West Valley-Mission Community College District



West Valley-Mission Community College District14000 Fruitvale AvenueSaratoga, California 95070Request for Proposal #10-1213Student Accident InsuranceThe West Valley-Mission Community College District is seeking proposals for Student Accident Insurance, which includes Intercollegiate Athletic activities and Catastrophic Insurance for our athletes.Attached is our last year experience for your review.The District is requesting that you proposals include:Cost for Athletic Insurance OnlyCost for each individual sport listedCost for Student Insurance OnlyIf the District were to discontinue an athletic program, how would that effect our rates.Any questions should be addressed to Brigit Espinosa, Director, General Services, via email: brigit.espinosa@wvm.edu. Questions will be received up to April 8, 2013 at 4:00 p.m. All questions will be answered in writing to all firms.Please provide your pricing information to the District by April 18, 2013 by 2:00 p.m.Enrollment for our two colleges is as follows:-520065-403860F/W/S/S 2010StudentsMC 25,772WVC29,144F/W/S/S 2011StudentsMC26,171WVC29,791F/W/S/S 2012StudentsMC24,649WVC28,077F/W/S/S =Fall, Winter, Spring & Summer00F/W/S/S 2010StudentsMC 25,772WVC29,144F/W/S/S 2011StudentsMC26,171WVC29,791F/W/S/S 2012StudentsMC24,649WVC28,077F/W/S/S =Fall, Winter, Spring & SummerMission CollegeMen’s Soccer20 athletesWomen’s Soccer13 athletesBaseball25 athletesWomen’s Basketball11 athletesMen’s Tennis6 athletesWomen’s Tennis4 athletesWomen’s Badminton8 athletesWomen’s Softball11 athletesWest Valley CollegeFootball58 athletesWomen’s Soccer23 athletesBaseball35 athletesMen’s Basketball13 athletesWomen’s Softball16 athletesMen’s Soccer 36 athletesMen’s & Women’s Swimming23 athletesMen’s Water Polo25 athletesWomen’s Water Polo19 athletesMen’s & Women’s Track20 athletesWomen’s Volleyball13 athletesInsurance Coverage’s & Proposal information:Do you provide Student Accident Insurance:Yes:No:Do you provide Intercollegiate Athletic Insurance:Yes:No:What insurance carrier do you use:What are your medical coverage limits:What is your accidental death coverage limits?Is there a maximum coverage limit per occurrence?How are claims processed?Provide insurance options, different coverage levels,Higher deductibles for hospital staysIf the District moves to a plan with deductible’s for students, provide options ondifferent plans at:$100 deductible$250 deductible$500 deductible$1000 deductibleIf the District moves to a co-pay for doctor’s visits, provide options at different co-pays, beginning at $10 per office visit$15 per office visit$20 per office visit$25 per office visitSincerely,Brigit EspinosaDirector, General ServicesDate:Signed by:Printed Name:Company Name:AddressPhone:PREMIUM AND CLAIMS SUMMARYBase Plan: YearBase PlanCatastrophic Plan2007/2008$197,950.00$91,557.002008/2009$185,314.00$ 1,421.002009/2010$ 93,639.00$ 4,671.002010/2011$ 70,446.00$14,045.002011/2012$200,994.00$02012/2013$ 38,818.00 to date$0 to dayCurrent Coverage for Students & AthletesBasic Coverage:Carrier: QBE Insurance Corp$25,000 Accident Medical Expense / Athletes$50,000 Accident Medical Expense/ all other Students/On Campus Daycare$100.00 deductible for football and skiing$50.00 deductible all other sports and students and Daycare childrem$25K ICS, $40K other Accidental Dental Expense$1,500 AD&D/$250,000 AggregateOne year Benefit PeriodIncludes: HMO/PPO, Expanded Medical, Pre-Existing and Heart & CirculatoryCatastrophic Coverage: (for Student Athletes onlyCarrier: Mutual of Omaha$1,000,000 Accident Medical Benefit (Covering All Student Athletes, Student Trainers, Student Managers and Student Coaches)$25,000 Deductible$10,000 AD & D/$1,000,000 aggregateTen year Benefit Period ................
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