City of OKC - Dental RFP Questionaire - Final.xlsx

XLSX spreadsheet 1 MB Posted Apr 9, 2025

Attached to: Dental Program State and local contract opportunity
Solicitation number: RFP-OCMFA-042
Issued by: Oklahoma

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Other files for this state and local contract opportunity

Other files attached to Dental Program, newest first.
File	Type	Posted
2025 Active Benefits Guide.pdf	PDF	Apr 9, 2025
2025 Retiree Benefits Guide.pdf	PDF	Apr 9, 2025
Letter of Authorization.pdf	PDF	Apr 9, 2025
RFP Special Provisions Dental.pdf	PDF	Apr 9, 2025
Dental Client Report CITY OF OKLAHOMA CITY (2024 and 2023) CUR 01-01-24_12-31-24 PRI 01-01-23_12-31-23.pdf	PDF	Apr 9, 2025
General Instructions.pdf	PDF	Apr 9, 2025
Dental Client Report CITY OF OKLAHOMA CITY (2022) CUR 01-01-22_12-31-22 PRI 12-31-99_12-31-99.pdf	PDF	Apr 9, 2025
Sample Professional Services Agreement.pdf	PDF	Apr 9, 2025
2025 COKC Dental Renewal.pdf	PDF	Apr 9, 2025
City of OKC Dental Lag Report 2 2022 2023 2024.xlsx	XLSX spreadsheet	Apr 9, 2025
RFP Notice to Proposers Dental.pdf	PDF	Apr 9, 2025
Sample RFP Acord Form.pdf	PDF	Apr 9, 2025

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Front Cover

Request for Proposal - Dental Program

City of Oklahoma City

Prepared by:

Lockton Companies, LLC

2100 Ross Avenue, Suite 1200

Dallas, TX 75201

(214) 969-6100 phone

www.lockton.com

Introduction Introduction

City of OKC has requested Lockton Companies assist in an evaluation of the market for the dental plans.

We have provided plan design, census data and all available claims/experience information.

The request is to provide several different options:

1) Mirror current

2) Increased maximums (as shown in plan design tabs)

3) Rollover feature (if you have the capability)

4) Increased maximums and rollover feature

Proposal Guidelines
v	Please provide fully insured dental proposals.

Proposal Guidelines
For all proposals:
v	Quote matching the current plan designs and clearly define all deviations.
v	Provide an alternative quote that has a higher annual maximum and lifetime ortho maximum.
v	Provide an alternative quote that includes an annual maximum rollover feature to promote routine preventive care and continuous dental health.
v	Please provide the following information:
	Ø	Applicable four tier premiums for all options quoted.
	Ø	Network GeoAccess for all locations using criteria specified in proposal.
	Ø	Benefit summaries for all plans quoted.
	Ø	Standard proposal material.

Effective Date

January 1, 2026

Proposals should be uploaded via the City's online procurement site

Lockton Team - Dunning Series

Morgan Young

Kristy Hinojosa

Michael Plumer

Commission Level

Net commissions

Service

Rates

Rate Validation/Check

Network Accessibility

Claims Service

New Client/Prospect

Renewal Review

Other

Flat fee

Capitated fee (per employee per month)

Flat percentage of premium

Graded percentage of premium

Member-based sliding schedule

Net of commission

Other

&"Garamond,Regular"&8&G &"Garamond,Regular"&8&P

Bidder Information

Vendor Name

Vendor Contact Name

Vendor Contact Email

Vendor Contact Phone Number

Vendor Fax

Plan Design - High Requested Dental Plan Design

Current: High Option Dental Plan Proposed Plan - High Option (mirror current) (to be completed by bidder)

	BCBSOK		Carrier Name
General Plan Information	In-Network	Out-of-Network	In-Network	Out-of-Network
Annual Deductible	$50/$150
Annual Plan Maximum	$1,500 per person		$1,500 per person
Lifetime Orthodontia Plan Maximum	$1,200 (adult and child)		$1,200 (adult and child)
Three Month Deductible Carryover Applies	Yes
Prior Carrier Deductible Credit Applies	Yes
Preventive Services
Preventive Coinsurance	100%
Oral Exams	100%
Bitewing X-Rays	100%
Complete series or Panoramic X-Rays	100%
Cleaning and Scaling	100%
Fluoride Treatments	100%
Sealants	100%
Basic Services
Basic Coinsurance	80%
Restorative: Fillings	80%
Simple Extractions	80%
Amalgam and Resin-Based Fillings	80%
General Anesthesia or IV Sedation	80%
Major Services
Major Coinsurance	50%
Oral Surgery	50%
Periodontic Treatment	50%
Endodontic Treatment	50%
Inlays and Onlays	50%
Crowns, Bridges and Dentures	50%
Complex Extrations	50%
Dentures and Denture Repair	50%
Implants	50%
Orthodontia Services
Orthodontia Coinsurance	50%
Dependent Children (up to age 26)	Yes
Adults	Yes
Rollover Incentive
Rollover Amount	N/A		N/A
Rollover Requirements	N/A		N/A

PD - High Increase Max Requested Dental Plan Design - Increase Maximum

Current: High Option Dental Plan Proposed Plan - High Option (Increased Maximums) (to be completed by bidder)

	BCBSOK		Carrier Name
General Plan Information	In-Network	Out-of-Network	In-Network	Out-of-Network
Annual Deductible	$50/$150
Annual Plan Maximum	$1,500 per person		$2,000 per person
Lifetime Orthodontia Plan Maximum	$1,200 (adult and child)		$2,000 (adult and child)
Three Month Deductible Carryover Applies	Yes
Prior Carrier Deductible Credit Applies	Yes
Preventive Services
Preventive Coinsurance	100%
Oral Exams	100%
Bitewing X-Rays	100%
Complete series or Panoramic X-Rays	100%
Cleaning and Scaling	100%
Fluoride Treatments	100%
Sealants	100%
Basic Services
Basic Coinsurance	80%
Restorative: Fillings	80%
Simple Extractions	80%
Amalgam and Resin-Based Fillings	80%
General Anesthesia or IV Sedation	80%
Major Services
Major Coinsurance	50%
Oral Surgery	50%
Periodontic Treatment	50%
Endodontic Treatment	50%
Inlays and Onlays	50%
Crowns, Bridges and Dentures	50%
Complex Extrations	50%
Dentures and Denture Repair	50%
Implants	50%
Orthodontia Services
Orthodontia Coinsurance	50%
Dependent Children (up to age 26)	Yes
Adults	Yes
Rollover Incentive
Rollover Amount	N/A		N/A
Rollover Requirements	N/A		N/A

PD - High Rollover Requested Dental Plan Design - Increase Rollover

Current: High Option Dental Plan Proposed Plan - High Option (Rollover Incentive) (to be completed by bidder)

	BCBSOK		Carrier Name
General Plan Information	In-Network	Out-of-Network	In-Network	Out-of-Network
Annual Deductible	$50/$150
Annual Plan Maximum	$1,500 per person		$1,500 per person
Lifetime Orthodontia Plan Maximum	$1,200 (adult and child)		$1,200 (adult and child)
Three Month Deductible Carryover Applies	Yes
Prior Carrier Deductible Credit Applies	Yes
Preventive Services
Preventive Coinsurance	100%
Oral Exams	100%
Bitewing X-Rays	100%
Complete series or Panoramic X-Rays	100%
Cleaning and Scaling	100%
Fluoride Treatments	100%
Sealants	100%
Basic Services
Basic Coinsurance	80%
Restorative: Fillings	80%
Simple Extractions	80%
Amalgam and Resin-Based Fillings	80%
General Anesthesia or IV Sedation	80%
Major Services
Major Coinsurance	50%
Oral Surgery	50%
Periodontic Treatment	50%
Endodontic Treatment	50%
Inlays and Onlays	50%
Crowns, Bridges and Dentures	50%
Complex Extrations	50%
Dentures and Denture Repair	50%
Implants	50%
Orthodontia Services
Orthodontia Coinsurance	50%
Dependent Children (up to age 26)	Yes
Adults	Yes
Rollover Incentive
Rollover Amount	N/A
Rollover Requirements	N/A

