Attachment_B5__Vision_Claims_Experience(6008301.1).pdf
PDF 150 KB Posted
- Attached to
- Employee Benefits-Dental and Vision
- Solicitation number
- 27-010CH-32RFP
- Issued by
- Maricopa County, Tucson City, Arizona
About this file
This is a Vision Claims Experience attachment document supporting the Employee Benefits-Dental and Vision procurement for the Tempe Union High School District in Arizona. The District is soliciting proposals to provide voluntary dental and vision coverage for its employees for the contract period of July 1, 2027 through June 30, 2032, with the intention of continuing current plan designs. The procurement includes three plan types: a voluntary PPO dental plan, a voluntary DHMO dental plan, and a voluntary vision plan. Proposals must be submitted through the Procurement Portal at https://procurement.opengov.com/portal/tuhsd no later than 2:00 pm on Wednesday, November 4, 2026. The District currently offers dental coverage through Cigna (DHMO) and Delta Dental (PPO) and vision coverage through Davis Vision, and bidders are instructed to match these existing plan designs as closely as possible or note any deviations from the current benefit schedules.
The attachment document specifically addresses vision claims experience, which serves as supporting documentation for vendors to demonstrate their qualifications and experience administering vision benefits. Bidders are required to provide detailed information regarding their claims processing capabilities, experience with similar employee populations, and performance metrics to substantiate their ability to deliver the vision services outlined in the District's specifications. This documentation allows the District to evaluate vendor competency in managing claims administration and member services as part of its overall evaluation of proposals.
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Text version
Davis Vision Client Review
Group: Tempe Union High School
Reporting Period: January 2026 - July 2026
The following provides an overview of your Davis Vision Plan.
The In-Network utilization for the reporting period is: 99%Utilization:
The distribution of vision care services for your membership for the reporting period is:
Exam Only- 46.1%
Materials Only- 44.4%
Exam and Materials- 9.4%
Total- 100.0%
Claims: The number of claims paid in the reporting period is: 360
Enrollment: The average monthly membership for the reporting period is:
Subscribers 784
Dependents 413
Lives 1,197
98%The overall member satisfaction for your membership for the reporting period is:
Percentage of Customer Service calls resolved during the first call for the reporting period is:
100%
*Total web logins for the reporting period are: 349
*Please note that the above web usage data represents the client's complete membership experience; data at a subpopulation level is not available.
Client Statistics Shown for the following Date Range
Jan-26 - Jul-26 Jan-25 - Jul-25
Average Number Of Covered Subscribers 784 819
Average Number Of Covered Dependents 413 437
Average Number Of Covered Lives 1197 1256
Number of In-Network Claims 357 432
Number of Out-of-Network Claims 3 1
Number of Exam Only Claims 166 211
Number of Material Only Claims 160 186
Overall Utilization Rate 30.08% 34.47%
YV6
***CONFIDENTIAL & PROPRIETARY*** 09/03/2026Page 1 of 5
Reporting Period: January 2026 - July 2026
Utilization by Service (#/%) Shown for the following Date Ranges
Jul-26- -Jan-25 Jul-25Jan-26
Eye Examinations 247 200
Plan (45.80%) (51.80%) 72 60
Non-Plan (54.20%) (48.20%) 67 71
131Total Frames 139
Single Vision Lenses (41.15%) (33.49%) 72 79
Bifocal Lenses (23.44%) (24.19%) 52 45
Trifocal Lenses (7.29%) (9.30%) 20 14
Contact Lenses (28.13%) (33.02%) 71 54
192Total Lenses 215
