Exhibit_C1-Brevard_BOCC_2024_DPPO_DHMO_Cigna.xls
XLS spreadsheet 97 KB Posted
- Attached to
- Brevard County Group Dental Plan State and local contract opportunity
- Solicitation number
- RFP-1-25-18
- Issued by
- Brevard County, Florida
About this file
The file Exhibit_C1-Brevard_BOCC_2024_DPPO_DHMO_Cigna.xls is a procurement document for Brevard County, Florida, detailing a group dental insurance plan solicitation. The county is seeking fully insured dental coverage for active employees, retirees, and dependents, with an effective date of January 1, 2026, and a proposed five-year contract term. The Request for Proposals (RFP No. 1-25-18) requires vendors to have at least five years of experience insuring groups of 4,000 or more employees, with no minimum participation requirements. Proposals are due on June 4, 2025, at 4:00 p.m., and must be submitted as three hard copies and one electronic copy. The procurement encompasses multiple dental plan options, including Dental Health Maintenance Organization (DHMO) and Dental Preferred Provider Organization (PPO) plans at both high and low coverage levels.
The current incumbent is Cigna, which has been providing dental insurance coverage with consistent enrollment and claims performance. Historical data shows approximately 4,210 total enrolled participants, with monthly rates ranging from $12.91 to $106.07 depending on the plan and coverage tier. Total annual claims have remained stable at around $1.6 million, with in-network claims representing the majority. The most popular plans are the Dental PPO High and Dental PPO Low options. While no specific budget range is explicitly stated, total annual premiums have historically been around $2.1 million, suggesting a potential contract value of approximately $10.5 million over the five-year term. Key evaluation criteria include network coverage, plan design, administrative capabilities, claims processing performance, and ability to provide comprehensive dental services across preventive, basic, major, and orthodontic categories.
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Text version
Enroll DHMO-1
| BREVARD COUNTY BOCC, FL | ||||||
| TRADITIONAL ENROLLMENT BY RATE TIER | ||||||
| January 2024 thru December 2024 | ||||||
| Funding Type : MINIMUM PREMIUM, N/A, TRADITIONAL | ||||||
| Rating Type : N/A, PROSPECTIVE GUARANTEED COST, RETROSPECTIVE EXPERIENCE RATED | ||||||
| YTD/MONTH | PRODUCT TYPE | EMPLOYEE ONLY | EMPLOYEE + SPOUSE | EMPLOYEE + CHILD(REN) | EMPLOYEE + FAMILY | EMPLOYEE TOTAL |
| Jan-24 | DHMO | 409 | 149 | 47 | 90 | 695 |
| Jan-2024 Total | 409 | 149 | 47 | 90 | 695 | |
| Feb-24 | DHMO | 418 | 150 | 51 | 89 | 708 |
| Feb-2024 Total | 418 | 150 | 51 | 89 | 708 | |
| Mar-24 | DHMO | 422 | 152 | 53 | 89 | 716 |
| Mar-2024 Total | 422 | 152 | 53 | 89 | 716 | |
| Apr-24 | DHMO | 418 | 152 | 52 | 89 | 711 |
| Apr-2024 Total | 418 | 152 | 52 | 89 | 711 | |
| May-24 | DHMO | 419 | 149 | 51 | 92 | 711 |
| May-2024 Total | 419 | 149 | 51 | 92 | 711 | |
| Jun-24 | DHMO | 425 | 148 | 52 | 91 | 716 |
| Jun-2024 Total | 425 | 148 | 52 | 91 | 716 | |
| Jul-24 | DHMO | 426 | 150 | 52 | 89 | 717 |
| Jul-2024 Total | 426 | 150 | 52 | 89 | 717 | |
| Aug-24 | DHMO | 427 | 152 | 50 | 89 | 718 |
| Aug-2024 Total | 427 | 152 | 50 | 89 | 718 | |
| Sep-24 | DHMO | 429 | 150 | 50 | 88 | 717 |
| Sep-2024 Total | 429 | 150 | 50 | 88 | 717 | |
| Oct-24 | DHMO | 426 | 149 | 51 | 87 | 713 |
| Oct-2024 Total | 426 | 149 | 51 | 87 | 713 | |
| Nov-24 | DHMO | 426 | 149 | 50 | 86 | 711 |
| Nov-2024 Total | 426 | 149 | 50 | 86 | 711 | |
| Dec-24 | DHMO | 422 | 148 | 51 | 86 | 707 |
| Dec-2024 Total | 422 | 148 | 51 | 86 | 707 | |
| PRODUCT TYPE Totals | DHMO | 5,067 | 1,798 | 610 | 1,065 | 8,540 |
| Grand Total | 5,067 | 1,798 | 610 | 1,065 | 8,540 |
&R &8Page &P of &N Date: 3/21/2025&CADVICE Reporting System&L&G &7This report contains proprietary and/or confidential information. Disclosure is strictly prohibited except to the extent required by law.
