01-Questions and Answers Document.pdf

QUESTIONS AND ANSWERS

2324-01 RFI CS

Insurance Dispute Data Analytics

Questions and Answers Below are the questions and answers related to this RFI. In the table below, the Department of Financial Services (Department) has answered each of the written questions submitted by vendors. The Department has included exhibits to answer some of the questions.

No. QUESTION DEPARTMENT RESPONSE

Do you have any documentation regarding the current server infrastructure? Amount of servers, ram, and hard drive capacity? Diagrams of the software architecture etc?

LSOP: See Server Diagram for software architecture.

Ram size and hard drive capacity would be scaled according to the proposed solution.

Do you have any type of monthly statistics? How many active users per month, and how many sessions?

Total active users: (no monthly breakdown)

LSOP: 76,000

CRN: 49,266

PIITIL: 3,476

Can you provide screenshots or access to the current tool from the user and from the administrator's perspective? or can we schedule a video call so you can show us the current flow?

See Q&A Exhibit 1.

Also, do you have information on how to retrieve information from the CRN and the PIITIL systems? do they have an API, json?

Currently all information resides in an on-prem database.

Are you able to confirm that this RFI is specifically for property claims?

The reason I ask is that the RFI references property along with claim types, lines of insurance etc.

Not specifically for property claims.

The RFI mentions that “Pursuant to statute, the Department created an online Legal Service of Process (LSOP) Portal that was made available beginning in July 2016.” Just want to make sure – am I

The current LSOP Portal is fully managed in-house.

correct in assuming that this is fully managed in-house or are there any contracted vendors involved in the systems / process currently? If there is a currently contracted vendor, can we get vendor name, contract number, and expiration date?

Can you please share sample documents? We are looking for sample documents so that we can see what format the documents are in for processing purposes.

See Q&A Exhibit 2

What are the current counts of Internal Users?

LSOP – 33

CRN – 55

PIITIL - 29

What are the current counts of External Users to your portals today?

CRN: 49,266

PIITIL: 3,476

Where does your historical data reside for the LSOP application, and is there an expectation that we would have to store it in a different location?

Historical data resides in a SQL Database and file storage location. There is no expectation of storing in a different location.

All three portals require login. Do you know if this is the expected same process for LSOP, or do you require a new login process?

Currently, the LSOP Portal login is unique and separate from CRN and PIITIL.

Is any data required to be tokenized because it is PII information, and does that require different views for different people (external vs.

Internal)?

No.

What is the data volume for each data source currently?

LSOP currently has 2.1 million historical records. The average is several hundred thousand per year since 2016.

CRN - Approx. 450,000 filings. (Since 2014) PIITIL - Approx. 135,000 notices. (Since 2021)

Is the data for the three sources in a DB, Datawarehouse, or data lake?

Three separate databases.

If your data sits in a cloud environment, who is the carrier (i.e., Azure, AWS Google, other)

Data is not in a cloud environment.

Are there any API connections for any of the data sources?

What format are the documents provided in your department? Where are they stored? What is the current volume and size of documents?

All 3 systems: Documents are in PDF, stored locally and are several terabytes.

What integration mechanisms do you have with the Civil Remedy Notice of Insurer Violations (CRN) system and the Property Insurance Intent to Initiate Litigation (PIITIL) system?

a. RestAPIs?

b. Flat file export?

c. SQL Lookup?

d. sFTP?

No current integration.

Do you have any existing reporting tools that would allow the agency to report normalized data objects from the CRN and PIITIL systems?

Do you have any data storage standards that you follow, for example ECF Standards?

If you chose to replace the LSOP software, what is your timeframe to have this LSOP replacement system go-live?

September 1, 2024.

What does the department charge for electronic filing and electronic service?

The service of process fee is $15.00 if paid by e-check and $15.55 if paid by credit card. See § 624.502, Fla. Stat.

Is the Department amendable to a vendor per file charge (Convenience Fee) for the use of an Electronic Filing/Electronic Service portal?

Unknown.

The main reason to build a new LSOP portal or fixing existing is to ensure the data is connected (speak to each other) to the other 2 portals? Are there any others requirement leading to build or fix LSOP portal (new features, better UX/UI experience)?

The Department has not solidified its requirements at this time.

Do you want new reporting analytics platform irrespective of using LSOP or New Portal?

Yes.

What is the backend database for the current 3 portals (CRN, PIITIL and LSOP)?

SQL Server Database.

Approximate data volume per portal?

