10-08 - Network Geo-Access.pdf

This is a Network Geo-Access specification document for the City of Lewisville's Annual Contract for Employee Health and Welfare Benefits, a competitive sealed proposal procurement in Texas. The City of Lewisville is seeking comprehensive employee health and welfare benefits services, including a Third Party Administrator for Medical and Dental, Pharmacy Third Party Administrator, Medical/Rx Stop Loss, ASO Dental, Fully Insured Vision, Basic Life/AD & D, Voluntary Life/AD & D, Long Term Disability, Employee Assistance Program (EAP), Health Savings Accounts (HSA), Flexible Spending Accounts (FSA), and COBRA administration. All goods and services must comply with the Americans with Disabilities Act and applicable regulations.

The specification document details network geo-access requirements across medical, dental, and vision networks, measuring provider accessibility through metrics including the percentage of coverage within specific geographic radii (such as two Primary Care Physicians within 10 miles, two specialists within 10 miles, and one hospital within 10 miles for medical networks). The document also requires bidders to provide network disruption analysis based on provider record matches and claims dollar matches, as well as projected plan costs showing submitted charges before discount, final allowed amounts after discount, and the resulting discount percentages. Bidders are required to submit a separate quote in addition to pricing information on the specified form. The award will be determined in accordance with Local Government Code Chapter 252, and all submissions must be made through the Bonfire platform.