PD - High Max & Rollover Requested Dental Plan Design - Increase Maximum and Rollover

Current: High Option Dental Plan Proposed Plan - High Option (Rollover Incentive) (to be completed by bidder)

	BCBSOK		Carrier Name
General Plan Information	In-Network	Out-of-Network	In-Network	Out-of-Network
Annual Deductible	$50/$150
Annual Plan Maximum	$1,500 per person		$2,000 per person
Lifetime Orthodontia Plan Maximum	$1,200 (adult and child)		$2,000 (adult and child)
Three Month Deductible Carryover Applies	Yes
Prior Carrier Deductible Credit Applies	Yes
Preventive Services
Preventive Coinsurance	100%
Oral Exams	100%
Bitewing X-Rays	100%
Complete series or Panoramic X-Rays	100%
Cleaning and Scaling	100%
Fluoride Treatments	100%
Sealants	100%
Basic Services
Basic Coinsurance	80%
Restorative: Fillings	80%
Simple Extractions	80%
Amalgam and Resin-Based Fillings	80%
General Anesthesia or IV Sedation	80%
Major Services
Major Coinsurance	50%
Oral Surgery	50%
Periodontic Treatment	50%
Endodontic Treatment	50%
Inlays and Onlays	50%
Crowns, Bridges and Dentures	50%
Complex Extrations	50%
Dentures and Denture Repair	50%
Implants	50%
Orthodontia Services
Orthodontia Coinsurance	50%
Dependent Children (up to age 26)	Yes
Adults	Yes
Rollover Incentive
Rollover Amount	N/A
Rollover Requirements	N/A

Plan Design - Low Requested Dental Plan Design - Mirror Current

Current: Low Option Dental Plan Proposed Plan - Low Option (mirror current) (to be completed by bidder)

	BCBSOK		Carrier Name
General Plan Information	In-Network	Out-of-Network	In-Network	Out-of-Network
Annual Deductible	$50/$150
Annual Plan Maximum	$1,000 per person		$1,000 per person
Lifetime Orthodontia Plan Maximum	$1,000 (adult and child)		$1,000 (adult and child)
Three Month Deductible Carryover Applies	Yes
Prior Carrier Deductible Credit Applies	Yes
Preventive Services
Preventive Coinsurance	100%
Oral Exams	100%
Bitewing X-Rays	100%
Complete series or Panoramic X-Rays	100%
Cleaning and Scaling	100%
Fluoride Treatments	100%
Sealants	100%
Basic Services
Basic Coinsurance	80%	60%
Restorative: Fillings	80%	60%
Simple Extractions	80%	60%
Amalgam and Resin-Based Fillings	80%	60%
General Anesthesia or IV Sedation	80%	60%
Major Services
Major Coinsurance	50%	30%
Oral Surgery	50%	30%
Periodontic Treatment	50%	30%
Endodontic Treatment	50%	30%
Inlays and Onlays	50%	30%
Crowns, Bridges and Dentures	50%	30%
Complex Extrations	50%	30%
Dentures and Denture Repair	50%	30%
Implants	50%	30%
Orthodontia Services
Orthodontia Coinsurance	50%	30%
Dependent Children (up to age 26)	Yes
Adults	Yes
Rollover Incentive
Rollover Amount	N/A		N/A
Rollover Requirements	N/A		N/A

PD - Low Increase Max Requested Dental Plan Design -Increase Maximum

Current: Low Option Dental Plan Proposed Plan - Low Option (Increased Maximums) (to be completed by bidder)

	BCBSOK		Carrier Name
General Plan Information	In-Network	Out-of-Network	In-Network	Out-of-Network
Annual Deductible	$50/$150
Annual Plan Maximum	$1,000 per person		$1,250 per person
Lifetime Orthodontia Plan Maximum	$1,000 (adult and child)		$1,250 (adult and child)
Three Month Deductible Carryover Applies	Yes
Prior Carrier Deductible Credit Applies	Yes
Preventive Services
Preventive Coinsurance	100%
Oral Exams	100%
Bitewing X-Rays	100%
Complete series or Panoramic X-Rays	100%
Cleaning and Scaling	100%
Fluoride Treatments	100%
Sealants	100%
Basic Services
Basic Coinsurance	80%	60%
Restorative: Fillings	80%	60%
Simple Extractions	80%	60%
Amalgam and Resin-Based Fillings	80%	60%
General Anesthesia or IV Sedation	80%	60%
Major Services
Major Coinsurance	50%	30%
Oral Surgery	50%	30%
Periodontic Treatment	50%	30%
Endodontic Treatment	50%	30%
Inlays and Onlays	50%	30%
Crowns, Bridges and Dentures	50%	30%
Complex Extrations	50%	30%
Dentures and Denture Repair	50%	30%
Implants	50%	30%
Orthodontia Services
Orthodontia Coinsurance	50%	30%
Dependent Children (up to age 26)	Yes
Adults	Yes
Rollover Incentive
Rollover Amount	N/A		N/A
Rollover Requirements	N/A		N/A

PD - Low Rollover Requested Dental Plan Design - Rollover

Current: Low Option Dental Plan Proposed Plan - Low Option (Rollover Incentive) (to be completed by bidder)

	BCBSOK		Carrier Name
General Plan Information	In-Network	Out-of-Network	In-Network	Out-of-Network
Annual Deductible	$50/$150
Annual Plan Maximum	$1,000 per person		$1,000 per person
Lifetime Orthodontia Plan Maximum	$1,000 (adult and child)		$1,000 (adult and child)
Three Month Deductible Carryover Applies	Yes
Prior Carrier Deductible Credit Applies	Yes
Preventive Services
Preventive Coinsurance	100%
Oral Exams	100%
Bitewing X-Rays	100%
Complete series or Panoramic X-Rays	100%
Cleaning and Scaling	100%
Fluoride Treatments	100%
Sealants	100%
Basic Services
Basic Coinsurance	80%	60%
Restorative: Fillings	80%	60%
Simple Extractions	80%	60%
Amalgam and Resin-Based Fillings	80%	60%
General Anesthesia or IV Sedation	80%	60%
Major Services
Major Coinsurance	50%	30%
Oral Surgery	50%	30%
Periodontic Treatment	50%	30%
Endodontic Treatment	50%	30%
Inlays and Onlays	50%	30%
Crowns, Bridges and Dentures	50%	30%
Complex Extrations	50%	30%
Dentures and Denture Repair	50%	30%
Implants	50%	30%
Orthodontia Services
Orthodontia Coinsurance	50%	30%
Dependent Children (up to age 26)	Yes
Adults	Yes
Rollover Incentive
Rollover Amount	N/A
Rollover Requirements	N/A

PD - Low Max & Rollover Requested Dental Plan Design - Increase Maximum and Rollover

Current: Low Option Dental Plan Proposed Plan - Low Option (Rollover Incentive) (to be completed by bidder)

	BCBSOK		Carrier Name
General Plan Information	In-Network	Out-of-Network	In-Network	Out-of-Network
Annual Deductible	$50/$150
Annual Plan Maximum	$1,000 per person		$1,250 per person
Lifetime Orthodontia Plan Maximum	$1,000 (adult and child)		$1,250 (adult and child)
Three Month Deductible Carryover Applies	Yes
Prior Carrier Deductible Credit Applies	Yes
Preventive Services
Preventive Coinsurance	100%
Oral Exams	100%
Bitewing X-Rays	100%
Complete series or Panoramic X-Rays	100%
Cleaning and Scaling	100%
Fluoride Treatments	100%
Sealants	100%
Basic Services
Basic Coinsurance	80%	60%
Restorative: Fillings	80%	60%
Simple Extractions	80%	60%
Amalgam and Resin-Based Fillings	80%	60%
General Anesthesia or IV Sedation	80%	60%
Major Services
Major Coinsurance	50%	30%
Oral Surgery	50%	30%
Periodontic Treatment	50%	30%
Endodontic Treatment	50%	30%
Inlays and Onlays	50%	30%
Crowns, Bridges and Dentures	50%	30%
Complex Extrations	50%	30%
Dentures and Denture Repair	50%	30%
Implants	50%	30%
Orthodontia Services
Orthodontia Coinsurance	50%	30%
Dependent Children (up to age 26)	Yes
Adults	Yes
Rollover Incentive
Rollover Amount	N/A
Rollover Requirements	N/A