LSOP: 2.1 million records. (Since 2016) CRN - Approx. 450,000 filings. (Since 2014) PIITIL - Approx. 135,000 notices. (Since 2021)

Volume of new data ingested per day for these portals.

LSOP: Approx 2,000 per day.

CRN: 510 per day PIITIL: 410 per day

What kind of data is stored, in which format Structured (CSV, relational db tables), semi-structured (XML, JSONs), unstructured (PDF, Docs)?

Relational DB tables and PDF format.

Any existing BI/Reporting system in place?

What is the Current User landscape, Types of Users, Volume of users for the new reporting system (internal & external) by each type?

Current internal users (approximate):

CRN – 55

PIITIL – 29

Current external users:

LSOP: 76,000

PIITIL: 3,476

Should the reports be restricted only to these users, or can they be exposed publicly for everyone to access on the website?

At this time, the Department envisions the reports being accessible to all users.

Are all 3 portals are hosted on-prem or on the cloud?

All 3 are on-prem.

Do you have any preferred cloud vendor like AWS, Azure?

Do you have any restrictions or preferences to use SaaS based solutions?

Can we get the existing data model / architecture for the 3 portals?

Data model specifics would be provided to the selected vendor.

Could you share any sample data set for each portal?

LSOP:

https://apps.fldfs.com/lsopreports/reports/report.aspx

CS-CRN/PIITIL: CS-CRN:

https://apps.fldfs.com/CivilRemedy/SearchFiling.aspx PIITIL: https://piitil.myfloridacfo.gov/SearchNotice

How many reports or dashboards planned to be built on this solution?

The Department does not have a firm opinion and is interested in information the vendor community can provide.

Any Federal or State compliance does this app need to adhere too?

For example, Nist 800-53

Rule 66GG-2, Florida Administrative Code;

Section 282.318, Florida Statutes

What is the expect RT0 (Recovery time objective) and RPO (Recovery Point objective) as well any DR requirements that will influence the application or database design?

The RTO is to be determined based upon the new system.

Current DFD diagram available and/or current data model for each portal database backend?

Data model specifics would be provided to the selected vendor.

Any Data governance specific requirements that need to be considered for the solution? If yes, please specify

No.

Current backup details, and do you have any backup changes for the new solutions?

Currently using CommVault for SQL Database backup. No changes required for a reporting tool/solution.

44 Will you need ongoing support once the solution is delivered?

The Department does not have a firm opinion and is interested in information the vendor community can provide.

How is your current applications talk to each other, have you built an ESB (enterprise service bus) or utilize any IPaaS solutions like Boomi or Mule soft?

They do not currently talk to each other.

Page 2, Section - Data Searching and Reporting: -Would any of the listed datapoints for data searching and reporting require integration with any external / 3rd party entities? Or are all datapoints available locally?

All are available locally.

Page 2, Section - Goals - Interface: -Is there a need for direct bi-directional communication between the 3 existing systems? Or is

No need for bi-directional communication; only intermediary communication.

intermediary communication via vendor's solution the only general need?

Page 2, Section - Goals - Data Search and Reporting: -Aside from the listed data search/reporting requirements, are there any other current or future needs for report generation? What format types (ex.

excel, pdf) would typically be requested?

There may be reports the Department has not considered yet and the Department is interested in information the vendor community can provide.

Page 3, Section - Audience: -Currently, how do users authenticate across all three systems and is there a need to streamline authentication services via SSO (for example)?

Users do not currently authenticate across all three systems.

Page 3, Section Goals - System Requirements: -For the original requirements and the potential replacement of LSOP portal, how many internal and external users (approximately) are you expecting to provision and/or service?

-How many of those users would need full (e.g. admin) access in comparison to those who only need the capability to initiate actions or make submissions (for example)?

Current users (approximate):

Internal: 33 External: 76,000 Internal who need full admin. access: 7

Page 4, Section - LSOP Portal Stability: -Can you elaborate / provide details (if not root cause(s)) to the mentioned occasional issues (delay in services, missing pages, etc.)?

-Are there any objections to a customized PaaS cloud solution? The provided solution would be delivered using the Appian platform.

-Are there any special needs in regards to data and document management and/or storage?

-Is there a need for mobile and/or offline capabilities?

-Are there any future needs or considerations for RPA and/or IDP (intelligent document processing) services/capabilities?

The Department’s Office of Information Technology (OIT) is not aware of any current system instabilities.

No objections.

Possibly.

