Attachment_C__Premium_Worksheet.xlsx

XLSX spreadsheet 144 KB Posted

Attached to
Group Life & Disability and Supplemental Health Benefits
Solicitation number
RFP-1-26-12
Issued by
Brevard County, Florida

About this file

This is a premium worksheet for a Florida county's Group Life, Disability, and Supplemental Health Benefits solicitation. The county seeks to procure fully insured group term life, accidental death and dismemberment (AD&D), short-term disability (STD), and long-term disability (LTD) coverage, along with expanding voluntary supplemental health offerings including accident, hospital indemnity, and critical illness/cancer coverage. The contract is effective January 1, 2027, with a single carrier/administrator selected to provide all requested lines. The incumbent carrier is Standard Insurance Company, which has administered the primary life and disability benefits since January 1, 2019. The county currently offers individual supplemental plans through multiple representatives including Aflac, Allstate, and Colonial Life, which will transition to group-administered products upon contract award. Employees currently enrolled in individual plans may continue those coverages on a direct-bill basis without payroll deduction or on-site enrollment options.

The premium worksheet requires bidders to complete rate proposals for multiple coverage tiers across life, AD&D, STD, and LTD products, with current total annual premiums of $2,114,474.84 for these lines. Proposed rates must be guaranteed for a minimum of three years (2027, 2028, and 2029), except for critical illness and cancer coverage, which requires a two-year guarantee. For supplemental health products, bidders may propose up to two plan options for accident, hospital indemnity, and critical illness/cancer coverage, with rates stratified by employee relationship status (employee only, employee plus spouse, employee plus child(ren), and employee plus family). The worksheet includes detailed enrollment counts and benefit volumes across multiple age brackets for voluntary life coverage, with separate rate structures for tobacco and non-tobacco populations. Bidders must submit completed proposals in Excel format as specified in the Request for Proposal.

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Life_STD_LTD Premiums

Attachment C - Premiums Worksheet
Life/AD&D/STD/LTD Premiums
Instructions:
1. Complete the highlighted cells for each line of coverage. Do not change any counts, volumes or fomulas included in this spreadsheet.
2. Your proposed rates/monthly premiums must be guaranteed for at least three (3) years.
3. You must submit this completed form with your proposal and include an electronic copy in Excel format per the Request for Proposal.
BOARD PAID LIFE/AD&D - REQUIRED
CountVolumeCurrent Rate/1,000Proposed Rate/1,000 Per MonthCurrent TotalProposed Total
Basic Life3,985$239,425,700$0.100$23,942.57$0.00
Basic AD&D3,985$239,425,700$0.015$3,591.39$0.00
Total Basic Life/AD&D3,985$239,425,700$27,533.96$0.00
RETIREE LIFE - REQUIRED
CountVolumeCurrent Rate/1,000Proposed Rate/1,000Current TotalProposed Total
Retiree Life47$310,000$7.19$2,228.90$0.00