Rates & Contributions

BCBSOK	BCBSOK
High Plan Option	Low Plan Option

Current Current

Plan Name		Monthly Rate	Monthly Rate
Plan 1
	Employee Only	$36.03	$24.43
	Employee + One	$72.03	$48.90
	Employee + Family	$115.25	$78.19
		Vendor Name	Vendor Name
		High Plan Option	Low Plan Option

Proposed with Current Plan Design Proposed with Current Plan Design

Plan Name		Monthly Rate	Monthly Rate
Plan 1
	Employee Only
	Employee + One
	Employee + Family
	Rate Guarantee
		Vendor Name	Vendor Name
		High Plan Option	Low Plan Option

Proposed with increased maximums Proposed with increased maximums

Plan Name		Monthly Rate	Monthly Rate
Plan 1
	Employee Only
	Employee + One
	Employee + Family
	Rate Guarantee
		Vendor Name	Vendor Name
		High Plan Option	Low Plan Option

Proposed with rollover incentive Proposed with rollover incentive

Plan Name		Monthly Rate	Monthly Rate
Plan 1
	Employee Only
	Employee + One
	Employee + Family
	Rate Guarantee
		Vendor Name	Vendor Name
		High Plan Option	Low Plan Option

Proposed with rollover incentive AND increased maximums Proposed with rollover incentive AND increased maximums

Plan Name		Monthly Rate	Monthly Rate
Plan 1
	Employee Only
	Employee + One
	Employee + Family
	Rate Guarantee

Questionnaire Dental Questionnaire

Organization			[Insert Carrier Name]
v	Identify and describe your relevant experience with administering dental services similar to this plan in both size and design.
v	Provide three current client references similar in size (based on funded lives) and industry. Include contact name, title and phone number.
v	Provide three prior client references similar in size (based on funded lives) and industry. Include contact name, title, and phone number.
Implementation
v	Describe your process for implementation of the benefit plan including:
	v	Timeline required by your company.
	v	ID card design and welcome package options including time needed for approval by City of OKC .
	v	Claim form design and approval from City of OKC .
	v	Participant material production, review, approval, and distribution process.
	v	Implementation and open enrollment communication strategy.
	v	Assuming a business award date of September 1, please include a copy of your detailed transition plan/timeline that includes completion dates for each specific task. List any start-up fees.
v	Please provide an implementation guarantee that includes having ID cards in employees hands and loading/testing of all benefits accurately on or before the effective date of the new plan. Include 'drop dead' dates for receiving all information and the fees you will place at risk for non-performance.

v	What type of cost and performance guarantees are you willing to provide for the following areas, along with the amount you will be putting at risk:
	v	Implementation
	v	Delivery of Cards
	v	Delivery of Contract/SPD
	v	Account Management
	v	Claims Processing
	v	Customer Service
	v	Reporting
v	Are your fees (rates) guaranteed for five years (1 year contract with 4 one year optional renewals)?
v	Do you provide introductory letters to member homes?
	v	If so, please provide a copy of your standard new member communications materials.
v	Are you willing to work with the incumbent vendor to transfer data electronically through out the implementation phase?
v	Can you integrate data with the City of OKC's BenAdmin system, Oracle?

v	Are you willing to set up and host a "Net Meeting" or a "Web Cast" in order to accommodate open enrollment?
v	Please indicate if you will allow enrolled members to change or drop coverage during an annual open enrollment period.
v	What is the minimum amount of time you believe is necessary to implement City of OKC's plans in an efficient and effective manner?
v	Do you offer an integrated program (one system, one member, service number, etc.)?
v	Will your team be available to be onsite for one day during open enrollment for the annual healthfair?
v	What specific information, not already provided in this RFP, do you need in order to be able to implement properly?
Communication
v	Do you provide the following at no additional cost?
	v	Enrollment kits, posters, brochures
	v	Monthly employee articles
	v	Monthly payroll stuffers
	v	Wallet cards
	v	Ongoing employee orientations
	v	Participate in health fairs and/or organizational events
	v	Monthly HR e-mailer
	v	Member access to a Web site for educational tools
	v	Can your Web site be customized by client?
Customer Service/Member Service
v	Describe your standards and procedures for maintaining contact with the employer and employee. Provide timing of these contacts.
v	Does your organization have service offices in Oklahoma City? If not, from which location will you service City of OKC's account?
v	Do these offices have previous experience in City of OKC's type of business? If yes, please specify which and what size employee groups. If not, what will you do to become familiar with the claims experience and nuances of City of OKC's business?
v	Will you guarantee that all incoming calls from City of OKC will be returned the same day they are placed? If not, provide a standard return call time and inlcude this in PG's.
v	Do you provide dedicated customer service teams to handle member questions/issues or do service center call agents handle claim issues?
v	The bidder will provide a description of their resources for effective and timely customer service. This will include current customer service staffing levels, dedicated staff commitments, customer service representative (CSR) training (initial and ongoing), systems for CSR call reporting and tracking, CSR performance management and other related activities.
v	Specify the documentation procedures for inquiries to the customer service department.
	v	What percentage of inquiries are documented?
	v	Are inquiries updated immediately?
v	Please answer the following regarding your customer service reporting capabilities.
	v	Will you provide client-specific reports?
	v	Will you provide issue-specific reports?
	v	How frequently will customer service reports be provided to City of OKC?
Account Management
v	Do you provide a dedicated account manager?
v	What is the current number of clients serviced by the account manager/account executive that would be assigned to City of OKC?
v	What was the turnover rates of your account managers for the last three years, respectively?
v	Will you provide support to City of OKC to manage client eligibility and other administrative tasks? Can City of OKC update in real time on-line?
v	How will you help City of OKC monitor plan performance?
v	How frequently do you provide status updates to your clients? What information is documented and provided at these meeting?
v	How often will your account manager review the quality and effectiveness of the program with the client?
Claims
v	Please provide the location(s) where City of OKC's claims would be paid.
v	How long have you been processing claims in this location(s)?
v	How many employees are located in this claims office(s)?
v	In this claims office(s), how many covered employees do you process claims for?
v	In this claims office(s), specify the number of accounts you process claims for by employee.
v	In this claims office(s), how many covered employees are included in the largest account for which your serve as claims administrator?
v	In this claims office(s), what is the average size account?
v	Will you allow City of OKC to choose an auditing firm, to perform an operational and claims audit, without incurring cost from you?
v	Do you have the capability to feed the client's Flexible Spending Account (FSA) vendor claims data to be used for substantiation of claims under the FSA program?
	v	Is it available for this client?
	v	If so, is there an additional cost for this service?
v	What claims reporting will be provided to monitor claims dollars paid in-network, dollars paid by participant tier, total savings attributable to network discounts, dollars not covered, etc? Provide samples of claims reports considered ‘Standard’ and those considered ‘Custom’ (additional cost).