-How does the State of Florida currently handle outages for one or more systems? And are there any SLAs that our solution would have to enforce to be compliant with the existing systems?

Each system is handled differently. Any SLAs for the new system would be established with the Department and the vendor.

Does the proposed system should be able to build the relation between all 3 systems for the existing data or future data post implementation of new interface?

Notes: Refer to Page 3 in the RFI document, III. Goals 1. Interface

Yes, for both existing and future data.

What is the source of the current systems (CRN/PIITIL/LSOP) data i.e., Data bases / Falt files etc.?

Notes: Refer to Page 3 in RFI document, III. Goals 2. Data Searching and Reporting

Databases

Please help to elaborate on reporting requirements, does it require to be charts / graphs along with download option or the data to be shown as tabular format?

Notes: Refer to Page 3 in RFI document, III. Goals 2. Data Searching and Reporting

The Department does not have a firm opinion and is interested in information the vendor community can provide.

Please help to confirm the reports / data to be available for registered users on the portal based on the roles. For example, consumers are able to search and view the reports specific to them whereas Department is able to view all the data.

Notes: Refer to Page 3 in RFI document, III. Goals 3. Audience

At this time, the Department envisions the reports being accessible to all users.

56 Can you able to provide the data fields available in LSOP system? See Q&A Exhibit 3

Are the LSOP, CRM and PIITIL systems ALL externally accessible?

Yes

Is the LSOP portal intended to be the single source to search for information from LSOP and Pre-suit data from CRM and PIITIL?

The Department does not have a firm opinion and is interested in information the vendor community can provide.

Is the LSOP portal to be replaced or is the FL Dept considering modernizing the current LSOP Portal?

provide.

Is the intention to have a central database holding LSOP and key information from CRN and PIITIL?

provide.

Will the CRN and PIITIL retain their own distinct databases?

provide.

There was mention of LSOP historical information analysis. Is FL Dept looking for the capability to produce dashboards, reports and visualizations from the centralized LSOP database?

Yes.

Are the LSOP, CRM and PIITIL systems currently hosted on-prem or on the cloud?

On-prem

Can you provide technical stack utilized by these three systems today? For example, programming languages used, app server, and databases.

See Q&A Exhibit 4; Programming language is ASP.NET for all three systems.

65 Are CRN, PIITIL and LSOP are On-Prem or Cloud Managed? On-prem

What is your long-term strategy towards Cloud Adoption?

On-prem and Cloud solutions would be considered.

How are data for each of these systems (CRN, PIITIL and LSOP) stored and accessed?

Data resides in a SQL Database and file storage location.

Who is the System of Record for ‘Authorized Insurer? How is this data get shared with CRN/PIITIL systems?

The authorized insurer information comes from COREN, an Office of Insurance Regulation application. Data is not shared at this time.

Goals. III.1: ‘The ability to track a matter from the CRN and/or PIITIL systems would most likely require each matter to have a unique ID, so a user could identify when a matter noticed in the CRN or PIITIL systems is filed in the LSOP Portal as a lawsuit.” As of now, have you established any unique ID creation mechanism to connect from pre-suit system (CRN/PIITIL) to LSOP system?

Goals. III.1: What is the current Business process to match and connect CRN/PIITIL to LSOP data?

No current business process to connect CRN/PIITIL to LSOP data.

Goals. III.1: Does LSOP system have identifier to track and validate CRN (File #) or PIITIL (Notice #)?

No.

Goals. III.2 details about Searching and Reporting: Is it possible to share requirement on analytics and Dashboard reporting?

The Department does not have a firm opinion and is interested in information the vendor community can provide.

Goals. III.2.h: Catastrophic Claims – Are these claims are being tagged in LSOP system or are these external data needs to be integrated back to the Dispute Analytics system?

These claims are not being tagged in LSOP system.

Goals. III.2.i: Reopen Claims – What is the Reopen process, is it managed within LSOP?

With respect to the LSOP system, a case may be reopened, for example, when a new party is added. At this point an amended summons and complaint would be served through the portal.

Goals. III.2.j: Distinguish between subpoenas and lawsuits, is the information about subpoenas and lawsuits managed within LSOP?

Yes.

Goals. III.3 – ‘Audience-Data from all three systems should be available and searchable both internally (Department) and externally (consumers, insurers, Legislature, Office of Insurance Regulation, etc.).’ How do you see difference is Role and Access for Internal (Department) and external (consumers, insurers, Legislature, Office of Insurance Regulators, etc.) users?

