122435 O5 - Attachment A - Intent to Propose.docx

The document is an Intent to Propose form for Request for Proposal (RFP) #122435 O5 from the State of Nebraska, specifically for Administrative Support Services for the State of Nebraska Employee Health Care Medical Benefit Plans. The RFP seeks a third-party administrator for self-insured medical plans covering approximately 17,500 employees and 13,600 enrolled members, including active employees, pre-65 retirees, and COBRA participants. The contract term runs from execution through June 30, 2029, with options for two additional one-year renewals. The RFP was released on June 9, 2025, with proposals due by July 17, 2025, at 2:00 p.m. Central Time, targeting implementation before the annual Open Enrollment period in May and a benefit plan year beginning July 1, 2026.

The procurement requires vendors to have at least five years of self-funded medical administration experience, serve public sector groups with a minimum of 15,000 lives, and be licensed to offer solutions in all 50 states and U.S. territories. The evaluation process will award a maximum of 100 points, with potential for an additional 20 points for vendor demonstrations, distributed across Corporate Overview (25 points), Technical Response (55 points), and Cost (20 points). The state emphasizes innovative strategies for cost reduction, quality care, and performance guarantees, with administrative fees to be paid starting July 1, 2026, and run-out claims administration for 12 months following contract termination. Performance Guarantees include financial penalties ranging from 0.50% to 1.50% of annual fees for non-compliance. The solicitation covers three health plan options: Regular Plan, Consumer Focused Health Plan (with Health Savings Account), and WellNebraska, with comprehensive service requirements including member services, claims processing, network management, medical management, and wellness programs.