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#7802: St. Joseph Montessori School Illustrative Quote Ready

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Final Proposals Due 7/4/25 Plan Effective 8/1/2025 Census Used Census St Joseph Motesorri.xlsx (71 members)

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Illustrative Quotes #7802: St. Joseph Montessori School
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Enrollment
Tier 1: Employee Only (EE) 21
Tier 2: Employee + Spouse (ES) 2
Tier 3: Employee + Child(ren) (EC) 0
Tier 4: Employee + Family (EF) 11
Total Enrollment 34
Fees
TPA, PPO, PBM, Service Providers $70.00 PEPM
Broker Fee $35.00 PEPM
Employee Benefit Plan Plan 1 Plan 4
Network or Repricing Blue Cross/Blue Shield Blue Cross/Blue Shield
Print Quote Print Quote Print Quote Print Quote Print Quote Print Quote Print Quote Print Quote Print Quote Print Quote Print Quote Print Quote Print Quote Print Quote Print Quote Print Quote
Stop Loss Plan
Specific Deductible $50,000 $75,000 $25,000 $25,000 $35,000 $35,000 $50,000 $75,000 $75,000 $50,000 $75,000 $50,000 $35,000 $25,000 $35,000 $25,000
Specific Contract 12/18 12/12 12/18 12/12 12/18 12/12 12/12 12/18 12/18 12/18 12/12 12/12 12/18 12/18 12/12 12/12
Aggregate Contract 12/18 12/12 12/18 12/12 12/18 12/12 12/12 12/18 12/18 12/18 12/12 12/12 12/18 12/18 12/12 12/12
Aggregate Corridor 1.25 1.25 1.25 1.25 1.25 1.25 1.25 1.25 1.25 1.25 1.25 1.25 1.25 1.25 1.25 1.25
Aggregating Specific Deductible $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Commission 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Rates
Tier 1: Employee Only (EE)
Specific Rate $418.80 $284.88 $583.11 $491.08 $519.45 $437.57 $355.14 $335.71 $338.30 $422.18 $287.07 $358.01 $523.93 $588.46 $441.34 $495.57
Aggregate Rate $128.48 $160.03 $76.92 $70.44 $98.88 $91.64 $121.18 $167.40 $170.34 $130.79 $162.93 $123.42 $100.64 $78.29 $93.34 $71.76
Aggregate Factor $1,019.25 $1,024.25 $745.35 $639.94 $872.95 $749.50 $875.10 $1,192.95 $1,218.64 $1,043.24 $1,046.30 $895.71 $895.23 $765.87 $768.63 $657.56
Aggregate Accommodation $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total PEPM Including Fees $1,764.53 $1,667.16 $1,603.38 $1,399.46 $1,689.27 $1,476.71 $1,549.43 $1,894.06 $1,925.29 $1,794.21 $1,694.30 $1,575.14 $1,717.80 $1,630.62 $1,501.30 $1,422.89
Tier 2: Employee + Spouse (ES)
Specific Rate $795.72 $541.27 $1,107.92 $933.05 $986.95 $831.38 $674.78 $637.85 $642.78 $802.15 $545.43 $680.22 $995.47 $1,118.08 $838.54 $941.59
Aggregate Rate $244.12 $304.07 $146.14 $133.84 $187.87 $174.11 $230.24 $318.05 $323.66 $248.50 $309.57 $234.50 $191.21 $148.75 $177.34 $136.34
Aggregate Factor $1,936.56 $1,946.07 $1,416.16 $1,215.89 $1,658.61 $1,424.04 $1,662.69 $2,266.61 $2,315.41 $1,982.16 $1,987.98 $1,701.86 $1,700.92 $1,455.16 $1,460.39 $1,249.37
Aggregate Accommodation $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total PEPM Including Fees $3,174.40 $2,989.40 $2,868.22 $2,480.78 $3,031.43 $2,627.53 $2,765.71 $3,420.52 $3,479.85 $3,230.81 $3,040.98 $2,814.58 $3,085.60 $2,919.99 $2,674.27 $2,525.30
Tier 3: Employee + Child(ren) (EC)
Specific Rate $753.84 $512.78 $1,049.61 $883.95 $935.01 $787.62 $639.27 $604.28 $608.95 $759.93 $516.73 $644.42 $943.08 $1,059.24 $794.40 $892.03
Aggregate Rate $231.28 $288.06 $138.45 $126.79 $177.98 $164.95 $218.13 $301.31 $306.63 $235.42 $293.28 $222.16 $181.15 $140.92 $168.01 $129.16
