1-Boulder County Stop Loss RFQ Questionnaire.xlsx
XLSX spreadsheet 58 KB Posted
- Attached to
- Stop Loss Insurance Request for Qualifications
- Solicitation number
- RFQ-202-25
- Issued by
- Boulder County, Colorado
About this file
This document is a Request for Qualifications (RFQ) for Stop Loss Insurance issued by Boulder County, Colorado, involving procurement of insurance services for the county's employee benefits program. The RFQ is structured as a two-phase process, with an initial qualification stage followed by a formal Request for Proposal (RFP), targeting Stop Loss insurance carriers for coverage effective January 1, 2026. The county is transitioning its medical carrier from Cigna to Aetna, and is seeking qualified Stop Loss insurance providers. Key dates include the RFQ release on 9/9/25, with bidder questions due by 9/16/25, RFQ responses due 9/23/25, and the subsequent RFP phase running from 9/26/25 to 10/17/25, with carrier notifications scheduled for 11/10/25.
Boulder County has approximately 2,320 benefit-eligible full and part-time employees across 21 departments, with a current benefits administration platform using UKG Dimensions. The county requires Stop Loss insurance carriers to complete a comprehensive questionnaire covering company details, business history, legal status, and operational characteristics. Eligibility is limited to salaried employees working 20 or more hours per week, with coverage beginning the first day of the month following hire date. The current medical network will transition from Cigna Local Plus and Cigna Open Access Plus to Aetna Choice POS II, with prescription benefits managed by CVS Caremark. The RFQ emphasizes a competitive bidding process aimed at selecting the most advantageous proposal for Boulder County's insurance needs.
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Text version
Overview and Instructions Introduction
| Client Information | ||
| Client Name | Boulder County | |
| Corporate Address | 1325 Pearl Street, Boulder, CO 80302 | |
| Situs State | Colorado | |
| SIC | 9199 | |
| Current Plan Year | 2025 | |
| Effective Date of Coverage | 1/1/26 | |
| Benefit Eligible Employees (Full-Time/Part-Time) | 2,320 | |
| Ben Admin Platform | UKG Dimensions | |
| Eligibility and Waiting period | Salaried employees who work 20 or more hours per week. Coverage begins the first day of the month following date of hire. | |
| Broker Information | ||
| Broker | The MJ Companies (MJ) | |
| Broker Address | 44 Cook Street, Ste. 700, Denver, CO 80206 | |
| Employer Overview | ||
| Boulder County (the "county") is a caring county government that offers professional growth, an inclusive culture, comprehensive benefits, and daily opportunities to make a difference in the community. The county's vision is to provide the best in public service to the community in accordance with its guiding values of inclusion, stewardship, service, engagement, sustainability, innovation, and resilience. The county has approximately 2,320 benefit-eligible full and part-time employees. The county is made up of 21 different departments to serve the needs of our community. | ||
| Request For Qualifications (RFQ) Information | ||
| This RFQ will be followed by a formal Request For Proposal (RFP) for Stop Loss insurance coverage. The RFP will be conducted in accordance with Boulder County's contractual obligation to bid government services. A contract will be awarded to the bidder whose submittal, conforming to the RFP, will be most advantageous to Boulder County. |
Only valid Stop Loss insurance carriers will be permitted to participate in the RFP. To be permitted to participate in the forthcoming RFP, potential bidders must complete the Questionnaire tab of this workbook and upload their responses to the Bonfire procurement system. Completed questionnaires will be reviewed to confirm that each potential bidder is a valid Stop Loss insurance carrier.
Bidders who are confirmed to be valid Stop Loss insurance carriers will then receive an invitation to participate in the formal RFP. Those who are invited will receive the documents and information necessary to submit a proposal. The documents will be provided via secure means only to the approved bidders.
| Program Summary | ||
| The county will transition to a new medical carrier effective 1/1/2026. | ||
| EFFECTIVE THROUGH 12/31/2025 | ||
| Medical/TPA & Rx Carrier | Cigna/CVS Caremark | |
| Stoploss Carrier | Cigna | |
| Network | Cigna Local Plus and Cigna Open Access Plus | |
| Organ Transplant Carrier | Cigna - via the medical plan | |
| EFFECTIVE 1/1/2026 | ||
| Medical/TPA & Rx Carrier | Aetna/CVS Caremark | |
| Stoploss Carrier | TBD | |
| Network | Aetna Choice POS II (SI) | |
| Organ Transplant Carrier | Aetna - via the medical plan | |
| Estimated Timeline |
Dates are subject to change. Please refer to the dates posted in the Bonfire system.
| RFQ Phase | RFQ Release Date | 9/9/25 |
| Bidders' Questions Due | 9/16/25 | |
| Answers to Bidders' Questions Due | 9/19/25 | |
| RFQ Due Date | 9/23/25 | |
| RFP and Award Phase | RFP Release to Invited Bidders | 9/26/25 |
| Bidders' Questions Due | 10/3/25 | |
| Answers to Bidders' Questions Due | 10/10/25 | |
| RFP Due Date | 10/17/25 | |
| Carriers Notified | 11/10/25 |
&D Version 070925
Data Page
| Dental Options | STD Options | Column1 | ||||
| Dental | ER STD | FSA | Contributions | Contribution Options | Commissions | Negotiation |
| Voluntary Dental | Voluntary STD | HSA | 100% ER Paid | 90/10 | 5% | Nelligan |
| ASO Dental | ASO STD | Both HSA/FSA | 100% EE Paid | 80/20 | 10% | Stealth |
| Contributory | 75/25 | 15% | Broker | |||
| Vision Options | LTD Options | 70/30 | 20% | |||
| Vision | ER LTD | Column1 | Column1 | 65/35 | Graded | |
| Voluntary Vision | Voluntary LTD | Yes | Carrier | 60/40 | Net | |
| ASO Vision | ASO LTD | No | Client | 55/45 | PEPM | Rate Caps |
| 50/50 | 40% | |||||
| 50% | ||||||
| Column1 | Spec Types | Column1 | Corridor | 55% | ||
| 3 | 12/12 | Medical Only | 115% | Tier Structure | 60% | |
| 4 | 12/15 | Medical/Rx | 120% | 2-Tier | ||
| 5 | 12/18 | 125% | 3-Tier | |||
| 6 | 12/24 | 4-Tier | ||||
| 7 | 15/12 | Composite | ||||
| 8 | 18/12 | |||||
| 9 | 24/12 | |||||
| 10 | 36/12 | |||||
| 48/12 | ||||||
| Paid |
Questionnaire
| Boulder County | ||
| Questionnaire | ||
| Carrier Information | Carrier Response | |
| v | Legal Company Name | |
| v | Headquarters Address | |
| v | Website | |
| v | RFP Contact (Name, Title, Email, Phone Number) | |
| v | Indicate number of years your company has been in business. | |
| v | Is your organization a Stop Loss insurance carrier? If yes, how long has your organization provided Stop Loss insurance? | |
| v | What is your Stop Loss book of business premium? | |
| v | Is your organization independent or part of a larger conglomerate? If the latter, please provide details. | |
| v | How many employees do you have? | |
| v | Has your organization filed for bankruptcy in the past seven years? | |
| v | For each litigation matter you have had had in the past 5 years, list the name, court, case number, and brief (1-3 sentence) summary. | |
| v | Has the company merged with or been purchased by another organization? If yes, please provide details. | |
| v | Describe your contractual relationships, if any, with organizations or entities to your proposal's implementation (ex: actuarial services, data warehousing, etc.) |
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