Total Retiree Life 47 $310,000 $2,228.90 $0.00

VOLUNTARY EMPLOYEE LIFE/AD&D - Combine life and AD&D premiums based on rate per $1,000 of coverage - NON-TOBACCO - REQUIRED
Age BracketCountVolumeCurrent Rate/1,000Proposed Rate/1,000Current TotalProposed Total
24 and Under115$7,450,000$0.087$648.15$0.00
25-29182$13,140,000$0.068$893.52$0.00
30-34158$14,460,000$0.077$1,113.42$0.00
35-39185$18,510,000$0.096$1,776.96$0.00
40-44215$22,700,000$0.134$3,041.80$0.00
45-49220$25,700,000$0.153$3,932.10$0.00
50-54238$24,110,000$0.258$6,220.38$0.00
55-59209$20,170,000$0.505$10,185.85$0.00
60-64214$16,780,000$1.046$17,551.88$0.00
65-6954$3,028,800$1.711$5,182.28$0.00
70 and Older22$370,000$2.690$995.30$0.00
Total Voluntary Employee Life1,812$166,418,800$51,541.64$0.00
VOLUNTARY EMPLOYEE LIFE/AD&D - Combine life and AD&D premiums based on rate per $1,000 of coverage - TOBACCO - REQUIRED
Age BracketCountVolumeCurrent Rate/1,000Proposed Rate/1,000Current TotalProposed Total
24 and Under3$210,000$0.096$20.16$0.00
25-290$0$0.068$0.00$0.00
30-346$530,000$0.087$46.11$0.00
35-3913$740,000$0.106$78.44$0.00
40-4415$1,430,000$0.144$205.92$0.00
45-4912$960,000$0.182$174.72$0.00
50-5421$2,090,000$0.305$637.45$0.00
55-5918$1,290,000$0.609$785.61$0.00
60-6421$1,240,000$1.322$1,639.28$0.00
65-693$207,600$2.262$469.59$0.00
70 and Older1$85,000$3.526$299.71$0.00
Total Voluntary Employee Life113$8,782,600$4,356.99$0.00
SPOUSE LIFE/AD&D -Combine life and AD&D premium based on rate per $1,000 of Coverage - NON-TOBACCO - REQUIRED
Age BracketCountVolumeCurrent Rate/1,000Proposed Rate/1,000Current TotalProposed Total
24 and Under7$195,000$0.087$16.97$0.00
25-2919$625,000$0.068$42.50$0.00
30-3428$985,000$0.077$75.85$0.00
35-3955$1,985,000$0.096$190.56$0.00
40-4463$2,955,000$0.134$395.97$0.00
45-4976$2,980,000$0.153$455.94$0.00
50-5483$2,930,000$0.258$755.94$0.00
55-5971$2,230,000$0.505$1,126.15$0.00
60-6473$1,830,000$1.046$1,914.18$0.00
65-6919$426,400$1.711$729.57$0.00
70 and Older7$45,000$2.690$121.05$0.00
Total Voluntary Employee Life501$17,186,400$5,824.67$0.00
Spouse Life/AD&D - Combined premium based on rate per $1,000 of coverage - TOBACCO - REQUIRED
Age BracketCountVolumeCurrent Rate/1,000Proposed Rate/1,000Current TotalProposed Total
24 and Under0$0$0.096$0.00$0.00
25-290$0$0.068$0.00$0.00
30-340$0$0.087$0.00$0.00
35-394$100,000$0.106$10.60$0.00
40-443$110,000$0.144$15.84$0.00
45-495$140,000$0.182$25.48$0.00
50-545$170,000$0.305$51.85$0.00
55-5910$275,000$0.609$167.48$0.00
60-648$215,000$1.322$284.23$0.00
65-690$0$2.262$0.00$0.00
70 and Older0$0$3.526$0.00$0.00
Total Voluntary Employee Life35$1,010,000$555.48$0.00
Child Life (no AD&D) - REQUIRED
CountVolumeCurrent Rate/1,000Proposed Rate/1,000Current TotalProposed Total
Child Life494$4,694,000$0.070$328.58$0.00
Short Term Disability 14 Day- Per $10 of weekly covered benefit at 60% - REQUIRED
CountVolumeCurrent RatesProposed RatesCurrent TotalProposed Total
Under age 2590$52,258$0.418$2,184.38$0.00
25-29132$82,457$0.418$3,446.69$0.00
30-34122$85,824$0.418$3,587.44$0.00
35-39133$92,405$0.380$3,511.38$0.00
40-44118$86,238$0.323$2,785.49$0.00
45-49102$80,846$0.380$3,072.16$0.00
50-54117$87,237$0.428$3,733.74$0.00
55-59116$86,148$0.580$4,996.58$0.00
60 and Older147$95,247$0.713$6,791.10$0.00
Total STD 14 Day1,077$748,659$34,108.96$0.00
Short Term 90 Day- Per $10 of weekly covered benefit at 60% - REQUIRED
CountVolumeCurrent RatesProposed RatesCurrent TotalProposed Total
Under age 2562$34,823$0.105$365.64$0.00
25-2969$42,168$0.105$442.76$0.00
30-3454$36,246$0.114$413.20$0.00
35-3944$29,741$0.114$339.05$0.00
40-4447$32,856$0.114$374.56$0.00
45-4937$29,383$0.133$390.80$0.00
50-5431$27,110$0.133$360.56$0.00
55-5942$30,922$0.181$559.69$0.00
60 and Older57$39,240$0.219$859.36$0.00
Total STD 90 Day443$302,489$4,105.63$0.00
Long Term 90 Day- Per $100 of monthly Predisability earnings - REQUIRED
CountVolumeCurrent RatesProposed RatesCurrent TotalProposed Total
Age 29 and under50$216,257$0.152$328.71$0.00
30-3423$107,259$0.247$264.93$0.00
35-3923$114,346$0.342$391.06$0.00
40-4426$151,920$0.599$910.00$0.00
45-4928$152,107$0.941$1,431.33$0.00
50-5441$228,737$1.292$2,955.28$0.00
55-5931$164,394$1.520$2,498.79$0.00
60-6419$103,188$1.444$1,490.04$0.00
65 and Over8$37,281$0.884$329.56$0.00
Total LTD 90 Day249$1,275,488$10,599.69$0.00
Long Term 180 Day -Per $100 of monthly Predisability Earnings - REQUIRED
CountVolumeCurrent RatesProposed RatesCurrent TotalProposed Total
Age 29 and under265$1,141,013$0.105$1,198.06$0.00
30-34129$638,398$0.162$1,034.20$0.00
35-39143$704,617$0.238$1,676.99$0.00
40-44155$825,092$0.409$3,374.63$0.00
45-49142$815,198$0.637$5,192.81$0.00
50-54143$790,786$0.874$6,911.47$0.00
55-59145$750,619$1.017$7,633.79$0.00
60-64141$692,381$0.950$6,577.62$0.00
65 and Over52$245,201$0.580$1,422.17$0.00
Total LTD 180 Day1,315$6,603,306$35,021.74$0.00
Total Monthly Premium for Life & Disability lines of coverage$176,206.24$0.00
Total Annual Premium for Life & Disability lines of coverage$2,114,474.84$0.00

