Policy_Document_-_LTD_A_Performance_Guarantee.pdf

PDF 17 KB Posted

Attached to
Short Term/Long Term Disability & Long Term Disability Only Services
Solicitation number
2026-RFP-065-PR
Issued by
Dane County, Wisconsin

About this file

This is a Performance Guarantee Policy Document issued by Standard Insurance Company for the County of Dane in Wisconsin regarding Long Term Disability (LTD) insurance services. The document outlines Standard Insurance Company's commitment to meeting overall service expectations under Group Policy Number 163054-A, effective May 1, 2017. The guarantee covers a comprehensive range of services including claims management, handling of urgent situations, billing and plan revisions, plan implementation, employee plan document management, plan administration, and tax reporting. The performance guarantee is applicable during the initial rate guarantee period specified in the group policy.

Standard Insurance Company offers a 5% refund of quarterly expenses charged to the County's account for administration and claims payment in any quarter where service expectations are not met. The County may submit a written request detailing dissatisfaction during any quarter to request a refund, and Standard will conduct annual surveys to assess satisfaction levels. The guarantee is limited to one refund per quarter, and claim decisions remain subject to the plan's terms with approval or denial determinations excluded from the performance guarantee. Standard reserves the right to modify the terms or terminate the guarantee at its sole discretion following the initial rate guarantee period.

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Text version

Performance Guarantee.

Standard Insurance Company guarantees we will meet your overall service expectations. We will refund 5% of the quarterly expenses charged to your account (for administration and paying claims) for any quarter in which we do not meet this guarantee. You may provide a written request, explaining your dissatisfaction during any quarter, and Standard will provide a refund. We will also send an annual survey to determine your satisfaction.

Our Performance Guarantee includes any services that are important to you, such as:

• Claims Management • Handling urgent situations

• Billing or plan revisions

• Plan implementation • Employee plan documents

• Plan administration • Tax Reporting

For more information call: 1-800-633-8575

Policyholder: County of Dane Group Policy Number: 163054-A Effective Date: May 1, 2017

Disclaimer: No more than one refund per quarter will be paid. Claims decisions are made based on the terms of the plan. The ultimate claim decision, whether to approve or deny, is not covered by this performance guarantee. This guarantee is in effect for the initial rate guarantee period shown in the group policy. Thereafter, Standard reserves the right to modify the terms or terminate this guarantee at any time at its sole discretion.

PF2009

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