Exhibit_C__Brevard_Life__DI_SelfBill_2.1.26.xlsx

This is a self-billing exhibit document for Brevard County, Florida's Group Life & Disability and Supplemental Health Benefits procurement. The exhibit provides pricing and administrative details for a voluntary supplemental health benefits program that the County intends to implement effective January 1, 2027. The County seeks to consolidate its current fragmented supplemental health offerings—including Accident, Hospital Indemnity, and Critical Illness/Cancer coverage—under a single group-administered carrier. The solicitation involves expanding beyond the existing fully insured Group Term Life, Accidental Death & Dismemberment, Short-Term Disability, and Long-Term Disability coverage currently provided through Standard Insurance Company since January 1, 2019. The County expects to award the contract to one carrier/administrator for all requested supplemental lines.

The self-billing exhibit contains rate schedules and administrative cost information detailing how the selected carrier will invoice the County for employee coverage. Employees currently enrolled in individual Colonial Life, Aflac, and Allstate plans may continue those coverages on a direct-bill basis without County support; however, only the new group-sponsored benefits awarded through this solicitation will be eligible for payroll deduction and receive group administration beginning January 1, 2027. The exhibit demonstrates the County's intention to shift away from supporting multiple individual insurance representatives and establish a streamlined, consolidated benefits administration structure with enhanced payroll integration for participating employees.