Aggregate Factor $1,834.63 $1,843.64 $1,341.62 $1,151.90 $1,571.32 $1,349.08 $1,575.18 $2,147.32 $2,193.56 $1,877.83 $1,883.36 $1,612.30 $1,611.40 $1,378.57 $1,383.52 $1,183.61
Aggregate Accommodation $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total PEPM Including Fees $3,017.75 $2,842.49 $2,727.67 $2,360.64 $2,882.31 $2,499.65 $2,630.58 $3,250.91 $3,307.14 $3,071.18 $2,891.36 $2,676.88 $2,933.64 $2,776.73 $2,543.93 $2,402.80
Tier 4: Employee + Family (EF)
Specific Rate $1,256.40 $854.64 $1,749.35 $1,473.25 $1,558.35 $1,312.71 $1,065.45 $1,007.15 $1,014.92 $1,266.56 $861.21 $1,074.04 $1,571.80 $1,765.40 $1,324.02 $1,486.73
Aggregate Rate $385.46 $480.11 $230.74 $211.32 $296.63 $274.92 $363.54 $502.19 $511.04 $392.36 $488.80 $370.26 $301.92 $234.86 $280.01 $215.28
Aggregate Factor $3,057.73 $3,072.74 $2,236.04 $1,919.82 $2,618.85 $2,248.48 $2,625.30 $3,578.86 $3,655.92 $3,129.73 $3,138.92 $2,687.15 $2,685.67 $2,297.61 $2,305.87 $1,972.69
Aggregate Accommodation $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total PEPM Including Fees $4,897.59 $4,605.49 $4,414.13 $3,802.39 $4,671.84 $4,034.11 $4,252.29 $5,286.19 $5,379.88 $4,986.65 $4,686.93 $4,329.45 $4,757.39 $4,495.87 $4,107.90 $3,872.70
Monthly Totals
Tier 1: Employee Only (EE)
Specific Rate $8,794.72 $5,982.46 $12,245.39 $10,312.64 $10,908.43 $9,188.97 $7,458.04 $7,049.97 $7,104.36 $8,865.86 $6,028.47 $7,518.17 $11,002.51 $12,357.70 $9,268.06 $10,407.01
Aggregate Rate $2,698.19 $3,360.71 $1,615.24 $1,479.26 $2,076.38 $1,924.38 $2,544.86 $3,515.36 $3,577.24 $2,746.55 $3,421.57 $2,591.90 $2,113.42 $1,644.05 $1,960.10 $1,506.90
Aggregate Factor $21,404.25 $21,509.25 $15,652.35 $13,438.74 $18,331.95 $15,739.50 $18,377.10 $25,051.95 $25,591.44 $21,908.04 $21,972.30 $18,809.91 $18,799.83 $16,083.27 $16,141.23 $13,808.76
Aggregate Accommodation $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Broker Fee $735.00 $735.00 $735.00 $735.00 $735.00 $735.00 $735.00 $735.00 $735.00 $735.00 $735.00 $735.00 $735.00 $735.00 $735.00 $735.00
TPA, RBP, PBM, Service Providers $1,953.00 $1,953.00 $1,953.00 $1,953.00 $1,953.00 $1,953.00 $1,953.00 $1,953.00 $1,953.00 $1,953.00 $1,953.00 $1,953.00 $1,953.00 $1,953.00 $1,953.00 $1,953.00
TPA, PPO, PBM, Service Providers $1,470.00 $1,470.00 $1,470.00 $1,470.00 $1,470.00 $1,470.00 $1,470.00 $1,470.00 $1,470.00 $1,470.00 $1,470.00 $1,470.00 $1,470.00 $1,470.00 $1,470.00 $1,470.00
Total $37,055.15 $35,010.42 $33,670.98 $29,388.64 $35,474.75 $31,010.85 $32,538.01 $39,775.28 $40,431.05 $37,678.45 $35,580.34 $33,077.98 $36,073.76 $34,243.02 $31,527.38 $29,880.67
Tier 2: Employee + Spouse (ES)
Specific Rate $1,591.44 $1,082.54 $2,215.84 $1,866.10 $1,973.90 $1,662.75 $1,349.56 $1,275.71 $1,285.56 $1,604.30 $1,090.87 $1,360.44 $1,990.94 $2,236.16 $1,677.07 $1,883.18
Aggregate Rate $488.25 $608.13 $292.28 $267.68 $375.73 $348.22 $460.49 $636.10 $647.32 $497.00 $619.14 $469.00 $382.42 $297.50 $354.69 $272.68
Aggregate Factor $3,873.12 $3,892.14 $2,832.32 $2,431.78 $3,317.22 $2,848.08 $3,325.38 $4,533.22 $4,630.82 $3,964.32 $3,975.96 $3,403.72 $3,401.84 $2,910.32 $2,920.78 $2,498.74
Aggregate Accommodation $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Broker Fee $70.00 $70.00 $70.00 $70.00 $70.00 $70.00 $70.00 $70.00 $70.00 $70.00 $70.00 $70.00 $70.00 $70.00 $70.00 $70.00
TPA, RBP, PBM, Service Providers $186.00 $186.00 $186.00 $186.00 $186.00 $186.00 $186.00 $186.00 $186.00 $186.00 $186.00 $186.00 $186.00 $186.00 $186.00 $186.00