Financial Information
v	Please describe the banking options for bill payment that are available to this client. Note: the City self administers and self bills based on enrollment counts
v	Please provide a detailed list of the standard exclusions and limitations included within your standard contract.
v	Have you waived the actively at work/non-confinement clause? Please explain.
v	Have you waived all limitations for preexisting conditions, missing teeth, etc. subject to plan provisions (no loss-no gain)?
v	Please provide your limitations/language regarding experimental/investigational procedures.
Benefit Plan Design
v	What incentive-based benefit plan designs and communication tools do you have to encourage semi-annual preventive care and ongoing dental health?

v	Please note any initial exclusions, exclusions after initial enrollment, and/or exclusions with a gap in coverage
v	Describe how recent improvements in your administrative systems and billing capabilities will enhance the internal administration at City of OKC.

v	What plan designs can you support?
v	What resources will you provide to ensure effective and timely communication of the new program?

v	Do you have the ability to price only desired services (i.e., a la carte) versus your full array of services?
v	Does your contract include a "missing tooth" exclusion? If so, please describe.
v	What provisions do you include in your provider contracts that will ensure dentists do not balance bill patients for amounts in excess of your reimbursement level? How often, and in what way, do you contact providers to educate them on contract provisions and administration?

Network and Provider Information
v	What is the average weighted discount (based on book of business utilization) in each of the areas City of OKC has locations?

v Complete a GeoAccess analysis using the census data in each employer location and identify the percentage of employees having no access to network providers by primary dentist and specialist. Please use a 10mi radius.

v What actions are you prepared to take to reduce or eliminate inadequacies in your current network service area? Please describe your process for reviewing nominations of non-participating dentists into your network and the percentage of successful additions occurring in the zip codes relevant to City of OKC.

v	Are you willing to guarantee your overall network savings percentage?
Reporting
v	Describe what reporting is available to City of OKC.
	v	Can City of OKC generate these reports? Is this reporting capability available on-line at no additional charge?
	v	Do you offer ad hoc or special-request reporting? Are these also available on-line? Are there additional fees for the standard reporting package and/or ad hoc reports? If so, explain costs.
v	What standard reports are available and how frequently (monthly, quarterly, annually)? Are there additional costs associated with any of these reports?
v	Does your reporting indicate the following:
	v	Total Identified Members
	v	Total Participating Members
	v	Total Members who declined participation
v	Are customized reports available through your organization's web site?
Underwriting and Renewal
v	Do you agree to provide the renewal no later than 210 days prior to the renewal date?
v	What credibility blend will be used for the first year renewal?
v	What credibility blend will be used for subsequent renewals?
v	What is your required retention percentage for a group of this size?
v	Do you use more than the most recent 12 months of claims in the calculation of the renewal?
v	What is your trend for a group of this size?
v	Will you use incurred or paid claims for the renewal calculation?

&"Garamond,Regular"&8&G &"Garamond,Regular"&8&P

Network Providers

Network Provider Comparison
Please indicate if the below providers are in your network					Please Select
Provider		NPI	TIN	In-Network or Out-of-Network	In Network
	RYAN BRACKETT	1982704417	842097996	Please Select	Out of Network
	ASHLEY LANMAN	1932141330	061755063	Please Select
	CHRISTOPHER HAFFNER	1861553315	831956023	Please Select
	MARK SHIRLEY	1154472496	161697252	Please Select
	MATTHEW COLE	1740442920	270995353	Please Select
	KIMBERLY MERRITT	1306374467	141981193	Please Select
	MELANIE EMERSON	1770691057	731616532	Please Select
	OMAR RASHEED	1619350089	731048272	Please Select
	ANH BUI	1336715010	833169405	Please Select
	STEVEN TRUONG	1184937195	462590326	Please Select
	GEORGE NAIFEH	1639111701	731161091	Please Select
	DANIEL WILGUESS	1215010913	432083958	Please Select
	LORI HOLDEN	1265544209	141981193	Please Select
	CHRIS RECKNAGEL	1518905553	731613618	Please Select
	KHALID AL ZUBI	1053849372	208697466	Please Select
	ANDREW GUTHRIE	1780618330	730778905	Please Select
	MARK KELLY	1578656393	844561050	Please Select
	JEFFREY SCAMMAHORN	1386135002	830797792	Please Select
	GRANT PITT	1689861346	263324837	Please Select
	MHD KOUZBARI	1326427907	202225597	Please Select
	STEFFAN SIGLER	1629426051	854367182	Please Select
	MONTE CAREL	1467539049	260533440	Please Select
	RICHARD HOMSEY III	1790089662	731012347	Please Select
	GREGORY CLIFFORD	1861806069	475352444	Please Select
	GLENN ASHMORE	1750379921	731048272	Please Select
	SANDY GRACE	1265613434	800011421	Please Select
	JOHN MILLER	1588666044	731510853	Please Select
	JOHN DANNER	1245317064	731491460	Please Select
	STEPHEN BUCHANAN	1861438145	273382885	Please Select
	MALORI MILLS	1689088759	141981193	Please Select
	VAN VU	1235390808	462205300	Please Select
	TUNG NGUYEN	1639559446	462407557	Please Select
	JOSEPH SEBOURN	1427287846	731048272	Please Select
	ROBERT MOLLOY	1619162054	680582635	Please Select
	DONALD WYATT	1194704098	731521689	Please Select
	ROBERT TRENT	1487798815	454124023	Please Select
	YOUSEF SALOUS	1790164747	462205300	Please Select
	JUDSON MAY	1992153993	454276429	Please Select
	STEVEN KENDRICK	1194866830	460512305	Please Select
	BRIAN CHASTAIN	1629275714	273582005	Please Select
	PATRICK CROWLEY	1033556568	474303216	Please Select
	VICTORIA BALL	1205243482	822195724	Please Select
	CLINT PITT	1275854846	462046981	Please Select
	CHELSEA HARPER	1194011866	273382885	Please Select
	EDWARD HARROZ III	1417155698	680534517	Please Select
	CARSON NAIL	1033592381	475529499	Please Select
	GERMAN LUEZAS	1598993537	472736302	Please Select
	MATTHEW COLE	1740442920	452726075	Please Select
	RODNEY SANDBURG	1154443828	202820876	Please Select

Geo Access

Providers
Employee Group	Count with Access	Average Distance	Count w/out Access	Average Distance
Urban (10mi)
Suburban (15mi)
Rural (20 mi)
Specialists
Employee Group	Count with Access	Average Distance	Count w/out Access	Average Distance
Urban (10mi)
Suburban (15mi)
Rural (20 mi)

Performance Guarantees

Dental Performance Guarantees
Please summarize your proposed performance guarantees for City of OKC below including the minimum standard, how that standard is measured and the dollar or percentage you are willing to place at risk.
Service	Definition	Minimum Standard	How is the Minimum Standard Measured?	% at Risk (include what amount of risk is based on, i.e., Base Admin. Fee)
Implementation
Account Implementation
ID Cards
Claim Readiness
Call Readiness
Account Management
Overall Account Management
Claim Administration
Claim Turnaround Time
Claim Processing Accuracy
Claim Financial Accuracy
Total Claim Accuracy
External Audits
Member Services
Inquiry Resolution
Abandoned Calls
Average Speed to Answer
Eligibility Processing
Member Satisfaction
Other Performance Guarantee(s)
Other
Other
Other
Performance Guarantee Questions
When are the PGs measured?
When are PGs paid out?
Are you willing to offer a separate implementation guarantee agreement?
Are the guarantees combined with other coverage?

