ࡱ> :<9 bjbjWW ($55    <+++++BDDDDDDUD D++Y++BB ::$^o0  :   DAVISON COUNTY HEALTH CARE COVERAGE REQUEST FOR PROPOSAL FY 2010 Requirements and Specifications The Davison County Commission made a motion on June 9, 2009, to solicit insurance quotes with the people currently on the plan and a separate quote to include the Commissioners along with those currently on the plan. We would prefer two quotes if possible. At the present time we have the following number of policies: 1. Single Plans 31 2. Employee/Spouse Plan 14 3. Employee/Child Plan 07 4. Family Plan 08 Health Care Plans proposed should include, at a minimum, the following. If your company cannot provide the identified requirements, please list any alternate you are able to provide: DEDUCTIBLES: TYPE OF PLANOPTION #1 OPTION #2 Individual/Family In Network/ Out of Network $1,000/$2,000 30% Penalty Imposed if Preauthorization is not obtained only. $1,500/$3,000 30% Penalty Imposed if Preauthorization is not obtained only.Co-Insurance In Network Out of Network  80/20 30% Penalty as stated above.  80/20 30% Penalty as stated above.Out of Pocket Maximum Individual/Family In Network/ Out of Network $2,000/$4,000 $2,000/$4,000 Plus 30% Penalty $3,000/$6,000 $3,000/$6,000 Plus 30% Penalty Lifetime Maximums: $2,000,000 Value Plus Program (Discounted Vision, Hearing Aids, Diabetic Supplies & Travel Assistance) Office Visits: $30 co-pay (services offered in an office visit setting to include but not limited to x-rays, lab work, and minor surgeries as long as the service is provided in the clinic) X-Ray & Lab: $30.00 co-pay as long as the service is provided in a clinic Emergency Room Co-Pay $100.00 co-pay applies to emergency room, however if admitted to the hospital co-pay is waived. Inpatient Facility Co-Pay Deductible and Co-Insurance Substance Abuse Rider/Benefit Vision Rider/Benefit (Eye Examine provided for a $10.00 co-pay plus minimal coverage on eyewear to include contacts on at least an every other year basis.) Preventative Care Provided Preferably by a Co-Pay Pharmacy Coverage Generic Drug: $7.00 Brand-Name Formulary Drug 30% (min. $30, max. $90) Brand-Name Non-Formulary Drug 50% (min. $60, max.$180) Maternity Coverage Mental Health Coverage Chiropractic Coverage (Preferably by a Co-Pay) Physical Therapy Coverage (Preferably by a Co-Pay) Flex Plan Administration Included with Premiums (no extra cost to the County for administering the flex plan.) Renewal: For the Company, who is awarded the Proposal for the Fiscal Year 2010, firm renewal rates for the following years, in writing and signed, will be provided to the Auditors office by September 1st due to Budgetary Requirements provided by South Dakota Statute. Ba; V % & 5 r s   3 5 w x  h>h( h M/h(h(h(>* hwSh( *hRLh( h(>*hMWYh(>*h(($ABbch i $Ifl gd($a$gd(  & ' 5 s t tddddddddd$Ifl kd$$IflF6 # t06    44 la    4 tddddddddd$Ifl kd$$IflF6 # t06    44 la 4 5 K ] i x tdddddddddd$Ifl kd$$IflF6 # t06    44 la ^ _ ()dbbbbbbbkd$$IflF6 # t06    44 la$Ifl )uv)*HI%&9U)*^_&1h:p(/ =!0"0#$%$$If!vh55 5 #v#v :V l t065$$If!vh55 5 #v#v :V l t065$$If!vh55 5 #v#v :V l t065$$If!vh55 5 #v#v :V l t0656666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontRi@R  Table Normal4 l4a (k (No List j@j wS Table Grid7:V0PK!K[Content_Types].xmlj0Eжr(΢]yl#!MB;BQޏaLSWyҟ^@ Lz]__CdR{`L=r85v&mQ뉑8ICX=H"Z=&JCjwA`.Â?U~YkG/̷x3%o3t\&@w!H'"v0PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!\theme/theme/theme1.xmlYOoE#F{o'NDuر i-q;N3' G$$DAč*iEP~wq4;{o?g^;N:$BR64Mvsi-@R4Œ mUb V*XX! cyg$w.Q "@oWL8*Bycjđ0蠦r,[LC9VbX*x_yuoBL͐u_. DKfN1엓:+ۥ~`jn[Zp֖zg,tV@bW/Oټl6Ws[R?S֒7 _כ[֪7 _w]ŌShN'^Bxk_[dC]zOլ\K=.:@MgdCf/o\ycB95B24S CEL|gO'sקo>W=n#p̰ZN|ӪV:8z1f؃k;ڇcp7#z8]Y / \{t\}}spķ=ʠoRVL3N(B<|ݥuK>P.EMLhɦM .co;əmr"*0#̡=6Kր0i1;$P0!YݩjbiXJB5IgAФ޲a6{P g֢)҉-Ìq8RmcWyXg/u]6Q_Ê5H Z2PU]Ǽ"GGFbCSOD%,p 6ޚwq̲R_gJSbj9)ed(w:/ak;6jAq11_xzG~F<:ɮ>O&kNa4dht\?J&l O٠NRpwhpse)tp)af] 27n}mk]\S,+a2g^Az )˙>E G鿰L7)'PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-!K[Content_Types].xmlPK-!֧6 1_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!\theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] $  4 ) 8@0(  B S  ?  =D N %) * ^  ::(&s45x  @ `@UnknownGTimes New Roman5Symbol3 Arial"hFF \ 024# 3QHX)?MWYDAVISON COUNTY Davison County Register of Deeds Bruce Mastel Oh+'0 ,8 \ h t'DAVISON COUNTY$Davison County Register of Deeds Normal.dotmBruce Mastel2Microsoft Macintosh Word@F#@:@:  ՜.+,0 hp  'Davison County#  DAVISON COUNTY Title  !"#$%&'(*+,-./02345678;Root Entry Fe::=Data 1TableWordDocument($SummaryInformation()DocumentSummaryInformation81CompObj`ObjectPool e:: e:: F Microsoft Word 97-2004 DocumentNB6WWord.Document.8