Attachment_D_Pricing_Table_073118.xlsx
XLSX spreadsheet 23 KB Posted
- Attached to
- Third-Party Benefits Administration
- Solicitation number
- USCA19R0092
- Issued by
-
The Judicial Branch
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Revised Attachment D
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Base Period
| Solicitation USCA18R0092 for Third Party Administration for the Federal Judiciary Benefits Program | |||||
| Attachment D | |||||
| Base Period CLIN 0001 | October 22, 2018 - October 21, 2019 | ||||
| Base Period CLINS 0002 - 0013 | July 1, 2019 - June 30, 2020 | ||||
| CLIN No. | AO CLIN Description | Estimated Quantity | Cost Per Quantity (as detailed in column D) | Extended Cost (Cost Per Quantity times estimated quantity as detailed in column D) | |
| 0001 | Transition Items | 1 lot |
| 0002 | Annual Enrollment Planning, Communication Development, Distribution & Enrollment for Plan Year 2019 | 1 lot |
| 0003 | Reimbursable charges (to include travel, postage and other reimbursable charges) for Annual Enrollment | Not to Exceed |
0004 Benefits Administration Monthly Price per Eligible person. Based on 34,000 employees
0005 Thrift Savings Account Administration Monthly Price per Eligible person. Based on 34,000 employees
0006 Flexible Spending Account Administration inclusive of run-out Monthly Price per participant. Based on 11,000 participants
0007 Commuter Parking Reimbursement Account Adminstration inclusive of run-out Monthly Price per participant. Based on 3,000 participants
0008 Commuter Mass Transit Reimbursement Account Adminstration inclusive of run-out Monthly Price per participant. Based on 1,000 participants
0009 Reimbursable charges (to include travel, postage and other reimbursable charges) for Administration Not to Exceed
0010 Affordable Care Act Administration Monthly Price per Eligible person. Based on 34,000 employees
0011 Education/Training Services (train the trainer, group sessions) Price per event - assumes 5 events/per year; travel included as applicable
| 0012 | FSA non-discrimination testing | 1 lot |
| 0013 | Total Compensation Statement | 1 lot |
Option 1
| Solicitation USCA18R0092 for Third Party Administration for the Federal Judiciary Benefits Program |
| Attachment D |
| Option Period 1 | July 1, 2020 - June 30, 2021 | ||||
| CLIN No. | AO CLIN Description | Estimated Quantity | Cost Per Quantity (as detailed in column D) | Extended Cost (Cost Per Quantity times estimated quantity as detailed in column D) |
| 1001 | Annual Enrollment Planning, Communication Development, Distribution & Enrollment for Plan Year 2020 | 1 lot |
| 1002 | Reimbursable charges (to include travel, postage and other reimbursable charges) for Annual Enrollment | Not to Exceed |
1003 Benefits Administration Monthly Price per Eligible person. Based on 34,000 employees
1004 Thrift Savings Account Administration Monthly Price per Eligible person. Based on 34,000 employees
1005 Flexible Spending Account Administration inclusive of run-out Monthly Price per participant. Based on 11,000 participants
1006 Commuter Parking Reimbursement Account Adminstration inclusive of run-out Monthly Price per participant. Based on 3,000 participants
1007 Commuter Mass Transit Reimbursement Account Adminstration inclusive of run-out Monthly Price per participant. Based on 1,000 participants
1008 Reimbursable charges (to include travel, postage and other reimbursable charges) for Administration Not to Exceed
1009 Affordable Care Act Administration Monthly Price per Eligible person. Based on 34,000 employees
1010 Education/Training Services (train the trainer, group sessions) Price per event - assumes 5 events/per year; travel included as applicable
| 1011 | FSA non-discrimination testing | 1 lot |
| 1012 | Total Compensation Statement | 1 lot |
Option 2
| Solicitation USCA18R0092 for Third Party Administration for the Federal Judiciary Benefits Program |
| Attachment D |
| Option Period 2 | July 1, 2021 - June 30, 2022 | ||||
| CLIN No. | AO CLIN Description | Estimated Quantity | Cost Per Quantity (as detailed in column D) | Extended Cost (Cost Per Quantity times estimated quantity as detailed in column D) |
| 2001 | Annual Enrollment Planning, Communication Development, Distribution & Enrollment for Plan Year 2021 | 1 lot |
| 2002 | Reimbursable charges (to include travel, postage and other reimbursable charges) for Annual Enrollment | Not to Exceed |
2003 Benefits Administration Monthly Price per Eligible person. Based on 34,000 employees
2004 Thrift Savings Account Administration Monthly Price per Eligible person. Based on 34,000 employees
2005 Flexible Spending Account Administration inclusive of run-out Monthly Price per participant. Based on 11,000 participants
2006 Commuter Parking Reimbursement Account Adminstration inclusive of run-out Monthly Price per participant. Based on 3,000 participants
2007 Commuter Mass Transit Reimbursement Account Adminstration inclusive of run-out Monthly Price per participant. Based on 1,000 participants
2008 Reimbursable charges (to include travel, postage and other reimbursable charges) for Administration Not to Exceed
2009 Affordable Care Act Administration Monthly Price per Eligible person. Based on 34,000 employees
