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

This is a dental insurance pricing sheet (Exhibit B-2) for RFP 2604-002 issued by a Texas state or local entity seeking fully-insured dental coverage. The vendor selected for contract award must provide comprehensive dental insurance coverages and services across multiple plan options, including Dental Low Plans and Dental High Plans, each available in four enrollment categories: Employee Only, Employee + Spouse, Employee + Child(ren), and Employee + Family. Vendors are required to develop their quotes using supporting exhibits including the 2026 Dental Summary of Benefit Coverages (Exhibit A-2), Dental Plan and Claim Information (Exhibit A-5), Dental Provider Utilization Report (Exhibit A-10), and Census Coverage/Service Cost data (Exhibit A-12).

The pricing sheet requires vendors to submit total cost quotations covering all eight plan and enrollment combinations listed above, with space designated for vendors to identify any additional necessary costs or fees beyond the standard pricing. The document serves as the formal pricing template for vendors to respond to the dental insurance request, with all quotes to be developed based on the referenced supporting exhibits that contain detailed benefit summaries, claims data, provider utilization information, and census coverage details necessary for accurate pricing.