***CONFIDENTIAL & PROPRIETARY*** 09/03/2026Page 2 of 5
Reporting Period: January 2026 - July 2026
Lens Options Ranking Shown for the following Date Ranges
Jan-26 - Jul-26 Jan-25 - Jul-25
Standard Anti-Reflective Coating 62.3% 66.0% 1 1
Polycarbonate 55.8% 61.1% 2 2
Standard Progressives 31.9% 36.1% 3 3
Transitions 22.5% 25.0% 4 4
High Index 1.67 19.6% 18.1% 5 5
EBS BlueLight Filtering 16.7% 13.2% 6 6
Ultraviolet Coating 9.4% 9.0% 7 8
Polarized 8.0% 10.4% 8 7
Standard Scratch Coating 7.2% 6.3% 9 10
Premium Anti-Reflective Coating 7.2% 6.9% 9 9
Ultimate Anti-Reflective Coating 5.1% 4.9% 10 11
Ultra Anti-Reflective Coating 3.6% 2.8% 11 13
Ultimate Progressives 2.9% 4.2% 12 12
Premium Progressives 2.9% 12
Scratch Protection Plan 1.4% 13
Tint 1.4% 0.7% 13 16
Trivex 0.7% 2.1% 14 14
High Index 1.74 0.7% 1.4% 14 15
* Other Lens Options 0.7% 1.4% 14 15
Digital SV 0.7% 0.7% 14 16
Ultra Progressives 0.7% 2.1% 14 14
Lens Option Value
Lens Options Service
Counts & %
Average
Retail Value
Average
Member
Total
Savings
% of
Savings
Standard Anti-Reflective Coating 86 62.3% $100.00 $44.00 $4,816.00 56.00%
Polycarbonate 77 55.8% $50.00 $30.00 $1,540.00 40.00%
Standard Progressives 44 31.9% $230.00 $87.00 $6,292.00 62.17%
Transitions 31 22.5% $120.00 $59.00 $1,891.00 50.83%
High Index 1.67 27 19.6% $120.00 $53.00 $1,809.00 55.83%
EBS BlueLight Filtering 23 16.7% $25.00 $15.00 $230.00 40.00%
Ultraviolet Coating 13 9.4% $20.00 $12.00 $104.00 40.00%
Polarized 11 8.0% $95.00 $47.00 $528.00 50.53%
Premium Anti-Reflective Coating 10 7.2% $125.00 $53.00 $720.00 57.60%
Standard Scratch Coating 10 7.2% $20.00 $4.00 $160.00 80.00%
Ultimate Anti-Reflective Coating 7 5.1% $175.00 $85.00 $630.00 51.43%
Ultra Anti-Reflective Coating 5 3.6% $150.00 $69.00 $405.00 54.00%
Premium Progressives 4 2.9% $295.00 $103.00 $768.00 65.08%
Ultimate Progressives 4 2.9% $440.00 $175.00 $1,060.00 60.23%
Scratch Protection Plan 2 1.4% $42.50 $40.00 $5.00 5.88%
Tint 2 1.4% $20.00 $15.00 $10.00 25.00%
* Other Lens Options 1 0.7% $82.50 $30.00 $52.50 63.64%
Digital SV 1 0.7% $60.00 $30.00 $30.00 50.00%
High Index 1.74 1 0.7% $160.00 $120.00 $40.00 25.00%
***CONFIDENTIAL & PROPRIETARY*** 09/03/2026Page 3 of 5
Reporting Period: January 2026 - July 2026
Trivex 1 0.7% $75.00 $50.00 $25.00 33.33%
Ultra Progressives 1 0.7% $345.00 $140.00 $205.00 59.42%
361 $21,320.50 $38,622.50 $17,076.00 55.79%
Other Lens Options consist of: Oversize, Blended, Edge Polish, High Luster Edge Polish, Roll & Polish, Roll Edge, Rimless Drill, & Slab-Off
Patient Satisfaction
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Overall, I am satisf ied with the vision care received
It was easy to obtain member assistance The Vision Care Services Representative was courteous, helpful and knowledgeable
The website was helpful and easy to use
The value of the vision program was worthwhile
Communication material provided me with the necessary benefit information
The off ice location was convenient
The off ice hours were convenient
I obtained an appointment within a reasonable period of time
The off ice was neat and professional
The waiting time in the provider's off ice was reasonable
The off ice staff was friendly and courteous
The time spent with me by the provider and staff was suff icient
The examination was thorough and met my expectations
I am satisf ied with the prescription I received Based on the results of your examination, were you referred for additional testing or specialty care?
I am happy with the f it and comfort of my eyewear
My eyewear arrived within the time frame indicated
98%
98%
99%
95%
96%
95%
99%
99%
94%
99%
98%
99%
99%
99%
98%
100%
97%
96%
30KC
* These results are compiled by soliciting and receiving responses from a statistically accurate sampling of the benefit recipients of this program.
