Exhibit_B_-_Fees_and_Performance_Guarantees.docx

DOCX document 53 KB Posted

Attached to
Benefit Administrative Services
Solicitation number
26-P-66TF
Issued by
Volusia County, Florida

About this file

Exhibit B - Fees and Performance Guarantees for Volusia County Benefit Administrative Services

This is a fees and performance guarantees worksheet for the County of Volusia, Florida's Request for Proposals (RFP 26-P-66TF) for comprehensive benefit administrative services. The solicitation encompasses third-party administration of Medical and Dependent Care Flexible Spending Accounts (FSA) with debit card functionality, Health Reimbursement Arrangements (HRA), COBRA administration, and retiree billing services. Current participant populations include approximately 3,300 eligible employees for FSA administration, 3 HRA participants, 7 COBRA participants, and 615 enrolled retirees. Proposals must be submitted electronically by April 15, 2026, at 3:01 p.m., with technical questions due by April 1, 2026. The contract term spans five years (2027-2031) with one optional five-year renewal contingent upon mutual written agreement and County Council approval. The plan year commences January 1, 2027.

Contractors must provide guaranteed rate quotes on a per-participant-per-month basis for each of the five contract years across all service categories. All proposed fees, additional charges, and performance guarantees must be presented within the specified worksheet format without alterations to the structure. Contractors are required to waive minimum participation fees, termination fees, setup fees, annual renewal fees, and open enrollment mailer costs. COBRA administration costs shall be quoted based on retention of a 2% COBRA administration fee on a per-employee-per-month basis. The worksheet requires contractors to indicate which services are included in their proposal and detail any additional fees associated with service delivery. Contractors must also provide comprehensive performance guarantees addressing implementation timelines, premium remittance and reporting, customer service metrics (including average speed of answer, abandonment rates, inquiry response and resolution times), COBRA notification timelines, account management reporting frequency, debit card delivery schedules, and annual account management performance survey participation.

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26-P-66TF Exhibit B - Fees and Performance Guarantees

Complete all questions in full and return the completed worksheet with the response. Confirm with a “Yes” or “No”. If further clarification is needed provide a brief explanation. Please respond to the questions within the worksheet format – DO NOT ALTER THE WORKSHEET FORMAT. The electronic copies must be Microsoft Word format.

PLAN COSTS AND GUARANTEES

Please provide the proposed fees in the format requested below.

A. Please present the guaranteed rate quotes for each of the five (5) years requested. RATES SHALL BE QUOTED ON A PER FSA PARTICIPANT PER MONTH BASIS.

There should only be a Per Participant fee, even if the participant is enrolled in both a Medical FSA and Dependent Care FSA.

FSA (Medical and Dependent Care) Administration Current Benefit Eligible Employees = 3300

WITH Debit Card
2027
2028
2029
2030
2031

Per Participant Per Mth Per Participant Per Mth Per Participant Per Mth Per Participant Per Mth Per Participant

B. Please indicate (x) below the FSA Services you are proposing and provide details of any additional fees associated with the service provided. Any additional fees shall be listed in this section.

Flexible Spending Account Service
Included in Proposal?
Additional Fee/Comments
Yes
No

Complete administration of Medical and Dependent Care Flexible Spending Accounts

Enrollment material describing the benefits of FSA participation

Section 125 Compliant Plan Document preparation

Regulatory Updates and Plan Amendments

Customer service telephonic and web page support for all FSA participants

Direct deposit of FSA reimbursements

Debit card option for Participants

FSA information via website or telephone

Accounting services including check writing, funding requests, reconciliation

Management reports, including ad hoc report requests

Electronic data exchange in the County’s approved format (set-up and ongoing)

Carrier set-up fees

Change in file layout

Eligibility reconciliation

Records retention

Banking options

Non-discrimination testing

Attendance at open enrollment meetings

Minimum Participation Fees

Implementation fee

Run-out claims administration upon termination

Mid Year termination fees

Plan Year termination fees

Replacement debit cards

Set-up fee

Renewal fee

Other:

C. Please present the guaranteed rate quotes for each of the five (5) years requested. RATES SHALL BE QUOTED ON A PER FSA PARTICIPANT PER MONTH BASIS.

HRA Administration Current number of HRA Participants = 3

2027
2028
2029
2030
2031

Per Employee Per Mth Per Employee Per Mth Per Employee Per Mth Per Employee Per Mth Per Employee

D. Please indicate (x) below the HRA Services you are proposing and provide details of any additional fees associated with the service provided. Any additional fees shall be listed in this section.

