Exhibit I - Fertility Response Form.DOCX

This document is an Exhibit I Fertility Response Form for an Invitation to Negotiate (ITN) 25-4659 for Group Supplemental Benefits, issued by an unspecified district and potentially targeting Florida-based entities. The document appears to be a template for potential vendors to outline their proposed fertility-related supplemental benefits, with sections requesting details on services, coverage eligibility, waiting periods, case management, consultation options, and pricing structures.

The response form seeks comprehensive information from vendors, including standard benefits provided, services available (bundled or at additional cost), potential beneficial services, invoicing processes, eligibility requirements, and premium rates for employee-only and employee-plus-family coverage. Vendors are expected to detail their service offerings, including website access, telephone support, consultation methods (telephone, web-conference, in-person), and any additional consultation costs. The document is part of a procurement process, with electronic files available for review on specified websites (watermatters.org/procurement and demandstar.com), indicating an open competitive bidding environment for supplemental fertility benefits.