***CONFIDENTIAL & PROPRIETARY*** 09/03/2026Page 4 of 5
Reporting Period: January 2026 - July 2026
Selected Benefit Contracts:
Tempe Union High School District (Active)10P100001154
Tempe Union High School District (Cobra)10P100001155
Tempe Union High School District (Retiree)10P100001343
GP:
***CONFIDENTIAL & PROPRIETARY*** 09/03/2026Page 5 of 5
DV Utilization
Date Group Name Group Code Subscribers Spouse Dependent Members
Number of Claims
Premiums Billed
Claim Dollars
1/1/2023 Tempe Union High School District YV6 823 156 357 1,336 76 $5,639 $7,075 2/1/2023 Tempe Union High School District YV6 820 155 354 1,329 50 $5,620 $4,107 3/1/2023 Tempe Union High School District YV6 820 155 356 1,331 71 $5,540 $5,905 4/1/2023 Tempe Union High School District YV6 821 157 354 1,332 61 $5,600 $5,047 5/1/2023 Tempe Union High School District YV6 819 157 351 1,327 50 $5,591 $5,187 6/1/2023 Tempe Union High School District YV6 781 150 336 1,267 86 $5,286 $7,584 7/1/2023 Tempe Union High School District YV6 814 149 318 1,281 97 $5,436 $9,762 8/1/2023 Tempe Union High School District YV6 806 148 316 1,270 66 $5,347 $5,423 9/1/2023 Tempe Union High School District YV6 879 155 339 1,373 62 $5,731 $5,688 10/1/2023 Tempe Union High School District YV6 877 153 334 1,364 82 $5,864 $6,517 11/1/2023 Tempe Union High School District YV6 874 154 332 1,360 46 $5,786 $3,754 12/1/2023 Tempe Union High School District YV6 869 152 329 1,350 51 $5,762 $4,314 Total 834 153 340 1,327 798 $67,203 $70,362
Date Group Name Group Code Subscribers Spouse Dependent Members
Number of Claims
Premiums Billed
Claim Dollars
1/1/2024 Tempe Union High School District YV6 863 151 323 1,337 58 $5,679 $4,853 2/1/2024 Tempe Union High School District YV6 864 151 318 1,333 53 $5,600 $4,888 3/1/2024 Tempe Union High School District YV6 862 151 316 1,329 60 $5,692 $5,480 4/1/2024 Tempe Union High School District YV6 859 150 315 1,324 49 $5,664 $4,207 5/1/2024 Tempe Union High School District YV6 860 152 318 1,330 56 $5,629 $6,256 6/1/2024 Tempe Union High School District YV6 860 151 316 1,327 68 $5,643 $5,803 7/1/2024 Tempe Union High School District YV6 804 143 308 1,255 100 $5,385 $8,483 8/1/2024 Tempe Union High School District YV6 804 145 311 1,260 80 $5,313 $8,074 9/1/2024 Tempe Union High School District YV6 842 145 310 1,297 56 $5,491 $5,472 10/1/2024 Tempe Union High School District YV6 840 146 309 1,295 74 $5,665 $6,607 11/1/2024 Tempe Union High School District YV6 839 146 307 1,292 39 $5,507 $3,724 12/1/2024 Tempe Union High School District YV6 842 145 307 1,294 53 $5,512 $4,755 Total 845 148 313 1,306 746 $66,780 $68,604
Date Group Name Group Code Subscribers Spouse Dependent Members
Number of Claims
Premiums Billed
Claim Dollars
1/1/2025 Tempe Union High School District YV6 828 144 306 1,278 58 $5,550 $5,604 2/1/2025 Tempe Union High School District YV6 827 143 299 1,269 52 $5,425 $4,919 3/1/2025 Tempe Union High School District YV6 824 143 298 1,265 68 $5,441 $5,906 4/1/2025 Tempe Union High School District YV6 824 143 298 1,265 44 $5,412 $3,343 5/1/2025 Tempe Union High School District YV6 827 144 295 1,266 51 $5,426 $4,191 6/1/2025 Tempe Union High School District YV6 826 143 290 1,259 76 $5,455 $8,005 7/1/2025 Tempe Union High School District YV6 772 137 275 1,184 84 $5,146 $8,509 8/1/2025 Tempe Union High School District YV6 772 136 272 1,180 49 $5,004 $4,410 9/1/2025 Tempe Union High School District YV6 798 141 280 1,219 34 $5,128 $3,134 10/1/2025 Tempe Union High School District YV6 799 142 280 1,221 72 $5,296 $6,334 11/1/2025 Tempe Union High School District YV6 803 143 281 1,227 33 $5,276 $2,704 12/1/2025 Tempe Union High School District YV6 803 143 274 1,220 34 $5,277 $2,631 Total 809 142 287 1,238 655 $63,835 $59,688
Date Group Name Group Code Subscribers Spouse Dependent Members
Number of Claims
Premiums Billed
Claim Dollars
1/1/2026 Tempe Union High School District YV6 796 143 274 1,213 53 $5,258 $4,464 2/1/2026 Tempe Union High School District YV6 792 143 277 1,212 37 $5,163 $3,360 3/1/2026 Tempe Union High School District YV6 789 142 275 1,206 38 $5,198 $3,882 4/1/2026 Tempe Union High School District YV6 790 142 274 1,206 41 $5,166 $3,650 5/1/2026 Tempe Union High School District YV6 788 140 269 1,197 40 $5,165 $3,842 6/1/2026 Tempe Union High School District YV6 782 138 266 1,186 72 $5,108 $8,137 7/1/2026 Tempe Union High School District YV6 741 143 263 1,147 79 $4,935 $6,931 Total 783 142 271 1,195 360 $35,993 $34,266
Tempe Union High School YV6 Davis Vision by MetLife
Davis Vision by MetLife Proprietary and Confidential Information should not be shared outside broker/client relationship
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