HRA Services
Included in Proposal?
Additional Fee/Comments
Yes
No

Complete administration HRA Accounts

HRA Compliant Plan Document preparation

Regulatory Updates and Plan Amendments

Customer service telephonic and web page support for all HRA participants

Direct deposit of HRA reimbursements

HRA information via website or telephone

Accounting services including check writing, funding requests, reconciliation

Management reports, including ad hoc report requests

Electronic data exchange in the County’s approved format (set-up and ongoing)

Carrier set-up fees

Eligibility reconciliation

Records retention

Banking options

Non-discrimination testing

Attendance at open enrollment meetings

Minimum Participation Fees

Implementation fee

Run-out claims administration upon termination

Mid Year termination fees

Plan Year termination fees

Set-up fee

Renewal fee

Other:

E. Please present the guaranteed rate quotes for each of the five (5) years requested. Cost shall be based on retention of 2% COBRA administration fee. RATES SHALL BE QUOTED ON A PER EMPLOYEE PER MONTH BASIS.

COBRA Administration Current Benefit Eligible Employees = 3300 Current number of COBRA Participants = 7

2027
2028
2029
2030
2031
Current number of Eligible Employees
Per Employee

Per Mth

Annual Total
Per Employee

Per Mth

Annual Total
Per Employee

Per Mth

Annual Total
Per Employee

Per Mth

Annual Total
Per Employee

Annual Total

F. Please indicate (x) below the COBRA Services you are proposing and provide details of any additional fees associated with the service provided. Any additional fees shall be listed in this section.

COBRA Service
Included in Proposal?
Additional Fees/Comments
Yes
No

Initial notice to new enrollees

Process COBRA elections within specified timeframes

Mail COBRA enrollment packets within specified timeframes

Mail COBRA election notice to eligible employees and dependents

Premium calculation, billing to enrollees, and management of ongoing premium collection process

Pro-rate monthly premium per effective date given by the County

Late notices and termination notices

Customer service for all COBRA participants

Directly interface enrollments, changes, and terminations to insurance carriers

Retain records pursuant to current regulations

Administrative guidance on changes in COBRA laws

Eligibility reconciliation with carriers

Liability for services rendered

Minimum participation fees

Open enrollment forms (paper or online)

Implementation fee

Set-up fee

Renewal fee

Mid-year termination fee

Plan year end termination fee

Other:

G. Please present the guaranteed rate quotes for each of the five (5) years requested. RATES SHALL BE QUOTED ON A PER RETIREE PARTICIPANT PER MONTH BASIS.

Retiree Billing Services

Current number of Enrolled Retirees = 615

Coordination with FRS deductions included (Optional)

2028
2029
2030
2031

Per Participant Per Mth Per Participant Per Mth Per Participant Per Mth Per Participant Per Mth Per Participant

Coordination with FRS deductions NOT included.

2027
2028
2029
2030
2031

Per Participant Per Mth Per Participant Per Mth Per Participant Per Mth Per Participant Per Mth Per Participant

H. Please indicate (x) below the Retiree Services you are proposing and provide details of any additional fees associated with the service provided. Any additional fees shall be listed in this section.

Retiree Service
Included in Proposal?
Additional Fees/Comments
Yes
No

Premium calculation and billing to enrollees and management of ongoing premium collection process

Pro-rate monthly premium per effective date given by the County

Management of ongoing premium collection process

Coordination with FRS (FRS deduction is optional.)

Notice and premium payment to insurance carriers monthly

Premium reconciliation

Medicare Creditable Coverage Notice distribution to eligible retirees

Customer service for all Retiree participants

Eligibility reconciliation with carriers

Retain records

Directly interface enrollments, changes and terminations to insurance carriers

Coordination of enrollment with Medicare Supplemental Carrier

Coordination of enrollment with PDP carrier

Minimum participation fee

Open enrollment mailout – 4 or less pages

Implementation fee

Set-up fee

Renewal fee

Mid-year termination fee

Plan year end termination fee

Other:

I. List the Performance Guarantees the Contractor has included in the premiums.

Guarantee
Target
Penalty

1. Implementation

2. Premium Remittance & Reports

3. Customer Service

a. Average Speed of Answer

b. Abandonment Rate

c. Response to participant inquiry

d. Resolution of participant inquiry

4. COBRA Notification Timelines
As specified by the County
5. Provide Account Management Reports
Monthly
6. Delivery of Debit Cards
By Jan 1 of each PY

7. Annual Account Management Performance Survey

P:\TABATHA\2026 Solicitations\26-P-66TF Benefit Administrative Services (COBRA, FSA & Retiree Billing)\1 SOLICITATION\Exhibit B - Fees and Performance Guarantees.docx Page 1 of 12

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