{"text_format":"3","workbook":"xlsx","n_sheets":7,"sheets":["Listbox","Introduction","Questionnaire","Explanation","Financial Quote","Reimbursement","Monthly Claims and Enrollment"],"not_rendered":{"external_links":31,"defined_names":3328},"read":"whole","date_system":"1900"}

{"sheet":"Listbox","index":0,"n_rows":690,"n_cols":2,"rows_kept":690,"hidden":true}
["List Box Name","Value"]
[]
["ListSentCensusOn","diskette"]
[null,"hard copy"]
[null,"email"]
[null,"CD"]
[]
["ListReplaceSupp","replace"]
[null,"supplement"]
[]
["ListYesNoSeeExplain","Yes"]
[null,"No - See \"Explanation\""]
[]
["ListYesExplain","Yes - See \"Explanation\""]
[null,"No"]
[null,"N/A"]
[]
["ListYesNo","Yes"]
[null,"No"]
[]
["ListYesNoNA","Yes"]
[null,"No"]
[null,"N/A"]
[]
["ListYesNoNotRequested","Yes"]
[null,"No"]
[null,"Not Requested"]
[]
["ListYN_NSeeExpNotReq","Yes"]
[null,"No"]
[null,"No - See \"Explanation\""]
[null,"Not Requested"]
[]
["ListCompleted","Completed"]
[null,"Not Completed"]
[]
["ListCompNotExplain","Completed"]
[null,"Not Completed - See \"Explanation\""]
[]
["ListAttached","Attached"]
[null,"Not Attached"]
[]
["ListABC","a"]
[null,"b"]
[null,"c"]
[]
["ListYesNotRequested","Yes"]
[null,"No"]
[null,"Requested"]
[]
["ListABC_G","a"]
[null,"b"]
[null,"c"]
[null,"d"]
[null,"e"]
[null,"f"]
[null,"g"]
[]
["ListABC_H","a"]
[null,"b"]
[null,"c"]
[null,"d"]
[null,"e"]
[null,"f"]
[null,"g"]
[null,"h"]
[]
["ListYears","< 2 years"]
[null,"2 to 5 Years"]
[null,"5 to 10 Years"]
[null,"> 10 Years"]
[]
["ListAccreditation","Excellent"]
[null,"Commendable"]
[null,"Accredited"]
[null,"Provisional"]
[null,"Denied"]
[null,"Appealed by Plan"]
[null,"In Process"]
[null,"Revoked"]
[null,"Scheduled"]
[null,"Suspended"]
[null,"Under Review by NCQA"]
[null,"NHP Accreditation"]
[null,"NHP Under Review"]
[null,"NHP Expired"]
[null,"NHP NCQA Discretionary Review"]
[null,"NHP Initial Decision Pending"]
[null,"NHP Future Review Scheduled"]
[]
["ListNameInsureEntity","Offered"]
[null,"Not Offered"]
[]
["ListJCAHO","Accreditation Not Requested"]
[null,"Accreditation With Commendation"]
[null,"Accreditation Without Type I Recommendations"]
[null,"Accreditation With Type I Recommendations"]
[null,"Provisional Accreditation"]
[null,"Conditional Accreditation"]
[null,"Preliminary Denial of Accreditation"]
[null,"Accreditation Denied"]
[null,"Accreditation Watch"]
[]
["ListTaxStatus","For-Profit"]
[null,"Not-For-Profit"]
[]
["ListModel","Group"]
[null,"IPA"]
[null,"Mixed"]
[null,"Network"]
[null,"Staff"]
[null,"PPO Platform"]
[]
["ListMetNotMet","Met"]
[null,"Not Met"]
[]
["ListUnderwriting","Individual Statement of Health"]
[null,"Employer Statement acting as gatekeeper)"]
[null,"Other; specified in \"Explanation\" "]
[]
["ListProposedRating","Community Rating"]
[null,"Group Specific (Adjusted) Community Rating"]
[null,"Community Rating by Class"]
[null,"Community Rating by Age"]
[null,"Experience Rated/Non-Div Eligible (Prospectively-rated)"]
[null,"Experience Rated/Div Eligible (Retrospectively-rated)"]
[]
["ListCommissions","Standard commissions are included in basic premium rates regardless of whether they are paid."]
[null,"Standard commissions require an increase to basic premium rates."]
[null,"No commissions available."]
