PLAN COMPARISON SUMMARIES FEE PROPOSAL FORMS

PROPOSED BENEFITS

Detailed benefits information is provided in Exhibit D. The life insurance benefits proposed are based on a $4.12 per month premium. Unless noted it will be assumed that proposed benefits match the requested benefits exactly.

THE “WORD” FILE THAT IS AVAILABLE WITH THIS RFP MUST INCLUDE YOUR PROPOSED BENEFITS. YOU ARE TO INPUT YOUR PROPOSAL INTO THE “WORD” FILE AND PRINT OUT A COPY FOR YOUR ORIGINAL HARD COPY SUBMISSION.

[NOTE: For all of the following Sections, please read the instructions to OFFERORS concerning the disclosure of “trade secret” or “confidential” information and mark your responses in this RFP accordingly. Failure of the OFFEROR to appropriately identify the responses as such may result in the disclosure of any such information]. Please refer to the instructions for the submission of a redacted copy of your proposal in Section 1.11, Submission of Proposals.

Notes Applicable to Insured Proposed Rates/Benefits

1.  All proposals must include fees and taxes.

2.  The contract periods differ in that the Active Life Insurance contract runs on a July 1 to June 30th basis, and the Retiree Life Insurance contract runs on a calendar year basis.

3.  No adjustments to the proposed rates/benefits based on actual initial enrollment or subsequent enrollment changes are acceptable.

4.  All underwriting rules/restrictions that apply to rates/benefits quoted must be listed as an attachment to the proposed rate/benefit exhibit.

5.  All rates/benefits quoted must exclude any commissions or payments to any third party.

6.  Please list any rating method which uses a credibility factor less than 100% in your underwriting assumptions.

7.  Rates/benefits shown must be valid for the contract periods contained in Section 1.4, Contract Period.

8.  Rates/benefits must be filled out in the proposal sheets provided.

9.  All rates/benefits must be guaranteed for the term of the contract, including any extensions.

10.  Amounts shall be in U.S. dollars unless a specific percent is requested.

ACTIVE

LIFE INSURANCE PLAN

TABLE AND PROPOSAL SHEETS #1

ACTIVE /
LIFE INSURANCE PLAN /
TABLE AND PROPOSAL SHEETS #1 /
Detailed benefits information is provided in Exhibit D. Please note any deviation in proposed benefits in the charts below. Unless noted it will be assumed that proposed benefits match the requested benefits exactly. You must agree to a "no loss, no gain" provision with the current benefit plan. /
TABLE - ACTIVE
Plan Design / Current Benefit at $4.12 per month
(USAble Life) / NOTE ALL DEVIATIONS IN YOUR COMPANY’S PROPOSED BENEFITS
Life Insurance Benefit / $41,116
Benefit Reduction
Age Bands / Benefit Amount
65-69 / $26,725
70-74 / $18,502
75-79 / $12,335
80+ / $8,223
Accelerated Death Benefit / 75% of Life Insurance Benefit
Repatriation Benefit / 10% of Life Insurance Benefit
Waiver of Premium / None
Limits on Rights to Convert if Group Policy is terminated or amended
Minimum time insured / 5 years
Maximum conversion amount / The lesser of the amount of life insurance which terminates, less the amount the insured became eligible for under any group policy within 31 days after this insurance terminated; or $10,000.
INSURED, NO RISK SHARING
Proposal Sheet 1
Life - Active only
Fully Insured Non-Participating Contract
Complete the following table for the proposed benefit at $4.12 per month ONLY
Life / Period 1
7/1/19-6/30/20 / Period 2
7/1/20-6/30/21 / Period 3
7/1/21-6/30/22 / Period 4
7/1/22-6/30/23
Life
Proposed Benefit at $4.12 Per Month
Active Only (under age 65)
NOTES:
(1) The EUTF reserves the right to offer multiple carrier options.
(2) No adjustments to the proposed benefit based on actual initial enrollment or subsequent enrollment changes are acceptable.
Authorized Signature
Title
Name of Company
Date

RETIREE

LIFE INSURANCE PLAN

TABLE AND PROPOSAL SHEETS #2

RETIREE
LIFE INSURANCE PLAN
TABLE AND PROPOSAL SHEETS #2
Detailed benefits information is provided in Exhibit D. Please note any deviation in proposed benefits in the charts below. Unless noted it will be assumed that proposed benefits match the requested benefits exactly. You must agree to a "no loss, no gain" provision with the current benefit plan.
TABLE - RETIREE
Plan Design / Current Benefit of $4.12 per month
(USAble Life) / NOTE ALL DEVIATIONS IN YOUR COMPANY’S PROPOSED BENEFITS
Life Insurance Benefit / $2,235
Benefit Reduction / None
Accelerated Death Benefit / 75% of Life Insurance Benefit
Repatriation Benefit / 10% of Life Insurance Benefit
Waiver of Premium / None
Limits on Rights to Convert if Group Policy is terminated or amended
Minimum time insured / 5 years
Maximum conversion amount / The lesser of the amount of life insurance which terminates, less the amount the insured became eligible for under any group policy within 31 days after this insurance terminated; or $10,000.
INSURED, NO RISK SHARING
Proposal Sheet 2
Life - Retiree only
Fully Insured Non-Participating Contract
Complete the following table for the proposed benefit at $4.12 per month ONLY
Life / Period 1
1/1/19-12/31/19 / Period 2
1/1/20-12/31/20 / Period 3
1/1/21-12/31/21 / Period 4
1/1/22-12/31/22
Life
Proposed Benefit at $4.12 Per Month
Retiree Only (Non-Medicare and Medicare)
NOTES:
(1) The EUTF reserves the right to offer multiple carrier options.
(2) No adjustments to the proposed benefit based on actual initial enrollment or subsequent enrollment changes are acceptable.
Authorized Signature
Title
Name of Company
Date