Q&A Exhibit 2 - Minnesota Life Vendor Pymts.pdf

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Attached to
Group Term Life Insurance
Solicitation number
RFP-05291
Issued by
Leon County, Florida

About this file

This document is a Request for Proposals (RFP) issued by the Florida Department of Management Services for Group Term Life insurance benefits. The Department intends to make an award for the Services to one or more Respondents, with an estimated annual spend of $36,300,000. Respondents must submit pricing for all Plan designs by providing a corresponding monthly premium rate for all Plan Years.

The RFP covers both active and retired employees, as well as dependent spouse and child coverage, with various coverage amounts and rates. The document includes an invoice detailing the current group term life insurance premium calculations for the State of Florida for the month of May 2023, with breakdowns for employee, employer, retiree, and dependent contributions. Vendors interested in submitting a Proposal must comply with all solicitation terms and conditions.

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Request for Proposals (RFP) Division of State Group Insurance

Group Term Life Insurance: RFP NO.: DMS-22/23-084

Exhibit 2 - Minnesota Life Vendor Payments (Invoice)

STATE OF FLORIDA

LIFE INSURANCE PREMIUM CALCULATION

FOR THE MONTH OF MAY 2023 (PREMIUMS WITHHELD IN APRIL 2023)

Invoice # MAY-23 Employee Employer Employee Employer Calculated

Enrollee Classification Count Rate Rate Contribution Contribution Premium

Active Regular (Non-OPS) $25,000 148,252 0.00 3.58 2,232.38$ 528,509.78$ 530,742.16$ -

Active OPS 3,731 0.00 3.58 13,356.98$ -$ 13,356.98$ - Total Employees 151,983 15,589.36$ 528,509.78$ 544,099.14$ -$

Retirees ($2,500) 12,019 5.32 0.00 63,941.08$ -$ 63,941.08$ -

Retirees ($10,000) 16,640 21.26 0.00 348,600.22$ -$ 348,600.22$ - Waiver not incl in total

Vested Legislators ($150,000) 138 21.45 0.00 2,960.10$ -$ 2,960.10$ - Total Retirees 28,797 415,501.40$ -$ 415,501.40$ -$

Dependent Spouse ($15,000) 2,861 5.18 0.00 14,819.98 -$ 14,819.98$ -

Dependent Spouse ($20,000) 11,067 6.90 0.00 76,362.30 -$ 76,362.30$ - Total Dependent Spouse 13,928 91,182.28$ -$ 91,182.28$ -$

Dependent Child ($10,000) 24,365 0.85 0.00 20,710.25$ -$ 20,710.25$ - Total Dependents 38,293 111,892.53$ -$ 111,892.53$ -$

Optional Coverage 38,995 Various 0.00 2,083,045.29$ -$ 2,083,045.29$

Retro Payments - Various 0.00 -$ -$ -$

Grand Total 258,068 2,626,028.58$ 528,509.78$ 3,154,538.36$ -$

Employee Contribution (Basic) 15,589.36 Employer Contribution 528,509.78 Retiree Contribution 415,501.40 Dependent Spouse/Child Contribution 111,892.53 Optional Coverage & Retro Payments 2,083,045.29 Total Payment Due 3,154,538.36$

Diff b/w VHC and (Count * Rate)

Breakdown of Premium

Source: NGA Vendor Headcount Report/Monthly Enrollment Files Bureau of Financial & Fiscal Management

ENTERED IN FLAIR 05/04/2023 IKW

SL0523

END OF EXHIBIT 2

Q&A Exhibts RFP NO. DMS-22.23-084
Q&A Exhibit 2 - Minnesota Life Vendor Pymts MAY 2023
Minnesota Life Vendor Pymts MAY 23
May_23 Vendor Pymt Rpts - LIFE - INVOICE
Life Invoice May_23 RECON_BL

Q&A Exhibts RFP NO. DMS-22.23-084

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