At this time, the Department envisions the reports being accessible to all users

III.4 ‘LSOP Portal Stability’ – ‘The current LSOP Portal experiences occasional technological problems. For example, insurers may not receive services from the Department, delivery of those services is delayed, the services may be missing pages.’ Has there been any analysis to understand the root cause of missing pages?

OIT is not aware of any current system instabilities.

III.4 ‘LSOP Portal Stability’ – ‘The current LSOP Portal experiences occasional technological problems. For example, the services are not available when the insurer checks the system.’ Has there been any analysis to understand the root cause of system unavailability?

OIT is not aware of any current system instabilities.

Goals. III.5 – ‘The Department is seeking guidance on the feasibility and cost of creating a replacement LSOP Portal versus leveraging the existing LSOP Portal to feed data into an analytics interface that offers reporting capabilities.’ Is it possible to share data structures and current LSOP user interfaces being used by each of the stakeholders?

Data structure and interfaces would be provided to the selected vendor.

Do you encourage or discourage having Azure or Azure GCC High solution?

Neutral. Open to proposal.

What is data Volume number of tables, number of rows per table, size in GB?

LSOP has approximately 15 tables and 2 million plus main records.

CRN has 43 tables with approximately 450,000 main records.

PIITIL has 17 tables with approximately 135,000 main records.

Provide more detail on the current technologies, data source systems / databases, and any reporting dashboards or visualizations solutions being used for each system?

a. LSOP

b. CRN

c. PIITIL

All 3 systems are .Net with SQL Server database back-up and no 3rd party for visualizations.

Provide the count of databases and overall volumes of data (in GB) currently managed, as well as a high-level estimate of new data and updates each day for each system?

a. LSOP

b. CRN

c. PIITIL

LSOP: Approx 2,000 per day

PIITIL: 410 per day

Provide more detail on the current data validation / submission for all systems?

All 3 systems have custom validations.

Are there any current stability or technological problems with CRN and PIITIL?

Is the department able to share any detail on the typical causes of system instability in the LSOP platform?

OIT is not aware of any current system instabilities.

Provide more detail on the requirements regarding the historical data storage and how long each system must maintain the data?

Business units provide record retention requirements to OIT. https://dos.myflorida.com/library-archives/records-management/general-records-schedules/

Are all data source systems / databases owned and managed by the

FL DFS?

Provide more detail on the current technical support for each system.

Each system is supported by in-house developers.

Provide current technical team and skill set?

Each system is supported by in-house .Net developers.

Will DFS own and maintain the new system or is this intended to be an SAAS solution?

provide.

Provide an estimate of the number of dashboards that need to be prepared to support this effort.

provide.

Provide how many visualization users are estimated for the following categories: static dashboard consumers, interactive dashboard consumers, dashboard developers, visualization content creators?

The Department estimates internal users to be approximately 40 and cannot estimate external users at this time.

Is there a vendor currently supporting the LSOP, CRN or PIITIL systems? If so, who?

No.

What other systems does the DFS or the CFO’s office use to communicate and share information and data with constituents, businesses, insurers and other state entities?

DFS currently maintains 40 independent solutions covering a variety of business functions.

For these reporting/dashboard/analytics requirements, does DFS intend to leverage the existing Tableau Server/Tableau Cloud deployments that are already in place at DFS?

Leveraging the Tableau server is not required.

How many internal users need to access the system?

CRN – 55

PIITIL - 29

How many authenticated external users need to access the system?

PIITIL: 3,476

Is there a need for the general public to consume data/dashboards (unauthenticated users)?

For the LSOP portal. CRN system and PIITIL, can the Department clarify the type of databases used? (e.g. Oracle, SQL, server, mainframe)

SQL Server Database.

Do searches need to look into potentially associated documents (PDF, Word, etc.) with a record? Or can searches be limited to digitized fields (name, date, address, etc.)?

No, searches can be limited to digitized fields; some fields may need to be added.

Does any data pertaining to the record would need to be aggregated as part of the analysis or search results? (Sum, average, etc.)

Do they have a preference for solution to be in the cloud or on-prem? If cloud, do they have any preference for cloud vendor?

On-prem and Cloud solutions would be considered.

After the solution has been decided by the State of Florida is there any expected date to release the RFP?

The Department anticipates a December 1, 2023, release.

Could the State kindly clarify whether choosing not to participate in the RFI response would preclude us from participating in the RFP response at a later stage?