Overall Total At Risk $ %

&"Garamond,Regular"&8&G &"Garamond,Regular"&8&P

Census

Employee Census
Plan Sponsor:	City of Oklahoma City
Completed By:	Kristy Hinojosa
Date Data Verified:	2/7/25

	Count	Gender	Date of Birth	Date of Hire	Status
(Employee, Retired, LOA, COBRA)	City	State	Zip	Dental Plan	Tier
	1	Female	2/9/72	1/11/19	Employee	OKLAHOMA CITY	OK	73160	Dental Low	Employee + 1
	2	Female	2/9/72	1/11/19	Employee	OKLAHOMA CITY	OK	73160	Dental Low	Employee + 1
	3	Male	11/22/63	4/17/92	Employee	OKLAHOMA CITY	OK	73165	Dental Low	Employee Only
	4	Male	12/10/52	10/2/23	Employee	Oklahoma City	OK	73162	Dental High	Employee + 1
	5	Male	3/26/60	6/10/86	Employee	OKLAHOMA CITY	OK	73179	Dental Low	Employee + 1
	6	Male	6/21/57	5/19/82	Employee	OKLAHOMA CITY	OK	73112	Dental High	Employee + 1
	7	Male	7/16/69	6/14/91	Employee	Oklahoma City	OK	73121	Dental High	Employee + 2 or More
	8	Female	3/14/57	12/12/79	Employee	OKLAHOMA CITY	OK	73159	Dental High	Employee Only
	9	Male	9/8/57	5/1/78	Employee	OKLAHOMA CITY	OK	73159	Dental Low	Employee + 2 or More
	10	Male	10/21/61	9/4/87	Employee	NORMAN	OK	73026	Dental High	Employee + 2 or More
	11	Female	3/20/53	10/18/23	Employee	Oklahoma City	OK	73114	Dental High	Employee Only
	12	Male	4/18/65	4/18/91	Employee	YUKON	OK	73099	Dental High	Employee + 1
	13	Female	2/9/67	3/16/90	Employee	NORMAN	OK	73072	Dental Low	Employee Only
	14	Female	10/22/45	9/22/72	Employee	EDMOND	OK	73012	Dental High	Employee Only
	15	Female	4/2/55	9/10/13	Employee	OKLAHOMA CITY	OK	73119	Dental High	Employee Only
	16	Male	12/7/59	1/10/22	Employee	EL RENO	OK	73036	Dental Low	Employee + 1
	17	Male	10/25/58	7/12/90	Employee	GUTHRIE	OK	73044	Dental High	Employee + 2 or More
	18	Female	3/9/62	1/23/92	Employee	DEL CITY	OK	73115	Dental Low	Employee Only
	19	Male	5/13/61	1/25/85	Employee	MIDWEST CITY	OK	73130	Dental Low	Employee + 1
	20	Female	3/31/71	11/20/92	Employee	YUKON	OK	73099	Dental High	Employee + 1
	21	Male	10/20/64	9/5/86	Employee	OKLAHOMA CITY	OK	73142	Dental High	Employee + 1
	22	Male	4/27/62	2/16/84	Employee	OKLAHOMA CITY	OK	73107	Dental Low	Employee + 1
	23	Female	9/9/67	8/10/07	Employee	YUKON	OK	73099	Dental Low	Employee Only
	24	Male	10/22/68	1/19/90	Employee	CHOCTAW	OK	73020	Dental High	Employee + 1
	25	Male	11/28/74	7/11/02	Employee	MCLOUD	OK	74851	Dental High	Employee + 2 or More
	26	Male	4/10/67	12/12/22	Employee	Meeker	OK	74855	Dental Low	Employee + 1
	27	Male	9/21/56	6/22/90	Employee	OKLAHOMA CITY	OK	73165	Dental High	Employee + 1
	28	Female	7/29/64	6/14/91	Employee	Wheatland	OK	73097	Dental High	Employee Only
	29	Male	7/14/71	3/24/95	Employee	OKLAHOMA CITY	OK	73170	Dental High	Employee + 2 or More
	30	Male	6/29/62	10/2/23	Employee	Blanchard	OK	73010	Dental Low	Employee + 1
	31	Male	7/8/60	12/15/81	Employee	OKLAHOMA CITY	OK	73132	Dental High	Employee + 2 or More
	32	Male	10/22/60	1/13/17	Employee	OKLAHOMA CITY	OK	73012	Dental High	Employee + 1
	33	Male	3/26/62	12/15/80	Employee	MCLOUD	OK	74851	Dental High	Employee + 1
	34	Male	2/10/63	9/4/87	Employee	EDMOND	OK	73034	Dental High	Employee + 1
	35	Male	9/25/64	4/4/22	Employee	TUTTLE	OK	73089	Dental Low	Employee Only
	36	Male	11/7/64	9/29/89	Employee	PIEDMONT	OK	73078	Dental Low	Employee + 1
	37	Male	10/10/59	1/24/90	Employee	BETHANY	OK	73008	Dental High	Employee Only
	38	Male	3/31/67	9/18/23	Employee	Choctaw	OK	73020	Dental High	Employee Only
	39	Male	9/18/74	1/8/21	Employee	OKLAHOMA CITY	OK	73117	Dental Low	Employee + 2 or More
	40	Female	11/18/73	11/6/92	Employee	OKLAHOMA CITY	OK	73142	Dental High	Employee Only
	41	Male	7/25/73	3/7/97	Employee	CHOCTAW	OK	73020	Dental Low	Employee + 2 or More
	42	Male	11/6/59	5/8/86	Employee	OKLAHOMA CITY	OK	73109	Dental High	Employee Only
	43	Male	6/22/72	6/24/11	Employee	Oklahoma City	OK	73139	Dental High	Employee Only
	44	Male	3/30/64	3/16/90	Employee	Edmond	OK	73013	Dental Low	Employee + 1
	45	Male	4/26/65	9/29/89	Employee	YUKON	OK	73099	Dental High	Employee + 1
	46	Male	4/20/66	9/29/89	Employee	OKLAHOMA CITY	OK	73170	Dental Low	Employee + 2 or More
	47	Female	4/14/66	1/29/90	Employee	MIDWEST CITY	OK	73130	Dental High	Employee + 1
	48	Male	3/31/63	11/13/23	Employee	Newalla	OK	74857	Dental High	Employee Only
	49	Male	12/30/53	1/13/84	Employee	OKLAHOMA CITY	OK	73120	Dental High	Employee + 1
	50	Male	11/23/56	3/13/20	Employee	TUTTLE	OK	73089	Dental High	Employee + 1
	51	Female	7/2/61	9/25/87	Employee	OKLAHOMA CITY	OK	73135	Dental Low	Employee Only
	52	Female	4/3/64	10/27/82	Employee	OKLAHOMA CITY	OK	73135	Dental High	Employee Only
	53	Male	2/17/63	9/29/89	Employee	EDMOND	OK	73025	Dental High	Employee + 1
	54	Female	11/29/62	1/25/84	Employee	OKLAHOMA CITY	OK	73136	Dental Low	Employee Only
	55	Male	7/27/61	1/30/89	Employee	NORMAN	OK	73071	Dental Low	Employee + 1
	56	Female	9/1/70	2/28/92	Employee	Norman	OK	73069	Dental Low	Employee Only
	57	Male	5/17/65	8/24/84	Employee	OKLAHOMA CITY	OK	73112	Dental High	Employee + 1
	58	Male	6/23/66	6/14/91	Employee	EDMOND	OK	73034	Dental High	Employee + 1
	59	Male	8/26/65	3/18/24	Employee	Oklahoma City	OK	73139	Dental Low	Employee + 1
	60	Male	10/28/65	4/15/88	Employee	NEWCASTLE	OK	73065	Dental High	Employee + 1
	61	Female	11/16/68	5/20/94	Employee	EDMOND	OK	73012	Dental High	Employee + 2 or More
	62	Male	9/13/68	3/16/90	Employee	BLANCHARD	OK	73010	Dental Low	Employee + 2 or More
	63	Female	6/30/71	3/8/90	Employee	OKLAHOMA CITY	OK	73173	Dental Low	Employee + 2 or More
