S000000519 Dental and Vision Official Bid Price Sheet~1.xlsx

XLSX spreadsheet 13 KB Posted

Attached to
Dental and Vision Administration
Solicitation number
S000000519
Issued by
Arkansas

About this file

This is an official bid price sheet for Invitation for Bid S000000519, issued by the Arkansas State Office of State Procurement (OSP) on behalf of the Arkansas State Police to solicit pricing for third-party administrative services for a self-funded Dental and Vision Plan. The price sheet requires prospective contractors to submit annual costs for administrative fees and PPO network fees based on an estimated membership of 1,200 members per month. Bidders must also identify any one-time implementation fees for the first year of the contract. The sheet includes a separate section for optional services that fall outside the low-cost determination calculation, allowing contractors to propose additional activities and tasks with corresponding descriptions, units of measure, and associated costs.

Pricing is structured as a per-member-per-month rate for both administrative fees and PPO network fees, with the total estimated monthly and annual costs auto-populating based on the entered rates and the 1,200-member estimate. The first-year total cost combines the annual administrative and PPO network fees with any one-time implementation fees. The bid price sheet does not specify response deadlines, award dates, contract term length, or renewal options in the visible portions of the document. Optional services pricing is evaluated separately and does not factor into the low-cost determination used for contract award.

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Text version

A - Admin & PPO Network Fees

Official Solicitation Price Sheet
S000000519Arkansas State Police Dental & Vision Insurance

Prospective Contractor Name:

INSTRUCTIONS
1. Prospective Contractors should enter Prospective Contractor name in the blue-highlighted cell on this tab.
PRICING TAB
Tables A
1. The Prospective Contractor shall identify the annual cost for each type of insurance specified in the blue shall IFB and all additional activities and tasks identified in the Prospective Contractor's proposal. Total estimated cost will auto-populate.
TABLE A - FOR LOW COST DETERMINATION
Per Member Per Month RateEstimated MembersCalculated Estimated Monthly Admin & PPO Network Fees
Administrative Fees1,200$0.00
PPO Network Fees1,200$0.00
Total Estimated Monthly Admin & PPO Network Fees$0.00
(x 12 months) Total Estimated Annual Admin & PPO Network Fees$0.00

One-time Implementation Fee

Total Estimated Cost of First Year of Contract*$0.00
*Total Estimated Annual Admin & PPO Network Fees + Implementation Fees

B - Optional Services

Official Bid Price Sheet
S000000519 Dental & Vision Insurance
Instructions: The Prospective Contractor should enter a description, then enter a unit of measure, and cost in the blue shaded cell if applicable.
TABLE B: OPTIONAL SERVICES (NOT INCLUDED IN LOW COST DETERMINATION)
DescriptionUnit of MeasureCost
$
$
$
$
$
$
$
$
$
$
$
$
$
$

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