A vendor who responds to the RFI will not be excluded from participating in any future competitive solicitation (see Rule 60A-1.042, Florida Administrative Code).

If the State opts to issue an RFP based on the RFI, will the companies that submitted an RFI be given preference during the RFP award selection process?

No preference will be given to any company in the event of a competitive solicitation, regardless of whether the company responded to this RFI.

Section III. Goals, point 5. System Requirements: Could the State please clarify if is it required to provide separate pricing for creating a replacement LSOP Portal versus leveraging the existing LSOP Portal? Or can be one pricing showing the difference?

The Department does not require separate pricing for each scenario; however, vendors may do so if desired.

Section VIII. Response Format point 4. Tab 4 – Sample Pricing Information: Could the State please clarify if there is a preferred format for the pricing?

There is not a preferred format for pricing.

What are the primary data sources for the following portals:

• LSOP

• CRN

• PITIL

All 3 have their own separate data sources.

What is the application behind the portal (PHP/ASP or any other)?

ASP.NET

Are there any secondary or supplementary data sources that might be relevant?

Yes, there will be additional data sources outside of the three proper systems.

Is the data readily available, or will there be a need for data extraction, transformation, or integration?

Most data is readily available but there is potential for data extraction, transformation, or integration.

Are there any restrictions or limitations on accessing certain data sources?

There is a potential for role-based access.

What is the overall quality of the data? Are there known issues or concerns?

The data does not have duplicates or ghost records.

What is the structure of the data (e.g., relational, flat files, APIs)?

Relational Database.

Who are the primary users and stakeholders of the reports?

The primary users are internal (Department employees) and external (Legislature, the OIR, insurers, etc.).

Are there any existing system documents, data dictionaries, or ER diagrams that can assist in comprehending the structure of the source data model?

See Q&A Exhibit 4

What is the approximate size (volume) of current data sources?

LSOP currently has 2.1 million historical records. The average is several hundred thousand per year since 2016.

CRN - Approx. 450,000 filings. (Since 2014) PIITIL - Approx. 135,000 notices. (Since 2021)

What is the total volume of data we get on a daily basis?

LSOP: Approx 2,000 per day.

PIITIL: 410 per day

Are new dashboards and reports on integrated data needed to be developed?

Can the State please describe the existing technical stack in detail?

SQL Server and .NET, however the supporting solution may be independent.

Does the State have any existing reporting system for analyzing data (Maybe Excel charts or others)?

Yes, various existing reporting systems (For example, Tableau, Excel, etc.)

Is the State looking for a specific reporting solution for analysis (Power BI/Tableau)

Could the State kindly consider granting an extension on the due date?

The Department has extended the Response due date to 9/28/23.

Does the State have a desired font size and type for us to present our proposal?

Has the State allocated a projected budget for the upcoming

RFP?

$900,000

For the forthcoming RFP, through which channel will it be released?

Any competitive solicitation will be released via posting on the Vendor Information Portal.

Question Department Response

128. Vendor Background and Experience Descriptions

What relevant background, qualifications, and experience might be desired or required to provide the services described in the RFI?

1. General

a. Will the Vendor need experience providing Florida insurance claims and legal Users with claims litigation workflow and collaboration software and services in compliance with Fla. Stat. 627.70152 Property Insurance Intent to Initiate Litigation “Notices” for Florida insurance claims?

The Department has not determined the level of experience desired at this time but will detail the experience required in the event of a competitive solicitation, if issued.

b. Will the Vendor need experience providing Florida insurance claims and legal Users with claims litigation reporting and analytics software and services in compliance with Notices for Florida insurance claims?

See 128. 1.a.

c. Will the Vendor need experience providing Florida insurance claims and legal Users with claims litigation workflow and collaboration software and services in compliance with Fla. Stat. 624.155 Civil Remedy Notice “CRN” for Florida insurance claims?

See 128. 1.a

d. Will the Vendor need experience providing Florida insurance claims and legal Users with claims litigation reporting and analytics software and services in compliance with CRNs for Florida insurance claims?

See 128. 1.a.

e. Will the Vendor need experience providing Florida insurance claims and legal Users with claims litigation reporting and analytics software and services containing the data arising from compliance with Fla. Stat. 624.423 Legal Service of Process “LSOP”?

See 128. 1.a

f. Will the Vendor need experience providing Florida insurance claims and legal Users with claims litigation workflow and collaboration software and services in compliance with Fla. Stat. 624.424 “SB76 Data Call” for Florida insurance claims?

