8240 - Scope of WorkScope of Work
8240 - Voluntary Dental Insurance
RFP # 8240
The scope of work shall be finalized upon the selection of the Firm. The respondent’s submission
shall have accurately described your understanding of the objectives and scope of the requested
products and services and provided an outline of your process to implement the requirements of the
Scope of Work and Services. It is anticipated that the scope of work will include, at a minimum,
the following:
1. Background
The City offers benefits to all full-time employees who are in a position budgeted to work at least
30 hours per week. The City has approximately 1,556 full-time benefit eligible employees.
Coverage begins the first of the month following the date enrollment The City also offers fully-
insured dental insurance to eligible dependents (legal spouses, declared common-law spouses,
unmarried children up to 26 years of age, children of any age if mentally or physically
incapacitated and dependent on the employee for financial support, and dependent grandchildren
that qualify as defined by the IRS or Federal Income tax return).
The City’s Voluntary Dental plan renews on January 1, 2024.
Carrier and Rate History
The City of Denton has had fully-insured voluntary dental insurance coverage in place with Delta
Dental since 1/1/2019. Prior to Delta Dental, the City had dental insurance through Aetna and
United Healthcare (UHC).
1/1/2013-12/31/2018 Dental Rates
Dental UHC-Low UHC-High Aetna-Low Aetna-High Aetna-Low Aetna-High
1/1/2013-12/31/2015 1/1/2016-12/31/2017 1/1/2018-12/31/2018
Employee Only $21.90 $49.00 $20.61 $47.38 $22.46 $51.64
Employee + Spouse $44.88 $92.70 $43.30 $90.53 $47.20 $98.68
Employee + Child(ren) $55.64 $94.48 $53.93 $92.28 $58.78 $100.59
Employee + Family $78.56 $140.82 $76.56 $138.04 $83.45 $150.46
1/1/2019-12/31/2023 Dental Rates
Dental Delta-Low Delta-High Delta-Low Delta-High
1/1/2019-12/31/2021 1/1/2022-12/31/2023
Employee Only $22.46 $51.64 $23.36 $53.71
Employee + Spouse $47.20 $98.68 $49.09 $102.63
Employee + Child(ren) $58.78 $100.60 $61.13 $104.61
Employee + Family $83.46 $150.46 $86.79 $156.48
2. TECHNICAL RESPONSIBILITIES AND REQUIREMENTS
Scope of Work
8240 - Voluntary Dental Insurance
RFP # 8240
The City is requesting proposals for a January 1, 2024, effective date. The City is seeking
proposals:
a) To provide a benefit structure matching the current dental benefits, including benefit
limits to be set at consecutive months. Currently, the City of Denton offers a dual PPO
dental option to all full-time employees. The Low PPO Option offers 80% preventive,
60% basic, 50% major with a $1,750 calendar year maximum. Orthodontics is included
for adults and children covered at 50% up to a lifetime max of $1,000. Please quote
100% preventative coverage on the Low PPO option. The High PPO Option offers 100%
preventive, 80% basic, and 50% major with a $1,750 calendar year maximum.
Orthodontics is included for adults and children at 50% up to a lifetime max of $1,500.
b) To provide a benefit structure matching the current dental benefits on both the Low
and High PPO with options for a 6-month waiting period included for major and
orthodontic services only.
c) To match the current rollover credit structure outlined in the benefit summaries.
d) No loss/No gain: No covered employee or covered dependent shall lose or gain
benefits as a result of a contractor change. All pre-existing condition limitations,
actively-at-work, and non-confinement provisions must be expressly waived for the
initial enrollment for covered employees and covered dependents that have already
satisfied the limitations under the current plan.
e) Completed Disruption Report utilizing the quoted network.
Requested Commissions: Net of Commissions