RFP No. 21-057-DP_Appendix B1 LTD Price Proposal Pages.docx
DOCX document 50 KB Posted
- Attached to
- Long Term and Short Term Disability Insurance
- Solicitation number
- RFP 680 21-057/DP 2
- Issued by
- Palm Beach County, Florida
About this file
This is a Long Term Disability (LTD) insurance price proposal template issued by Palm Beach County, Florida under RFP No. 21-057-DP. The request solicits proposals for four distinct LTD program options: a Basic Core Program covering 2,817 lives with an estimated monthly eligible payroll of $12,848,905; an Alternative Core Program with customizable terms; a Buy-Up/Upgrade Program covering 1,136 lives with estimated monthly eligible payroll of $6,072,543; and a Voluntary Program covering 299 lives with estimated monthly eligible payroll of $1,629,268. Each program tier allows proposers to submit both standard offerings that match current benefit levels and alternative proposals with enhanced benefits or modified terms. The contract is effective January 1, 2022, and proposers must specify the length of their rate guarantees. The county prefers multi-year rate guarantees and requires proposers to clearly identify any deviations from current provisions, additional benefits offered, and whether rates are inclusive of all services and materials.
Pricing must be submitted as a composite rate per $100 of covered payroll for each program option, with corresponding estimated annual premiums. The current buy-up/upgrade program premium structure establishes the employer funds the first $4.60 per month with employees funding additional premiums. Proposers must certify that pricing is complete and inclusive of all out-of-pocket expenses, that proposals are submitted without collusion or fraud, and must demonstrate financial stability to perform the contract. Failure to submit all required pages with complete information and authorized signatures will result in immediate rejection of the entire proposal. The document serves as a binding certification tool requiring proposer attestation regarding pricing accuracy, non-discrimination compliance, and absence of legal proceedings.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| RFP_21-057-DP.pdf | ||
| RFP_21-057-DP_1_7-20-21.pdf | ||
| RFP_21-057-DP_Appendix A - Part 1.docx | DOCX document | |
| RFP_21-057-DP_Attachment 5.xls | XLS spreadsheet | |
| RFP_21-057-DP_Attachment 3.pdf | ||
| RFP_21-057-DP_1_Attachment-7.xlsx | XLSX spreadsheet | |
| RFP_21-057-DP_Attachment 4.pdf | ||
| RFP No. 21-057-DP_Appendix B2_STD Price Proposal Pages.docx | DOCX document | |
| RFP_21-057-DP_Appendix A - Part 2.xls | XLS spreadsheet | |
| RFP_21-057-DP_1_Attachment-6.xlsx | XLSX spreadsheet |
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Text version
APPENDIX B1
LONG TERM DISABILITY
PRICE PROPOSAL PAGES
RFP NO. 21-057/DP
ALSO PROVIDED AS A SEPARATE ATTACHMENT (WORD format) ON THE
PURCHASING DEPARTMENT’S WEBSITE:
https://pbcvssp.co.palm-beach.fl.us/webapp/vssp/AltSelfService
THE PROPOSER SHALL ANSWER ALL QUESTIONS BELOW. IT IS THE COUNTY’S PREFERENCE TO RECEIVE MULTI YEAR RATE GUARANTEES.
BASIC CORE PROGRAM
(50% TO $1,000)
| COMPOSITE RATE PER $100 OF COVERED PAYROLL |
| $ /$100 |
| ESTIMATED “ELIGIBLE” MONTHLY PAYROLL |
| $12,848,905 |
| ESTIMATED NUMBER OF COVERED LIVES |
| 2,817 |
| ESTIMATED ANNUAL PREMIUM |
| $_________________ |
RATE IS GUARANTEED FOR MONTHS
(FROM JANUARY 1, 2022 THROUGH___________________)
1. Are you offering any pre-defined rate formulas or caps beyond the rate guaranteed above? If Yes, fully describe.
PRICE PROPOSAL PAGES
RFP NO. 21-057/DP
2. Does this rate duplicate the current benefit levels? ____Yes ____No If No, fully describe all deviations.
3. Does this rate offer additional benefits above the current benefit levels?
____Yes ____No
If Yes, fully describe these benefits.
4. Is the rate inclusive of all services and materials? ____Yes ____No If No, fully describe cost.
PRICE PROPOSAL PAGES
RFP NO. 21-057/DP
ALTERNATIVE CORE PROGRAM
(50% to $1,000)
OR
| COMPOSITE RATE PER $100 OF COVERED PAYROLL |
| $ /$100 |
| ESTIMATED NUMBER OF COVERED LIVES |
| __________________ |
| ESTIMATED ANNUAL PREMIUM |
| $_________________ |
RATE IS GUARANTEED FOR MONTHS
1. Are you offering any pre-defined rate formulas or caps beyond the rate guaranteed above? _____Yes _____No If Yes, fully describe same.
2. Fully describe all deviations from the current provisions and benefit levels.
PRICE PROPOSAL PAGES
RFP NO. 21-057/DP
3. Please explain how this alternative plan would benefit the County.
4. Please explain how this alternative plan would benefit employees.
5. Is the rate inclusive of all services and materials? _____Yes _____No If No, fully describe cost.
6. Are you offering any pre-defined rate formulas or caps beyond the rate guaranteed above? _____Yes _____No If Yes, fully describe same.