[]
["ListGeo","Zip code dispersion"]
[null,"Center of zip code"]
[null,"Geo-coding (employee zip code address)"]
[]
["ListStates","Alabama"]
[null,"Alaska"]
[null,"Arizona"]
[null,"Arkansas"]
[null,"California"]
[null,"Colorado"]
[null,"Connecticut"]
[null,"Delaware"]
[null,"District of Columbia"]
[null,"Florida"]
[null,"Georgia"]
[null,"Hawaii"]
[null,"Idaho"]
[null,"Illinois"]
[null,"Indiana"]
[null,"Iowa"]
[null,"Kansas"]
[null,"Kentucky"]
[null,"Louisiana"]
[null,"Maine"]
[null,"Maryland"]
[null,"Massachusetts"]
[null,"Michigan"]
[null,"Minnesota"]
[null,"Mississippi"]
[null,"Missouri"]
[null,"Montana"]
[null,"Nebraska"]
[null,"Nevada"]
[null,"New Hampshire"]
[null,"New Jersey"]
[null,"New Mexico"]
[null,"New York"]
[null,"North Carolina"]
[null,"North Dakota"]
[null,"Ohio"]
[null,"Oklahoma"]
[null,"Oregon"]
[null,"Pennsylvania"]
[null,"Puerto Rico"]
[null,"Rhode Island"]
[null,"South Carolina"]
[null,"South Dakota"]
[null,"Tennessee"]
[null,"Texas"]
[null,"Utah"]
[null,"Vermont"]
[null,"Virginia"]
[null,"Washington"]
[null,"West Virginia"]
[null,"Wisconsin"]
[null,"Wyoming"]
[]
["ListAnnYrEndDays",30]
[null,60]
[null,90]
[null,120]
[null,180]
[]
["ListPayFrequency","weekly"]
[null,"bi-weekly"]
[null,"monthly"]
[null,"quarterly"]
[null,"semi-annually"]
[null,"annually"]
[]
["ListPnltyFeeList","premium"]
[null,"administrative fees"]
[]
["ListAdvRenewNoticeDays",30]
[null,60]
[null,90]
[null,120]
[null,180]
[]
["ListAccreditationPPO","Full"]
[null,"One - Year"]
[null,"Provisional"]
[null,"Denied"]
[null,"Under Review"]
[null,"NCQA Discretionary Review"]
[]
["ListPlanType","HMO"]
[null,"PPO"]
[null,"POS"]
[null,"HMO/PPO"]
[null,"PPO/POS"]
[null,"HMO/POS"]
[null,"HMO/PPO/POS"]
[null,"Not Applicable"]
[null,"No - See \"Explanation\""]
[null,"Not Applicable - See \"Explanation\""]
[]
["ListURAC","Accredited"]
[null,"Not Accredited"]
[]
["ListGuaranteeType","financial"]
[null,"service "]
[]
["ListProEnforce","proposed"]
[null,"inforce"]
[]
["ListSTDPayFreq","weekly"]
[null,"bi-weekly"]
[null,"monthly"]
[null,"quarterly"]
[null,"annually"]
[]
["ListAgreeDisagree","Agree"]
[null,"Disagree"]
[]
["ListRated","Rated"]
[null,"Not Rated"]
[null,"See \"Explanation\""]
[]
["ListIncluNotIncluNA","Included"]
[null,"Not Included"]
[null,"N/A - No Additional Costs"]
[]
["ListRateChange","No Change"]
[null,"Rating Improved"]
[null,"Rating Worsened"]
[null,"Not Rated"]
[]
["ListTeleElecTransFaxMail","Telephone"]
[null,"Electronic transmission"]
[null,"Fax and mail"]
[]
["ListIncluded","Included"]
[null,"Not Included"]
[]
["ListHoursofOperation","00:00:00"]
[null,"00:30:00"]
[null,"01:00:00"]
[null,"01:30:00"]
[null,"02:00:00"]
[null,"02:30:00"]
[null,"03:00:00"]
[null,"03:30:00"]
[null,"04:00:00"]
[null,"04:30:00"]
[null,"05:00:00"]
[null,"05:30:00"]
[null,"06:00:00"]
[null,"06:30:00"]
[null,"07:00:00"]
[null,"07:30:00"]
[null,"08:00:00"]
[null,"08:30:00"]
[null,"09:00:00"]
[null,"09:30:00"]
[null,"10:00:00"]
[null,"10:30:00"]
[null,"11:00:00"]
[null,"11:30:00"]
[null,"12:00:00"]
[null,"12:30:00"]
[null,"13:00:00"]
[null,"13:30:00"]
[null,"14:00:00"]
[null,"14:30:00"]
[null,"15:00:00"]
[null,"15:30:00"]
[null,"16:00:00"]
[null,"16:30:00"]
[null,"17:00:00"]
[null,"17:30:00"]
[null,"18:00:00"]
[null,"18:30:00"]
[null,"19:00:00"]
[null,"19:30:00"]
[null,"20:00:00"]
[null,"20:30:00"]
[null,"21:00:00"]
[null,"21:30:00"]
[null,"22:00:00"]
[null,"22:30:00"]
[null,"23:00:00"]
[null,"23:30:00"]
[null,"24 hours / 7 days"]
[null,"Not Open"]
[null,"Other - See Explanation"]
[]
["ListGracePeriod","30 days"]
[null,"60 days"]
[null,"90 days"]
[null,"120 days"]
[null,"Other - See Explanation"]
[]
["ListNotedNotNoted","Noted"]
[null,"Not Noted"]
[]
["ListContributions","Contributory"]
[null,"Non-Contributory"]
[]
["ListBeforeAfterTax","Before-Tax"]
[null,"After-Tax"]
[null,"Both Before-Tax and After-Tax"]
[]
["ListClassSchedule","Flat"]
[null,"Schedule"]
[null,"Formula"]
[]
["ListClassEligibility","Active, FT salaried ee's regularly working min 30 hrs/wk."]
