Lake County Addendum Forum

21141Lake County Dental Plan Insurance RFP

Addendum #3 September 16, 2021

Retiree census posted to RFP documents

Addendum #2 September 14, 2021

Q) How long has the group been with their incumbent Delta?
A) The current contract was a 2 year initial term contract with 3 one year renewals for a total of 5 years
Q) Has there been any recent plan changes? A) No
Q) What us the purpose for going out to bid? A) Lake County is required to go out for public procurement as there are no renewal options left on the current agreement
Q) Would you be interested in us quoting alternate plan designs in addition to matching current structure?  A) Lake County welcomes all proposed solutions to consider in the RFP evaluation process
Q) Would a cost increase in light of the recommended plan design being richer be desired? A) Lake County welcomes all proposed solutions to consider in the RFP evaluation process

Q) What is the current OON R&C (i.e. 80th %, MAC, etc.) for the Dental PPO plan with Delta?
A) Delta Dental’s proprietary maximum plan allowance (MPA) is used for out of network reimbursement.

Q) What is the current participation level in the dental plan? The census does not include waivers, so we do not know the exact number of total eligible employees.
A)  Enrollment counts were included on the Summary Report.

Q) Please explain why the census shows only 2,000 enrolled lives, while the latest month of experience (July 2021) shows over 2,500 enrolled lives. If the census is missing employees with dental coverage, please amend.
A) We just reviewed the census that was included with the RFP publication.  We agree concerning the matter addressed by this question, as the enrollment count in July was 2,559, while the census document shows a count of 2,000.  The Retirees and COBRA members were not captured.

Q) Can you provide the latest 12 months of experience data?
A) The Summary Report provides the requested information.

Q) Please provide the details of the Delta Dental TO GO Feature, including maximum annual carryover, and any qualifying provisions.A) ToGo Flyer has been added to the RFP documents.

Q) Can you provide a listing of your top providers? We can also provide geo access reports to demonstrate our network strength, if a provider file is it not available. A)  GEO report has been added to the RFP documents.

Addendum #1- August 27, 2021

Q) Please provide the following:

  • Eligible census which includes dates of birth, gender, home zip code and current dental elections (ee/ee/sp,ee/ch and ee/ff)
  • Full delta management report

A) An additional attachment D has been added to the RFP documents on 8/27/2021. Please download this attachment for this information.