RFP 01101 Price Proposal

92 KB Posted

Attached to
ACC Emp and Retiree Benefits Indiv Stop-loss Ins
Solicitation number
RFP01101
Issued by
Clayton County, Georgia

About this file

This is a Price Proposal document for Athens Clarke County Government's individual stop-loss insurance request for their partially self-funded health insurance program for the 2023 plan year. The proposal presents four pricing options for stop-loss coverage that includes both medical and pharmacy lines of coverage on a per-member accumulation basis with unlimited maximum benefits. All options provide coverage paid in 12 monthly installments with zero percent commissions. The specific stop-loss limits vary by option: Option 1 at $200,000, Option 2 at $250,000, Option 3 at $300,000, and Option 4 as an alternate option with details to be specified by the proposer.

The pricing structure includes specific stop-loss limits paired with aggregating stop-loss limits, with Option 1 establishing a $50,000 aggregate limit. Each option requires the proposer to provide composite per-member per-month (PCPM) rates and annualized total costs. The document indicates that stop-loss premiums are to be calculated and submitted for each option, allowing the county to evaluate cost differences across varying deductible levels for their 2023 plan year coverage. This format enables Athens Clarke County to compare total financial exposure and premium costs when selecting their preferred stop-loss insurance option.

Text of this file

Option 1 - $200,000 Specific Stop Loss Option 2 - $250,000 Specific Stop Loss

Specific Stop Loss limit: $200,000 Specific Stop Loss limit: $250,000 Specific Stop Loss contract basis: Paid in 12 Specific Stop Loss contract basis: Paid in 12 Lines of coverage Included: Med And Rx Lines of coverage Included: Med And Rx Specific Stop Loss Maximum: Unlimited Specific Stop Loss Maximum: Unlimited Specific Stop Loss accumulation: Per Member Specific Stop Loss accumulation: Per Member Aggregating Specific Stop Loss limit: $50,000 Aggregating Specific Stop Loss limit:

Commissions: 0.00% Commissions: 0.00%

Composite PCPM Composite PCPM

Annualized Total Annualized Total

Option 3 - $300,000 Specific Stop Loss Option 4 - Alternate Option Specific Stop Loss

Specific Stop Loss limit: $300,000 Specific Stop Loss limit:

Specific Stop Loss contract basis: Paid in 12 Specific Stop Loss contract basis: Paid in 12 Lines of coverage Included: Med And Rx Lines of coverage Included: Med And Rx Specific Stop Loss Maximum: Unlimited Specific Stop Loss Maximum: Unlimited Specific Stop Loss accumulation: Per Member Specific Stop Loss accumulation: Per Member Aggregating Specific Stop Loss limit: Aggregating Specific Stop Loss limit:

Commissions: 0.00% Commissions: 0.00%

Composite PCPM Composite PCPM Annualized Total Annualized Total

Stop Loss Premiums

Stop Loss Premiums Stop Loss Premiums

Stop Loss Premiums

2023 Stop Loss Price Proposal

Sheet1

Other files

File Type Posted
RFP 01101 Addendum I —
Award Information —
RFP 01101 Doc —
Addendum I Memo —

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