122436 O5 - Attachment A - Intent to Propose.docx

The document is an Intent to Propose form for RFP #122436 O5, issued by the State of Nebraska Department of Administrative Services for Administrative Support Services for Employee Health Care Prescription Drug Benefit Plans. The solicitation seeks a Pharmacy Benefit Manager (PBM) to provide comprehensive administrative services for approximately 13,600 enrolled members, including active employees, pre-65 retirees, and COBRA participants. The RFP was released on June 9, 2025, with proposal responses due by July 18, 2025, at 2:00 p.m. Central Time, and an anticipated contract award in October 2025. The initial contract term will run through June 30, 2029, with options to renew for two additional one-year periods, and the benefit plan year commencing on July 1, 2026.

The cost structure includes per member per month (PMPM) administrative fees, with guaranteed pricing for pharmacy network services across retail, mail, and specialty medication channels. The estimated enrollment is consistently around 28,386 members, with the state expecting transparent pricing, minimum AWP discounts for brand and generic medications, and comprehensive rebate guarantees. The selected vendor must have at least five years of self-funded group experience, be licensed in all 50 states, and currently serve a public sector group health plan with a minimum of 15,000 lives. The RFP includes a comprehensive Business Associate Agreement for HIPAA compliance and performance guarantees with potential financial penalties ranging from $2,000 to $50,000 per occurrence. The evaluation criteria comprise 25 points for Corporate Overview, 55 points for Technical Response, and 20 points for Cost, with potential additional points for vendor demonstrations.