[null,"Active, FT hourly ee's regularly working min 30 hrs/wk."]
[null,"Active, FT ee's regularly working min 30 hrs/wk."]
[null,"Active, FT ee's regularly working min 30 hrs/wk, excluding Class(es) X already covered under this Policy."]
[null,"Active, FT salaried EE regularly working min 30 hrs/wk who earn more than X per X."]
[null,"Active, FT hourly ee's regularly working min 30 hrs/wk who earn more than X per X."]
[null,"Active, PT ee's regularly working min 17.5 hrs/wk."]
[null,"Other active, PT ee's regularly working min 17.5 hrs/wk, excluding Class(es) X already covered under this Policy."]
[null,"Other active, FT ee's regularly working min 17.5 hrs/wk, excluding Class(es) X already covered under this Policy."]
[null,"Active, FT Union ee's regularly working min 30 hrs/wk."]
[null,"Active, FT Non-Union ee's regularly working min 30 hrs/wk."]
[]
["ListCompNotComp2","Completed - information requested provided"]
[null,"Not completed - no recent or planned activities"]
[null,"Not completed - information available, but not provided"]
[]
["ListClaimsRetention","Claims"]
[null,"Retention"]
[]
["ListStateGovern","Pay exactly as mandated"]
[null,"May pay more than as mandated for some/all of the states - See \"Explanation\""]
[]
["ListStateNotGovern","No interest credited"]
[null,"Interest is credited - See \"Explanation\""]
[]
["ListWillingNAExplain","Willing"]
[null,"Not Willing"]
[null,"Not Applicable"]
[null,"Not Willing - See \"Explanation\""]
[null,"Not Applicable - See \"Explanation\""]
[null,"See \"Explanation\""]
[]
["ListModelDent","PPO"]
[null,"DHMO"]
[null,"See \"Explanation\""]
[]
["ListYNNAExplain","Yes"]
[null,"No"]
[null,"Not Applicable"]
[null,"No - See \"Explanation\""]
[null,"Not Applicable - See \"Explanation\""]
[null,"See \"Explanation\""]
[]
["ListYNNoExplain","Yes"]
[null,"No"]
[null,"No - See \"Explanation\""]
[]
["ListAgreeNAExplain","Agree"]
[null,"Do Not Agree"]
[null,"Not Applicable"]
[null,"Do Not Agree - See \"Explanation\""]
[null,"Not Applicable - See \"Explanation\""]
[null,"See \"Explanation\""]
[]
["ListRCInfo","HIAA"]
[null,"MDR"]
[null,"Internally Developed"]
[null,"Other"]
[null,"See \"Explanation\""]
[]
["ListAttachedNAExplain","Attached"]
[null,"Not Attached"]
[null,"Not Applicable"]
[null,"Not Attached - See \"Explanation\""]
[null,"Not Applicable - See \"Explanation\""]
[null,"See \"Explanation\""]
[]
["ListNCQA","Accreditation Not Requested"]
[null,"Excellent"]
[null,"Full"]
[null,"Commendable"]
[null,"One-year"]
[null,"Accredited"]
[null,"Provisional"]
[null,"Denied "]
[null,"Appealed by Plan"]
[null,"In Process"]
[null,"Revoked"]
[null,"Scheduled"]
[null,"Suspended"]
[null,"Under Review by NCQA"]
[null,"NCQA Discretionary Review "]
[null,"NHP Accreditation"]
[null,"NHP Denial"]
[null,"NHP Under Review"]
[null,"NHP Expired"]
[null,"NHP NCQA Discretionary Review"]
[null,"NHP Initial Decision Pending"]
[null,"NHP Future Review Scheduled"]
[]
["ListProvidedNAExplain","Provided"]
[null,"Not Provided"]
[null,"Not Applicable"]
[null,"Not Provided - See \"Explanation\""]
[null,"Not Applicable - See \"Explanation\""]
[null,"See \"Explanation\""]
[]
["ListCompletedNAExplain","Completed"]
[null,"Not Completed"]
[null,"Not Applicable"]
[null,"Not Completed - See \"Explanation\""]
[null,"Not Applicable - See \"Explanation\""]
[null,"See \"Explanation\""]
[]
["ListClmMailAreaTime","24 hours"]
[null,"48 hours"]
[null,"Greater than 48 hours"]
[]
["ListIncludedNAExplain","Included"]
[null,"Not Included"]
[null,"Not Applicable"]
[null,"Not Included - See \"Explanation\""]
[null,"Not Applicable - See \"Explanation\""]
[null,"See \"Explanation\""]
