RFP_26_041-DJ_Appendix A_Questionnaire.xlsx

This is a questionnaire appendix (Appendix A) for RFP No. 26-041/DJ issued by Palm Beach County, Florida for a Multiple Option Dental Program covering employees of Palm Beach County, the Supervisor of Elections, and Palm Tran. The RFP seeks proposals for five dental plan options: two DHMO plans (Basic and Enhanced) and three DPPO plans (Low, High, and Premier). Proposers must complete the comprehensive questionnaire covering general administration, provider network details, claims administration, benefits design, and financial information. The contract term runs from January 1, 2027, through December 31, 2029, with requirements for 180-day notice (or by June 30th annually) for rate changes and 240-day notice (or by April 30th annually) for initial rate change indication. Proposals must include detailed provider network data for Palm Beach, Broward, and Martin Counties, including provider additions and departures over the past three years, pediatric dentist availability, and geographic access analyses via completed appendices. Respondents must also provide disruption analysis reports, member satisfaction survey results, and evidence of quality assurance measures.

The questionnaire requires proposers to address specific coverage provisions including orthodontia benefits, wisdom teeth coverage, general anesthesia, oral surgery, implant benefits with a separate $2,500 annual maximum, out-of-area emergency coverage, and dependent college student coverage. Proposers must confirm compliance with self-billing and roster billing accommodations, paperless enrollment capabilities, and waiver of waiting periods for currently enrolled members. Financial requirements include performance guarantees of up to $50,000 each for contacting all current network providers and contracting the top 100 DHMO and DPPO providers. Additional administrative responsibilities include COBRA administration for dental, medical, and health FSAs, and retiree billing services for approximately 80 retirees not paying through the Florida Retirement System. Proposers must provide current A.M. Best, Moody's, or Standard & Poor's ratings and confirm the ability to provide personalized ID cards at no additional cost. The incumbent carrier currently provides the dental program and value-added benefits including vision discount, hearing benefit, and pharmacy discount programs.