Enroll DPPO-1
| BREVARD COUNTY BOCC, FL | ||||||
| TRADITIONAL ENROLLMENT BY RATE TIER | ||||||
| January 2024 thru December 2024 | ||||||
| Funding Type : MINIMUM PREMIUM, N/A, TRADITIONAL | ||||||
| Rating Type : N/A, PROSPECTIVE GUARANTEED COST, RETROSPECTIVE EXPERIENCE RATED | ||||||
| YTD/MONTH | PRODUCT TYPE | EMPLOYEE ONLY | EMPLOYEE + SPOUSE | EMPLOYEE + CHILD(REN) | EMPLOYEE + FAMILY | EMPLOYEE TOTAL |
| Jan-24 | DPPO | 1,759 | 697 | 460 | 524 | 3,440 |
| Jan-2024 Total | 1,759 | 697 | 460 | 524 | 3,440 | |
| Feb-24 | DPPO | 1,771 | 696 | 458 | 521 | 3,446 |
| Feb-2024 Total | 1,771 | 696 | 458 | 521 | 3,446 | |
| Mar-24 | DPPO | 1,778 | 696 | 458 | 519 | 3,451 |
| Mar-2024 Total | 1,778 | 696 | 458 | 519 | 3,451 | |
| Apr-24 | DPPO | 1,773 | 698 | 458 | 516 | 3,445 |
| Apr-2024 Total | 1,773 | 698 | 458 | 516 | 3,445 | |
| May-24 | DPPO | 1,784 | 698 | 453 | 517 | 3,452 |
| May-2024 Total | 1,784 | 698 | 453 | 517 | 3,452 | |
| Jun-24 | DPPO | 1,784 | 701 | 451 | 520 | 3,456 |
| Jun-2024 Total | 1,784 | 701 | 451 | 520 | 3,456 | |
| Jul-24 | DPPO | 1,786 | 707 | 451 | 516 | 3,460 |
| Jul-2024 Total | 1,786 | 707 | 451 | 516 | 3,460 | |
| Aug-24 | DPPO | 1,799 | 703 | 448 | 517 | 3,467 |
| Aug-2024 Total | 1,799 | 703 | 448 | 517 | 3,467 | |
| Sep-24 | DPPO | 1,793 | 700 | 452 | 513 | 3,458 |
| Sep-2024 Total | 1,793 | 700 | 452 | 513 | 3,458 | |
| Oct-24 | DPPO | 1,800 | 701 | 454 | 509 | 3,464 |
| Oct-2024 Total | 1,800 | 701 | 454 | 509 | 3,464 | |
| Nov-24 | DPPO | 1,800 | 706 | 456 | 493 | 3,455 |
| Nov-2024 Total | 1,800 | 706 | 456 | 493 | 3,455 | |
| Dec-24 | DPPO | 1,799 | 703 | 450 | 495 | 3,447 |
| Dec-2024 Total | 1,799 | 703 | 450 | 495 | 3,447 | |
| PRODUCT TYPE Totals | DPPO | 21,426 | 8,406 | 5,449 | 6,160 | 41,441 |
| Grand Total | 21,426 | 8,406 | 5,449 | 6,160 | 41,441 |
&R &8Page &P of &N Date: 3/21/2025&CADVICE Reporting System&L&G &7This report contains proprietary and/or confidential information. Disclosure is strictly prohibited except to the extent required by law.
