CSP013434_DAS001_Contract.pdf
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- Attached to
- Competitive Selection OH|CSP013434
- Contract number
- CSP013434
- Issued by
- Ohio
About this file
This is a Mandatory Use Contract issued by the State of Ohio's Department of Administrative Services (DAS), General Services Division, Office of Procurement Services for a Dental Program targeting exempt State of Ohio employees. The contract is awarded to Delta Dental of Ohio (located in Dublin, Ohio) through Request for Proposal (RFP) No. SRC0000003902, which was opened on 11/30/22. The contract number is CSP013434 and has effective dates from 07/01/23 to 06/30/26. Subcontractors include Delta Dental Plan of Michigan and Delta Dental Plans Association.
The contract specifies a fixed administrative fee of $3.10 Per Employee Per Month (PEPM) for fiscal years 2023, 2024, and 2025. Delta Dental is providing additional benefits, including covering up to $25,000 for a pre-implementation audit to be performed by the State or an entity chosen by the State, and offering a one-and-a-half-month administrative fee holiday for the three-year contract period. The contract is available to the State Human Resources Division (SHRD) and Benefits Administration Services (BAS), with the agency able to make purchases of contracted services in any amount and at any time, though the State makes no guarantee of purchasing the full volume of services as originally advertised.
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Text version
Index No.: DAS001
Eff. Date: 07/01/23
STATE OF OHIO
DEPARTMENT OF ADMINISTRATIVE SERVICES
GENERAL SERVICES DIVISION
OFFICE OF PROCUREMENT SERVICES
4200 SURFACE ROAD, COLUMBUS, OH 43228-1395
MANDATORY USE CONTRACT FOR: DENTAL PROGRAM FOR EXEMPT STATE OF OHIO EMPLOYEES
CONTRACT NUMBER: CSP013434 EFFECTIVE DATES: 07/01/23 TO 06/30/26
The Department of Administrative Services has accepted Proposals submitted in response to Request for Proposal (RFP) No.
SRC0000003902 that opened on 11/30/22. The evaluation of the Proposal responses has been completed. The Offeror listed herein has been determined to be the highest ranking Offeror and has been awarded a Contract for the services listed. The respective Proposal response including, Contract Terms & Conditions, any Proposal amendment, special Contract Terms & Conditions, specifications, pricing schedules and any attachments incorporated by reference and accepted by DAS become a part of this Services Contract.
This Requirements Contract is effective beginning and ending on the dates noted above unless, prior to the expiration date, the Contract is renewed, terminated, or cancelled in accordance with the Contract Terms and Conditions.
This Requirements Contract is available to the State Human Resources Division (SHRD), Benefits Administration Services (BAS), of the Department of Administrative Services (DAS) as applicable.
The agency is eligible to make purchases of the contracted services in any amount and at any time as determined by the agency. The State makes no representation or guarantee that department will purchase the volume of services as advertised in the Request for Proposal.
This Requirements Contract and any Amendments thereto are available from the DAS Web site at the following address:
https://procure.ohio.gov/
MUTUALLY AGREED TO CLARIFICATIONS / MODIFICATIONS TO THE RFP
Final Clarifications and Performance Guarantees – responses dated 01/31/23.
DDOH RFP Redlines – response dated 02/27/23.
Best and Final Offer – response dated 03/07/23.
If there are any discrepancies between any of the above documents, the later dated response prevails.
PRICE SCHEDULE
TITLE: DENTAL PROGRAM FOR EXEMPT STATE OF OHIO EMPLOYEES
RFP NUMBER: SRC0000003902
UNSPSC: 85101700, 85122000
Core Fees FY 2023 FY 2024 FY 2025
Exempt Dental Program Per Employee Per Month (PEPM) Administrative Fee $3.10 PEPM $3.10 PEPM $3.10 PEPM
Additional Price Schedule Notes:
Delta Dental is providing the actual cost up to $25,000 for a pre‐implementation Audit to be performed by the State or an entity chosen by the State.
Additionally, Delta Dental is offering a one-and-a-half-month admin fee holiday for a three-year contract.
CONTRACTOR INDEX
CONTRACTOR AND TERMS: CONTRACT NO: CSP013434
HR00001075 (OHALL)
Delta Dental of Ohio TERMS: Net 30 Days 5600 Blazer Parkway, Suite 150 Dublin, Ohio 43017
Remit To:
Delta Dental PO Box 633198 Cincinnati, OH 45263-3198
CONTRACTOR’S CONTACT: Olivia Brodie Telephone: (614) 776-2301 Email: OBrodie@DeltaDentalOH.com
SUBCONTRACTOR(S):
Delta Dental Plan of Michigan Delta Dental Plans Association mailto:OBrodie@DeltaDentalOH.com
CONTRACT FOR: DENTAL PROGRAM FOR EXEMPT STATE OF OHIO EMPLOYEES
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