See 128. 1.a.

g. Will the Vendor need experience providing Florida insurance claims and legal Users with data management services for claims litigation workflow, collaboration, reporting, and analytics software and services for data contained in SB76 Data Call for Florida insurance claims?

See 128. 1.a..

h. Will the Vendor need experience providing Florida insurance claims and legal Users with training and support for claims litigation workflow, collaboration, reporting, and analytics software and services?

See 128. 1.a.

2. Florida Claims Litigation Experience

a. Will the Vendor need experience providing Florida insurance claims and legal Users the ability to integrate Claim entities existing in multiple statuses/workflows pursuant to Fla. Stat. 627.70152 “Notices”, Fla. Stat.

624.155 “CRNs”, Fla. Stat. 624.423 “LSOPs”, and assignment of benefits (“AOBs”)?

See 128. 1.a.

b. Will the Vendor need experience providing Florida insurance claims and legal Users the ability to reconcile Notices, CRNs, LSOPs, AOBs to common claim origination, such as claims sharing same insured, date of loss, and peril (example: AOBs and non-AOBs)?

See 128. 1.a.

c. Will the Vendor need experience providing Florida insurance claims and legal Users ability to append SB76 Data Call responses to Notices, CRNs, LSOPs, AOBs?

See 128. 1.a.

d. Will the Vendor need experience providing Florida insurance claims and legal Users the ability to integrate Notices, CRNs, LSOPs, and AOBs workflows to Florida property insurance company claim operations systems?

See 128. 1.a.

e. Will the Vendor need experience providing Florida insurance claims and legal Users the ability to integrate Notices, CRNs, LSOPs, and AOBs to Florida claims legal systems?

See 128. 1.a.

f. Will the Vendor need experience providing or capabilities to provide Florida insurance claims and legal Users ability to reconcile and integrate claims entities in various states/locations such as Notices, CRNs, LSOPs, AOBs, Repair Option, Appraisal, Florida Department of Financial Services Mediation, Florida Division of Administrative Hearings, civil court case management softwares, Florida E-Filing portal?

See 128. 1.a.

129. Interface Functionality

What system functionality will be required from the Request for Information?

1. General

a. Florida Insurance Claims and Legal User Account

Management:

Should the Interface provide a process to administer the creation, modification, de-activation and monitoring of all User accounts?

b. Florida Insurance Claims and Legal User Roles and Hierarchies:

Should the Interface enable creation and assignment of Users reflecting the various access requirements associated with Florida claims and legal management hierarchies and various claim-case configurations including multi-claim lawsuits and multi-lawsuit claims?

c. Florida Insurance Claims and Legal Law Firm Profiles:

Should the Interface include a profile for each Insurance Plaintiff and Defense Lawyer and Law Firm (and their associated Users), and historical related information related to each Lawyer and Law Firm?

The Department does not have a firm opinion and is interested in information the vendor community can provide.

d. Florida Insurance Claims and Legal Reporting and

Data:

Should the Interface include reports from within the Interface, including Florida insurance litigation best practices and customized reports?

The Department does not have a firm opinion and is interested in information the vendor community can provide.

e. Florida Insurance Claims and Legal Configuration and Customization:

Should the Interface include the ability for Users based on permissions, or with assistance from the Vendor, to configure and/or customize some aspects of the Interface including but not limited to, statuses, document types or categories, claim types or categories, workflow automation rules, tasks, calendaring and messaging attribute, User access roles and User Group reporting?

f. Interface Uptime:

Should the Interface meet or exceeds a particular uptime standard?

Yes.

g. Interface Recovery Capabilities:

Should the Interface have a recovery strategy that has the capability to restore operational functionality to pre-interruption state within a particular amount of time?

Yes.

2. Interface

a. Florida Insurance Claims and Legal Claims Creation:

a.i Fla. Stat. 627.70152 Property Insurance Intent to Initiate Litigation “Notice” Set-up: Should the Interface provide appropriate Users the ability to set up a Notice in the Interface manually and through integration with an external system?

a.ii Fla. Stat. 624.155 Civil Remedy Notice “CRN” Set-up:

Should the Interface provides appropriate Users the ability to set up a CRN in the Interface manually and through integration with an external system?

a.iii Fla. Stat. 624.423 Legal Service of Process “LSOP” Set-up: Should the Interface provides appropriate Users the ability to set up a LSOP in the Interface manually and through integration with an external system?

