|
1t
<br /> Vt
<br /> Indian River County BOCC-EMPLOYEES & CONSTITUTIONALS MIRING GROUP 1C
<br /> PPO Dental Insurance RFP Evaluation INSURANCE BROKERS:. a coNsuLrANTs
<br /> Effective Date: October 1,2014
<br /> Current Alternate#2
<br /> a
<br /> rcal.ndariYeaf
<br /> v�r� IWO
<br /> � m0011
<br /> i"..=
<br /> g � s �,
<br /> � s r Networ& �;.0r�'a:�,kw" i,Clft't Sl,f„}
<br /> �Y,00f9 2,ai1�r
<br /> '
<br /> ,6.r ;.g,�� ... � : ,.v..,{, �kyr �.✓'' �Ha;
<br /> Oedu ihl �
<br /> ct es” ��, ;: yes, �� �, ✓. r / tiv,.r, ��3,,as�s i �� �� r
<br /> Single $50 1 $100 $25 I $50 $50 1 $50 $25 , $25
<br /> t i I I
<br /> Family $1S0 1' $300 $75 1 $150 $150 $150 $75 $75
<br /> Deductible Waived for Preventive I I I
<br /> Services? Yes Yes Yes Yes Yes Yes Yes i Yes
<br /> 9
<br /> ✓ 9�s.,s �fd..: ✓1 „a.,:,rr�mo,//..,,,i,K,.t,,emo� . ,s,,,.,a,,,,,,,:,,.",:t: ,s, s
<br /> .�,,�,.w��' za,,,,,�re,,g,t-irts✓,,,,�,✓r h,. ,,,,, ,,,u„y, i✓�a f�r,..r lr.✓i
<br /> =.,fV�,7/rfi / ri�
<br /> BeF � � b
<br /> ill
<br /> d„ e ssr
<br /> ✓,
<br /> Preventative 100% 1 80% 100% 100% 100% i 80% 100% i 100%
<br /> Basic 80% ' 70% 100% E 80% 80% 1 70% 100% i 80%
<br /> 4 s 1 i
<br /> Major 50% t 40% 60% ; So% 70% 40% 50% 50%
<br /> Orthodontia(Up to age 19) N/A N/A 50% t 50% N/A i N/A 50% i 50%
<br /> ..r e r ,.�,� ii,. „�.rte,, „-. ,,. ,,,,,, „,.,,�,,,,� ,�.
<br /> .+. ,� ".. ,.o.
<br /> w
<br /> Service Information �'� iii � � a yi� � �� � ✓ / :,� s'' ✓ �f%��1�, r< r �°, y�
<br /> ,.95 r / ✓,
<br /> / ✓
<br /> r � � a � y r
<br /> � a ����i.c r�.,,��.,
<br /> Out of Network Benefits Level Fee Schedule Fee Schedule Fee Schedule Fee Schedule
<br /> Waiting Period(Timely Entrants) None None None None
<br /> Orthodontia-Lifetime Max N/A $1,000 N/A $1,000
<br /> Endodontics/Periodontics Basic Basic Basic Basic
<br /> Rate Guarantee Expires 09/30/2014 f--pares 091.10/2014 24 Months 24 Months
<br /> ,..:,� y RffS.:r'X J'
<br /> ", ,� ti �.y:,�' Via; �., �.,..� a'/✓yam 6✓C/ 5' .:�� �r, r: ...,r-. ;, r ,. ,......�„ .,, :;., 01/
<br /> J�1'�
<br /> �` � ������ ��y�,> � � r,rs�,��� ��✓r _,,� ,,,. lt�i 1nGAerMonrh, unthJ asYe �yilntrP'arManrh,�,
<br /> k��� �� t�.,r„ �r, s��:�.
<br /> EE Only 58 94 $27.92 $38.58 $27.54 {$0.38) $38.06 ($0.52)
<br /> EE+Spouse 18 ;7 $64.47 $90.58 $63.60 ($0.87) $89.36 ($1.22)
<br /> Employee+Children 211 17 $58.60 $94.66 $57.81 ($0.79) $93.38 ($1.28)
<br /> EE+Two or More 46 39 $95.16 $146.88 $93.87 ($1.29) $144.90 ($1.98)
<br /> Monthly Premium $8,329.18 $14,315.52 58,216.34 $14,122.52
<br /> Annual Premium $99,950.16 $171,786.24 $98,596.08 $169,470.24
<br /> $Increase N/A N/A -$1,354.08 -$2,316.00
<br /> %increase N/A E N/A -1.4% -1.3%
<br /> Annual Premium $271,736.40 $268,066.32
<br /> $increase N/A -$3,670.08
<br /> Increase N/A -1.4%
<br />
|