Okaloosa County BOCC — August 5, 2014 — RFP #44-14 -Life and AD&D Insurance - Standard Insurance Proposal Exhibit A — reading text

Exhibit A Employee Benefits Corporate Elonafitn ct tho Emerald Coast, Proposal And Prepared for: Okaloosa County Board of Cost Summary cuca ) Pi i Group Life Insurance Standard Insurance Company TheStandard \ How The Standard’s Focused Expertise Can Benefit Your Business At Standard Insurance Company, group Life and Disability insurance aren't add-ons. They're our primary business. For you, our focused expertise means people who understand your needs and employee benefits that work harder to support your goals. From fast, responsive claims handling to flexible plan designs that help you control costs, we're here to partner with you for the long term. Our proactive approach and solutions can help reduce the workload for your HR team and help you maintain a more efficient and productive workplace. Key Reasons To Choose The Standard Partnership Focus With The Standard’s 40-plus fully-staffed sales and service offices across the country, you can count on a smooth, hassle-free transition, local account resources and personal, responsive service. We're here to minimize your administrative burden and simplify claim management. With access that works the way you work — online, phone or in person — we’re easy to reach and quick to follow through. Long-Term Perspective We've tailored this proposal to address your needs, today and for the long- term. Need more options? Just ask. We offer millions of possible plan design combinations. We also emphasize giving you the “right rate” from the beginning to avoid a big increase later. Proactive Approach We focus on helping employers prevent disabilities, increase employee well- being and maintain a more productive workplace through innovative solutions that deliver measurable results, including: + Industry-leading Workplace Possibilities™ program + Exclusive partnership with Health Advocate™ * Employee Assistance Program included with our LTD plans * Comprehensive Absence Management services ¢ Flexible Dental and Vision plans We Keep Our Promises At The Standard, doing the right thing for our customers is in our DNA. More than 100 years of history and our long track record of financial strength back up our commitment to you and your employees. Employee Benefits Proposal and Cost Summary Prepared for Okaloosa County Board of County Commissioners on May 9, 2014 Proposed Effective Date of October 1, 2014 Presented By: Corporate Benefits of the Emerald Coast, Basic Life and AD&D Plan 1 Covered Members An active employee of the Employer working 32 hours per week An active elected official employee of the Employer Class 1: Elected Officials including Supervisor of Elections Class 2: All other Members Plan Class 1 Class 2 Benefit Formula Flat $25,000 Flat $25,000 . To 65% at age 65; To 40% To 65% at age 65; To 40% pees Benefit at age 70; To 25% at age at age 70; To 25% at age 75; To 15% at age 80 75; To 15% at age 80 Guarantee Issue Full Benefit Full Benefit Employer Contribution | 100% 100% Cost Members Volume X Rate: Per $1,000 = Pronto remium All Eligible Life 706 $17,373,750 0.11 $1,911 AD&D 706 $17,373,750 0.02 $347 Total $2,258 e We provide policyholders with a 60-day notice of rate change. e The proposed rates are guaranteed for 36 months. Features e Waiver of Premium is included for those disabled prior to age 60. The schedule of age reductions will not apply while a member is on Waiver. Waiver ends at age 65. The Standard consolidates the filing and management of the Life Waiver of Premium and LTD claims if The Standard has both coverages. Plan Design e A Family Benefits Package is included. It provides extra AD&D benefits to help families transition due to the loss of an insured member. The package includes a Child Care Benefit (child care expense reimbursement for children under age 13); a Career Adjustment Benefit (education expense Standard Insurance Company 1381309 Employee Benefits Proposal and Cost Summary Prepared for Okaloosa County Board of County Commissioners on May 9, 2014 Proposed Effective Date of October 1, 2014 Presented By: Corporate Benefits of the Emerald Coast, reimbursement for spouses); and a Higher Education Benefit (college expense reimbursement for children). e A Seat Belt Benefit and an Air Bag Benefit are included. These provide additional benefits (100% of AD&D benefit to $10,000 and 100% of AD&D benefit to $5,000, respectively) if a member dies as a result of an automobile accident while using a seat belt system and where the automobile's air bag deployed at the time of the accident. e Travel Assistance is included. This service provides plan participants with access to appropriate medical care and other emergency services whenever traveling at least 100 miles from home or in a foreign country for trips lasting up to 180 days. Travel Assistance offers a range of professional, 24- hour medical and legal assistance and coordination services. e An Accelerated Benefit is included. Terminally ill members may withdraw up to 75% of their Life benefit to a maximum of $500,000 (when Basic Life and any Additional Life are combined). e AdminEASE service is included. These time-saving online tools are the fastest, easiest and most secure way to administer your plan. e Portability of insurance is included. This lets terminating members continue their dependents life amount without providing evidence of insurability with the continuation of their life amount. If AD&D is included in the plan it may also be ported. e ARepatriation Benefit is included. It provides an additional benefit to help pay for the expenses of transporting a member's body when the member dies more than 200 miles from home. e The plan includes E-Contract Document service for efficient, convenient online contract document delivery. Printed documents are available on request. Certificates must be distributed to insured members. Note: Under