PRICE PROPOSAL PAGES
RFP NO. 21-057/DP
BUY-UP/UPGRADE PROGRAM
(60% TO $5,000)
| COMPOSITE RATE PER $100 OF COVERED PAYROLL |
| $ /$100 |
| ESTIMATED “ELIGIBLE” MONTHLY PAYROLL |
| $6,072,543 |
| ESTIMATED NUMBER OF COVERED LIVES |
| 1,136 |
| ESTIMATED ANNUAL PREMIUM |
| $_________________ |
RATE IS GUARANTEED FOR MONTHS
Please note: The current buy-up/upgraded program premiums are $.45/100 of covered payroll (INCLUSIVE of core). Standalone premium is $.23/$100 of covered payroll. The employer funds the first $4.60 per month of buy-up/upgraded coverage to fund the core benefit and the employee funds the additional premiums.
1. Does this rate duplicate the current benefit levels? ____Yes ____No.
2. Does this rate offer additional benefits above the current benefit levels? ___Yes ___No.
3. Is the rate inclusive of all services and materials? ____Yes ____No.
PRICE PROPOSAL PAGES
RFP NO. 21-057/DP
ALTERNATIVE BUY-UP/UPGRADE PROGRAM
(60% TO $6,000 per month/or other proposed alternative)
OR
________% to $________ per month
| COMPOSITE RATE PER $100 OF COVERED PAYROLL |
| $ /$100 |
| ESTIMATED “ELIGIBLE” MONTHLY PAYROLL |
| $_________________ |
| ESTIMATED NUMBER OF COVERED LIVES |
| __________________ |
| ESTIMATED ANNUAL PREMIUM |
| $_________________ |
RATE IS GUARANTEED FOR MONTHS
1. Are you offering any pre-defined rate formulas or caps beyond the rate guaranteed above? If yes, fully describe same.
PRICE PROPOSAL PAGES
5. Is the rate inclusive of all services and materials? _____Yes _____No.
PRICE PROPOSAL PAGES
RFP NO. 21-057/DP
VOLUNTARY PROGRAM
(60% TO $5,000)
| COMPOSITE RATE PER $100 OF COVERED PAYROLL |
| $ /$100 |
| ESTIMATED “ELIGIBLE” MONTHLY PAYROLL |
| $1,629,268 |
| ESTIMATED NUMBER OF COVERED LIVES |
| 299 |
| ESTIMATED ANNUAL PREMIUM |
| $_________________ |
RATE IS GUARANTEED FOR MONTHS
1. Does this rate duplicate the current benefit levels? ____Yes ____No.
2. Does this rate offer additional benefits above the current benefit levels? ___Yes ___No.
3. Is the rate inclusive of all services and materials? ____Yes ____No.
PRICE PROPOSAL PAGES
RFP NO. 21-057/DP
ALTERNATIVE VOLUNTARY PROGRAM
(60% TO $6,000 per month/or other proposed alternative)
OR
________% to $________ per month
| COMPOSITE RATE PER $100 OF COVERED PAYROLL |
| $ /$100 |
| ESTIMATED “ELIGIBLE” MONTHLY PAYROLL |
| $_________________ |
| ESTIMATED NUMBER OF COVERED LIVES |
| __________________ |
| ESTIMATED ANNUAL PREMIUM |
| $_________________ |
RATE IS GUARANTEED FOR MONTHS
1. Are you offering any pre-defined rate formulas or caps beyond the rate guaranteed above? If yes, fully describe same.
PRICE PROPOSAL PAGES
5. Is the rate inclusive of all services and materials? _____Yes _____No.
The Proposer certifies by signature below the following:
a. This pricing is current, accurate complete, and is presented as the Total Pricing, including “out-of-pocket” expenses (if any), for the performance of this Contract in accordance with the Requirements/Scope of Work/Services of this RFP.
b. This Proposal is current, accurate, complete, and is presented to the County for the performance of this Contract in accordance with all the requirements as stated in this RFP.
c. The Proposal is submitted without prior understanding, agreement, or connection with any corporation, firm, or person submitting a Proposal for the same materials, services, and supplies and is, in all respects, fair and without collusion or fraud.
LONG TERM DISABILITY PRICE PROPOSAL PAGES
d. The financial stability to fully perform the terms and conditions as specified herein. The County reserves the right to request financial information from the proposer at any time during the solicitation process and in any form deemed necessary by the County.
e. The information in Section 3.5 Commercial Non-Discrimination Certification (Confirm #) is true and correct to the best of the Proposer’s knowledge.
f. There are no legal proceedings required to be disclosed, as required by Section 3.5 Commercial Non-Discrimination (Confirm #), except as disclosed in Proposer’s proposal, if any.
Note: Failure to certify and submit the required information, if applicable, shall deem your proposal non-responsive.
IMPORTANT: FAILURE TO SUBMIT THESE PAGES, INCLUDING ALL REQUIRED INFORMATION AND SIGNATURES, WILL BE CAUSE FOR "IMMEDIATE REJECTION” OF THE ENTIRE PROPOSAL RESPONSE.
NAME (PRINT):
TITLE:
COMPANY:
ADDRESS:
CITY/STATE/ZIP:
TELEPHONE NO.
SIGNATURE:
Rev. 4.22.16
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