Form_1_Mandatory_Features.docx

FORM 1, RFP # Y22-1005-KK

Mandatory Features Checklist

Orange County Government

GROUP TERM LIFE, ACCIDENTAL DEATH, LONG AND SHORT TERM DISABILITY

AND DISMEMBERMENT

Effective January 1, 2023

“Mandatory Features” must be present in each proposal before further consideration will be given. Below is a checklist to ensure that the Proposer understands and confirms that all “Mandatory Features” are included in the RFP response. If the stated feature is included in your proposal as requested, check “Yes”. If the stated feature is not included in your proposal, check “No”.

IMPORTANT NOTE: YOUR PROPOSAL WILL BE REMOVED FROM CONSIDERATION IF ANY FEATURE INDICATES A “NO” CHECK.

Mandatory Features Checklist

Proposer Name:

1. The Proposer completed and submitted all Forms as described in Section 3, Proposal Submission Requirements and Documentation.

2. The Proposer completed and submitted Forms 2 and 3 Proposed Fees.

3. The Proposer has provided evidence of a minimum A or above financial strength rating by A.M. Best agency, and is in a financial size category of Class X or higher. Ratings of A- are not sufficient. The Proposer has also provided evidence of Standard and Poor’s financial strength and size.

4. The Proposer has provided a proposal on all coverage lines requested (Life, AD&D, LTD & STD).

5. The Proposer has at least five (5) years of experience servicing groups of 5,000 or more insureds for Life/AD&D and Disability insurance.

6. The Proposer has been licensed to transact the appropriate insurance products for at least five (5) years in the state of Florida.

7. The Proposer agrees that the County will have no minimum participation requirements for voluntary (employee paid) products.

8. The Proposer agrees to guarantee life and disability rates for a minimum of three (3) years.

9. The Proposer agrees to offer an open enrollment for benefits effective January 1, 2023 that allows employees and their dependents to enroll in Supplemental Life/AD&D and Short-Term Disability coverage up to the guarantee issue maximums and without Evidence of Insurability requirements regardless of any prior denials.

10. The Proposer agrees to cover current employees and dependents and agrees to cover all actively at work employees and dependents on a “no loss, no gain” basis.

11. The Proposer agrees to match the County’s definition of a Dependent and Dependent Child (up to age 26) and administer benefits as requested.

12. The Proposer agrees to match the County’s qualifying event notification period of 60 days and administer the benefits as requested.

13. The Proposer agrees to match the County’s leave of absence period under the active work provision of 90 days or less.

12. The Proposer agrees to match the employer’s share of FICA taxes on payments made to disabled employees, without reimbursement from the County, and prepare W-2 forms at year-end for benefits paid to each disabled employee.

13. The Proposer has submitted a sample contract (Master Group Agreement) and specimen policy (Certificate of Coverage/Summary Plan Description) with response.

14. The Proposer agrees to modify the monthly premiums to bi-weekly (26) premiums to accommodate the County’s payroll deductions while not changing the benefit. Premiums will be paid bi-weekly based on the applicable rates.

15. The Contractor agrees to comply with the Appendix D entitled “OC ENTERPRISE SECURITY STANDARDS, POLICIES, AND GUIDELINES ENCRYPTION AND CERTIFICATION AUTHORITIES”

I authorize that the responses herein are accurate.

Name of Firm (Proposer)

Signature

Printed Name/Title

Date