5.8 Standard Terms and Conditions DOA3054 (01/01) Attachment 4 19 5.9 Supplement to Standard Terms and Conditions DOA3681 (01/01) 19 Attachment 4 6.0 Cost Proposal 6.1 Summary 20 6.2 State Plan Employee Insurance 22 6.3 Local Government Plan Employee Insurance 40 6.4 State Plan Spouse and Dependent Insurance 58 6.5 Local Government Spouse and Dependent Insurance 61 6.6 Cost Proposal Questions 64 Attachments Attachment 1 Proposal Checklist 2 – Attachment 2 Designation of Confidential and Proprietary Information 3 – Attachment 3 Standard Terms and Conditions DOA3054 (R01/01) and – 5 Supplement to Standards and Conditions DOA3681 (R01/10) Attachment 4 Vendor Information and Reference Sheet 12 – Attachment 5 Privacy of Personal Data Mitigation of Privacy Breach 15 – Appendices Background Information 1 Appendix A – Appendix B Schedule of Benefits 5 – Appendix C Administrative Requirements 6 – Funding Arrangement 12 Appendix D – Appendix E Statistical Information 30 – Appendix F Additional Information 83 –
5.8 Standard Terms and Conditions DOA3054 (01/01) Attachment 4 19 5.9 Supplement to Standard Terms and Conditions DOA3681 (01/01) Attachment 4 19 6.0 Cost Proposal 6.1 Summary 20 6.2 State Plan Employee Insurance 22 6.3 Local Government Plan Employee Insurance 40 6.4 State Plan Spouse and Dependent Insurance 58 6.5 Local Government Spouse and Dependent Insurance 61 6.6 Cost Proposal Questions 64 Attachments Attachment 1 – Proposal Checklist 2 Attachment 2 – Designation of Confidential and Proprietary Information 3 Attachment 3 – Standard Terms and Conditions DOA3054 (R01/01) and Supplement to Standards and Conditions DOA3681 (R01/10) 5 Attachment 4 – Vendor Information and Reference Sheet 12 Attachment 5 – Privacy of Personal Data Mitigation of Privacy Breach 15 Appendices Appendix A – Background Information 1 Appendix B – Schedule of Benefits 5 Appendix C – Administrative Requirements 6 Appendix D – Funding Arrangement 12 Appendix E – Statistical Information 30 Appendix F – Additional Information 83
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