[]
["ListOffered","Offered"]
[null,"Not Offered"]
[]
["ListYNNA","Yes"]
[null,"No"]
[null,"Not Applicable"]
[]
["ListYNYesExplain","Yes"]
[null,"No"]
[null,"Yes - See \"Explanation\""]
[]
["ListOwnLease","Owned"]
[null,"Leased"]
[null,"Both"]
[]
["ListEitherHMOPPO","HMO"]
[null,"PPO"]
[null,"Either HMO or PPO"]
[null,"Other - See Below"]
[]
["ListYNPlanDesignExplain","Yes"]
[null,"No - See \"PlanDesignExplain\" Worksheet"]
[]
["ListHMOEPOPPOPOS","HMO/EPO"]
[null,"PPO"]
[null,"POS"]
[null,"HMO/EPO, PPO, POS"]
[null,"Other - See Below"]
[]
["ListSubcontractServ","Changed in Last 12 Mo's"]
[null,"Planned for Next 12 Mo's"]
[null,"N/A - No Changes"]
[null,"N/A - Not Subcontracted"]
[]
["ListYNNAWebsite","Yes"]
[null,"No"]
[null,"Not Applicable - No Website"]
[null,"No - See \"Explanation\""]
[]
["ListConfirmed","Confirmed"]
[null,"Not Confirmed"]
[null,"Not Applicable"]
[]
["ListProposedRatingCDHC","Community Rating"]
[null,"Group Specific (Adjusted) Community Rating"]
[null,"Community Rating by Class"]
[null,"Community Rating by Age"]
[null,"Experience Rated/Non-Div Eligible (Prospectively-rated)"]
[null,"Experience Rated/Div Eligible (Retrospectively-rated)"]
[null,"Partially Experience Rated/Non-Div Eligible (Prospectively-rated)"]
[null,"Partially Experience Rated/Div Eligible (Retrospectively-rated)"]
[null,"Other - See \"Explanation\""]
[]
["ListProvidedExplain","Provided - See \"Explanation\""]
[null,"Not Provided"]
[]
["ListNotCompletedExplain","Completed"]
[null,"Not Completed"]
[null,"Not Completed - See \"Explanation\""]
[]
["ListNotAttachedExplain","Attached"]
[null,"Not Attached"]
[null,"Not Attached - See \"Explanation\""]
[]
["ListAttachedExplain","Attached"]
[null,"Not Attached"]
[null,"Attached - See \"Explanation\""]
[null,"Not Attached - See \"Explanation\""]
[]
["ListYPlanDesignExplainN","Yes - See \"PlanDesignExplain\" Worksheet"]
[null,"No"]
[]
["ListYNNANoExplain","Yes"]
[null,"No"]
[null,"No - See \"Explanation\""]
[null,"N/A"]
[]
["ListYExplainNNAWebsite","Yes - See \"Explanation\""]
[null,"No"]
[null,"Not Applicable - No Website"]
[]
["ListLeasedNetwork","Not Applicable - No Leased Networks"]
[null,"< 4 Leased Networks - See Data Below"]
[null,"> 4 Leased Networks - See \"Explanation\""]
[]
["ListServiceCenter","< 2 Service Centers - See Data Below"]
[null,"> 2 Service Centers - See \"Explanation\""]
[]
["ListNCQADMProgAccred","Patient & Practitioner Accreditation"]
[null,"Patient-Oriented Accreditation"]
[null,"Practitioner-Oriented Accreditation"]
[null,"Accreditation In-Process"]
[null,"Accreditation Not Requested"]
[null,"Accreditation Denied"]
[null,"Other - See \"Explanation\""]
[]
["ListNCQADMProgCert","Program Design Certification"]
[null,"Systems Certification"]
[null,"Contact Certification"]
[null,"Certification In-Process"]
[null,"Certification Not Requested"]
[null,"Certification Denied"]
[null,"Other - See \"Explanation\""]
[]
["ListJCAHODiseaseCert","Certificate of Distinction Awarded"]
[null,"Certification In Process"]
[null,"Certification Not Requested"]
[null,"Certification Denied"]
[null,"Other - See \"Explanation\""]
[]
["ListURACDMAccred","Full Accreditation"]
[null,"Conditional Accreditation"]
[null,"Provisional Accreditation"]
[null,"Accreditation Not Requested"]
[null,"Accreditation Denied"]
[null,"Accreditation In-Process"]
[null,"Accreditation Voluntarily Withdrawn"]
[null,"Corrective Action"]
[null,"Reaccreditation In-Process"]
[null,"Other - See \"Explanation\""]
[]
["ListMinSizeDMProg","< 1,000"]
[null,{"v":1000,"d":"1,000"}]
[null,{"v":2000,"d":"2,000"}]
[null,{"v":5000,"d":"5,000"}]
[null,{"v":10000,"d":"10,000"}]
