178797-event.pdf

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Attached to
Third Party Workers' Compensation Claims Administration Services
Solicitation number
EDU-RFP-2017-0010JT
Issued by
Ravalli County, Montana

About this file

This is a Request for Proposal (RFP) issued by the Montana Acquisition & Contracting System (eMACS) for Third Party Workers' Compensation Claims Administration Services for the Montana University System (MUS) Program. The RFP, numbered EDU-RFP-2017-0010JT, was released on 1/20/2017 with a proposal submission deadline of 2/27/2017 at 2:00 PM MST. The contractor will provide third-party administrator claim handling services consistent with the duties and obligations of an insurer and adjusting service under the Montana Workers' Compensation Act (WCA). The MUS estimates 335 Medical Only and Time Loss claims combined per year, along with 200 Notification Only (closed without payment) claims per year.

The solicitation requires offerors to submit detailed documentation, including responses to the Scope of Services, Offeror Qualifications, Client Reference Form, and Cost Proposal. Financial requirements include providing audited financial statements for the two consecutive years preceding the RFP, quarterly financial statements, and demonstrating an adequate accounting system that meets Generally Accepted Accounting Principles (GAAP). Offerors must also acknowledge an Equal Pay for Women attachment and provide a flat monthly fee based on the estimated claim volumes. The RFP includes various attachments such as a Legal Retention Agreement form, MUS Claim Data, and FROI CSV Export Examples to support the bidding process.

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Contractor will provide the MUS Program with third party administrator claim handling services consistent with the duties and obligations of an insurer and adjusting service under the Montana Workers’ Compensation Act (WCA). Contractor shall develop Special Handling Instructions for the MUS account and assist the MUS Program in complying with all of its obligations under the WCA. Other required services are outlined in the Scope of Services found under Buyer Attachments.

Third Party Workers' Compensation Claims Administration Services Third Party Workers' Compensation Claims Administration Services

Open 1/20/2017 3:00 PM MST Type Request for Proposal Close 2/27/2017 2:00 PM MST Number EDU-RFP-2017-0010JT

Currency US Dollar

Sealed Until 2/27/2017 2:00 PM MST

Contacts

John Thomas jthomas@mt.gov

Phone +1 (406) 444-0110

Commodity Codes

Commodity Code Description

1806 Financial Services - Claims Adjuster Services

1810 Financial Services - Insurance

Description

Prerequisites Required to View Event Required to Enter Bid

1. Please review and accept the information regarding submitting an RFP proposal.

2. Please review and accept our RFP general information.

3. Please read and accept the Schedule of Events

4. Please review and accept the Single Point of Contact information.

5. Please review and accept the Cost Proposal information.

6. Please review and accept the contract as provided. Bidders/Offerors requesting additions or exceptions to the contract terms must submit them to the procurement officer listed above by the Q&A deadline. The State reserves the right to address nonmaterial requests for exceptions to the standard terms and conditions and contract language with the lowest bidder/highest scoring offeror during contract negotiation.

7. Review all question and answer entries for this solicitation by clicking on the Q&A Board and viewing each question and answer.

8. Review and Accept the Evaluation Process.

mailto:jthomas@mt.gov

Prerequisites Required to View Event Required to Enter Bid

9. Please acknowledge that offeror understands the Equal Pay for Women attachment. Offerors who agree and certify, by signing and attaching the Certificate, will receive the points assigned to this item. Offerors must sign and upload the certificate to Vendor Attachments to receive the points.

Buyer Attachments

1. Scope of Services

2. Offeror Qualifications

3. Client Reference Form

4. Cost Proposal

5. Appendix A - Legal Retention Agreement form

6. MUS CLAIM DATA

7. FROI CSV Export Example

8. FROI CSV Headings

9. Open Claim Data Prior to FY 2011

10. Contract Refinement Working Document

Questions Required Questions

1.1. Offerors must list the contact for their company during this RFP process. Name, address, phone number, and email address must be provided.

1.2. Offerors must upload their response to the Scope of Services (found under Buyer Attachments) here.

1.3. Offerors must upload their response to the Offeror Qualifications (found under Buyer Attachments) here.

1.4. Offerors must upload their response to the Client Reference Form (found under Buyer Attachments) here.

1.5. Offerors must upload their response to the Cost Proposal (found under Buyer Attachments) here.

1.6. Offerors shall demonstrate their financial ability to supply and support the services specified.

Provide financial statements, preferably audited, for the two consecutive years immediately preceding the issuance of this RFP.

Provide copies of all quarterly financial statements that have been prepared since the end of the period reported by your most recent annual report.

Demonstrate an adequate system of accounting and internal controls that meets Generally Accepted Accounting Principles or GAAP. Results of SAS 70 Audits are preferred.

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Service Line Items Required Service Line Items

# Item Name, Description, Commodity Code Allow Alternates Qty. UOM Requested Service Delivery

S1 Flat Monthly Fee 1 MON - Months

MUS estimates 335 Medical Only and Time Loss claims combined per year and 200 Notification Only (closed without payment) claims per year. Offerors shall provide their flat monthly fee using this number.

28 June 2017

File details come from the government source that posted it. Updated .