	64	Male	5/27/56	3/29/19	Employee	OKLAHOMA CITY	OK	73112	Dental High	Employee Only
	65	Female	10/29/57	5/31/85	Employee	OKLAHOMA CITY	OK	73101	Dental High	Employee + 1
	66	Female	7/4/66	1/3/94	Employee	Oklahoma City	OK	73160	Dental High	Employee Only
	67	Male	9/2/58	2/27/97	Employee	OKLAHOMA CITY	OK	73128	Dental High	Employee Only
	68	Female	7/15/63	1/25/82	Employee	SPENCER	OK	73084	Dental High	Employee Only
	69	Female	12/29/61	2/16/84	Employee	OKLAHOMA CITY	OK	73159	Dental High	Employee Only
	70	Female	1/4/68	2/21/91	Employee	Oklahoma City	OK	73117	Dental High	Employee Only
	71	Male	4/11/64	11/12/24	Employee	Norman	OK	73070	Dental High	Employee Only
	72	Male	10/11/66	10/11/21	Employee	MIDWEST CITY	OK	73110	Dental Low	Employee + 1
	73	Male	9/23/67	9/30/91	Employee	MUSTANG	OK	73064	Dental Low	Employee + 2 or More
	74	Male	9/11/66	10/28/88	Employee	Oklahoma City	OK	74851	Dental Low	Employee + 2 or More
	75	Male	5/24/65	10/19/90	Employee	NEWCASTLE	OK	73065	Dental Low	Employee + 1
	76	Male	11/23/66	4/15/88	Employee	NEWALLA	OK	74857	Dental High	Employee + 1
	77	Female	12/2/59	6/17/99	Employee	OKLAHOMA CITY	OK	73159	Dental High	Employee Only
	78	Male	8/12/63	2/6/92	Employee	OKLAHOMA CITY	OK	73121	Dental High	Employee + 1
	79	Female	4/18/57	12/7/81	Employee	OKLAHOMA CITY	OK	73149	Dental High	Employee Only
	80	Male	9/13/60	11/1/82	Employee	JONES	OK	73049	Dental High	Employee + 1
	81	Male	12/20/66	4/17/92	Employee	CHOCTAW	OK	73020	Dental High	Employee + 1
	82	Male	12/24/66	4/17/92	Employee	NEWCASTLE	OK	73065	Dental Low	Employee + 1
	83	Male	7/21/64	3/8/89	Employee	SPENCER	OK	73084	Dental High	Employee + 1
	84	Male	11/9/65	6/14/91	Employee	CHOCTAW	OK	73020	Dental High	Employee + 2 or More
	85	Male	10/9/67	6/14/91	Employee	OKLAHOMA CITY	OK	73170	Dental Low	Employee Only
	86	Male	1/18/68	4/17/92	Employee	OKLAHOMA CITY	OK	73170	Dental High	Employee + 2 or More
	87	Male	1/3/55	11/10/87	Employee	OKLAHOMA CITY	OK	73116	Dental High	Employee + 1
	88	Female	5/9/63	11/15/21	Employee	MIDWEST CITY	OK	73110	Dental Low	Employee + 1
	89	Female	10/31/68	4/24/92	Employee	OKLAHOMA CITY	OK	73132	Dental High	Employee + 1
	90	Female	12/5/65	12/17/86	Employee	EL RENO	OK	73036	Dental High	Employee + 1
	91	Male	8/18/69	6/14/91	Employee	OKLAHOMA CITY	OK	73159	Dental High	Employee + 1
	92	Male	7/24/69	3/31/89	Employee	OKLAHOMA CITY	OK	73116	Dental High	Employee + 1
	93	Male	7/5/63	11/29/85	Employee	MOORE	OK	73160	Dental Low	Employee + 1
	94	Male	6/8/57	1/25/08	Employee	EDMOND	OK	73012	Dental Low	Employee Only
	95	Female	5/6/65	12/1/95	Employee	OKLAHOMA CITY	OK	73111	Dental Low	Employee Only
	96	Female	4/15/61	10/9/81	Employee	YUKON	OK	73099	Dental High	Employee Only
	97	Female	1/5/63	3/16/90	Employee	NEWALLA	OK	74857	Dental High	Employee Only
	98	Male	1/14/69	4/17/92	Employee	OKLAHOMA CITY	OK	73170	Dental High	Employee + 2 or More
	99	Male	2/15/68	4/17/92	Employee	NEWALLA	OK	74857	Dental High	Employee + 1
	100	Male	9/2/55	10/16/09	Employee	OKLAHOMA CITY	OK	73127	Dental Low	Employee + 1
	101	Male	7/26/56	10/13/14	Employee	Oklahoma City	OK	73170	Dental Low	Employee + 1
	102	Male	1/29/59	9/4/87	Employee	OKLAHOMA CITY	OK	73049	Dental High	Employee Only
	103	Male	1/23/65	1/9/98	Employee	SPENCER	OK	73084	Dental Low	Employee + 1
	104	Male	7/16/65	4/17/92	Employee	Edmond	OK	73034	Dental Low	Employee + 2 or More
	105	Male	8/24/61	8/14/15	Employee	OKLAHOMA CITY	OK	73150	Dental Low	Employee Only
	106	Female	10/3/60	3/15/88	Employee	Oklahoma City	OK	73170	Dental High	Employee + 2 or More
	107	Female	9/27/59	7/28/16	Employee	OKLAHOMA CITY	OK	73142	Dental Low	Employee Only
	108	Female	2/24/66	2/8/01	Employee	Edmond	OK	73012	Dental High	Employee + 1
	109	Female	1/18/60	10/25/91	Employee	OKLAHOMA CITY	OK	73112	Dental High	Employee Only
	110	Male	10/27/60	10/2/23	Employee	Mustang	OK	73064	Dental Low	Employee + 1
	111	Male	10/11/63	6/14/91	Employee	NEWALLA	OK	74857	Dental High	Employee + 1
	112	Male	11/6/66	3/16/90	Employee	NORMAN	OK	73069	Dental High	Employee + 1
	113	Female	7/4/61	9/7/21	Employee	MUSTANG	OK	73064	Dental Low	Employee + 1
	114	Male	4/10/64	9/5/89	Employee	EDMOND	OK	73003	Dental High	Employee Only
	115	Male	8/6/62	3/16/90	Employee	NORMAN	OK	73072	Dental High	Employee + 1
	116	Male	10/1/66	8/8/91	Employee	MOORE	OK	73160	Dental High	Employee Only
	117	Male	10/5/70	7/2/93	Employee	OKLAHOMA CITY	OK	73102	Dental Low	Employee + 1
	118	Male	4/17/64	10/25/85	Employee	CASHION	OK	73016	Dental Low	Employee + 2 or More
	119	Female	4/22/71	2/24/95	Employee	SHAWNEE	OK	74804	Dental High	Employee Only
	120	Female	11/25/63	9/29/89	Employee	OKLAHOMA CITY	OK	73112	Dental Low	Employee Only
	121	Female	11/17/67	9/6/90	Employee	PIEDMONT	OK	73078	Dental High	Employee Only
	122	Male	3/19/69	6/14/91	Employee	EDMOND	OK	73013	Dental High	Employee + 2 or More
	123	Male	7/17/70	5/19/95	Employee	OKLAHOMA CITY	OK	73118	Dental Low	Employee + 2 or More
	124	Female	12/18/67	10/2/89	Employee	YUKON	OK	73099	Dental High	Employee + 1
	125	Female	11/8/68	6/14/91	Employee	OKLAHOMA CITY	OK	73165	Dental Low	Employee + 1
	126	Female	7/18/66	1/31/92	Employee	OKLAHOMA CITY	OK	73122	Dental Low	Employee Only
	127	Female	10/7/61	10/16/89	Employee	OKLAHOMA CITY	OK	73170	Dental High	Employee + 1
	128	Male	5/9/66	10/18/90	Employee	Moore	OK	73160	Dental Low	Employee Only
	129	Female	9/6/67	2/26/93	Employee	OKLAHOMA CITY	OK	73156	Dental High	Employee + 1
