ESBD_358356_1715262995965_Proposed Premiums and Plan Provisions - LTD.xlsx

XLSX spreadsheet 14 KB Posted

Attached to
Group Long-Term Disability Plan
Solicitation number
RFP01-SBA-24-202
Issued by
Texas

About this file

This document is the Proposed Premiums and Plan Provisions for a Group Long-Term Disability Insurance Plan ("LTD") solicited by the Texas A&M University System ("A&M System"). The A&M System is seeking proposals from qualified vendors licensed in Texas to provide a fully-insured group LTD plan for the plan year beginning September 1, 2024. The RFP outlines the required plan provisions, including definition of disability, elimination period, pre-existing limitations, exclusions, minimum and maximum monthly benefits, work incentive, COLA, and offsets. Respondents are asked to provide proposed premiums for the initial 3-year term, including rates for non-tobacco and tobacco users, as well as indicate whether certain services are included in the quoted premiums or available as optional additional costs.

The current LTD plan provisions are provided for reference, and respondents are expected to address any issues with administering the current plan design. There is no mention of any set-asides, incumbents, or funding requirements. The A&M System intends to select one vendor to establish a services agreement to meet their LTD insurance needs.

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Premiums Provide your proposed premiums for the intial term of 9/1/2024 through 8/31/2027. Premiums must be guaranteed for the initial 3-year period.

Non-tobacco User: $ monthly rate per $100 of monthly salary

Tobacco User: $ monthly rate per $100 of monthly salary

(The difference between non-tobacco and tobacco user premiums represents an incentive difference rather than an actuarial difference.)
The A&M System expects any costs of the services below to be included in the premiums quoted above. Complete the chart below indicating whether or not these costs are included.
ServiceIncluded (Y/N)Optional (Y/N)Additional Cost
Promotional Materials
Review of Plan Booklet
List of required services noted in Section 3.1 of the RFP
Representation at annual enrollment meetings as described in Section 3.10

Plan Provisions

Plan Provisions
Complete the chart below for the LTD plan.
ProvisionA&M System Current BenefitCarrier Standard BenefitComments / issues with administering current plan design
Definition of DisabilitySee LTD SPD
Elimination Period90 days
Pre-Disability EarningsSee LTD SPD
Temporary Recovery during Elimination PeriodMax 15 days
Pre-existing Limitations3/12 – three months before insurance takes effect until actively at work and covered for 12 mos.
Definition of any occ.See LTD SPD
ExclusionsSee LTD SPD
Late Applicants - EOINot required
Mental/Nervous Health Limitation24-month benefit limitation unless disability results from organic condition
Minimum & Maximum Monthly BenefitMin. – the lesser of 10% of monthly benefit or $100
Max. – the lesser of 65% of salary or $8,000
Work IncentiveAfter 12 months of benefits, monthly benefit reduced by 50% of amount earned by working
Maximum Benefit DurationSee page 17 of this RFP
C.O.L.A3% after 12 monthly benefit payments, up to 5 adjustments
OffsetsSee LTD SPD
Family Care Rehab BenefitsSee LTD SPD

For easy reference, the LTD Plan Booklet can be found at: http://assets.system.tamus.edu/files/benefits/pdf/ae/FY18/SPD/spdltd.pdf

File details come from the government source that posted it. Updated .