[null,"Other - See \"Explanation\""]
[]
["ListRecommendFreq","Daily"]
[null,"Weekly"]
[null,"Monthly"]
[null,"Quarterly"]
[null,"Annually"]
[null,"Other - See \"Explanation\""]
[]
["ListStandReportFreq","Per Occurrence"]
[null,"Weekly"]
[null,"Monthly"]
[null,"Quarterly"]
[null,"Annually"]
[]
["ListPropFeeLenTime","18 months"]
[null,"24 months"]
[null,"36 months"]
[null,"48 months"]
[null,"Other - See \"Explanation\""]
[]
["ListMinLeadTime","1 month"]
[null,"2 months"]
[null,"3 months"]
[null,"4 months"]
[null,"6 months"]
[null,"Other - See \"Explanation\""]
[]
["ListPropRequirement","Accept"]
[null,"Refuse"]
[null,"See Modified Language"]
[]
["ListMethDataReceipt","Disk"]
[null,"Tape"]
[null,"On-Line File Transfer"]
[null,"Paper"]
[null,"Other"]
[null,"Other - See \"Explanation\""]
[]
["ListServOfferedOnline","Included in Your Basic Package"]
[null,"Available for an Additional Cost"]
[null,"Neither Included in the Basic Package Nor for an Additional Cost"]
[]
["ListInOutBound","Both in-bound/out-bound"]
[null,"In-bound only"]
[null,"Out-bound only"]
[]
["ListSubcontractedNAExplain","Subcontracted"]
[null,"Not Subcontracted"]
[null,"Not Applicable"]
[null,"Not Subcontracted - See \"Explanation\""]
[null,"Not Applicable - See \"Explanation\""]
[null,"See \"Explanation\""]
[]
["ListAvailabilityOfService","Included in Your Basic Package"]
[null,"Available for an Additional Cost"]
[]
["ListCoreAddServ","Core Service"]
[null,"Additional Service"]
[]
["ListFrequentlySys","Weekly"]
[null,"Bi-Weekly"]
[null,"Monthly"]
[null,"Bi-Monthly"]
[null,"Quarterly"]
[null,"Other"]
[]
["ListFrequentlyRptProd","Daily"]
[null,"Weekly"]
[null,"Monthly"]
[null,"Quarterly"]
[null,"Other"]
[]
["ListSTDLTDWCServices","Internal Staff"]
[null,"Subsidiary"]
[null,"Contracted Providers"]
[]
["ListMedClarif","Phone"]
[null,"Fax"]
[null,"Other"]
[]
["ListBenPymt","Directly to insured/patient"]
[null,"Assigned to a family member or provider"]
[null,"Both - Directly and Assigned"]
[]
["ListCMInEx","Performed internally"]
[null,"External vendor used"]
[]
["ListCommExper","Community rated/pooled"]
[null,"Experience-rated"]
[]
["ListFullPartial","Full"]
[null,"Partial"]
[]
["ListMandatory","Voluntary"]
[null,"Mandatory"]
[null,"Not Applicable"]
[]
["ListYesExempt","Yes"]
[null,"No"]
[null,"No - Exempt b/c Fully-Insured"]
[null,"No - See \"Explanation\""]
[null,"N/A"]
[]
["ListOffWksheet","Officer Worksheet Completed and Faxed"]
[null,"Officer Worksheet Not Completed"]
[]
["ListProvideNa","Provided"]
[null,"Not Provided"]
[null,"N/A"]
[null,"Not Provided - See \"Explanation"]

{"sheet":"Introduction","index":1,"n_rows":34,"n_cols":25,"rows_kept":34,"merged":[[0,1,0,5],[3,1,3,5],[6,1,6,7],[7,1,7,5],[14,1,14,5],[15,1,15,5],[16,1,16,5],[17,1,17,5],[18,1,18,5],[19,1,19,5],[20,1,20,5],[21,1,21,5],[22,2,22,6],[31,1,31,3],[32,1,32,3],[33,1,33,3]]}
[null,"Request for Dental Proposal (RFP) for Arlington County Government",{"$nulls":11},"YES","YES","YES","YES","YES","YES","YES","YES","YES","YES","YES","YES"]
[null,"RFP No. 21-HRD-RFP-141 Dental Plan"]
[null,"Cost Proposal"]
[null,"Arlington County Government hereinafter referred to as \"County\""]
[]
[null,"Dental Financial Instructions"]
[null,"The cost portion of the Dental RFP will  consist of the following:"]
[null,"Questionnaire File (s):  The Questionnaires and sheets to provide Explanations are contained in this Excel file.  You are expected to respond to the Questionnaire by entering your responses in this file.  The majority of the questions in the Questionnaire have been structured to elicit declarative responses through the use of drop down boxes."]
