Attachment 1 OCC Group Life Pricing Structure.docx

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Group Life Insurance
Solicitation number
2031JW21Q00092
Issued by

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This attachment provides the pricing structure for a solicitation seeking group life insurance administration and underwriting services. The incumbent contractor's current contract expires on June 30, 2021. The solicitation seeks pricing for basic life coverage for active employees up to $500,000 and retirees, as well as optional coverage for employees, spouses, and families. Pricing is required for eight age brackets in base and option years one through four. Estimated annual prices are also required for base and each option year by coverage type. The solicitation aims to continue providing group life insurance benefits to approximately 2,580 employees and 2,510 retirees of the Department of the Treasury's Office of the Comptroller of the Currency and Office of Financial Research.

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ATTACHMENT 1 – PRICING STRUCTURE

RFQ: 2031JW21Q00092

BASIC LIFE FOR ACTIVE EMPLOYEES

Base Six Months (July 1, 2021 through December 31, 2021)

Type of Coverage
Biweekly Rate Per $1000 of Coverage

Life coverage for employee (maximum coverage of $500,000)

Option Year 1 (January 1, 2022 through December 31, 2022)

Type of Coverage
Biweekly Rate Per $1000 of Coverage

Life coverage for employee (maximum coverage of $500,000)

Option Year 2 (January 1, 2023 through December 31, 2023)

Type of Coverage
Biweekly Rate Per $1000 of Coverage

Life coverage for employee (maximum coverage of $500,000)

Option Year 3 (January 1, 2024 through December 31, 2024)

Type of Coverage
Biweekly Rate Per $1000 of Coverage

Life coverage for employee (maximum coverage of $500,000)

Option Year 4 (January 1, 2025 through December 31, 2025)

Type of Coverage
Biweekly Rate Per $1000 of Coverage

Life coverage for employee (maximum coverage of $500,000)

BASIC LIFE FOR RETIREES

Base Year (July 1, 2021 through December 31, 2021)

Type of Coverage
Biweekly Rate Per $1000 of Coverage
Life coverage for retirees
$________
Type of Coverage
Biweekly Rate Per $1000 of Coverage
Life coverage for retirees
$________
Type of Coverage
Biweekly Rate Per $1000 of Coverage
Life coverage for retirees
$________
Type of Coverage
Biweekly Rate Per $1000 of Coverage
Life coverage for retirees
$________
Type of Coverage
Biweekly Rate Per $1000 of Coverage
Life coverage for retirees
$________

OPTIONAL EMPLOYEE COVERAGE

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 60-64 65>

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 60-64 65>

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

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

OPTIONAL SPOUSE/DOMESTIC PARTNER COVERAGE

Age Brackets
Biweekly Rate Per $1000

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

Age Brackets
Biweekly Rate Per $1000

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

Age Brackets
Biweekly Rate Per $1000

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

Age Brackets
Biweekly Rate Per $1000

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

Age Brackets
Biweekly Rate Per $1000

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

OPTIONAL FAMILY COVERAGE

Age Brackets
Biweekly Rate (per $5,000 spouse and $2,500 child)

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

Age Brackets
Biweekly Rate (per $5,000 spouse and $2,500 child)

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

Age Brackets
Biweekly Rate (per $5,000 spouse and $2,500 child)

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

Age Brackets
Biweekly Rate (per $5,000 spouse and $2,500 child)

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

Age Brackets
Biweekly Rate (per $5,000 spouse and $2,500 child)

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

ANNUAL PRICE ESTIMATES

Base Year: July 1, 2021 – December 31, 2021

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, 2022 – December 31, 2022

Type of Coverage
Estimated Annual Price
Employee Basic Life (including AD&D)
$ ________________
Retiree Basic Life (excluding AD&D)
$ ________________
Employee Optional Life
$ ________________
Spousal Optional Life
$ ________________
Optional Family Life
$ ________________
Total Estimated Price
$ ________________

Option Year 2: January 1, 2023 – December 31, 2023

Type of Coverage
Estimated Annual Price
Employee Basic Life (including AD&D)
$ ________________
Retiree Basic Life (excluding AD&D)
$ ________________
Employee Optional Life
$ ________________
Spousal Optional Life
$ ________________
Optional Family Life
$ ________________
Total Estimated Price
$ ________________

Option Year 3: January 1, 2024 – December 31, 2024

Type of Coverage
Estimated Annual Price
Employee Basic Life (including AD&D)
$ ________________
Retiree Basic Life (excluding AD&D)
$ ________________
Employee Optional Life
$ ________________
Spousal Optional Life
$ ________________
Optional Family Life
$ ________________
Total Estimated Price
$ ________________

Option Year 4: January 1, 2025 – December 31, 2025

Type of Coverage
Estimated Annual Price
Employee Basic Life (including AD&D)
$ ________________
Retiree Basic Life (excluding AD&D)
$ ________________
Employee Optional Life
$ ________________
Spousal Optional Life
$ ________________
Optional Family Life
$ ________________
Total Estimated Price
$ ________________

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