2010 Education/Training Services (train the trainer, group sessions) Price per event - assumes 5 events/per year; travel included as applicable
| 2011 | FSA non-discrimination testing | 1 lot |
| 2012 | Total Compensation Statement | 1 lot |
Option 3
| Solicitation USCA18R0092 for Third Party Administration for the Federal Judiciary Benefits Program |
| Attachment D |
| Option Period 3 | July 1, 2022 - June 30, 2023 | ||||
| CLIN No. | AO CLIN Description | Estimated Quantity | Cost Per Quantity (as detailed in column D) | Extended Cost (Cost Per Quantity times estimated quantity as detailed in column D) |
| 3001 | Annual Enrollment Planning, Communication Development, Distribution & Enrollment for Plan Year 2022 | 1 lot |
| 3002 | Reimbursable charges (to include travel, postage and other reimbursable charges) for Annual Enrollment | Not to Exceed |
3003 Benefits Administration Monthly Price per Eligible person. Based on 34,000 employees
3004 Thrift Savings Account Administration Monthly Price per Eligible person. Based on 34,000 employees
3005 Flexible Spending Account Administration inclusive of run-out Monthly Price per participant. Based on 11,000 participants
3006 Commuter Parking Reimbursement Account Adminstration inclusive of run-out Monthly Price per participant. Based on 3,000 participants
3007 Commuter Mass Transit Reimbursement Account Adminstration inclusive of run-out Monthly Price per participant. Based on 1,000 participants
3008 Reimbursable charges (to include travel, postage and other reimbursable charges) for Administration Not to Exceed
3009 Affordable Care Act Administration Monthly Price per Eligible person. Based on 34,000 employees
3010 Education/Training Services (train the trainer, group sessions) Price per event - assumes 5 events/per year; travel included as applicable
| 3011 | FSA non-discrimination testing | 1 lot |
| 3012 | Total Compensation Statement | 1 lot |
Option 4
| Solicitation USCA18R0092 for Third Party Administration for the Federal Judiciary Benefits Program |
| Attachment D |
| Option Period 4 | July 1, 2023 - June 30, 2024 | ||||
| CLIN No. | AO CLIN Description | Estimated Quantity | Cost Per Quantity (as detailed in column D) | Extended Cost (Cost Per Quantity times estimated quantity as detailed in column D) |
| 4001 | Annual Enrollment Planning, Communication Development, Distribution & Enrollment for Plan Year 2023 | 1 lot |
| 4002 | Reimbursable charges (to include travel, postage and other reimbursable charges) for Annual Enrollment | Not to Exceed |
4003 Benefits Administration Monthly Price per Eligible person. Based on 34,000 employees
4004 Thrift Savings Account Administration Monthly Price per Eligible person. Based on 34,000 employees
4005 Flexible Spending Account Administration inclusive of run-out Monthly Price per participant. Based on 11,000 participants
4006 Commuter Parking Reimbursement Account Adminstration inclusive of run-out Monthly Price per participant. Based on 3,000 participants
4007 Commuter Mass Transit Reimbursement Account Adminstration inclusive of run-out Monthly Price per participant. Based on 1,000 participants
4008 Reimbursable charges (to include travel, postage and other reimbursable charges) for Administration Not to Exceed
4009 Affordable Care Act Administration Monthly Price per Eligible person. Based on 34,000 employees
4010 Education/Training Services (train the trainer, group sessions) Price per event - assumes 5 events/per year; travel included as applicable
| 4011 | FSA non-discrimination testing | 1 lot |
| 4012 | Total Compensation Statement | 1 lot |
Option 5
| Solicitation USCA18R0092 for Third Party Administration for the Federal Judiciary Benefits Program |
| Attachment D |
| Option Period 4 CLINS 5001 & 5002 | July 1, 2024 - December 31, 2024 | ||||
| Option Period 4 CLINS 5003 - 5010 | July 1, 2024 - June 30, 2025 | ||||
| CLIN No. | AO CLIN Description | Estimated Quantity | Cost Per Quantity (as detailed in column D) | Extended Cost (Cost Per Quantity times estimated quantity as detailed in column D) |
5001 Benefits Administration Monthly Price per Eligible person. Based on 34,000 employees
5002 Thrift Savings Account Administration Monthly Price per Eligible person. Based on 34,000 employees
5003 Flexible Spending Account Administration inclusive of run-out Monthly Price per participant. Based on 11,000 participants
5004 Commuter Parking Reimbursement Account Adminstration inclusive of run-out Monthly Price per participant. Based on 3,000 participants
5005 Commuter Mass Transit Reimbursement Account Adminstration inclusive of run-out Monthly Price per participant. Based on 1,000 participants
5006 Reimbursable charges (to include travel, postage and other reimbursable charges) for Administration Not to Exceed
5007 Affordable Care Act Administration Monthly Price per Eligible person. Based on 34,000 employees
5008 Education/Training Services (train the trainer, group sessions) Price per event - assumes 5 events/per year; travel included as applicable
| 5009 | FSA non-discrimination testing | 1 lot |
| 5010 | Total Compensation Statement | 1 lot |
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