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