Attachment_13_-_Evaluation_Questionnaire.pdf

ATTACHMENT 13

Evaluation Questionnaire

Section I: Technical Capability

1) Confirm your ability to provide all underwriting and administrative requirements in the Statement of Work. Please thoroughly explain any areas where your company cannot meet a requirement or where your agreement is conditional.

2) Describe your company’s ability to administer the plan effectively based on your relevant experience handling similar type and size plans; the quality of your office, marketing, and claims personnel; and your locations and facilities.

3) Describe your company’s group life insurance claims settlement system in detail. Please include information on the average timeframe to complete a claim payment.

4) Describe in detail your current quality assurance program for death claim processing and payments including performance and turnaround time standards.

5) How are claim disputes handled? Please describe your appeals process.

6) How do you detect and investigate fraud?

7) Describe how your company proposes to manage installation of the OCC Group Life

Program, including enrollment procedures.

8) What is an acceptable remittance frequency for you? The OCC currently remits bi-weekly for active employees and quarterly for retirees.

9) How is a deficit handled during an accounting period? Is it amortized over extended periods? If so, do you charge interest on the carryovers? How much?

10) Are you willing to provide firm fixed rates for Basic Life and Optional coverage for five years? If not, please provide the number of years you are willing to provide and the rational.

11) Please provide a detailed description of the methodology for setting renewal rates and indicate when such rates will be provided to OCC.

12) Describe the procedures that your company would follow in the event of termination of the contract. When will the final accounting be available? How soon after this date will your company refund any surpluses in the PSR to the OCC or to the subsequent Insurance provider.

13) Please identify the state that this contract will be taking SITUS. Please take into account some of the unusual features of the OCC Life Program, e.g. domestic partner coverage.

14) Describe your medical EOI approval process. Does your company have the ability to allow employees to submit EOI information online? How will OCC be informed of application status?

15) Describe the cost to the OCC for conversion policies and how it is assessed. Provide a current premium chart for conversion policy. Is portability available as an option to conversion? If so, what qualifies a former employee for portability and is there a charge to OCC if a former employee elects this option?

Section II: Key Personnel and Support Services

16) Will customer services support to employees be provided? If so, from what location?

What are the hours of operation? Will there be a toll-free phone number? Describe how customer services staff will be made knowledgeable of the OCC Group Life Insurance Program.

17) Describe the experience and qualifications of the Account Manager who will be proposed for the OCC.

18) Which location will be designated to handle the processing of applications for claims, EOI, conversion requests, and other requests? Describe each application process and indicate the number of processing staff that will be available to support the OCC Group Life Program.

19) What other support services will be available by the contractor to the OCC and its employees?

Section III: Company Experience

20) Provide a legal description and a brief history of your company (limit response to no more than two paragraphs). Include the year your company began providing life insurance to employer groups and the total number of employees employed by your company. Indicate if your company provides other types of employer group insurance or services. Also identify your company’s headquarters location and other geographical locations.

Section IV: Pricing

Please confirm that your quoted premium rates include the following services or supplies. Please identify charges for services not included in the quoted rates or administrative fees:

Service or Supply Included Y or N

Charge (if not included)

Comments

Banking arrangements Booklets and Plan Documents Administrative Manuals Customized or Standard Claim Forms (Please specify which)

Customized or Standard Enrollment/Change Forms (Please specify which)

Beneficiary Forms (Please specify which)

Conversion Forms (Please specify which)

Customized or Standard EOI forms (please specify which)

Accelerated Benefit Offer Forms (Please specify which)

PLEASE NOTE: THE ABILITY TO ANSWER THE QUESTIONS ABOVE DOES NOT

DETERMINE ELIGIBILITY FOR AWARD.