“Notice”, “CRN”, and “LSOP” will be cumulatively referred to as “Claim” throughout the remainder of these questions.

b. User Assignment:

b.i Should the Interface provide appropriate Users the ability to assign a Claim to one or more Users, User Groups, and/or Law Firms, giving them access to that Claim and ability to add or remove the Users assigned to a Claim over time?

b.ii Should the Interface provide appropriate Users the ability to view all Claims a User is associated to?

b.iii Should the Interface provide appropriate Users the ability to assign Claims to a group/firm and/or individuals?

No.

b.iv Should the Interface provide appropriate Users the ability to assign a single Claim to one or multiple Law Firms?

Yes.

b.v Should the Interface provide appropriate Users the ability to assign Claims to an Adjuster?

c. Related Claims:

Should the Interface provide Users the ability for Users to associate one Claim with other Claims in the Interface?

d. Claim Statuses:

Should the Interface provide Users the ability to assign various statuses to any Claim?

e. Messaging:

Should the Interface provide Users the ability to generate messages between Users?

f. Events and Tasks:

Should the Interface provide Users the ability to manage events and tasks, auto-populate critical events based on business rules, assign Users to events and tasks, and make modifications to the originally created event or task over time, and the ability to report on events and tasks?

Yes, but depends which type of User.

g. Notifications:

g.i Should the Interface provide Users the ability to schedule notifications?

Yes, but depends which type of User.

g.ii Should the Interface provide Users the ability to automatically push notifications (via email) to Users when an Interface message is available, or when a change to a Claim has been made?

Yes, but depends which type of User.

h. Notes:

Should the Interface provide Users the ability to add notes associated with each Claim and categorize note types?

Yes, but depends which type of User.

i. Documents:

i.i Should the Interface provide Users the ability to upload documents and associate with any Claim in the Interface, subject to access?

i.ii Should the Interface allow for documents to be categorized and searched for in the Interface globally?

Yes.

j. Communication and Collaboration j.i Should the Interface provide Users the ability to track and store communication between the Users through collaboration tools the Florida insurance claims and legal industry is experienced with?

The Department is interested in learning about available technology through the information provided by the vendor community in response to this RFI.

j.ii Should the Interface provide Users the ability to track and associate communication notes and documents to one or more Claims?

j.iii Should the Interface provide Users the ability to categorize communications and documents (mediations, trials, etc.) for searchability and management?

k. Should the Interface provide appropriate Users the ability to configure and track negotiation information including a custom list of negotiation types, settlement dollars, and notes?

The Department does not have a firm opinion and is interested in information the vendor community can provide.

l. Resolution Tracking:

Should the Interface provide appropriate Users the ability to configure and track resolution information including a custom list of resolution types, settlement dollars, and notes?

m. Reporting and Analytics m.i Should the Interface provide appropriate Users the ability to create summary reports displaying Claim statistics?

m.ii Should the Interface provide appropriate Users the ability to export reports to excel, PDF, or CSV format?

The Department does not have a firm opinion and is interested in information the vendor community can provide.

m.iii Should the Interface provide appropriate Users the ability to filter searches (or reports) based on multiple categories or data elements?

m.iv Should the Interface provide appropriate Users the ability to access reporting and real-time data analysis?

m.v Should the Vendor provide Users the ability to send and receive data using integrations?

m.vi Will the Vendor need experience providing Florida claims and legal Users the ability to report on Claims?

See 128. 1.a.

m.vii Will the Vendor need experience providing Florida claims and legal Users the ability to report on Claims with maintained databases for the following field values essential to complete Florida insurance claim and legal reporting reliability:

-Plaintiff (Claimant) -Defendant (Insurer) -Plaintiff Attorney/Law Firm -Defendant Attorney/Law Firm -Plaintiff (Claimant) Contractor -Plaintiff (Claimant) Medical Provider -Status (ability to track consistent with all pre-suit process program variations; as well as reopen, supplemental; and reconciliation with closures gathered from external sites; subpoena vs. lawsuit, etc.)