	130	Male	5/23/55	3/21/91	Employee	NORMAN	OK	73071	Dental High	Employee + 1
	131	Male	3/12/62	11/7/88	Employee	SHAWNEE	OK	74801	Dental High	Employee + 1
	132	Male	6/19/59	7/9/92	Employee	OKLAHOMA CITY	OK	73120	Dental High	Employee Only
	133	Male	6/12/54	6/5/81	Employee	OKLAHOMA CITY	OK	73132	Dental High	Employee + 1
	134	Female	1/24/74	11/13/98	Employee	OKLAHOMA CITY	OK	73179	Dental High	Employee + 1
	135	Female	3/26/69	10/4/90	Employee	OKLAHOMA CITY	OK	73173	Dental High	Employee + 1
	136	Female	5/22/64	10/9/89	Employee	MIDWEST CITY	OK	73140	Dental High	Employee Only
	137	Female	1/9/64	10/12/90	Employee	HINTON	OK	73047	Dental High	Employee + 1
	138	Male	11/25/70	2/16/95	Employee	EDMOND	OK	73013	Dental High	Employee + 2 or More
	139	Female	12/30/61	9/15/87	Employee	OKLAHOMA CITY	OK	73170	Dental Low	Employee Only
	140	Male	6/22/63	12/26/97	Employee	DEL CITY	OK	73115	Dental High	Employee + 2 or More
	141	Female	3/27/63	11/23/90	Employee	BLANCHARD	OK	73010	Dental High	Employee + 2 or More
	142	Male	9/29/64	5/1/87	Employee	YUKON	OK	73099	Dental High	Employee + 1
	143	Female	9/3/64	8/21/98	Employee	YUKON	OK	73099	Dental Low	Employee + 1
	144	Male	4/7/60	3/6/98	Employee	MIDWEST CITY	OK	73110	Dental High	Employee + 1
	145	Male	8/27/70	6/12/23	Employee	The Village	OK	73120	Dental Low	Employee + 1
	146	Male	4/23/71	3/24/95	Employee	EDMOND	OK	73034	Dental Low	Employee + 2 or More
	147	Male	9/27/60	3/26/82	Employee	OKLAHOMA CITY	OK	73159	Dental High	Employee + 1
	148	Male	1/29/62	8/6/99	Employee	Warr Acres	OK	73132	Dental High	Employee + 2 or More
	149	Male	2/2/66	12/11/87	Employee	OKLAHOMA CITY	OK	73109	Dental Low	Employee Only
	150	Male	10/2/69	12/21/90	Employee	OKLAHOMA CITY	OK	73159	Dental Low	Employee + 1
	151	Male	8/8/65	3/2/90	Employee	OKLAHOMA CITY	OK	73170	Dental Low	Employee + 1
	152	Male	3/31/51	11/7/84	Employee	MIDWEST CITY	OK	73130	Dental Low	Employee Only
	153	Male	11/11/57	6/15/77	Employee	MIDWEST CITY	OK	73110	Dental High	Employee + 1
	154	Male	6/4/57	3/23/84	Employee	BETHANY	OK	73008	Dental High	Employee + 1
	155	Female	11/11/61	4/24/92	Employee	OKLAHOMA CITY	OK	73107	Dental High	Employee Only
	156	Male	9/22/58	10/26/87	Employee	OKLAHOMA CITY	OK	73170	Dental High	Employee + 1
	157	Male	1/27/65	10/13/86	Employee	NEWCASTLE	OK	73065	Dental Low	Employee + 2 or More
	158	Male	6/18/50	10/30/87	Employee	OKLAHOMA CITY	OK	73122	Dental High	Employee + 1
	159	Male	8/12/64	4/1/88	Employee	OKLAHOMA CITY	OK	73142	Dental Low	Employee + 1
	160	Male	6/14/56	7/12/89	Employee	MIDWEST CITY	OK	73130	Dental Low	Employee + 1
	161	Female	10/19/68	1/17/92	Employee	OKLAHOMA CITY	OK	73150	Dental Low	Employee + 2 or More
	162	Female	10/19/68	1/17/92	Employee	OKLAHOMA CITY	OK	73150	Dental Low	Employee + 2 or More
	163	Male	3/16/67	3/1/91	Employee	OKLAHOMA CITY	OK	73132	Dental High	Employee Only
	164	Male	5/24/70	3/1/91	Employee	OKLAHOMA CITY	OK	73111	Dental Low	Employee Only
	165	Male	11/16/63	3/1/91	Employee	NORMAN	OK	73069	Dental High	Employee + 1
	166	Male	4/26/64	5/8/92	Employee	OKLAHOMA CITY	OK	73114	Dental Low	Employee Only
	167	Male	10/7/67	9/4/98	Employee	OKLAHOMA CITY	OK	73111	Dental Low	Employee + 2 or More
	168	Male	12/17/62	1/24/90	Employee	Oklahoma City	OK	73162	Dental Low	Employee + 1
	169	Male	12/19/63	8/23/90	Employee	CHOCTAW	OK	73020	Dental High	Employee + 1
	170	Male	3/28/63	3/8/85	Employee	OKLAHOMA CITY	OK	73111	Dental High	Employee Only
	171	Male	1/3/66	9/11/92	Employee	OKLAHOMA CITY	OK	73114	Dental High	Employee Only
	172	Male	10/6/64	11/22/91	Employee	OKLAHOMA CITY	OK	73111	Dental High	Employee + 1
	173	Male	10/15/64	6/18/86	Employee	OKLAHOMA CITY	OK	73112	Dental High	Employee + 1
	174	Female	6/11/52	11/6/07	Employee	Oklahoma City	OK	73127	Dental High	Employee Only
	175	Female	4/13/70	3/7/91	Employee	OKLAHOMA CITY	OK	73109	Dental Low	Employee Only
	176	Male	12/7/67	4/28/89	Employee	YUKON	OK	73099	Dental High	Employee + 1
	177	Male	8/2/72	6/7/91	Employee	OKLAHOMA CITY	OK	73170	Dental Low	Employee + 2 or More
	178	Male	8/2/72	6/7/91	Employee	OKLAHOMA CITY	OK	73170	Dental Low	Employee + 2 or More
	179	Female	6/7/54	1/20/89	Employee	OKLAHOMA CITY	OK	73112	Dental Low	Employee Only
	180	Male	7/10/65	2/5/88	Employee	CHOCTAW	OK	73020	Dental Low	Employee + 1
	181	Male	12/1/61	3/10/86	Employee	OKLAHOMA CITY	OK	73170	Dental High	Employee + 1
	182	Male	4/10/61	11/1/79	Employee	OKLAHOMA CITY	OK	73105	Dental High	Employee Only
	183	Male	5/4/61	8/5/86	Employee	OKLAHOMA CITY	OK	73139	Dental Low	Employee + 1
	184	Female	2/7/63	11/30/89	Employee	GUTHRIE	OK	73044	Dental High	Employee Only
	185	Male	8/9/55	9/30/88	Employee	CHOCTAW	OK	73020	Dental High	Employee + 1
	186	Male	5/26/61	5/2/91	Employee	HARRAH	OK	73045	Dental High	Employee Only
	187	Female	4/13/67	7/8/88	Employee	SPENCER	OK	73084	Dental High	Employee Only
	188	Female	5/11/62	10/19/98	Employee	MUSTANG	OK	73064	Dental Low	Employee Only
	189	Male	11/5/66	12/27/90	Employee	CHOCTAW	OK	73020	Dental Low	Employee + 2 or More
	190	Male	12/7/62	6/3/85	Employee	SPENCER	OK	73084	Dental High	Employee Only
	191	Male	12/7/59	12/10/99	Employee	OKLAHOMA CITY	OK	73141	Dental High	Employee + 2 or More
	192	Male	6/24/61	8/22/86	Employee	OKLAHOMA CITY	OK	73120	Dental Low	Employee + 2 or More
	193	Male	1/20/67	3/5/92	Employee	OKLAHOMA CITY	OK	73142	Dental High	Employee + 2 or More
	194	Female	9/6/62	11/8/91	Employee	OKLAHOMA CITY	OK	73170	Dental High	Employee + 1
