Purchasing_-_Short_Term_Disability_Questionnaire.docx
DOCX document 33 KB Posted
- Attached to
- Employee Voluntary Benefit Products 2025-2026
- Solicitation number
- 2025-08
- Issued by
- Hidalgo County, Texas
About this file
The document is a Vendor Questionnaire for Group Short Term Disability, focused on gathering detailed information about a potential short-term disability insurance program. The questionnaire appears to be designed for a city government to evaluate potential disability insurance providers, covering a comprehensive range of policy details and operational considerations. The document seeks extensive information about claim processing, disability definitions, benefit structures, case management, enrollment limitations, and technological capabilities of potential insurance carriers.
The questionnaire delves into critical aspects of short-term disability coverage, including reserve setup for claims, pre-existing condition handling, rate change policies, disability monitoring processes, benefit coordination with other income sources, claim approval timelines, case management services, and premium waiver provisions. Key areas of inquiry include the carrier's definition of disability, exclusions and limitations, evaluation procedures for initial and continuing disability claims, benefit durations for different age groups, and technological support such as web-based portals for employee access. The document indicates the city is seeking a comprehensive understanding of potential insurance providers' capabilities, service models, and policy specifics to make an informed selection for their short-term disability insurance program.
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Text version
Vendor Questionnaire Group Short Term Disability
What is the amount of reserve your company will set up for incurred but unpaid claims on the anniversary date? How do you define incurred claims?
Explain how you will handle pre-existing conditions under the plan proposed?
What is the Carrier’s definition of disability?
Will rate changes occur on policy anniversary date?
Specify major exclusions and limitations.
What are the provisions in the policy for partial disability?
How do you monitor disability?
In order to monitor disability, state the type of cooperation and information that will be needed from the City.
Does the integration/coordination with other sources of income? If so, please list describe the coordination.
For sick leave benefit coordination, are disability benefit reduced only if sick leave benefits are received?
Is disability that has been approved for Workers' Compensation benefit excluded?
Describe the process for assisting employees in applying for and receiving Social Security Disability benefits.
What is the average amount of time required by your company to approve or deny a disability claim? Describe standard procedure for evaluating a claim. Describe procedure of evaluating continuing disability. What is the interval between evaluations?
Describe any disability case management services included.
Does your proposal include a waiver of premium provision? If so, to what age?
What is the benefit duration under age 60? Over age 60?
Is there a survivor benefit?
What is the definition of own occupation vs. any occupation? Explain the guidelines of each definition.
Will your company guarantee that all current participants be granted at least equal coverage if a change is made to carriers?
What is the delay, if any, in effective date? (i.e. First Day of the Month following employment). What are the enrollment limitations, if any, after initial eligibility of the employee?
What are the mental and nervous disorder benefits and their duration?
Describe the accumulation of elimination periods in your policy.
Is there a limitation for environmental illness?
Is there a limitation for “subjective illness” (i.e. Chronic Fatigue Syndrome)
What is the participation requirement?
Does your company have a web-based portal that employees can access for basic policy and service issues? Please explain your capability in this area and provide your URL.
Does your company agree to attend scheduled information/enrollment meetings, provide employee communication information and assist with administrative requirements?
Please fill out and upload the attached worksheet.
File details come from the government source that posted it. Updated .