Basic Life (excluding AD&D) $ ________________ Employee Optional Life $ ________________ Spousal Optional Life $ ________________

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