Supplemental Health Premiums

Attachment C - Premiums Worksheet
Supplemental Health Premiums
Instructions:
1. Complete the highlighted cells for each line of coverage. Include no more than 2 plan options. County reserves the right to choose one or both options. For current plan provisions, please see Exhibit B - Certificates of Coverage.
2. Your proposed rates/monthly premiums must be guaranteed for at least three (3) years. Except for Critical Illness + Cancer which must be guaranteed for at least two (2) years, in compliance with Florida Administrative Code Rule 69O-149.005(14).
3. You must submit this completed form with your proposal and include an electronic copy in Excel format per the Request for Proposal.
REQUIRED - Accident
Monthly RatesProposed Plan 1Proposed Plan 2
Employee Only:
Employee + Spouse:
Employee + Child(ren):
Employee + Family:
# of Years Guaranteed (minimum 2027, 2028, and 2029)
REQUIRED - Hospital Indemnity
Monthly RatesProposed Plan 1Proposed Plan 2
Employee Only:
Employee + Spouse:
Employee + Child(ren):
Employee + Family:
# of Years Guaranteed (minimum 2027, 2028, and 2029)
REQUIRED - Critical Illness + Cancer
Monthly RatesProposed Plan 1Proposed Plan 2
Provide age-banded rate table; include child(ren in employee rate)
# of Years Guaranteed (minimum 2027 and 2028)
OPTIONAL - Permanent Life with Long Term Care or Chronic Condition
Rate IllustrationsProposed Plan 1
Provide monthly rates for a $50,000 benefit. As applicable include either guaranteed cash values at age 65 or Paid up Benefits.

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