TPA, PPO, PBM, Service Providers $140.00 $140.00 $140.00 $140.00 $140.00 $140.00 $140.00 $140.00 $140.00 $140.00 $140.00 $140.00 $140.00 $140.00 $140.00 $140.00
Total $6,348.81 $5,978.81 $5,736.43 $4,961.56 $6,062.85 $5,255.05 $5,531.43 $6,841.03 $6,959.70 $6,461.62 $6,081.96 $5,629.16 $6,171.20 $5,839.98 $5,348.54 $5,050.60
Tier 3: Employee + Child(ren) (EC)
Specific Rate $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Aggregate Rate $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Aggregate Factor $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Aggregate Accommodation $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Broker Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
TPA, RBP, PBM, Service Providers $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
TPA, PPO, PBM, Service Providers $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Tier 4: Employee + Family (EF)
Specific Rate $13,820.42 $9,401.08 $19,242.84 $16,205.73 $17,141.89 $14,439.81 $11,719.94 $11,078.61 $11,164.15 $13,932.15 $9,473.31 $11,814.42 $17,289.81 $19,419.40 $14,564.16 $16,354.03
Aggregate Rate $4,240.08 $5,281.20 $2,538.15 $2,324.55 $3,262.95 $3,024.10 $3,999.00 $5,524.06 $5,621.46 $4,316.00 $5,376.76 $4,072.92 $3,321.09 $2,583.50 $3,080.15 $2,368.06
Aggregate Factor $33,635.03 $33,800.14 $24,596.44 $21,118.02 $28,807.35 $24,733.28 $28,878.30 $39,367.46 $40,215.12 $34,427.03 $34,528.12 $29,558.65 $29,542.37 $25,273.71 $25,364.57 $21,699.59
Aggregate Accommodation $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Broker Fee $385.00 $385.00 $385.00 $385.00 $385.00 $385.00 $385.00 $385.00 $385.00 $385.00 $385.00 $385.00 $385.00 $385.00 $385.00 $385.00
TPA, RBP, PBM, Service Providers $1,023.00 $1,023.00 $1,023.00 $1,023.00 $1,023.00 $1,023.00 $1,023.00 $1,023.00 $1,023.00 $1,023.00 $1,023.00 $1,023.00 $1,023.00 $1,023.00 $1,023.00 $1,023.00
TPA, PPO, PBM, Service Providers $770.00 $770.00 $770.00 $770.00 $770.00 $770.00 $770.00 $770.00 $770.00 $770.00 $770.00 $770.00 $770.00 $770.00 $770.00 $770.00
Total $53,873.53 $50,660.42 $48,555.43 $41,826.30 $51,390.20 $44,375.19 $46,775.23 $58,148.12 $59,178.74 $54,853.18 $51,556.19 $47,623.98 $52,331.27 $49,454.61 $45,186.89 $42,599.68
Composite Aggregate Rate $218.43 $272.06 $130.75 $119.75 $168.09 $155.79 $206.01 $284.57 $289.59 $222.34 $276.98 $209.82 $171.09 $133.09 $158.67 $121.99
Quote Summary
Estimated Spec Premium $290,478.89 $197,592.95 $404,448.83 $340,613.62 $360,290.70 $303,498.38 $246,330.50 $232,851.44 $234,648.96 $292,827.78 $199,111.75 $248,316.26 $363,399.12 $408,159.19 $306,111.54 $343,730.69
Estimated Aggregate Premium $89,118.20 $111,000.54 $53,347.98 $48,857.93 $68,580.71 $63,560.36 $84,052.16 $116,106.23 $118,152.30 $90,714.62 $113,009.57 $85,605.83 $69,803.16 $54,300.62 $64,739.30 $49,771.60
Total Attachment Point $706,948.80 $710,418.36 $516,973.32 $443,862.48 $605,478.24 $519,850.32 $606,969.36 $827,431.56 $845,248.56 $723,592.68 $725,716.56 $621,267.36 $620,928.48 $531,207.60 $533,118.96 $456,085.08
Estimated Total Premium $379,597.09 $308,593.49 $457,796.81 $389,471.54 $428,871.41 $367,058.75 $330,382.67 $348,957.67 $352,801.26 $383,542.40 $312,121.32 $333,922.09 $433,202.28 $462,459.82 $370,850.84 $393,502.28
Quote Request Recipients
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  • ERISAQuote Pro