[]
[null,"To record your response:"]
[null,"*  Click on the response cell in the Response column;"]
[null,"*  Click on the down arrow which appears directly to the right of the cell;"]
[null,"*  Click on the response that best describes your answer."]
[]
[null,"To enter your responses where a numeric, percent or ratio value is indicated as the answer format, simply enter the value in the corresponding response cell."]
[null,"Next to each response cell, additional space is available for a brief text explanation.  However, if the length of the explanation is greater than 400 characters, you must go to the \"Explanation\" worksheet (s) to provide your detailed explanation.  All explanations must be numbered to correspond to the questions to which they pertain and should be brief."]
[]
[null,"Worksheet Files:  Worksheet(s) to enter your proposal are contained within the companion Excel file.  Generally, the types of information that you will be entering into this file are  financial quotes.  You are expected to provide the requested information by completing this workbook.  In addition, this file may also contain reference information (rate history, enrollment data, etc.) that will assist you in putting together your quote."]
[]
[null,"Electronic File Attachments:  Any attachments that you are being asked to provide about your organization must also be submitted electronically. Hard copy attachments will not be accepted.  An explanation of each attachment that you are required to provide appears in the Questionnaire; please be sure to follow the naming conventions that are provided for each attachment."]
[]
[null,"In order to help you organize your proposal and ensure that it is complete, please review the following list to ensure that you have provided each required item. "]
[]
[null,"Questionnaire File (s):"]
[null,"Information",null,null,"Name of Worksheet"]
[null,"Introduction",null,null,"Introduction"]
[null,"Financial Questionnaire                                                                             ",null,null,"Questionnaire"]
[null,"Explanations, if necessary                                                    ",null,null,"Explanation"]
[]
[null,"Part 2. Worksheet File:"]
[null,"Information",null,null,"Name of Worksheet"]
[null,"Arlington County Government Self-Insured Quote",null,null,"Financial Quote"]
[null,"Reimbursement",null,null,"Reimbursement"]
[null,"Claims and Enrollment",null,null,"Monthly Claims and Enrollment"]

{"sheet":"Questionnaire","index":2,"n_rows":1353,"n_cols":8,"rows_kept":1353}
[{"$nulls":4},{"$f":"Introduction!B1","v":"Request for Dental Proposal (RFP) for Arlington County Government"}]
[{"$nulls":4},{"$f":"Introduction!B2","v":"RFP No. 21-HRD-RFP-141 Dental Plan"}]
[{"$nulls":4},"Questionnaire"]
[]
[null,"","",null,"To Offeror:  Use Column Q to provide a brief explanation, if necessary. However if the length of the explanation is greater than 400 characters, you must use the \"Explanation\" worksheet to provide your detail explanation."]