	195	Male	4/17/67	10/8/98	Employee	MUSTANG	OK	73064	Dental High	Employee + 2 or More
	196	Male	9/29/66	7/8/88	Employee	OKLAHOMA CITY	OK	73160	Dental High	Employee + 1
	197	Male	9/14/60	4/19/90	Employee	ATWOOD	OK	74827	Dental High	Employee + 1
	198	Male	6/24/67	10/12/90	Employee	MIDWEST CITY	OK	73110	Dental High	Employee + 1
	199	Female	5/25/56	10/25/82	Employee	OKLAHOMA CITY	OK	73119	Dental Low	Employee + 1
	200	Female	10/11/65	9/19/91	Employee	Oklahoma City	OK	73112	Dental High	Employee + 1
	201	Male	2/2/54	9/10/86	Employee	OKLAHOMA CITY	OK	73114	Dental High	Employee + 1
	202	Male	5/14/73	9/4/98	Employee	MUSTANG	OK	73064	Dental Low	Employee + 1
	203	Male	11/29/74	5/26/00	Employee	MUSTANG	OK	73064	Dental High	Employee + 2 or More
	204	Male	8/31/74	10/17/97	Employee	OKLAHOMA CITY	OK	73107	Dental High	Employee + 1
	205	Female	8/8/69	1/14/94	Employee	NORMAN	OK	73072	Dental High	Employee + 2 or More
	206	Male	9/29/69	8/17/92	Employee	OKLAHOMA CITY	OK	73142	Dental High	Employee Only
	207	Male	6/26/58	8/20/92	Employee	OKLAHOMA CITY	OK	73112	Dental High	Employee + 1
	208	Male	4/20/68	8/24/92	Employee	PIEDMONT	OK	73078	Dental High	Employee + 2 or More
	209	Male	12/5/64	9/17/92	Employee	YUKON	OK	73099	Dental Low	Employee + 1
	210	Male	2/12/70	9/25/92	Employee	OKLAHOMA CITY	OK	73170	Dental Low	Employee + 2 or More
	211	Female	3/21/67	9/25/92	Employee	WARR ACRES	OK	73122	Dental High	Employee + 1
	212	Male	2/15/65	9/25/92	Employee	Luther	OK	73054	Dental High	Employee Only
	213	Male	1/20/68	9/25/92	Employee	EDMOND	OK	73034	Dental High	Employee + 2 or More
	214	Male	11/20/68	9/25/92	Employee	OKLAHOMA CITY	OK	73150	Dental High	Employee + 1
	215	Male	4/4/70	9/25/92	Employee	EDMOND	OK	73013	Dental High	Employee Only
	216	Male	6/24/70	9/25/92	Employee	OKLAHOMA CITY	OK	73173	Dental High	Employee + 2 or More
	217	Male	6/4/71	1/9/98	Employee	YUKON	OK	73099	Dental Low	Employee + 2 or More
	218	Male	5/1/72	1/10/97	Employee	MOORE	OK	73160	Dental Low	Employee + 1
	219	Female	9/28/65	5/24/93	Employee	JONES	OK	73049	Dental High	Employee + 2 or More
	220	Female	3/17/67	3/24/95	Employee	OKLAHOMA CITY	OK	73173	Dental High	Employee Only
	221	Female	11/7/58	11/30/92	Employee	OKLAHOMA CITY	OK	73135	Dental High	Employee Only
	222	Female	5/11/74	11/3/95	Employee	OKLAHOMA CITY	OK	73111	Dental High	Employee + 2 or More
	223	Male	6/30/66	10/21/94	Employee	OKLAHOMA CITY	OK	73135	Dental Low	Employee + 2 or More
	224	Female	2/15/72	8/6/99	Employee	EDMOND	OK	73012	Dental High	Employee + 2 or More
	225	Female	12/30/65	3/4/93	Employee	CHOCTAW	OK	73020	Dental Low	Employee + 1
	226	Male	2/3/68	3/29/93	Employee	OKLAHOMA CITY	OK	73170	Dental High	Employee + 2 or More
	227	Male	9/9/74	11/20/97	Employee	DEL CITY	OK	73115	Dental High	Employee + 2 or More
	228	Female	7/15/63	7/30/93	Employee	EDMOND	OK	73012	Dental High	Employee + 1
	229	Female	9/5/61	9/16/11	Employee	OKLAHOMA CITY	OK	73170	Dental High	Employee Only
	230	Female	7/24/63	5/5/93	Employee	EDMOND	OK	73013	Dental High	Employee Only
	231	Male	11/24/69	5/7/93	Employee	EDMOND	OK	73012	Dental Low	Employee + 1
	232	Male	9/9/71	5/7/93	Employee	OKLAHOMA CITY	OK	73165	Dental High	Employee + 1
	233	Male	10/7/71	5/7/93	Employee	PIEDMONT	OK	73078	Dental Low	Employee + 2 or More
	234	Male	8/14/69	5/7/93	Employee	EDMOND	OK	73025	Dental High	Employee + 2 or More
	235	Male	10/10/65	5/7/93	Employee	OKLAHOMA CITY	OK	73064	Dental High	Employee + 1
	236	Male	7/10/62	5/7/93	Employee	OKLAHOMA CITY	OK	73142	Dental High	Employee + 1
	237	Male	12/29/62	5/7/93	Employee	OKLAHOMA CITY	OK	73162	Dental High	Employee Only
	238	Male	5/2/65	5/7/93	Employee	OKLAHOMA CITY	OK	73135	Dental High	Employee + 1
	239	Male	5/23/60	5/7/93	Employee	CHOCTAW	OK	73020	Dental High	Employee Only
	240	Male	4/2/68	5/7/93	Employee	PIEDMONT	OK	73078	Dental Low	Employee + 2 or More
	241	Male	6/3/68	5/7/93	Employee	EDMOND	OK	73013	Dental Low	Employee + 2 or More
	242	Male	12/24/63	5/7/93	Employee	OKLAHOMA CITY	OK	73162	Dental Low	Employee + 1
	243	Female	12/31/64	5/7/93	Employee	LUTHER	OK	73054	Dental High	Employee Only
	244	Male	3/15/71	5/7/93	Employee	MEEKER	OK	74855	Dental High	Employee + 2 or More
	245	Male	1/21/69	10/8/93	Employee	OKLAHOMA CITY	OK	73114	Dental High	Employee Only
	246	Female	11/21/68	5/24/93	Employee	OKLAHOMA CITY	OK	73170	Dental Low	Employee Only
	247	Male	4/12/73	4/18/97	Employee	OKLAHOMA CITY	OK	73135	Dental High	Employee Only
	248	Male	6/28/65	10/8/93	Employee	YUKON	OK	73099	Dental High	Employee + 1
	249	Male	3/8/68	7/8/93	Employee	NEWCASTLE	OK	73065	Dental High	Employee Only
	250	Female	11/18/60	5/23/03	Employee	OKLAHOMA CITY	OK	73112	Dental High	Employee Only
	251	Female	11/1/62	6/3/94	Employee	YUKON	OK	73099	Dental High	Employee Only
	252	Female	3/24/63	8/13/93	Employee	OKLAHOMA CITY	OK	73170	Dental High	Employee + 2 or More
	253	Male	7/25/73	3/24/95	Employee	MOORE	OK	73160	Dental High	Employee + 2 or More
	254	Male	5/1/62	9/8/93	Employee	NORMAN	OK	73072	Dental High	Employee + 1
	255	Female	4/23/67	9/16/93	Employee	MOORE	OK	73160	Dental High	Employee Only
	256	Female	4/14/65	9/16/93	Employee	OKLAHOMA CITY	OK	73117	Dental Low	Employee Only
	257	Female	5/19/69	11/22/13	Employee	EDMOND	OK	73013	Dental Low	Employee + 2 or More
	258	Male	1/24/65	1/28/94	Employee	OKLAHOMA CITY	OK	73170	Dental Low	Employee Only
	259	Male	5/13/70	6/6/14	Employee	OKLAHOMA CITY	OK	73131	Dental Low	Employee + 1

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Apr 10, 2025.