Exhibits_ABCD.pdf
PDF 122 KB Posted
- Attached to
- Health & Life Insurance Services
- Solicitation number
- SPM070-17-R-0001
About this file
Exhibits A, B, C & D
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment_A004.pdf | ||
| Claims_Report_2017_-_Chronic_Conditions.xlsx | XLSX spreadsheet | |
| HL_QA4_061417_final.docx | DOCX document | |
| Amendment_A003.pdf | ||
| HL_QA3_060217.docx | DOCX document | |
| Comparison_Chart_2012-2022.xlsx | XLSX spreadsheet | |
| Amendment_A002.pdf | ||
| Exhibit_E_List_of_Dependents.pdf | ||
| Exhibits_ABCD.pdf | ||
| Quick_Guide_for_Contract_Registrations_SAM.pdf | ||
| Claims_Report_2017.xlsx | XLSX spreadsheet | |
| HL_QA2_060117.docx | DOCX document | |
| PreProposal_Minutes.pdf | ||
| Amendment_A001.pdf | ||
| Chart_agegroup_andgender_2017.xlsx | XLSX spreadsheet | |
| HL_QA1_051617.docx | DOCX document | |
| PremiumsvsClaims_2014_2017wretirees.xlsx | XLSX spreadsheet | |
| Sample_Report_2017.xlsx | XLSX spreadsheet | |
| RFP_InvitationLetter.pdf | ||
| SF33_Cover_Page.pdf | ||
| HL_Solicitation_Final.pdf |
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Text version
EXHIBIT A - EMPLOYEE STATISTICS
Health Life Insurance
Basic Rate Age
1 $12,866.00 59 2 $26,604.00 28 3 $20,683.00 31 4 $22,767.00 41 5 $32,327.00 44 6 $16,477.00 42 7 $13,407.00 25 8 $14,393.00 35 9 $27,347.00 64
10 $31,371.00 56 11 $54,362.00 44 12 $19,017.00 24 13 $39,430.00 51 14 $14,930.00 59 15 $31,268.00 45 16 $77,340.00 49 17 $10,966.00 54 18 $13,571.00 44 19 $11,346.00 33 20 $14,021.00 25 21 $54,362.00 62 22 $52,479.00 44 23 $18,184.00 43 24 $13,407.00 52 25 $18,184.00 47 26 $39,430.00 57 27 $54,436.00 44 28 $17,096.00 59 29 $12,866.00 36 30 $10,643.00 33 31 $9,618.00 39 32 $13,319.00 33 33 $30,415.00 65 34 $60,307.00 60 35 $12,866.00 52 36 $54,362.00 61 37 $32,327.00 56 38 $16,499.00 61 39 $64,221.00 65 40 $24,679.00 36 41 $41,498.00 44 42 $62,264.00 52 43 $11,346.00 39 44 $29,459.00 54 45 $28,503.00 32 46 $30,415.00 48 47 $31,268.00 47 48 $14,249.00 60 49 $32,327.00 52 50 $41,498.00 54
51 $28,180.00 51 52 $9,197.00 55 53 $10,643.00 31 54 $17,091.00 32 55 $8,306.00 44 56 $15,249.00 54 57 $14,059.00 43 58 $21,811.00 38 59 $47,930.00 45 60 $19,850.00 31 61 $16,136.00 53 62 $28,180.00 60 63 $18,152.00 58 64 $52,479.00 56 65 $37,098.00 30 66 $52,479.00 48 67 $39,890.00 34 68 $16,499.00 64 69 $13,319.00 33 70 $12,144.00 51 71 $52,754.00 56 72 $14,059.00 38 73 $54,362.00 49 74 $32,327.00 59 75 $28,503.00 52 76 $11,302.00 34 77 $28,936.00 55 78 $23,182.00 47 79 $13,407.00 24 80 $23,182.00 60 81 $19,017.00 31 82 $43,106.00 47 83 $23,182.00 38 84 $50,522.00 38 85 $18,152.00 58 86 $15,249.00 62 87 $19,850.00 43 88 $9,446.00 38 89 $62,264.00 57 90 $12,144.00 49 91 $11,723.00 47 92 $23,723.00 49 93 $18,152.00 53 94 $32,327.00 47 95 $12,595.00 59 96 $23,182.00 44 97 $18,152.00 57 98 $17,705.00 30 99 $32,327.00 63
100 $29,459.00 63 101 $39,430.00 53 102 $13,856.00 38
