Attachment 3 Retiree Dental GCPS Addendum Question.xlsx
XLSX spreadsheet 13 KB Posted
- Attached to
- RFP 26-025-CJ GCPS- Employee Medical, Stop Loss, Dental, Vision, Disability & Voluntary Benefits Coverage
- Solicitation number
- RFP-115259
- Issued by
- Frederick County, Virginia
About this file
This is a retiree dental benefits roster documenting coverage for Gloucester County Public Schools (GCPS) retirees enrolled in United Concordia dental plans. The spreadsheet contains member enrollment data spanning from July 2015 through February 2026, tracking 89 retiree accounts across the school division's Gloucester CPS Retiree plan. Coverage options include both high and low dental plans with varying dependent structures, including employee-only, employee-plus-spouse, employee-plus-child, and employee-plus-family configurations. The data indicates ongoing enrollment management of the retiree dental benefits program with coverage effective dates ranging across multiple years and no universal termination dates noted, suggesting continuous plan maintenance and administration.
The roster serves as an administrative reference document for the retiree dental program, capturing member identifiers, beneficiary names, dates of birth, residential zip codes, plan tier selections, and coverage type classifications. All members are enrolled in United Concordia's dental offerings provided to GCPS retirees, with the majority maintaining either DENTAL-HIGH or DENTAL-LOW plan elections. The spreadsheet appears to function as a member roster addendum supporting contract administration and benefits verification rather than a procurement solicitation document, with no pricing information, set-asides, or funding source details included in the file.
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Text version
Sheet1
| MemberID | Zip | ClientName | DivisionName | DOB | PlanName | CoverageDesc | EventFirstDayofCoverage | TerminationDate | Type |
| 50656 | 23188 | Gloucester County Public Schools | Gloucester CPS Retiree | 12/24/39 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150701 | SPM | |
| 59265 | 23185 | Gloucester County Public Schools | Gloucester CPS Retiree | 11/25/35 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 59266 | 23072 | Gloucester County Public Schools | Gloucester CPS Retiree | 6/16/52 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 59267 | 23072 | Gloucester County Public Schools | Gloucester CPS Retiree | 11/11/51 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 59268 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 7/23/54 | RETIREE United Concordia DENTAL - HIGH | EE + Spouse | 20150901 | SPM | |
| 59269 | 23072 | Gloucester County Public Schools | Gloucester CPS Retiree | 6/22/47 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 59270 | 22469 | Gloucester County Public Schools | Gloucester CPS Retiree | 8/27/42 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 59272 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 9/12/48 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 59357 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 12/10/44 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 59411 | 23602 | Gloucester County Public Schools | Gloucester CPS Retiree | 1/4/51 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 59462 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 5/2/47 | RETIREE United Concordia DENTAL - HIGH | EE + Family | 20150901 | SPM | |
| 59463 | 23175 | Gloucester County Public Schools | Gloucester CPS Retiree | 11/11/43 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 59467 | 23149 | Gloucester County Public Schools | Gloucester CPS Retiree | 1/31/46 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 59469 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 12/15/48 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 59472 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 12/15/46 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 59473 | 23072 | Gloucester County Public Schools | Gloucester CPS Retiree | 3/15/52 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 59486 | 23062 | Gloucester County Public Schools | Gloucester CPS Retiree | 8/31/50 | RETIREE United Concordia DENTAL – LOW | EE Only | 20150901 | SPM | |
| 59514 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 11/2/56 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20151001 | SPM | |
| 59520 | 23149 | Gloucester County Public Schools | Gloucester CPS Retiree | 10/12/50 | RETIREE United Concordia DENTAL – LOW | EE + Spouse | 20151001 | SPM | |
| 59521 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 8/23/54 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20151001 | SPM | |
