July 6, 2016
Can you please provide the following information:
1. Copy of the current benefit booklets
Response: The benefit booklet is included herein.
2. Employee census which includes the following information:
Date of birth, Gender, Salary, Salary pay mode ( annually, semi-monthly, weekly, by-weekly, hourly), Inforce employee voluntary life amounts, Inforce spouse voluntary life amounts, Inforce child voluntary life amounts, Inforce basic life insurance amounts
Response: The census report is included herein.
July 16, 2016
Q: Please provide a copy of a recent monthly billing statement / premium remittance statement to compare census volumes to reported volumes.
A: Lake County utilizes self Bill and use the Census to Pay – there are no differences.
Q: Please provide a rate history from 2013 for each line of Life and AD&D coverage.
A: See attachment
Q: Please confirm you are requesting an age-banded rate table for both basic and supplemental coverages.
A: Age Banded only for Supplemental; the desire is to keep similar set up to current design
Q: Please provide a detailed listing of all death claims incurred since 1/1/2013.
A: See Claims Experience
Q: Please provide a list of open Waiver of Premium claims, including gender, date of birth, date of disability, and amounts of life coverage for all current disabled insureds.
A: Currently none
Q: Will the life insurance plan be self-administered/self-billed by the employer, or will the insurance carrier be responsible for maintaining individual employee records and for generating monthly invoices?
A: Currently we are self billed with the Carrier Administering Claims processing and EOI processing. Please provide costs for both scenarios.
Q: Please provide a description of your claims submission process; including such items as information gathering, submission, follow up and resolution.
A: The beneficiary and the Employer complete a claim form and the Beneficiary submits to Carrier. Carrier completes process.
Q: Please provide the details of your current portability and conversion administration process.
A: See Portability Attachment
Q: Do you currently use a TPA or software vendor for your benefits enrollment and eligibility? If so, can the name of the vendor be released?
A: We use our in house Oracle System
For purposes of coordinating waiver of premium with the LTD plan, what is your LTD definition of disability?
We do not currently have LTD; Requesting quotes and information
Q: Please describe your Evidence of Insurability process; including such things as submission, follow-up and notification.
A: If EOI is required; EE completes form and submits to carrier; Carrier informs EE and ER of decision once complete; Form attached
Q: Please describe any established file transfers you have in place today.
A: Currently None
Q: What is the best way to communicate with your employees during enrollment and throughout the year?
A: Open Enrollment materials; Lake County Intranet; Emails
Q: Are current beneficiary designations held electronically or on paper?
Q: Who holds current beneficiary designations?
A: Lake County
Q: What is the process to share beneficiary information with the current carrier?
A: At the time of a claim the last known signed form is sent in with the claim
Please Also see the below attachments.