Disability_RFP_31786-00186_Attachment_6_3_Cost_Proposal_Scoring_Guide_REVISED.xlsx

XLSX spreadsheet 26 KB Posted

Attached to
Short-Term Disability And Long-Term Disability Insurance - UPDATED
Solicitation number
RFP 31786-00186
Issued by
Davidson County, Tennessee

About this file

Cost Proposal Scoring Guide Summary

This is a Cost Proposal and Scoring Guide for RFP #31786-00186 issued by the State of Tennessee's Department of Finance and Administration for fully-insured short-term disability (STD) and long-term disability (LTD-N) insurance services. Respondents must propose monthly premium rates per member for STD coverage (voluntary, employee-pay-all) and LTD-N coverage (mandatory, employer-pay-all) for calendar years 2027 through 2031, along with a service fee percentage for administering the employer's share of FICA taxes. The STD benefits will serve central state government and state higher education employees with a 60% benefit rate and 14-day elimination period, while LTD-N benefits will cover the same employee populations with a 63% benefit rate and 90-day elimination period. The cost proposal must be completed in full with all numeric figures provided in U.S. currency limited to three decimal places; any blank cells or non-numeric entries will be treated as zero. The proposal must be signed by an individual with authority to bind the respondent, with evidence of authority required if the signatory is not the President or Chief Executive Officer.

The cost proposal scoring evaluates three components: STD premiums (evaluated against an evaluation factor of 721,000 members), LTD-N premiums (evaluated against an evaluation factor of 4,466,000 members), and FICA service fees (evaluated against a factor of 21,000 per year). The solicitation coordinator will calculate the cost proposal score by dividing the lowest evaluation cost amount from all proposals by each respondent's evaluation cost amount and multiplying by 50 (the maximum section score). The state emphasizes that evaluation factors represent assessment purposes only and do not constitute volume guarantees, minimum purchase quantities, or any entitlement to the respondent. The total contract evaluation cost is derived from the sum of all three components' evaluation costs.

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Text version

Instructions and Signature

RFP ATTACHMENT 6.3. REVISED
RFP #31786-00186
COST PROPOSAL & SCORING GUIDE
NOTICE: THIS COST PROPOSAL MUST BE COMPLETED EXACTLY AS REQUIRED
COST PROPOSAL SCHEDULE— The Cost Proposal, detailed in this spreadsheet, shall indicate the proposed price for goods or services defined in the Scope of Services and FICA Tax Invoice sections of the RFP Attachment 6.6., Pro Forma Contract, for the entire contract period. The Cost Proposal shall remain valid for at least one hundred twenty (120) days subsequent to the date of the Cost Proposal opening and thereafter in accordance with any contract resulting from this RFP. All monetary amounts shall be numerical in U.S. currency and limited to three (3) places to the right of the decimal point.

Provide your Proposed Monthly Premium Rate per member for each coverage option level in tabs "A.1. Prem STD " and "B.1. Prem LTD-N". Provide your Proposed Service Fee for the handling of the employer's share of FICA taxes, expressed as a percentage, on tab "C.1 FICA Service Fee" for calendar years 2027, 2028, 2029, 2030, and 2031. STD coverage will be voluntary, employee-pay-all benefits with STD benefits beginning January 1, 2027 for all central state government and state higher education employees. LTD-N coverage will be employer-pay-all benefits and shall begin January 1, 2027 for central state employees and state higher education employees.

This pricing schedule must be completed in full. Do not skip any cells. If the Respondent fails to detail all cost information for the services proposed as required, the State may determine the proposal to be non-responsive and reject it. Enter numeric figures only. Anything else, including blank cells or any deviated text, will be considered as a zero (0) and will be a cost of zero (0) to the State. The State cannot accept "N/A".

If the sum of the Evaluation Cost on a table equals zero, the Respondent will receive the maximum section score in the table. In this scenario, the State will use one cent (.01) in the formula listed in the table as the 'lowest evaluation cost amount from all proposals" to calculate all other proposals' point allocations

NOTICE:
The Evaluation Factor associated with each compensable unit is for evaluation purposes only. The evaluation factors do NOT and should NOT be construed as any type of volume guarantee or minimum purchase quantity. The evaluation factors shall NOT create rights, interests, or claims of entitlement in the Respondent.

This Cost Proposal must be signed, in the space below, by an individual empowered to bind the Respondent to the provisions of this RFP and any contract awarded pursuant to this RFP. If the individual signing this Cost Proposal is not the President or Chief Executive Officer, the Respondent must attach evidence to the Cost Proposal showing the individual’s authority to legally bind the Respondent.