| 60231 | 23169 | Gloucester County Public Schools | Gloucester CPS Retiree | 7/22/52 | RETIREE United Concordia DENTAL - HIGH | EE + Child | 20150901 | SPM | |
| 60272 | 23690 | Gloucester County Public Schools | Gloucester CPS Retiree | 11/29/53 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60284 | 23071 | Gloucester County Public Schools | Gloucester CPS Retiree | 8/22/52 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60289 | 23185 | Gloucester County Public Schools | Gloucester CPS Retiree | 2/3/53 | RETIREE United Concordia DENTAL - HIGH | EE + Spouse | 20150901 | SPM | |
| 60517 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 8/8/52 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60518 | 23003 | Gloucester County Public Schools | Gloucester CPS Retiree | 1/24/53 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60521 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 5/8/52 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60524 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 3/15/56 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60528 | 23043 | Gloucester County Public Schools | Gloucester CPS Retiree | 7/27/52 | RETIREE United Concordia DENTAL - HIGH | EE + Spouse | 20150901 | SPM | |
| 60530 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 10/28/52 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60533 | 23018 | Gloucester County Public Schools | Gloucester CPS Retiree | 11/1/51 | RETIREE United Concordia DENTAL – LOW | EE Only | 20150901 | SPM | |
| 60536 | 23072 | Gloucester County Public Schools | Gloucester CPS Retiree | 8/9/55 | RETIREE United Concordia DENTAL – LOW | EE Only | 20150901 | SPM | |
| 60537 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 4/24/57 | RETIREE United Concordia DENTAL – LOW | EE Only | 20150901 | SPM | |
| 60543 | 23149 | Gloucester County Public Schools | Gloucester CPS Retiree | 11/4/51 | RETIREE United Concordia DENTAL – LOW | EE Only | 20161001 | SPM | |
| 60716 | 23062 | Gloucester County Public Schools | Gloucester CPS Retiree | 10/17/42 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60852 | 23068 | Gloucester County Public Schools | Gloucester CPS Retiree | 10/28/46 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60854 | 23072 | Gloucester County Public Schools | Gloucester CPS Retiree | 2/26/37 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60871 | 23188 | Gloucester County Public Schools | Gloucester CPS Retiree | 9/7/41 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60880 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 7/31/46 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60883 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 6/7/41 | RETIREE United Concordia DENTAL – LOW | EE Only | 20150901 | SPM | |
| 60890 | 23062 | Gloucester County Public Schools | Gloucester CPS Retiree | 10/8/49 | RETIREE United Concordia DENTAL - HIGH | EE + Spouse | 20150901 | SPM | |
| 60894 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 2/7/47 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60898 | 23018 | Gloucester County Public Schools | Gloucester CPS Retiree | 2/6/41 | RETIREE United Concordia DENTAL - HIGH | EE + Spouse | 20150901 | SPM | |
| 60905 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 10/21/49 | RETIREE United Concordia DENTAL - HIGH | EE + Spouse | 20150901 | SPM | |
| 60909 | 23025 | Gloucester County Public Schools | Gloucester CPS Retiree | 7/30/49 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60924 | 23131 | Gloucester County Public Schools | Gloucester CPS Retiree | 8/3/48 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60934 | 23138 | Gloucester County Public Schools | Gloucester CPS Retiree | 8/28/48 | RETIREE United Concordia DENTAL - HIGH | EE + Spouse | 20150901 | SPM | |
| 60939 | 23050 | Gloucester County Public Schools | Gloucester CPS Retiree | 7/31/42 | RETIREE United Concordia DENTAL - HIGH | EE + Spouse | 20150901 | SPM | |
| 60951 | 23076 | Gloucester County Public Schools | Gloucester CPS Retiree | 1/16/40 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60957 | 23072 | Gloucester County Public Schools | Gloucester CPS Retiree | 8/5/47 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60960 | 23018 | Gloucester County Public Schools | Gloucester CPS Retiree | 4/13/49 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60987 | 23060 | Gloucester County Public Schools | Gloucester CPS Retiree | 2/5/41 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60994 | 23001 | Gloucester County Public Schools | Gloucester CPS Retiree | 10/12/47 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 60998 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 10/5/51 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 61011 | 23072 | Gloucester County Public Schools | Gloucester CPS Retiree | 9/13/47 | RETIREE United Concordia DENTAL - HIGH | EE + Spouse | 20150901 | SPM | |
