ESBD_521004_1780004525370_Exhibit B-2 - Fully-insured Dental Pricing Sheet.pdf

This is a Dental Pricing Sheet exhibit for RFP 2604-002, a dental insurance procurement. The request requires vendors to provide comprehensive dental coverage and services across multiple plan tiers and enrollment categories. The pricing sheet specifies eight distinct plan offerings: Dental Low Plan and Dental High Plan options, each available in four enrollment categories (Employee Only, Employee + Spouse, Employee + Child(ren), and Employee + Family). Vendors must develop their quotes using three supporting documents: Exhibit A-2 (2026 Dental Summary of Benefit Coverages), Exhibit A-5 (Dental Plan and Claim Information), Exhibit A-10 (Dental Provider Utilization Report), and Exhibit A-12 (Census Coverage/Service Cost data). The pricing sheet requires vendors to provide a total cost figure that encompasses all required coverages and services.

Vendors must include any additional necessary costs and fees beyond the base coverage pricing in their responses. The pricing structure requires separate cost calculations for each plan type and enrollment category combination, enabling detailed cost comparison across different coverage levels and employee demographics. No specific response deadline, award date, or contract term information is provided in this exhibit, indicating that such details are contained in other RFP documents. The vendor selected for contract award must demonstrate the ability to deliver all specified coverages and services while maintaining competitive pricing across the full range of plan options.