HomeMy WebLinkAbout1999-081•0
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GUARDIAN
MODIFICATION TO DENTAL INSURANCE PROPOSAL OF THE GUARDIAN
The purpose of this modification is to clarify and modify certain submissions by
Guardian in their response to Request For Proposal by Indian River County for dental
insurance. Indian River County's Request For Proposal for dental insurance in Part B,
Paragraph 1.16 stated that the proposal submitted, if approved by the Board of County
Commissioners and the documents identified in the bid package would be the contract.
Section 3.1 of Part B stated that any modifications to the proposal must be in writing,
signed by the parties. This agreement is intended to modify the response to the Request
For Proposal submitted by the Guardian for dental insurance for Indian River County
employees.
1. It is a condition of this contract that Guardian shall be under no obligation to proceed
unless thirty-five percent (35%) of the employees if Indian River County enroll in the
dental insurance program prior to June 1, 1999.
2. Employees of the constitutional officers of Indian River County may piggyback the
dental insurance program of the Board of County Commissioners if the office of each
constitutional officer, standing alone, has an enrollment of thirty-five percent (35%)
of each constitutional officer's employees.
s 3. While employees will not be compelled to attend an enrollment meeting, each
employee must execute either an enrollment form or a waiver form.
4. The Guardian response proposed seven (7) different alternative pans A -G. The
selected plan coverage is for Plans D and G as set out in the response to the proposal,
hereinafter renamed plans A and B, respectively.
5. Enrollment period to be scheduled from March 24, 1999 through April 30, 1999.
Subsequent annual enrollments shall begin in August, 1999 and each following
August the plan continues in force.
6. Plan coverage and employee monthly premiums for Plan A and Plan B shall be as set
out below:
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GUARDIAN
PLAN A
$1,500 Annual Maximum Benefit
$1,000 Maximum Orthodontia Benefit (Lifetime)
In Network Out of Network
$25 Deductible $75 Deductible
100%
Preventative/Diagnostic
100%
100%
Basic Care
80%
60%
Major Care
50%
50%
Orthodontic
50%
Monthly Premiums:
Family Rate $62.01
Employee
$25.15
waive the deductible for preventative services in network, but do not waive
Spouse
$33.91 (additional)
Child(ren)
$28.49 (additional) or
Family Rate $87.56
Orthodontia
$ 8.08 (additional)
Orthodontia $ 8.08
PLAN B
$1,000 Annual Maximum Benefit
No Orthodontia Benefit
In Network
Out of Network
$50 Deductible
$100 Deductible
100% Preventative/Diagnostic
80%
80% Basic Care
70%
50% Major Care
40%
Monthly Premiums:
Employee $18. i 9
$23.82 (additional) or
Family Rate $62.01
Spouse
Child(ren) $20.00 (additional)
waive the deductible for preventative services in network, but do not waive
Both plans
the deductible for preventative services out of network.
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GUARDIAN
This modification to the contract for dental insurance between the Guardian Life
Insurance Company of America and the Board of County Commissioners of Indian River
County shall become effective at the end of the enrollment period only if a thirty-five
` (35%) voluntary participation rate by employees is attained.
THE GUARDIAN LIFE
INSURANCE CO. OF AMERICA
B �
Ahn T. Blalock
egional Salal�lee�ss Manager
Dated:_�!
BOARD OF COUNTY COMMISSIONERS
OF INDIO RIVER COUNTY
By:
enneth R. Macht, Chamnan
Dated: —1/9_3Lly
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ATTEST:
By`.+lJaGk
Deputy Clerk for Jeffrey K. Bartod,
Clerk of Circuit. Court