Proposal_Submittal_Form.pdf

PDF 70 KB Posted

Attached to
Insurance, Group Life and Disability
Solicitation number
RFP- 26 - 338
Issued by
Pinellas County, Florida

About this file

This is a Proposal Submittal Form for the City of St. Petersburg's Request for Proposal (RFP) for fully insured group insurance coverage. The City seeks proposals from qualified insurance carriers to provide Basic Group Term Life/Accidental Death and Dismemberment (AD&D), Voluntary Supplemental Life, Spouse Voluntary Supplemental Life, Child(ren) Voluntary Supplemental Life, Voluntary Personal AD&D, and Long Term Disability (LTD) plans. The RFP specifically seeks proposals from insurance carriers providing ancillary insurance services rather than brokers. The form serves as the standardized submittal document through which qualified carriers must present their proposals to be considered for award.

The evaluation criteria and pricing structure are designed to identify the most advantageous coverage at the lowest long-term net cost to the City and the lowest long-term cost to eligible employees, retirees, and dependents. The submittal form establishes the formal requirements and procedures that prospective carriers must follow when submitting their proposals for the group life and disability insurance coverage. No specific set-asides, contract term length, renewal options, response deadlines, or award dates are identified in this form document.

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Text version

Proposal Submittal Form

Indicate which products you are proposing and return this completed page with your proposal:

Carrier Name: ________________________________________________________

I. Life/AD&D Basic Life/AD&D (Active Full-Time & Retirees) Voluntary Supplemental Life (Active Full-Time) Spouse Voluntary Supplemental Life (Active Full-Time) Child(ren) Voluntary Supplemental Life (Active Full-Time) Voluntary Personal AD&D (Active & Retirees)

II. Disability Insurance STD (ASO non-contributory for management. Also covers non-management participants in LTD.)

LTD (fully insured non-contributory for management and non-management, non-sworn actively participating in the defined contribution plan sponsored by the Employer)

Carrier Name:
Basic LifeADD Active FullTime Retirees: Off
Voluntary Supplemental Life Active FullTime: Off
Spouse Voluntary Supplemental Life Active FullTime: Off
Children Voluntary Supplemental Life Active FullTime: Off
Voluntary Personal ADD Active Retirees: Off
STD ASO noncontributory for management Also covers non: Off
LTD fully insured noncontributory for management and non: Off
Check Box1: Off
Check Box2: Off
Check Box3: Off
Check Box4: Off
Check Box5: Off
Check Box6: Off
Check Box7: Off

File details come from the government source that posted it. Updated .