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Group Long Term Disability Insurance

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Group Long Term Disability Insurance AFFILIATED ENTITIES OF THE PRINCIPAL(S) CERTIFICATION FORM The completed form should be submitted with the solicitation response but must be submitted within three business days of County’s request. Vendor may be deemed non-responsive for failure to fully comply within stated timeframes. a. All Vendors are required to disclose the names and addresses of “affiliated entities” of the Vendor’s principal(s) over the last five (5) years (from the solicitation opening deadline) that have acted as a prime Vendor with the County. b. The County will review all affiliated entities of the Vendor’s principal(s) for contract performance evaluations and the compliance history with the County’s Small Business Program, including CBE, DBE and SBE goal attainment requirements. “Affiliated entities” of the principal(s) are those entities related to the Vendor by the sharing of stock or other means of control, including but not limited to a subsidiary, parent or sibling entity. c. The County will consider the contract performance evaluations and the compliance history of the affiliated entities of the Vendor's principals in its review and determination of responsibility. AGREEMENT EXCEPTION FORM The completed form(s) should be returned with the Vendor’s submittal. If not provided with submittal, it shall be deemed an affirmation by the Vendor that it accepts the terms and conditions of the County’s Agreement as disclosed in the solicitation. The Vendor must either provide specific proposed alternative language on the form below. Additionally, a brief justification specifically addressing each provision to which an exception is taken should be provided. There are no exceptions to the terms and conditions of the County Agreement as referen the solicitation; or The following exceptions are disclosed below: (use additional forms as needed; separate each Article/ Section number) Term or Insert version of exception or Provide brief justification for Condition specific proposed alternative change Article / Section language See below See below See below Standard Insurance Company Vendor Name: All of the Standard’s deviations are provided in a separate attachment titled “Exceptions.” DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 11/5/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Eleanor Ko Woodruff-Sawyer Oregon, Inc. PHONE FAX (A/C, No, Ext): 503-416-7899 (A/C, No): 1050 SW 6th Avenue, Suite 1000 E-MAIL Portland OR 97204 ADDRESS: [email protected] INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Federal Insurance Company 20281 STANFIN-01 INSURED INSURER B : Sentry Insurance, A Mutual Company 24988 Standard Insurance Company Attn: Corporate Insurance Admin INSURER C : Atlantic Specialty Insurance Company 27154 1100 SW Sixth Avenue, P12A INSURER D : Lloyds of London Portland OR 97204 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1159360280 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS C X COMMERCIAL GENERAL LIABILITY 7120077550012 7/1/2019 7/1/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADEX OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- POLICY JECT X LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ C AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 7120077550012 7/1/2019 7/1/2020 (Ea accident) $ X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ C X UMBRELLA LIAB OCCUR 7120077550012 7/1/2019 7/1/2020 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION PER OTH- 9016876 7/1/2019 7/1/2020 X STATUTE ER AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability 82086341 7/1/2019 7/1/2020 Limit $5,000,000 D Privacy/Cyber Liability B0146CYUSA1901398 7/1/2019 7/1/2020 Limit $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Operations of the Named Insured subject to the terms, conditions and exclusions of the policy issued by the Insurance Company. Professional Liability Deductible: $2,000,000 Privacy/Cyber Liability Deductible: $500,000 Re: Group Life Insurance Broward County is included as additional insured under the General Liability per attached endorsement VCG205 and VCA 201. Waiver of subrogation per attached VCA201, VCG205 and WC000313. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Broward County 115 South Andrews Avenue Fort Lauderdale FL 33301 AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SENTRY INSURAI{CE A I,IUTUAt COI.IPANY Carrier Code l{o. 15571 I{ORKERS ' TI Ol{ ANII LOYERS LIABIL IISURANCE POLICY POLICY IIUMBER: 90-16876-01 00 ltr WAIVER OF OUR RIGHT TO RECOVER FROIiI OTHER5 ENI'ORSEHENT l{e have the night to necover- our paynents fronr anyone liable for an injuny. cover€d by this policv. UJ rritt ir"t !n-to""" ou" agalnst th" pgr.on or organization nan6d in the Schedule. "iotii(tf,is agneement apFlies only to the extent that you p".fo.. undii a written contract that nequires vo" {o -"u-tiin-ti,i= ""nk from us. ) is"""r""{--' This agieenent shall not operate directly or indinectly to benefit any one not naned in the Schedule. Schedule I,IHERE REqUIRED BY }IRITTEN CONT HC 00 03 13 (Ed, 04-84) Copynight 1983 National Council on Conpensation Insurance. sTA 90-16876-01 00 lll 07-01-ll STANCORP FINANCIAL GROUP INC PAGE O()I 11/08/2019 Broward County Board of County Commissioners RE: GEN2118079P2 – Group Long Term Disability Insurance Standard Insurance Company (The Standard) is pleased to provide our response to Broward County Board of County Commissioner’s RFP for Group Long Term Disability Insurance (GEN2118079P2). We are excited to have the opportunity to continue working with the County. The Standard ranks as one of the top insurance carriers in the nation and has earned a reputation for providing quality insurance products, personalized service and strong financial performance. We know that listening to and partnering with our customers is the key to delivering exc eptional service and to building long-term relationships. We are uniquely qualified to compose a tailored package to help you achieve your financial and cov erage goals, while also offering innovative options. Your customized plan includes: • Expertise in Public Sector – The Standard is the leading insurer of municipalities, with over 4,700 group policies with public employers. In the state of Florida alone, The Standard insurers over 200 municipalities. • Competitive and affordable pricing – Based upon The Standard’s substantial experience in effectively underwriting risk, we are reducing current rates by 25% as well a providing more cost savings to members ages 50-59 where the majority of the population is enrolled. • We Coordinate Life Waiver of Premium - Resulting in less work for HR, Employees and Beneficiaries. No separate claim form required, no duplicate Paperwork, as well as no Proof of Death needed. • Established Relationships with Local Account Manager – The strength of The Standard’s expertise is our people who provide personalized service every day. The results of our customer-focused approach speak for themselves: Our average relationship is over nine years and we’ve maintained over 90% persistency for over six years. Broward County BOCC will continue working with Alison Brogan, who has 12+ years of experience with The Standard and is already familiar with this account as well as the county’s HR team to assist with implementation and accurately respond to questions in a timely manner. • Better Results. Less Noise for HR team – Our Workplace Possibilities Program (WPP) provides up to $25,000 per employee for a workplace modification. WPP can help employees stay at work or return to work – even before a claim is filed. In 2017, we had over 2,000 employees return to work successfully which resulted in $5.5 million in gross benefit cost savings, directly and indirectly benefiting employers. The Standard is excited about the opportunity to continue our nearly 25 year partnership for Voluntary Long Term Disability for Broward County BOCC and welcome the opportunity to speak further about the benefits mentioned above.
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