| 61023 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 7/29/42 | RETIREE United Concordia DENTAL – LOW | EE + Spouse | 20150901 | SPM | |
| 61029 | 23183 | Gloucester County Public Schools | Gloucester CPS Retiree | 1/31/49 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20150901 | SPM | |
| 61036 | 23062 | Gloucester County Public Schools | Gloucester CPS Retiree | 7/7/37 | RETIREE United Concordia DENTAL – LOW | EE Only | 20150901 | SPM | |
| 61038 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 10/19/79 | RETIREE United Concordia DENTAL – LOW | EE Only | 20150901 | SPM | |
| 61041 | 23175 | Gloucester County Public Schools | Gloucester CPS Retiree | 6/19/43 | RETIREE United Concordia DENTAL – LOW | EE Only | 20150901 | SPM | |
| 61042 | 23125 | Gloucester County Public Schools | Gloucester CPS Retiree | 3/30/58 | RETIREE United Concordia DENTAL – LOW | EE Only | 20150901 | SPM | |
| 61044 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 3/28/45 | RETIREE United Concordia DENTAL – LOW | EE Only | 20150901 | SPM | |
| 61052 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 8/19/47 | RETIREE United Concordia DENTAL – LOW | EE Only | 20150901 | SPM | |
| 69160 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 2/9/49 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20151001 | SPM | |
| 87086 | 23693 | Gloucester County Public Schools | Gloucester CPS Retiree | 3/20/51 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20160401 | SPM | |
| 105899 | 23062 | Gloucester County Public Schools | Gloucester CPS Retiree | 11/7/56 | RETIREE United Concordia DENTAL – LOW | EE Only | 20160801 | SPM | |
| 123799 | 23072 | Gloucester County Public Schools | Gloucester CPS Retiree | 3/3/51 | RETIREE United Concordia DENTAL – LOW | EE Only | 20161001 | SPM | |
| 123806 | 23062 | Gloucester County Public Schools | Gloucester CPS Retiree | 9/14/48 | RETIREE United Concordia DENTAL - HIGH | EE + Spouse | 20161001 | SPM | |
| 173915 | 23112 | Gloucester County Public Schools | Gloucester CPS Retiree | 1/25/63 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20171001 | SPM | |
| 173921 | 23035 | Gloucester County Public Schools | Gloucester CPS Retiree | 4/7/54 | RETIREE United Concordia DENTAL - HIGH | EE + Spouse | 20171001 | SPM | |
| 208639 | 23119 | Gloucester County Public Schools | Gloucester CPS Retiree | 12/14/62 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20180301 | SPM | |
| 213673 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 3/4/56 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20180401 | SPM | |
| 337948 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 10/4/72 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20190201 | SPM | |
| 410268 | 23175 | Gloucester County Public Schools | Gloucester CPS Retiree | 11/21/64 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20201001 | SPM | |
| 478046 | 23072 | Gloucester County Public Schools | Gloucester CPS Retiree | 5/11/66 | RETIREE United Concordia DENTAL – LOW | EE Only | 20211001 | SPM | |
| 478047 | 23072 | Gloucester County Public Schools | Gloucester CPS Retiree | 7/22/63 | RETIREE United Concordia DENTAL - HIGH | EE + Family | 20211001 | SPM | |
| 515862 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 11/8/62 | RETIREE United Concordia DENTAL - HIGH | EE + Spouse | 20220201 | SPM | |
| 574321 | 23003 | Gloucester County Public Schools | Gloucester CPS Retiree | 12/20/61 | RETIREE United Concordia DENTAL – LOW | EE Only | 20221001 | SPM | |
| 679254 | 23602 | Gloucester County Public Schools | Gloucester CPS Retiree | 9/20/64 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20230801 | SPM | |
| 682417 | 23430 | Gloucester County Public Schools | Gloucester CPS Retiree | 1/14/59 | RETIREE United Concordia DENTAL – LOW | EE + Spouse | 20230901 | SPM | |
| 732013 | 23168 | Gloucester County Public Schools | Gloucester CPS Retiree | 1/25/63 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20240201 | SPM | |
| 806695 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 3/8/62 | RETIREE United Concordia DENTAL - HIGH | EE + Spouse | 20241001 | SPM | |
| 810534 | 23061 | Gloucester County Public Schools | Gloucester CPS Retiree | 6/11/67 | RETIREE United Concordia DENTAL - HIGH | EE Only | 20241001 | SPM | |
| 910523 | 23185 | Gloucester County Public Schools | Gloucester CPS Retiree | 11/25/63 | RETIREE United Concordia DENTAL - HIGH | EE + Family | 20250801 | SPM | |
| 997400 | 23699 | Gloucester County Public Schools | Gloucester CPS Retiree | 2/3/65 | RETIREE United Concordia DENTAL - HIGH | EE + Spouse | 20260201 | SPM |
File details come from the government source that posted it. Updated .