Exp DHMO-1
| BREVARD COUNTY BOCC, FL | ||||
| MONTHLY HEALTHCARE DETAIL EXPERIENCE REPORT | ||||
| January 2024 thru December 2024 | ||||
| Funding Type : TRADITIONAL | ||||
| Rating Type : PROSPECTIVE GUARANTEED COST | ||||
| Reported Premium: Billed Premium without fees | ||||
| Reported Claims: All Claims | ||||
| Note: Paid claim dollars include amounts deducted from your account and paid to vendors for cost containment services. | ||||
| YTD/MONTH | PRODUCT TYPE | BILLED PREMIUM | TOTAL SUBS | TOTAL MBRS |
| Jan-24 | DHMO | $13,529 | 695 | 1,160 |
| Jan-2024 Total | $13,529 | 695 | 1,160 | |
| Feb-24 | DHMO | $13,732 | 708 | 1,175 |
| Feb-2024 Total | $13,732 | 708 | 1,175 | |
| Mar-24 | DHMO | $13,883 | 716 | 1,190 |
| Mar-2024 Total | $13,883 | 716 | 1,190 | |
| Apr-24 | DHMO | $13,808 | 711 | 1,185 |
| Apr-2024 Total | $13,808 | 711 | 1,185 | |
| May-24 | DHMO | $13,827 | 711 | 1,198 |
| May-2024 Total | $13,827 | 711 | 1,198 | |
| Jun-24 | DHMO | $13,866 | 716 | 1,201 |
| Jun-2024 Total | $13,866 | 716 | 1,201 | |
| Jul-24 | DHMO | $13,859 | 716 | 1,197 |
| Jul-2024 Total | $13,859 | 716 | 1,197 | |
| Aug-24 | DHMO | $13,876 | 717 | 1,194 |
| Aug-2024 Total | $13,876 | 717 | 1,194 | |
| Sep-24 | DHMO | $13,814 | 717 | 1,189 |
| Sep-2024 Total | $13,814 | 717 | 1,189 | |
| Oct-24 | DHMO | $13,737 | 713 | 1,181 |
| Oct-2024 Total | $13,737 | 713 | 1,181 | |
| Nov-24 | DHMO | $13,677 | 711 | 1,175 |
| Nov-2024 Total | $13,677 | 711 | 1,175 | |
| Dec-24 | DHMO | $13,623 | 707 | 1,172 |
| Dec-2024 Total | $13,623 | 707 | 1,172 | |
| PRODUCT TYPE Totals | DHMO | $165,230 | 8,538 | 14,217 |
| Grand Total | $165,230 | 8,538 | 14,217 |
&RADVICE Reporting System &8Page &P of &N Date: 3/21/2025&C&G&L&G &7This report contains proprietary and/or confidential information. Disclosure is strictly prohibited except to the extent required by law.