    updated Quote Request #7802

    Jun 30, 2025 (5:52pm)
    Pending Decision → Illustrative Quote Ready
  • ERISAQuote Pro

    updated Prodigy Health Insurance's submission

    Jun 30, 2025 (5:52pm)
    Received → Illustrative Quote Ready
  • Prodigy Health Insurance

    added 1 Illustrative quote(s)

    Jun 30, 2025 (5:49pm)
  • ERISAQuote Pro

    updated Quote Request #7802

    Jun 30, 2025 (5:49pm)
    Draft → Pending Decision
  • ERISAQuote Pro

    updated Prodigy Health Insurance's submission

    Jun 30, 2025 (5:49pm)
    Submitted → Received
  • John Youngs

    submitted to Prodigy Health Insurance

    Jun 30, 2025 (5:48pm)
    Status Submitted
  • John Youngs

    drafted Quote Request #7802

    Jun 30, 2025 (5:40pm)
    Status Draft
  • John Youngs

    uploaded 1 document(s)

    Jun 30, 2025 (5:40pm)
    Census St Joseph Motesorri.xlsx
Edit Group Group Information
Group Information
St. Joseph Montessori School
933 Hamlet Street
Columbus, OH 43201
Business Classification
Elementary and Secondary Schools (611110) / Elementary and Secondary Schools (8211)
Submitted By
Organization Name
Youngs Mgmt
Organization Type
brokerage
Contact Person
John Youngs
Contact Phone
(916) 804-6009
Contact Email
John@youngsmgmt.com
Request Created
Jun 30, 2025 (5:40pm) by John Youngs
Networks & Dates
Networks or Repricing Requested
  • Cigna PPO
 
Policy Effective Date

Aug 1, 2025

Policy Termination Date

Jul 31, 2026

Carrier Responses Due

Jul 4, 2025

Notes
No Notes: There were no notes included in this quote request.
Requested Stop Loss
Requested Stop Loss Plan Designs
Prescription Drug Coverage Options
Specific Includes Rx Coverage?
Yes
Aggregate Includes Rx Coverage?
Yes
Plan Name Spec Deductible Spec Contract Aggregating Spec Deductible Agg Contract Agg Corridor Commission
35k: 12-18 $35,000 12/18 $0 12/18 1.25 0.00%
Employee Benefit Plan Designs
Requested Employee Benefit Plans
Plan Name Deductible Coinsurance OOP
Maximum		 OOP Includes
Deductible?		 Rx Copay
Generic		 Rx Copay
Formulary		 Rx Copay
Non-Formulary		 Rx covers
specialty?		 Rx copay
specialty
Plan 5: In: $3,500
Out: $7,000 		In: 80%
Out: 60% 		In: $5,000
Out: $10,000 		In: Yes
Out: Yes 		$0 $0 $0 Yes $300
Claims Experience
None entered: No claims experience was entered.
Attachments Upload any attachment such as claims experience (if available), case management history or anything else.
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