Type of Service Customer Service Claims Processors Number of Full Time Employees Number of Part Time Employees Average Years of Experience Number of New Employees to be Hired (if any) 3. Work Volume 17 Group Term Life 2015 2016 2017 Provide your company’s total dollar volume of Life Insurance for the past three years. Provide the number of claims for benefits paid by your company for the past three years. Accidental Death and Dismemberment 2015 2016 2017 Provide your company’s dollar volume of AD&D Insurance for the past three years. Provide the number of claims for benefits paid by your company for the past three years. 4. Based on Total Claims in Calendar Year 2017 provide: Group Life Number of Claims % Dollar Accuracy % Error Frequency Valid Claims Ineligible Claims AD&D Number of Claims % Dollar Accuracy % Error Frequency Claims Ineligible Claims What Percentage of Your Business would 5. this Contract represent? Group Life Percentage Insured Dollar Volume AD&D Percentage Insured Dollar Volume IV. REFERENCES Please complete the following tables with the requested reference information. 1. Please provide three of your employer client references with a similar size enrolled population as defined in Section 5.3.2.H. If available, please provide at least one government client reference. Life Information Reference #1 Reference #2 Reference #3 Organization Name
Type of Service Customer Service Claims Processors Number of Full Time Employees Number of Part Time Employees Average Years of Experience Number of New Employees to be Hired (if any) 3. Work Volume 17 Group Term Life 2015 2016 2017 Provide your company’s total dollar volume of Life Insurance for the past three years. Provide the number of claims for benefits paid by your company for the past three years. Accidental Death and Dismemberment 2015 2016 2017 Provide your company’s dollar volume of AD&D Insurance for the past three years. Provide the number of claims for benefits paid by your company for the past three years. 4. Based on Total Claims in Calendar Year 2017 provide: Group Life Number of Claims % Dollar Accuracy % Error Frequency Valid Claims Ineligible Claims AD&D Number of Claims % Dollar Accuracy % Error Frequency Claims Ineligible Claims 5. What Percentage of Your Business would this Contract represent? Group Life Percentage Insured Dollar Volume AD&D Percentage Insured Dollar Volume IV. REFERENCES Please complete the following tables with the requested reference information. 1. Please provide three of your employer client references with a similar size enrolled population as defined in Section 5.3.2.H. If available, please provide at least one government client reference. Life Information Reference #1 Reference #2 Reference #3 Organization Name
REVISED-State-of-MD-Group-Life-and-ADD-Technical-Prop-Appendix-2.1.docx