Exhibit B-3 - Fully-insured Vision Pricing Sheet.pdf

This is a Vision Insurance Pricing Sheet (Exhibit B-3) for RFP 2604-002 in Texas, requiring the selected vendor to provide fully-insured vision coverage and services. The solicitation requests pricing quotes for two vision plan tiers—Vision Low Plan and Vision High Plan—each available across four coverage categories: Employee Only, Employee + Spouse, Employee + Child(ren), and Employee + Family. Vendors must develop their quotes using three referenced exhibits: Exhibit A-3 (2026 Vision Summary of Benefit Coverages), Exhibit A-6 (Vision Plan and Claim Information), Exhibit A-11 (Vision Provider Utilization Report), and Exhibit A-12 (Census Coverage/Service Cost data).

Bidders are required to provide comprehensive pricing for all eight coverage tier combinations and identify any additional necessary costs or fees beyond the base plan pricing. The pricing sheet does not specify response deadlines, award dates, contract terms, or renewal options in the provided documentation. Vendors must ensure their proposals align with the benefit coverages outlined in the referenced exhibits and accommodate the census data and utilization patterns specified in the supporting files.