122436 O5 - Attachment A - Intent to Propose.docx

This document is an Intent to Propose form for the State of Nebraska's Request for Proposal (RFP) #122436 O5 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 the state's employee prescription drug benefits, covering approximately 13,600 enrolled members including active employees, pre-65 retirees, COBRA participants, and dependents. 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, with the benefit plan year commencing on July 1, 2026.

The solicitation requires vendors to 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. Evaluation criteria include 25 points for Corporate Overview, 55 points for Technical Response, and 20 points for Cost, with potential additional points for vendor demonstrations. The cost structure involves per member per month (PMPM) administrative fees, with an estimated consistent enrollment of 28,386 members. The state expects transparent pricing, minimum AWP discounts for brand and generic medications, and comprehensive rebate guarantees. A comprehensive Business Associate Agreement is required to ensure HIPAA compliance, and performance guarantees include potential financial penalties ranging from $2,000 to $50,000 per occurrence, covering implementation, claims processing, member services, system performance, and administrative responsiveness.