[null,"",""]
[null,"","",null,"Dental RFP","Answer Format",null,"Explanation"]
[null,"",""]
[null,"I.","","","Financial Questionnaire","Answer Format","Response","Explanation"]
[null,null,"1.",null,"Provide your self-insured financial quote for the County on the quote sheets provided in this workbook.  Fees should be guaranteed for a 4-year initial contract term with 6 one-year optional years and exclude commissions/compensation.","drop down box"]
[null,null,"2.",null,"Describe the terms and conditions under which you have the right to modify the administrative agreement and/or its fees.  If you need more space, please use the \"Explanation\" column and/or worksheet.","text"]
[null,null,"3.","a.","Offeror accepts that the County will not wire funds or allow a Offeror direct access to debit from the County account.  The County will send ACH payments monthly based on that bill.","drop down box"]
[{"$nulls":3},"b.","The County is willing to pre-fund (imprest) the account.  If offered, please provide details on how the prefunding amount is calculated and how this arrangement would be setup.","text"]
[null,null,"4.","","The County will be reimbursed for 100% of claims paid in error, regardless of whether offeror recoups the amount paid in error","drop down box"]
[null,null,"5.","a.","Confirm that in the event of termination, the Offeror selected will be responsible for administration of all claims incurred but not paid prior to termination date.  These claims will be processed for at least one year and no additional administrative fees will be charged.","drop down box"]
[{"$nulls":3},"b.","Confirm that this service is included in your quoted fees.","drop down box"]
[null,null,"6.","a.","Offeror will support health plan legislation reporting and other requirements (Federal PPACA and other state health care reform), as it relates to dental  benefits and wellness initiatives.","drop down box"]
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[null,"II.","","","WELLNESS AND COMMUNICATIONS ALLOWANCE","Answer Format","Response","Explanation"]
[null,null,"1..","","Does your organization's offer include a credit for wellness programs?"]
[null,null,"2.","","What is your wellness allowance offer to the County","drop down box"]
[null,null,"3.","a.","Confirm that you will provide a financial allowance for communications requested by the County.","drop down box"]
[{"$nulls":3},"b.","What is your financial allowance for communications offered to the County?","drop down box"]
[{"$nulls":5},"drop down box"]
[null,"III.","",null,"GUARANTEED DISCOUNTS","number, 0"]
[null,null,"1.",null,"What overall dental network discount will you guarantee based on the geographic location of the County's employees?","drop down box"]
[null,"","2.",null,"Provide the maximum dollar amount of the penalty if discount guarantee is not met.","text"]
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{"sheet":"Explanation","index":3,"n_rows":10,"n_cols":3,"rows_kept":10,"merged":[[0,1,0,2]]}
[null,{"$f":"Questionnaire!E1","v":"Request for Dental Proposal (RFP) for Arlington County Government"}]
[null,{"$f":"Introduction!B2","v":"RFP No. 21-HRD-RFP-141 Dental Plan"}]
[null,"Explanation"]
[]
[null,"This worksheet should be used to provide additional explanations for any questions for which a \"See Explanation\" response "]
[null,"was given.  Explanations must be numbered to correspond to the question to which they pertain and they must be brief."]
[]
[null,"State the number of questions you addressed with further explanation:"]
[]
[null,"Section/ Question #","Explanation"]

{"sheet":"Financial Quote","index":4,"n_rows":74,"n_cols":5,"rows_kept":74,"merged":[[4,0,4,2],[6,1,6,4],[8,1,8,2],[8,3,8,4],[16,1,16,2],[16,3,16,4]]}
[]
[{"$f":"Reimbursement!B1","v":"Request for Dental Proposal (RFP) for Arlington County Government"}]
[{"$f":"Introduction!B2","v":"RFP No. 21-HRD-RFP-141 Dental Plan"}]
["Arlington County Government Pricing"]
[]
[]
["OFFEROR NAME:"]
[]
["Enrollment Assumptions","Standard",null,"Premium"]
["(As of April 2020)","Actives","Retirees","Actives","Retirees"]
["EE",{"v":1102,"d":"1,102"},795,290,102]
["EE + Sp",330,638,111,0]
["EE + Child(ren)",272,63,130,80]
["Family",780,112,262,12]
["Total",{"$f":"SUM(B11:B14)","v":{"v":2484,"d":"2,484"}},{"$f":"SUM(C11:C14)","v":{"v":1608,"d":"1,608"}},793,194]
[]
[null,"Standard",null,"Premium"]
["ASO Fees","Pricing","Explanation","Pricing","Explanation"]
["All fees quoted must be mature."]
["All quotes must be good for +/-15% enrollment fluctuations for each 12 month period."]