RESPONDENT SIGNATURE:

PRINTED NAME & TITLE:

DATE:

RESPONDENT LEGAL ENTITY NAME:

A.1. Prem STD

RFP ATTACHMENT 6.3. REVISED
RFP #31786-00186
Table A.1. Proposed Member Monthly Short-Term Disability Insurance Premium Rates
Respondent shall propose the monthly premium in cells B12, C12, D12, E12, and F12 for the Member, per the pro forma contract, with Central State Government and State Higher Education employees eligible for the Short-Term Disability Insurance Program. The State will perform the calculations in columns G, H, and J (labeled STATE USE ONLY).
Short Term Disability Program Guaranteed Monthly Premium Rate for EMPLOYEE PAY ALL Premium (Central State Government and State Higher Education Employees)Respondent Proposed CostState Use ONLY
Calendar Year 2027Calendar Year 2028Calendar Year 2029Calendar Year 2030Calendar Year 2031Sum TotalAnnual SumEvaluation FactorEvaluation Cost
1/1/2027 – 12/31/20271/1/2028 – 12/31/20281/1/2029 – 12/31/20291/1/2030 – 12/31/20301/1/2031 – 12/31/2031(Column B, C,D, E, and F)(Sum Total x 12)(Annual Sum x Evaluation Factor)
60%, 14 day elimination period$0.00$0.000$721,000$0.000
per member per $100 of member’s Covered Monthly Salaryper member per $100 of member’s Covered Monthly Salaryper member per $100 of member’s Covered Monthly Salaryper member per $100 of member’s Covered Monthly Salaryper member per $100 of member’s Covered Monthly Salary
Total Evaluation Cost$0.000

B.1. Prem LTD-N

RFP ATTACHMENT 6.3. REVISED
RFP #31786-00186
Table B.1. Proposed Member Monthly Noncontributory Long-Term Disability (LTD-N) Insurance Premium Rates
Respondent shall propose the monthly premium in cells B12, C,12 D12, E12 and F12, for the Member, per the pro forma contract, with both Central State Government employees and State Higher Education employees eligible for the Noncontributory Long-Term Disability (LTD-N) Program. The State will perform the calculations in columns G, H, and J (labeled STATE USE ONLY).
Noncontributory Long Term Disability (LTD-N) Program Guaranteed Monthly Premium Rate for EMPLOYER PAY ALL Premium (Central State Government and State Higher Education Employees)Respondent Proposed CostState Use ONLY
Calendar Year 2027Calendar Year 2028Calendar Year 2029Calendar Year 2030Calendar Year 2031Sum TotalAnnual SumEvaluation FactorEvaluation Cost
1/1/2027 – 12/31/20271/1/2028 – 12/31/20281/1/2029 – 12/31/20291/1/2030 – 12/31/20301/1/2031 – 12/31/2031(Column B, C,D, E, and F)(Sum Total x 12)(Annual Sum x Evaluation Factor)
LTD-N: 63%, 90 day elimination period$0.000$0.000$4,466,000$0.000
per member per $100 of member’s Covered Monthly Salaryper member per $100 of member’s Covered Monthly Salaryper member per $100 of member’s Covered Monthly Salaryper member per $100 of member’s Covered Monthly Salaryper member per $100 of member’s Covered Monthly Salary
Total Evaluation Cost$0.000

C.1 FICA Service Fee

RFP ATTACHMENT 6.3. REVISED
RFP #31786-00186
Table C.1. Guaranteed Quarterly Service Fee for Administering Employer Share of FICA Taxes
Respondent shall propose the service fee for the handling of the employer's share of FICA taxes, expressed as a percentage, in cells B12, C12, D12, E12 and F12, per Contract Section C.12. The State will perform the calculations in Row 15 and Row 16 (labeled STATE USE ONLY).
Guaranteed Quarterly Service Fee for Employer Share of FICA taxes for benefits paid in the LTD-N Plan.Respondent Proposed Cost
Calendar Year 2027Calendar Year 2028Calendar Year 2029Calendar Year 2030Calendar Year 2031
1/1/2027 – 12/31/20271/1/2028 – 12/31/20281/1/2029 – 12/31/20291/1/2030 – 12/31/20301/1/2031 – 12/31/2031
State Use ONLY
Evaluation Factor$21,000$21,000$21,000$21,000$21,000
Annual Evaluation Cost$0.000$0.000$0.000$0.000$0.000
Total Evaluation Cost (Sum B15:F15)$0.000

D. State Use Only TOTAL

RFP ATTACHMENT 6.3. REVISED
RFP #31786-00186

Table D - State Use Only - Total Summary Example Lowest Bid from All Bidders

Total STD Premium Evaluation Cost (Table A.1.) $0.000 $15,000,000.00

Total Noncontributory LTD Premium Evaluation Cost (Table B.1. LTD-N) $0.000 $74,496,044.78

Total FICA Service Fee (Table C.1) $0.000 $2,000.00

Total Premium Evaluation Cost $0.000 $89,498,044.78

EVALUATION COST AMOUNT (sum of evaluation costs above):
The Solicitation Coordinator will use this sum and the formula below to calculate the Cost Proposal Score. Numbers rounded to two (2) places to the right of the decimal point will be standard for calculations.Example Lowest Cost Amount from All Bids:$89,498,044.78
Lowest Evaluation Cost Amount From All Proposalsx 50
(Maximum Section Score)= SCORE:Example Evaluation Cost Amount Being Evaluated$0.00
Evaluation Cost Amount Being Evaluated
State Use – Solicitation Coordinator Signature, Printed Name & Date:Lowest Cost / Evaluated Cost:ERROR:#DIV/0!
Max Section Score:50
Total Score (F20 x F21)ERROR:#DIV/0!

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