122435 O5 - Attachment A - Intent to Propose.docx

This is an Intent to Propose form for the State of Nebraska Department of Administrative Services' Request for Proposal (RFP) #122435 O5 seeking a third-party administrator for the state's Employee Health Care Medical Benefit Plans. The solicitation requires comprehensive administrative support services for the state's self-insured medical plans covering approximately 17,500 employees and 13,600 enrolled members, including active employees, pre-65 retirees, and COBRA participants across three health plan options: Regular Plan, Consumer Focused Health Plan with Health Savings Account, and WellNebraska. The RFP was released on June 9, 2025, with proposals due by July 17, 2025, at 2:00 p.m. Central Time. The contract term runs from execution through June 30, 2029, with options to renew for two additional one-year periods, with implementation targeted before the annual Open Enrollment period in May and a benefit plan year beginning July 1, 2026.

Vendors must 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 awards 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). Administrative fees commence July 1, 2026, with per employee per month (PEPM) fees, pass-through charges, and Health Savings Account services fees specified in the cost sheet. Performance guarantees include financial penalties ranging from 0.50% to 1.50% of annual fees for non-compliance across various service categories. The state requires run-out claims administration for 12 months following contract termination and emphasizes innovative strategies for cost reduction, quality care, and continuous performance metrics reporting. The form requests confirmation of intent to propose and designation of an authorized signer and designated contact to receive secure data.