103 $16,499.00 50 104 $18,152.00 50 105 $48,565.00 51 106 $13,407.00 41 107 $8,306.00 58 108 $25,681.00 59 109 $20,683.00 53 110 $16,499.00 53 111 $41,498.00 50 112 $28,936.00 32 113 $12,782.00 55 114 $24,848.00 64 115 $18,933.00 26 116 $48,565.00 35 117 $18,933.00 60 118 $9,618.00 52 119 $12,595.00 41 120 $41,498.00 38 121 $20,775.00 52 122 $18,184.00 25 123 $54,362.00 60 124 $14,249.00 61 125 $16,499.00 52 126 $11,131.00 57 127 $18,184.00 34 128 $51,146.00 58 129 $23,182.00 50 130 $32,327.00 43 131 $16,499.00 59 132 $39,890.00 56 133 $20,855.00 52 134 $20,775.00 48 135 $15,467.00 50 136 $41,498.00 42 137 $14,249.00 61 138 $15,863.00 44 139 $31,371.00 57 140 $24,679.00 39 141 $18,319.00 47 142 $10,206.00 37 143 $12,144.00 57 144 $16,477.00 42 145 $20,775.00 49 146 $16,004.00 41 147 $16,499.00 52 148 $24,848.00 57 149 $54,362.00 61 150 $11,346.00 38 151 $14,249.00 55 152 $18,152.00 51 153 $48,565.00 41 154 $38,264.00 49
155 $37,271.00 44 156 $32,434.00 42 157 $32,327.00 51 158 $90,760.00 47 159 $15,467.00 32 160 $8,686.00 37 161 $11,708.00 56 162 $14,249.00 62 163 $8,306.00 29 164 $15,467.00 43 165 $31,371.00 42 166 $60,307.00 52 167 $12,245.00 32 168 $19,017.00 39 169 $18,933.00 40 170 $18,184.00 47 171 $39,430.00 56 172 $54,362.00 52 173 $11,723.00 31 174 $34,766.00 45 175 $43,106.00 50 176 $32,327.00 44 177 $33,600.00 46 178 $11,619.00 28 179 $21,516.00 30 180 $14,059.00 42 181 $10,966.00 52 182 $31,371.00 61 183 $18,152.00 55 184 $12,866.00 62 185 $20,683.00 34 186 $25,635.00 32 187 $12,866.00 54 188 $12,866.00 38 189 $21,516.00 41 190 $46,322.00 36 191 $8,306.00 22 192 $56,393.00 60 193 $24,015.00 53 194 $22,767.00 50 195 $16,499.00 54 196 $60,307.00 57 197 $17,091.00 41 198 $16,499.00 59 199 $14,021.00 30 200 $62,264.00 57 201 $16,499.00 50 202 $24,679.00 55 203 $11,619.00 48 204 $32,434.00 48 205 $39,430.00 61 206 $17,078.00 55
207 $15,863.00 46 208 $54,436.00 57 209 $74,656.00 52 210 $26,604.00 32 211 $10,643.00 32 212 $38,282.00 47 213 $11,346.00 53 214 $11,619.00 53 215 $17,078.00 57 216 $34,766.00 44 217 $31,268.00 39 218 $28,180.00 60 219 $23,723.00 38 220 $32,327.00 45 221 $10,966.00 55 222 $18,319.00 43 223 $37,098.00 33 224 $19,732.00 62 225 $19,850.00 32 226 $32,434.00 44 227 $8,686.00 71 228 $18,184.00 38 229 $56,393.00 37 230 $8,306.00 40 231 $30,415.00 52 232 $19,850.00 55 233 $21,811.00 38 234 $37,271.00 44 235 $23,723.00 45 236 $52,754.00 45 237 $25,438.00 30 238 $11,708.00 57 239 $32,327.00 49 240 $16,499.00 58 241 $28,180.00 54 242 $18,319.00 48 243 $54,362.00 51 244 $18,184.00 32 245 $12,782.00 31 246 $11,708.00 32 247 $19,850.00 29 248 $52,754.00 48
EXHIBIT B -ORE EMPLOYEES RIDER
Basic Rate per month Age 1 $1,170.00 48 2 $1,000.00 50 3 $785.00 64 4 $775.00 48 5 $550.00 52 6 $700.00 50 7 $1,500.00 46
EXHIBIT C - AERA EMPLOYEES RIDER
Basic Rate per month Age 1 $1,400.00 31 2 $800.00 25
EXHIBIT D - GRANDFATHERED RETIREES
Basic Rate Age
1 N/A 74 2 N/A 73 3 N/A 75 4 N/A 74 5 N/A 66 6 N/A 64 7 N/A 68 8 N/A 74 9 N/A 71
10 N/A 68 11 N/A 73 12 N/A 66 13 N/A 69 14 N/A 79 15 N/A 73 16 N/A 69
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