Title
Dept/ Agency: Department of Administration
RATIFYING / AUTHORIZING
Type of Service: Contract
Purpose: Major medical plan services for all eligible active employees and eligible retirees, and to their eligible dependents
Entity Name: Aetna
Address: 151 Farmington Avenue, Hartford, Connecticut 06156
Contract Amount: Not to exceed $5,086,751.00
Active Employee/ $137.36
Active Dependent/ $239.80
under 65 (<) Employee Retiree $124.38
under 65(<) Dependent Retiree $204.70
over 65 (>) Med Supp Retiree $197.84
over 65 (>) Dependent Med supp. Retire $204.70
Contract Period: January 1, 2009 through December 31, 2009
Contract Basis: Bid__ Prof. Ser. __ EUS X
Fair & Open__ Non-Fair & Open X RFP__ RFQ __
Additional Comments: N/A
Invitation: Acting Business Administrator and Personnel Director, May 5, 2009