Complete and include in Chapter Three, Proposal Submission Form G-5 documenting the applicant's success rate in serving Medicaid clients in the current program. Health Benefits Summary Plan Description (SPD).The Bid Form found in Attachment A of this RFP must be filled out in its entirety and included in the Cost Proposal. In addition, the Vendor. Figures should include gross salaries and fringe benefits such as health insurance. Community based facilitated enrollment agencies also reach out to the uninsured to encourage them to apply for health insurance. This document outlines the Common Proposal Form for health insurance applications, designed to gather essential details from applicants. Bismarck's plan to provide "social" insurance for the.