Extracted text (via pymupdf_layout)
5101 characters
EXHIBIT A PRICING SERIAL 171103-RFP NIGP CODE: 91840 RESPONDENT'S NAME: Businessolver COUNTY VENDOR NUMBER : VS0000001538 ADDRESS: 1025 Ashworth Rd. Suite 101 West Des Moines, IA 50265 P.O. ADDRESS: PO Box 65336 West Des Moines, IA 50265 TELEPHONE NUMBER: 888.460.9625 FACSIMILE NUMBER: 515.273.1441 WEB SITE: www.businessolver.com CONTACT (REPRESENTATIVE): Stephen Ward, Senior Sales Consultant REPRESENTATIVE'S E-MAIL ADDRESS: sward@businessolver.com YES NO REBATE WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X] [ ] WILL ACCEPT PROCUREMENT CARD FOR PAYMENT: [ ] [X ] WILL OFFER REBATE (CASH OR CREDIT) FOR UTILIZING PROCUREMENT CARD: [ ] [ X] % (Payment shall be made within 48 hours of utilizing the Purchasing Card) PAYMENT TERMS: 1% 10 DAYS NET 30 DAYS, BILLABLE MONTHLY 1.0 PRICING: 1.1 SERVICE/SOFTWARE PRICE BAS $3.97 Per Employee Per Month TOTAL $3.97 1.2 SOFTWARE CUSTOMIZATIONS *See Caveats below 1.3 THIRD PARTY SOFTWARE FSA $3.95 Per Enrolled Employee Per Month 1.4 TOTAL SYSTEM PRICE $774,558.00 2.0 IMPLEMENTATION SERVICES $59,700.00 2.1 TRAVEL RELATED EXPENSES* Included 2.2 TRAINING PRICE Included 2.3 TOTAL IMPLEMENTATION AND TRAINING SERVICES $834,258.00 3.0 MANAGED SERVICES (SAAS), INCLUDES YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5 SOFTWARE, HOSTING AND SYSTEM ETC. NA $ 774,558.00 $ 774,558.00 $ 754,398.00 $ 754,398.00 YEAR 6 YEAR 7 YEAR 8 YEAR 9 YEAR 10 $ - $ - $ - $ - $ - Note: Years 4-5 are based on a 3% discount of the core PEPM and will be adjusted to $3.85 (billable monthly). Note: Years 6-10 are based on the most recent annual fee and will be increased by the lesser of 3% or the Producer Price Index for Software Maintenance, Technical Support, and other services related to software publishing, BLS series ID PCU511210511210504 *See Caveats 4.0 TRAVEL EXPENSES below PERCENTAGE OF SECTION 2.1 TO BE INCLUDED IN THAT FIGURE. *TRAVEL EXPENSES SHALL COMPLY WITH THE MARICOPA COUNTY CONTRACTORS TRAVEL POLICY (SEE EXHIBIT K) 5.0 HOURLY RATES FOR ADDITIONAL WORK OUTSIDE SCOPE. 5.1 DEVELOPMENT $ 125.00 per hour 5.2 CONFIGURATION $ 75.00 per hour 5.3 TRAINING $ 50.00 per hour 6.0 OPTIONAL SERVICES 6.1 AUTOMATED MESSAGING (Including text messaging) $ 0.13 Per Employee Per Month Ongoing Services - Caveats & Assumptions The ongoing PEPY includes 10 carrier files, 1 ongoing census import, 1 payroll deduction file and Web Services for Evidence of Insurability through Minnesota Life dba Securian. Net new file configurations will incur a one-time fee of $1,500 - $3,500 dependent upon complexity. Net new single sign-on connections will incur a one-time fee of $5,000 - $7,500 dependent upon carrier capability and complexity. The ongoing PEPY includes enrollment & eligibility, billing & financial reporting, COBRA administration, ACA services and dependent verification. Evidence of Insurability support assumes and includes Web Services support through . If the voluntary carrier changes, additional fees may apply. Per Event Assumptions include: QMCSO Administration - 230 annually (2% assumption based upon medical enrolled population) Dependent Verification - 2,300 annually (event count provided via RFP) COBRA IR Notices - 1,800 annually (assumes new hire volume) COBRA QE Notices -2,000 annually (event count provided via RFP) COBRA Takeover Notices - 116 (assumes current COBRA population) COBRA Ongoing Maintenance - 116 (assumes current COBRA population) The allowable 2% administration fee is collected on COBRA participants and retained by Businessolver COBRA Overdrafts encountered because of NSF activities shall be charged to the Customer’s banking account. NSF Fees will be charged back to the participant and are considered non-payment of premium. If Businessolver COBRA Services are not selected, an interface fee of up to $5,000 may be charged. Fulfillment outside of the 1095-c forms has not been presented. If additional fulfillment (email or print) is required additional fees will apply based on scope. Enrollment Kits - $9.50 each (includes benefits guide and up to 3 additional inserts), COBRA OE Kits - $9.50 each (includes up to 3 inserts), standard DV communication is included in our fees; however optional resubmit letters are $3.00 (print & mail) or $.80 (pdf), HSA paper statements are available for $1.00 per statement (through Discovery Benefits). All postage is a pass-through cost and not included in estimated totals. Section 1.3 THIRD PARTY SOFTWARE is Businessolver's quote for FSA and HSA Administration through our preferred partner, Discovery Benefits. Section 1.2 SOFTWARE CUSTOMIZATIONS will be scoped and priced separately. Further design and discovery would be required by project and any applicable fees will be based upon final project scope. Section 2.1 TRAVEL RELATED EXPENSES - Businessolver has assumed one onsite visit for requirements gathering and one additional visit for final testing within our implementation fee. Section 6.1 OPTIONAL SERVICES - Subject to a text max of 100,000 texts annually. Additional texts beyond the max, will incur a pass-through fee of .03 per text. Page 1 of 1