ERISA, plan administrators may deliver Summary Plan Descriptions/certificates electronically, but must implement measures to ensure participants actually receive them. Please consult legal counsel to clarify your delivery or recordkeeping requirements. Assumptions e Proposed rate includes electronic documents. Conditions e This is not our customary age reduction schedule. As an employer, you are responsible for determining that the schedule you have requested complies with the ADEA. We assume that you have made that determination. e The rates assume billing is centralized in one location. e The proposed rates assume coverage currently in force. Additional Information For additional information on the available features and benefits of Life and Accidental Death & Dismemberment Insurance from The Standard, click here: http://www.standard.com/eforms/6958.pdf Standard Insurance Company 1381309 4 Employee Benefits Proposal and Cost Summary Prepared for Okaloosa County Board of County Commissioners on May 9, 2014 Proposed Effective Date of October 1, 2014 Additional Life Plan 1 Covered Members Presented By: Corporate Benefits of the Emerald Coast, An active employee of the Employer working 32 hours per week An active elected official employee of the Employer Plan Benefit Formula Increments of $25,000 to a maximum of $500,000 with a minimum of $25,000 Rounding Nearest $1 Minimum Benefit $25,000 Age Based Benefit Reduction To 65% at age 65; To 40% at age 70; To 25% at age 75; To 15% at age 80 Guarantee Issue $300,000 Employer Contribution 0% e For coverage to become effective on 10/01/2014, the greater of 20% of eligible members or 10 members must enroll. Cost . Monthly Members Age Rate: Per $1,000 X Volume Premium All Enrolled 41 <= 29 0.060 $1,075,000 $65 13 30-34 0.070 $1,500,000 $105 33 35-39 0.100 $3,700,000 $370 28 40-44 0.150 $4,050,000 $608 55 45-49 0.260 $6,500,000 $1,690 58 50-54 0.410 $6,325,000 $2,590 60 55-59 0.560 $5,525,000 $3,094 34 60-64 0.930 $3,550,000 $3,302 8 65-69 1.450 $306,500 $444 5 70-74 2.340 $149,000 $349 0 75 4.660 $0 $0 Total $12,617 e We provide policyholders with a 60-day notice of rate change. Standard Insurance Company 1381309 5 Employee Benefits Proposal and Cost Summary Prepared for Okaloosa County Board of County Commissioners on May 9, 2014 Proposed Effective Date of October 1, 2014 Presented By: Corporate Benefits of the Emerald Coast, Features Waiver of Premium is included for those disabled prior to age 60. The schedule of age reductions will not apply while a member is on Waiver. Waiver ends at age 65. The Standard consolidates the filing and management of the Life Waiver of Premium and LTD claims if The Standard has both coverages. Plan Notes An Accelerated Benefit is included. Terminally ill members may withdraw up to 75% of their Life benefit to a maximum of $500,000 (when Basic Life and any Additional Life are combined). Travel Assistance is included. This service provides plan participants with access to appropriate medical care and other emergency services whenever traveling at least 100 miles from home or in a foreign country for trips lasting up to 180 days. Travel Assistance offers a range of professional, 24- hour medical and legal assistance and coordination services. Portability of insurance is included. This lets terminating members continue their dependents life amount without providing evidence of insurability with the continuation of their life amount. If AD&D is included in the plan it may also be ported. The members’ benefit amounts under the current plan are carried forward to this plan. We require evidence of insurability for members who are eligible under the current plan but are not enrolled. We require evidence of insurability for members who enroll more than 31 days after they are first eligible for coverage. Elective increases require evidence of insurability. Evidence of insurability is required in order to increase elected benefit amounts from the current plan to this plan. Conditions Rates assume 44% enrollment. Additional Life can only be purchased in conjunction with Basic Life. No increases without evidence of insurability for those whose evidence of insurability was not approved by us under any policy issued by us to the policyholder or an employer covered under the policy Until coverage has been in force for 2 years, death which results from suicide or other intentional self- inflicted injury is not covered (in force for 1 year in CO, MO and ND; not available in WA.) The proposed rates assume that only participants are included in the census provided. This is not our customary age reduction schedule. As an employer, you are responsible for determining that the schedule you have requested complies with the ADEA. We assume that you have made that determination. The rates assume billing is centralized in one location. The proposed rates assume coverage currently in force. Standard Insurance Company 1381309 6 Employee Benefits Proposal and Cost Summary Prepared for Okaloosa County Board of County Commissioners on May 9, 2014 Proposed Effective Date of October 1, 2014 Additional AD&D Plan 1 Presented By: Corporate Benefits of the Emerald Coast, A benefit on the Additional Life Plan Covered Members An active employee of the Employer working 32 hours per week An active elected official employee of the Employer Plan Increments of $25,000 to a Benefit Formula maximum of $500,000 with a minimum of $25,000 Rounding Nearest $1 Minimum Benefit $25,000 , To 65% at age 65; To 40% acta a Beneht at age 70; To 25% at age 75; To 15% at age 80 Employer Contribution | 0% Cost Members Volume X Rate: Per$1,000 = Prana All Enrolled AD&D 305 $32,680,500 0.020 $654 Total $654 Standard Insurance Company 1381309 7 Employee Benefits Proposal and Cost Summary Prepared for Okaloosa County Board of County Commissioners on May 9, 2014 Proposed Effective Date of October 1, 2014 : Presented By: Corporate Benefits of the Emerald Coast, Spouse Dependents Life Plan 1