Medicare administrative contractor jurisdiction 5
Active Definitive Contract Awarded Last action
- Contract number
- 75FCMC19C0043
- Awardee
-
Wisconsin Physicians Service Insurance Corp. UEI HLY2E796N2L3
- Awarding agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Obligated
- $429,071,137
Award facts
- Opportunity
-
- 75FCMC18R0040 Solicitation number
- Part A and B(A/B) Medicare Administrative Contractor (MAC), Jurisdiction 5 (J5) Award Notice · Posted Oct 19, 2018
- Contract value 70% obligated
-
- $508,394,017.00 Current, with exercised options
- $612,921,703.00 Potential, with all options
- Completion date 75% complete
-
- Current, with exercised options
- Potential, with all options
- NAICS code
- 524114 Direct Health and Medical Insurance Carriers
- Set-aside
- No set-aside
- Competition
- Full and Open Competition · 2 offers Negotiated Proposal / Quote
- Pricing
- Cost Plus Award Fee
- Place of performance
- Madison, WI 53701, USA
- Legislative mandates
-
- Service Contract Act FAR subpart 22.10
- Service Contract Inventory FAR subpart 4.17
Award details come from SAM.gov/FPDS.
Transactions
| Action | Obligated | Date |
|---|---|---|
| Other Administrative Action | $0 | |
| Supplemental Agreement for work within scope | $56,309,103 | |
| Funding Only Action | $20,000 | |
| Supplemental Agreement for work within scope | $3,512,444 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Funding Only Action | $22,326,312 | |
| Exercise an Option | $29,959,478 | |
| Supplemental Agreement for work within scope | $648,014 | |
| Supplemental Agreement for work within scope | -$363,203 | |
| Supplemental Agreement for work within scope | $263,987 | |
| Other Administrative Action | $0 | |
| Supplemental Agreement for work within scope | $8,000,000 | |
| Other Administrative Action | $0 | |
| Supplemental Agreement for work within scope | $0 | |
| Other Administrative Action | $0 | |
| Definitize Change Order | $7,201 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $189,301 | |
| Change Order | $62,191 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $1,552,261 | |
| Funding Only Action | $2,773,776 | |
| Supplemental Agreement for work within scope | $252,025 | |
| Exercise an Option | $48,388,346 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $4,782,593 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | -$8,725,000 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $9,616,373 | |
| Supplemental Agreement for work within scope | $85,535 | |
| Supplemental Agreement for work within scope | $728,283 | |
| Funding Only Action | $7,946,788 | |
| Supplemental Agreement for work within scope | $119,413 | |
| Other Administrative Action | $0 | |
| Definitize Change Order | $70,097 | |
| Supplemental Agreement for work within scope | -$394,030 | |
| Definitize Change Order | -$4 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $7,274,759 | |
| Change Order | $798,906 | |
| Change Order | $110,092 | |
| Exercise an Option | $34,123,455 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $352,419 | |
| Supplemental Agreement for work within scope | $24,955 |
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About this award
The Centers for Medicare and Medicaid Services awarded a $612.9 million definitive contract to Wisconsin Physicians Service Insurance Corp. for Medicare Administrative Contractor Jurisdiction 5 services on September 30, 2019, under a cost-plus-award-fee pricing structure with no set-aside.
The contract calls for claims administration services supporting Medicare Parts A and B processing in Jurisdiction 5. Place of performance is Madison, Wisconsin. The contract runs through February 28, 2029.
Service Contract Inventory reporting shows actual government-invoiced labor across the contract term. FY2025 (most recent) reflects 268 FTEs performing 556,886 contractor hours at a blended derived rate of $103.97 per hour. FY2021 through FY2025 invoiced amounts ranged from $47.7 million to $62 million annually, with FY2025 at $57.9 million. The labor footprint grew from 213 FTEs in FY2021 to a peak of 277 in FY2024, settling at 268 in FY2025. Derived hourly rates remained roughly flat across the five-year period, ranging from $107.49 to $113.55. Subcontracting depth is minimal: FY2025 reports 2 subcontractors accounting for approximately 1 percent of contractor hours.
Quick answers
Who was awarded contract 75FCMC19C0043?
75FCMC19C0043 was awarded to Wisconsin Physicians Service Insurance Corp. by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on September 30, 2019.
How much is contract 75FCMC19C0043 worth?
The government has obligated $429,071,137 on 75FCMC19C0043. Its current value, with exercised options, is $508,394,017. Its potential value, with all options, is $612,921,703.
Was contract 75FCMC19C0043 competed?
The extent of competition for 75FCMC19C0043 was full and open competition. The government received 2 offers.
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