CSP900321_DAS062_Contract_Rev.pdf

Index No.: DAS062

Eff. Date: 01/01/24

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: FULLY INSURED EXEMPT EMPLOYEE BASIC GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE AND GROUP VOLUNTARY SUPPLEMENTAL LIFE INSURANCE

CONTRACT NUMBER: CSP900321 EFFECTIVE DATES: 01/01/21 TO 12/31/23

* Renewal through 12/31/25

The Department of Administrative Services has accepted Proposals submitted in response to Request for Proposal (RFP) No.

CSP900321 that opened on 03/04/20. 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 Department of Administrative Services (DAS), Human Resources Division (HRD), Benefits Administration Services (BAS) 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:

www.ohio.gov/procure

* Indicates a twenty-for (24) month contract renewal, per amendment 2.

Eff. Date: 02/18/22

MUTUALLY AGREED UPON CLARIFICATIONS / MODIFICATIONS TO THE RFP

Clarifications and Negotiations Spreadsheet – Response dated 06/15/2020 Supplement One General Terms and Conditions – Response dated 07/20/2020 Offshore Waiver – Response dated 07/24/2020 Securian’s Best and Final Offer – Response dated 07/27/2020 *2022 Performance Guarantee Email – Response dated 02/01/2022

If there are any discrepancies between any of the above documents, the later dated response prevails.

*Indicates update to mutually agreed upon modifications per amendment 1.

Eff. Date: 01/01/21

PRICE SCHEDULE

Fully Insured Exempt Employee Basic Group Life and Accidental Death and Dismemberment (AD&D) Insurance and Group Voluntary Supplemental Life Insurance

CSP900321

UNSPSC CATEGORY CODE: 84131601

OAKS ID - 38511

Cost per $1,000 per Month

Basic Life $0.117

Basic Occupational Accidental Death & Dismemberment (AD&D) $0.012

Voluntary Supplemental Life

Children $0.117

Employee Non-Nicotine Rate Employee Nicotine Rate

Ages Cost per $1,000 Coverage per Month Cost per $1,000 Coverage per Month

Under 25 $0.042 $0.055

25-29 $0.042 $0.060

30-34 $0.051 $0.080

35-39 $0.068 $0.090

40-44 $0.086 $0.124

45-49 $0.128 $0.207

50-54 $0.197 $0.319

55-59 $0.368 $0.474

60-64 $0.564 $0.726

65-69 $1.086 $1.303

70-74 $1.710 $2.333

75-79 $1.710 $2.333

80+ $1.710 $2.333

Page No.: 4

COST SUMMARY FORM CONT’D

Spouse Non-Nicotine Rate Spouse Nicotine Rate

Ages Cost per $1,000 Coverage per Month Cost per $1,000 Coverage per Month

Under 25 $0.050 $0.067

25-29 $0.060 $0.081

30-34 $0.080 $0.108

35-39 $0.090 $0.121

40-44 $0.100 $0.134

45-49 $0.150 $0.202

50-54 $0.230 $0.309

55-59 $0.430 $0.578

60-64 $0.660 $0.887

65-69 $1.270 $1.707

70-74 $2.060 $2.769

75-79 $2.060 $2.769

80+ $2.060 $2.769

CLASS 6 RATES

Child Life $0.234

Employee and Spouse Non-Nicotine Rate Employee and Spouse Nicotine Rate

Ages Cost per $1,000 Coverage per Month Cost per $1,000 Coverage per Month

Under 25 $0.123 $0.160

25-29 $0.123 $0.160

30-34 $0.150 $0.160

35-39 $0.170 $0.238

40-44 $0.270 $0.363

45-49 $0.418 $0.605

50-54 $0.648 $0.933

55-59 $1.040 $1.385

60-64 $1.575 $ 2.123

65-69 $2.558 $3.810

70-74 $4.335 $6.823

75-79 $7.305 $11.497

80-84 $12.309 $19.373

85+ $20.741 $32.645

CONTRACTOR INDEX

CONTRACTOR: CONTRACT NO.: CSP900321

HR306

Minnesota Life Insurance Co.

400 Robert St. North St Paul, MN 55101 TERMS: Net 30

CONTRACTOR’S CONTACT:

Ben Reichert Office: (651) 665-3292 Email: Benjamin.Reichert@securian.com Fax: (651) 665-1541

Eff. Date: 01/01/24

SUMMARY OF AMENDMENTS

Amendment Number

Effective Date Description

2 01/01/24

This amendment is issued to notify that as a result of mutual agreement between the State of Ohio and the Contractor, this contract is renewed for an additional twenty-four

(24) months effective 01/01/24 through 12/31/25.

All other prices, terms and conditions remain unchanged.

1 02/18/22 This amendment is issued to update the percent of calls reviewed for a Customer Service Performance Guarantee from 100% to 75%, effective 01/01/22.