Title
Dept/ Agency: Administration/Division of Personnel
Action: (X) Ratifying (X) Authorizing ( ) Amending
Type of Service: EUS Contract
Purpose: Renewal of the Voluntary Short Term Disability Plan
Entity Name: Hartford Life and Accidental Insurance Company
Entity Address: 200 Hopmeadow Street, Simsbury, CT 06089
Contract Amount: Estimated cost of $343,043.25 (actual cost contingent upon enrollment, salary and age)
Funding Source: Premiums paid through payroll deductions
Contract Period: April 1, 2011 through March 31, 2013
Contract Basis: ( ) Bid ( ) State Vendor ( ) Prof. Ser. (X) EUS
( ) Fair & Open (X) No Reportable Contributions ( ) RFP ( ) RFQ
( ) Private Sale ( ) Grant ( ) Sub-recipient ( ) n/a
Additional Information: 7R1-a 111609
Invitation: Personnel Director, August 2, 2011
Deferred 7R1-r 080311
Invitation: Business Administrator, September 7, 2011