["Fees Per Employee Per Month"]
["Contract Year 1 (7/1/2021 - 6/30/2022)"]
["ASO fee (PEPM)"]
["Network Access Fee (PEPM)"]
["Expected Claims (PEPM)"]
["Other"]
["Contract Year 2 (7/1/2022 - 6/30/2023)"]
["ASO fee (PEPM)"]
["Network Access Fee (PEPM)"]
["Expected Claims (PEPM)"]
["Other"]
["Contract Year 3 (7/1/2023 - 6/30/2024)"]
["ASO fee (PEPM)"]
["Network Access Fee (PEPM)"]
["Expected Claims (PEPM)"]
["Other"]
["Contract Year 4 (7/1/2024 - 6/30/2025)"]
["ASO fee (PEPM)"]
["Network Access Fee (PEPM)"]
["Other"]
["Future Contract Rate Caps - Maximum % Fee Increase"]
["Contract Year 5 (7/1/2025 - 6/30/2026)"]
["Contract Year 6 (7/1/2026 - 6/30/2027)"]
["Contract Year 7 (7/1/2027 - 6/30/2028)"]
["Contract Year 8 (7/1/2028 - 6/30/2029)"]
["Contract Year 9 (7/1/2029 - 6/30/2030)"]
["Contract Year 10 (7/1/2030 - 6/30/2031)"]
["Services Included in ASO fee (select answer from drop-down box and include explanation, with pricing if necessary):"]
["General Administration"]
["Account Management"]
["Implementation"]
["Customer Team Services"]
["Communication Materials"]
["Eligibility Updates"]
["Customized Forms"]
["Plan Document Development"]
["SPD Development"]
["Printing and Mailing of Booklets or Certificates"]
["Management Reports"]
["Adhoc Reports"]
["Claim & Member Services"]
["Claim Administration"]
["Member Services"]
["IVR"]
["Other"]
["Full Claims Fiduciary Services"]
["Appeals"]
["Other Services not included above"]
["PEPM Pricing for Plan Feature Recommendations - provide recommendation and pricing for each plan feature not already included in the County plan design (include suggestions for modifications to frequency limitations or cost restrictions)"]
[1]
[2]
[3]
[4]
[5]

{"sheet":"Reimbursement","index":5,"n_rows":5,"n_cols":2,"rows_kept":5,"merged":[[4,1,4,10]]}
[null,{"$f":"Explanation!B1","v":"Request for Dental Proposal (RFP) for Arlington County Government"}]
[null,{"$f":"Introduction!B2","v":"RFP No. 21-HRD-RFP-141 Dental Plan"}]
[null,"Reimbursement"]
[]
[null,"You must request reimbursement/discount files from our NAPD team: hnapdmbx@aon.com. Please follow the workflow requested in the e-mail outlined by the NAPD team.  "]

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[]
[{"$f":"Reimbursement!B1","v":"Request for Dental Proposal (RFP) for Arlington County Government"}]
[{"$f":"Introduction!B2","v":"RFP No. 21-HRD-RFP-141 Dental Plan"}]
["Monthly Claims and Enrollment"]
[]
[null,"Paid Claims",{"$nulls":8},"Subscribers",{"$nulls":8},"Members"]
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["2020-01-01",{"v":0,"d":"$0.00"},{"v":78143.55,"d":"$78,143.55"},{"v":155989,"d":"$155,989.00"},{"v":0,"d":"$0.00"},{"v":20699,"d":"$20,699.00"},{"v":92170.73999999999,"d":"$92,170.74"},{"v":0,"d":"$0.00"},{"v":133,"d":"$133.00"},{"v":248,"d":"$248.00"},0,765,{"v":2490,"d":"2,490"},0,187,{"v":1617,"d":"1,617"},0,4,13,0,{"v":1927,"d":"1,927"},{"v":5569,"d":"5,569"},0,292,{"v":2621,"d":"2,621"},0,4,19]
["2020-02-01",{"v":0,"d":"$0.00"},{"v":83573.85,"d":"$83,573.85"},{"v":142491.74,"d":"$142,491.74"},{"v":0,"d":"$0.00"},{"v":17702.35,"d":"$17,702.35"},{"v":86305.08,"d":"$86,305.08"},{"v":0,"d":"$0.00"},{"v":468.6,"d":"$468.60"},{"v":276,"d":"$276.00"},0,775,{"v":2471,"d":"2,471"},0,188,{"v":1633,"d":"1,633"},0,5,13,0,{"v":1931,"d":"1,931"},{"v":5529,"d":"5,529"},0,294,{"v":2647,"d":"2,647"},0,9,19]
["2020-03-01",{"v":0,"d":"$0.00"},{"v":73201.37,"d":"$73,201.37"},{"v":110623.99,"d":"$110,623.99"},{"v":0,"d":"$0.00"},{"v":15356.01,"d":"$15,356.01"},{"v":69153.2,"d":"$69,153.20"},{"v":0,"d":"$0.00"},{"v":209.09,"d":"$209.09"},{"v":411,"d":"$411.00"},0,776,{"v":2470,"d":"2,470"},0,188,{"v":1634,"d":"1,634"},0,5,12,0,{"v":1938,"d":"1,938"},{"v":5510,"d":"5,510"},0,294,{"v":2646,"d":"2,646"},0,9,14]
[]
["County went to a dual option July 2019.  There used to be one plan and that became the Standard plan.  Added a Premium plan for July 2019."]