RFP 15001 Price Proposal (Form A).xlsx

This price proposal form for RFP 15001 pertains to the City of Madison, Wisconsin's Life and Disability Insurance procurement, with an effective date of July 1, 2027. The document serves as a bidders' submission template for five categories of ancillary benefits: Basic Life and AD&D (Active), Short Term Disability, Long Term Disability, Duty Disability, and Voluntary Life and AD&D. For Basic Life and AD&D, bidders must provide rates per $1,000 monthly across ten age bands (14-24 through 65+) or submit composite rates per $1,000 of covered payroll. Short Term Disability and Long Term Disability submissions are segmented by employee classification (Metro and All Other Employees), with rates submitted per $10 weekly benefit and per $100 covered payroll, respectively. Voluntary Life and AD&D offerings include employee coverage by age band, dependent life options with flat unit or age-based structures, retiree dependent life options, spouse coverage, and child life coverage. Duty Disability is presented with two optional structures, and all submissions require bidders to specify their rate guarantee period in years.

The proposal form contains multiple alternate pricing options (Status Quo, Alternates #1-3, and Alternate #4 if necessary) to enable comparative analysis of vendor offerings. All submitted plans must comply with state and federal requirements regarding nervous and mental health benefits, with final benefit determinations governed by the actual product brochures approved by the Wisconsin Commissioner of Insurance and the master contract and policyholder certificates. The document includes a disclaimer noting that discrepancies between the comparison form and insurance carrier materials may occur, with the official product brochures taking precedence in such instances. The pricing template is standardized by M3 Insurance Solutions, Inc., dated 2026, and provides the framework for vendors to present comprehensive pricing across the full spectrum of life, disability, and ancillary benefits requested by the City of Madison.