HomeMy WebLinkAboutAddenda - RFP - P902 BENEFITS (2)CITY OF FORT COLLINS
ADDENDUM No. 3
P 902 Benefits
SPECIFICATIONS AND CONTRACT DOCUMENTS
Description of Bid: P902 Benefits
OPENING DATE: August 29, 2003 2:00 p.m.
To all prospective bidders under the specifications and contract documents described above, the
following changes are hereby made.
This Agreement shall commence January 1, 2004, and shall continue in full force and effect until
December 31, 2004, unless sooner terminated. In addition, at the option of the City, the
Agreement may be extended for additional one (1) year periods not to exceed four (4) additional
one(1) year periods. Written notice of renewal shall be provided to the Service Provider and
mailed no later than ninety (90) days prior to contract end.
4
T
Coverage
Code
Description
Period
Vol Life
01/01/2001 to
1213112D0I
01/01/2002 to
12131120M
61/01/2003 to
07/3112003
Vol Life
Vol Life/Child
01101/2001 to
12/3112001
01101/2002 to
1213112
0110112003 to
07/31/200
Vol Life/Child
VAO3D
0110112D0I to
12/3112001
DI/0112002 to
121311200
2
01/0112003 to 07131/2
VADBD
Billing Fee 01/0112001 to 12/31/2001
01/01/2002 to 12/31/2D0
01/0112003 to 071311
Billing Fee
Loss Ratio Heport 14:10 Friday, August 15, 2D03 1
Case(s) - City of Fort Collins ('0065181)
Billing Unit(s) - ('All Billing Units Selected-)
Coverage Cade(s) ('All Coverages Selected')
By Incurred Dates: Jan 1, 2001 thru Jul 31, 2003
WDP
Reserves Total
Earned Paid Open Clain IBNR incurred Lost
Premium Claims Reserves Reserves Claim Ratio
150,283.82 0.00 D.00 0.00 0.00 of
186,714.00 0.00 0.00 0.00 0.00 Oi
91,687.40 30,094.93 0.00 15,697.27 45,702.20 50%
413,665.22 30,094.93 0.00 16,897.27 45,702.90 11%
4,372.98 5,017.98 O.OD 0.00 6,017.98 115%
002 4,412.00 0.00 0.00 0.00 0.00 0%
3 2,522.50 0.DO 0.00 432.43 432.43 17%
11,307.40 5,017.9E 0.00 432.43 51450,41 4a%
B1127.66 0.00 0.00 D.00 0.00 0%
0D
3
8,185.01 0.00 0.00 0.00 0.00 0%
4,838.92 0.00 0.00 0.00 0.00 0%
21,152.19 0.00 0.00 0.00 0.00 0%
745.DO 0.00 0.00 0100 0.00 D%
2 804.50 0.00 0.00 0.00 0.90 D4
2003 485.00 O.DO 0.00 0.00 0.00 0%
2,034.60 0.00 0.00 0.00 0.00 0%
448,069 49 -6C........
_-_.....
--36,,112.01 0.00 16,129.70 ...e�51,242.01 11%
Grp and Vol Life IBNR is estimated at 10% of annual premium.
A98D and VADID IBM is assumed to be 0.
short Term Disability IBNR is estimated at 6% of annual premium.
Long Term Disability IBNR is estimated at 65% of 7 months of premium.
RECEIPT OF THIS ADDENDUM MUST BE ACKNOWLEDGED BY A WRITTEN STATEMENT
ENCLOSED WITH THE BID/QUOTE STATING THAT THIS ADDENDUM HAS BEEN RECEIVED.
Grp and Vol Life IBNR is estimated at 10% of annual premium.
A98D and VADID IBM is assumed to be 0.
short Term Disability IBNR is estimated at 6% of annual premium.
Long Term Disability IBNR is estimated at 65% of 7 months of premium.
RECEIPT OF THIS ADDENDUM MUST BE ACKNOWLEDGED BY A WRITTEN STATEMENT
ENCLOSED WITH THE BID/QUOTE STATING THAT THIS ADDENDUM HAS BEEN RECEIVED.