-Insurance Type -Claim Type – Peril -Claim Type – Catastrophe Y/N -Dispute Type – (example: covered, denied) -Date of Loss -Date Claim Reported -Dates of Claim Status Changes (example: tracking from Notice to Case Resolution) -Related claim(s)/lawsuit(s) -Resolution Type -Resolution Date -Resolution Amount?

m.viii Will the Vendor need experience providing Florida claims and legal Users reports on Claims with for the following analysis essential to complete Florida insurance claim and legal reporting:

-New Claim Volumes Calibratable by All Attributes Noted Above -Pending Claim Volumes Calibratable by All Attributes Noted Above -Closed Claim Volumes Calibratable by All Attributes Noted Above -Analysis of Expense and Indemnity Financial Values Calibratable by All Attributes Noted Above m.ix Will the Interface be configured to provide the Department of Financial Services or other Florida personnel the ability to append SB76 Data Call responses to Claims?

The Department does not have a firm opinion and is interested in information the vendor community can provide.

m.x Will the Interface be configured to provide the Department of Financial Services or other Florida personnel the ability to support the obligations under Fla. Stat. 627.7154 (Insurer Stability Unit) to evaluate the impacts of Claims?

130. Technical Feature Questions

What technical functionality will be required from the Request for Information?

1. Access Controls and Security

a. Should the Interface provide Users the ability to identify

Users who are approved/vetted prior to use of the Interface?

Yes

b. Should the Interface provide Users the ability to access the Interface from anywhere (regardless of location)?

c. Should the Interface provide Users the ability to manage roles and permissions related to Interface Administration so a System Administrator may configure system changes but cannot view confidential system content within the Claims, documents, or parties?

d. Should the Interface provide appropriate Users the ability to manage access by Claim assignment with restrictions to all other users by permission groups?

e. Should the Interface provide appropriate Users the ability to restrict access to matters identified as confidential based on role or permission?

2. User Experience

a. Should the Interface support all modern browsers and operating systems?

Is any of the reporting data restricted to only be viewable by the Department?

3. Current State Questions:

a. General a.i Is the LSOP system supported by internal staff or by a third-party vendor?

Department staff.

a.ii Is the CRN system supported by internal staff or by a third-party vendor?

Department staff.

a.iii Is the PIITIL/Notices system supported by internal staff or by a third-party vendor?

Department staff.

a.iv What documentation exists for each of the current systems, such as System Specification Documents, Technical Manuals, Data Dictionaries, and User Manuals? Can these be provided?

The Department may provide this information if it decides to move forward with a competitive solicitation.

a.v What technology stacks and system architectures are used for each of the existing systems?

.Net and SQL Server

b. Data and Reporting:

b.i Will the Vendor be able to leverage data collected pursuant to SB76?

The Department does not have a firm opinion and is interested in information the vendor community can provide.

b.ii Can sample schemas of the existing data structures of each system be provided?

The Department may provide this information if it decides to move forward with a competitive solicitation.

b.iii Do the current systems support a fixed number of related entities for each of the identified data points with the filed case, or can each be 1-N?

All three systems currently support a fixed number.

b.iv Are there any requirements in the technologies that may be used in the implementation of the reporting system?

Depending on the solution there may be technology requirements.

b.v Will the Reporting System require user registration, or will it be open without restriction?

b.vi Are there any logging or audit capabilities required for the Reporting system?

The Department has not solidified its requirements at this time.

b.vii Will users be permitted to batch download data from the system? If so, are there any limits?

There are no reasonable limits.

b.viii Are the service of subpoenas and service of lawsuits against insurers recorded in the CRN or PIITIL today?

b.ix Are Catastrophic Claims currently coded within any of these systems by a discreet identifier or is the assessment based on a combination of other field data?

b.x Are claims explicitly identified as initial vs reopened via a discreet identifier or is the assessment based on a combination of other field data?

b.xi Are closures currently captures in any resource available and accessible in this project? What is the definition of a closure and/or what data is used to validate a closure? Is the current definition of a closure sufficient to capture adequate reporting for the purpose of this project?

The Department is without knowledge about the meaning of “closure” in this question.

c. Additional Miscellaneous:

c.i Are there any requirements in the technologies that may be used in the hosting of the reporting system?

Depending on the solution there may be technology requirements.

c.ii Are there any requirements for where the solution must be housed?

No.

c.iii Will it be possible to modify the existing LSOP, CRN and PIITIL systems to support an integration? Is this considered part of this project, or separate supporting projects?

Depending on the solution, it may be possible.

c.iv What is the required system availability (e.g. 24/7/365, M-F 8-5pm, etc)

24/7/365 c.v What is the expectation of time between receipt of data in the initial systems and availability in the reporting system (real-time, hourly, daily, etc)?

Ideally, real-time.

c.vi What level of accessibility standards are each of these systems required to support under Section 508, state and local laws?

All systems should support Section 508.