Exp DPPO-1
| BREVARD COUNTY BOCC, FL | ||||||||
| MONTHLY HEALTHCARE DETAIL EXPERIENCE REPORT | ||||||||
| January 2024 thru December 2024 | ||||||||
| Funding Type : TRADITIONAL | ||||||||
| Rating Type : PROSPECTIVE GUARANTEED COST | ||||||||
| Reported Premium: Billed Premium without fees | ||||||||
| Reported Claims: All Claims | ||||||||
| Paid claim dollars include amounts deducted from your account and paid to vendors for cost containment services. | ||||||||
| YTD/MONTH | PRODUCT TYPE | IN NETWORK | OUT OF NETWORK | TOTAL CLAIMS | BILLED PREMIUM | TOTAL LOSS RATIO | TOTAL SUBS | TOTAL MBRS |
| Jan-24 | DPPO | $135,648 | $18,691 | $154,339 | $180,034 | 85.7% | 3,439 | 6,520 |
| Jan-2024 Total | $135,648 | $18,691 | $154,339 | $180,034 | 85.7% | 3,439 | 6,520 | |
| Feb-24 | DPPO | $127,875 | $13,152 | $141,027 | $179,571 | 78.5% | 3,445 | 6,507 |
| Feb-2024 Total | $127,875 | $13,152 | $141,027 | $179,571 | 78.5% | 3,445 | 6,507 | |
| Mar-24 | DPPO | $138,302 | $21,954 | $160,256 | $179,766 | 89.1% | 3,448 | 6,496 |
| Mar-2024 Total | $138,302 | $21,954 | $160,256 | $179,766 | 89.1% | 3,448 | 6,496 | |
| Apr-24 | DPPO | $128,640 | $21,293 | $149,932 | $179,583 | 83.5% | 3,442 | 6,485 |
| Apr-2024 Total | $128,640 | $21,293 | $149,932 | $179,583 | 83.5% | 3,442 | 6,485 | |
| May-24 | DPPO | $129,327 | $22,108 | $151,435 | $179,985 | 84.1% | 3,447 | 6,479 |
| May-2024 Total | $129,327 | $22,108 | $151,435 | $179,985 | 84.1% | 3,447 | 6,479 | |
| Jun-24 | DPPO | $145,513 | $15,496 | $161,009 | $180,314 | 89.3% | 3,452 | 6,490 |
| Jun-2024 Total | $145,513 | $15,496 | $161,009 | $180,314 | 89.3% | 3,452 | 6,490 | |
| Jul-24 | DPPO | $119,642 | $18,200 | $137,842 | $180,090 | 76.5% | 3,454 | 6,484 |
| Jul-2024 Total | $119,642 | $18,200 | $137,842 | $180,090 | 76.5% | 3,454 | 6,484 | |
| Aug-24 | DPPO | $151,076 | $20,298 | $171,374 | $180,301 | 95.0% | 3,458 | 6,477 |
| Aug-2024 Total | $151,076 | $20,298 | $171,374 | $180,301 | 95.0% | 3,458 | 6,477 | |
| Sep-24 | DPPO | $112,130 | $14,658 | $126,788 | $179,683 | 70.6% | 3,449 | 6,460 |
| Sep-2024 Total | $112,130 | $14,658 | $126,788 | $179,683 | 70.6% | 3,449 | 6,460 | |
| Oct-24 | DPPO | $116,260 | $17,933 | $134,193 | $179,490 | 74.8% | 3,463 | 6,469 |
| Oct-2024 Total | $116,260 | $17,933 | $134,193 | $179,490 | 74.8% | 3,463 | 6,469 | |
| Nov-24 | DPPO | $117,360 | $14,397 | $131,757 | $178,229 | 73.9% | 3,454 | 6,430 |
| Nov-2024 Total | $117,360 | $14,397 | $131,757 | $178,229 | 73.9% | 3,454 | 6,430 | |
| Dec-24 | DPPO | $92,801 | $11,057 | $103,859 | $177,925 | 58.4% | 3,446 | 6,414 |
| Dec-2024 Total | $92,801 | $11,057 | $103,859 | $177,925 | 58.4% | 3,446 | 6,414 | |
| PRODUCT TYPE Totals | DPPO | $1,514,574 | $209,238 | $1,723,811 | $2,154,972 | 80.0% | 41,397 | 77,711 |
| Grand Total | $1,514,574 | $209,238 | $1,723,811 | $2,154,972 | 80.0% | 41,397 | 77,711 |
&RADVICE Reporting System &8Page &P of &N Date: 3/21/2025&C&G&L&G &7This report contains proprietary and/or confidential information. Disclosure is strictly prohibited except to the extent required by law.
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