2031JW26Q00058_Vision Insurance RFQ 1449 and Cont Pages_Final.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

OCC

Washington DC 20219

400 7TH STREET SW

Acquisitions Management Comptroller of the Currency

CODE 16. ADMINISTERED BYCODE

X

X

524114

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OROCC

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

06/15/2026 1200 ET

05/28/2026

MATTHEW QUINN

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

2031JW26Q00058

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 50 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Washington DC 20219

400 7TH STREET SW

Acquisitions Management

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$47

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

Comptroller of the Currency

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

This is a solicitation for a vision insurance plan.

This acquisition is subject to full and open competition under NAICS code 524114, Direct Health and Medical Insurance Carriers, size standard $47.0M.

See the following continuation pages for details.

Period of Performance: 01/01/2027 to 12/31/2027 Continued ...

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED

ANETHRA FACIONE

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT:

REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

50 2 of

OCC Vision Insurance RFQ #2031JW26Q00058 P a g e 3 | 50

Table of Contents

SECTION A – COMBINED SYNOPSIS/SOLICITATION FOR COMMERCIAL

PRODUCTS OR COMMERCIAL SERVICES

SECTION B – CONTINUATION FROM SF-1449 (SCHEDULE OF

SUPPLIES/SERVICES)

1.0 GENERAL

2.0 LINE ITEM NUMBERS (LINs)

3.0 BACKGROUND

4.0 DESCRIPTION OF SERVICES AND SUPPLIES

5.0 SECTION 508

6.0 OCC SECURITY AND PRIVACY REQUIREMENTS

SECTION C – CLAUSES AND OTHER TERMS AND CONDITIONS

1.0 APPLICABLE CLAUSES

2.0 OTHER TERMS AND CONDITIONS

3.0 TYPE OF CONTRACT

4.0 ADMINISTRATIVE MATTERS

5.0 INVOICING PROCEDURES

SECTION D – CONTRACT DOCUMENTS, EXHIBITS AND/OR ATTACHMENTS

1.0 LIST OF ATTACHMENTS

SECTION E – SOLICITATION PROVISIONS, INSTRUCTIONS, AND EVALUATIONS

1.0 APPLICABLE PROVISIONS

2.0 INSTRUCTIONS TO QUOTERS OF COMMERCIAL BUYS

3.0 EVALUATIONS AND BASIS OF AWARD

OCC Vision Insurance RFQ #2031JW26Q00058 P a g e 4 | 50

SAM.gov

Combined Synopsis/Solicitation Notice

Classification Code * G

Subject* Vision insurance program for Office of the Comptroller of the Currency (OCC) active employees, Office of Financial

Research (OFR) active employees, OCC disabled retirees approved by OPM, and eligible family members

GENERAL INFORMATION

Product Service Code* G008 | Social / Government Insurance Programs: Other

Solicitation Number* 2031JW26Q00058

Response Date (MM-DD-YYY) June 15, 2026

Archive 30 DAYS AFTER RESPONSE CLOSE DATE

Recovery Act Funds No

Set-Aside No; Full and Open Competition

NAICS Code(s)* 524114 | Direct Health and Medical Insurance Carriers

Business Size Status* $47.0M

Contracting Office Address Department of Treasury

Office of the Comptroller of the Currency

Office of Acquisition Management (AQM)

400 7th St SW, Washington, DC 20219

Description* See Details Below

Point of Contact* Office of Acquisition Management (AQM)

Anethra Facione, Contracting Officer

400 7th St SW, Washington, DC 20219

Email: Matthew.Quinn@occ.treas.gov

PLACE OF PERFORMANCE

Address Predominantly remote service electronically with attendance at health benefit fairs to be held at the

Contracting Office Address above

Postal Code N/A

Country United States of America

ADDITIONAL INFORMATION

RFQ Questions Due Date June 4, 2026

Competed In Accordance With Revolutionary Federal Acquisition Regulation Overhaul

(RFO) Part 12 Simplified Procedures

Line Item Number Descriptions See Section B, Tables 2.1 – 2.6 Below

Best Value Basis Tradeoff

Secondary Point of Contact Anethra Facione: Anethra.Facione@occ.treas.gov

SECTION A – COMBINED SYNOPSIS/SOLICITATION FOR COMMERCIAL

PRODUCTS OR COMMERCIAL SERVICES

mailto:Matthew.Quinn@occ.treas.gov mailto:Anethra.Facione@occ.treas.gov

OCC Vision Insurance RFQ #2031JW26Q00058 P a g e 5 | 50

This is a COMBINED SYNOPSIS/SOLICITATION for commercial items prepared in accordance with a format tailored in meeting RFO Subpart 12.2, as supplemented with additional information included in this notice, as well as class deviations where applicable. This announcement serves as the only solicitation; quotations are being requested, and a separate written solicitation will not be issued. The solicitation reference number is 2031JW26Q00058. The Department of Treasury, Office of the

Comptroller of the Currency (OCC), Office of Acquisition Management (AQM), on behalf of its Human

Capital (HC) Business Unit (BU), is issuing a combined synopsis/solicitation to procure vision insurance services. See the details below for additional information. THIS REQUIREMENT IS BEING

SOLICITED UNRESTRICTED. The period of performance will be for a 12-month base period and four 1-year option periods from January 1, 2027 through December 31, 2031, should all option periods be exercised, inclusive of an initial transition-in period (date of award through December 31, 2026) at no additional costs. There will be a line-item, that is not separately priced (NSP), for the transition period to facilitate the enrollment of OCC and OFR employees into the selected awardee’s system. Insurance coverage services must commence on November 9, 2026. This document incorporates all mandatory commercial item provisions and clauses in effect through Federal Acquisition Circular 2026-01; effective

March 13, 2026. All Quoters that provide a quote agree to the terms and conditions identified within the solicitation, meet the minimum technical requirements, capable of performing the technical services, and can comply with the established security requirements in its entirety, for the specified performance period. Quoters that cannot provide the requirements and/or perform the services sought for the duration of the resulting performance period should not provide a quote, as such quote WILL NOT be considered.

All Quoters must have an active registration in the System for Award Management (SAM) at the time of solicitation close at https://sam.gov

The RFO provisions at 52.212-1 with addendum and 52.212-2, and RFO clause 52.212-4 applies to this acquisition, and are included where applicable. The complete text of the FAR and RFO clauses and provisions are available online at https://www.acquisition.gov/far-overhaul

Questions Submission: Any questions regarding this solicitation must be submitted to the OCC via email at Matthew.Quinn@occ.treas.gov and Anethra.Facione@occ.treas.gov no later than 12:00 PM ET June 4, 2026. A reply to questions will be provided timely. All responsible sources may submit questions and a quote, that if timely received, shall be considered by the agency (OCC) for evaluating.

Quotations must be received by 12:00 PM ET June 15, 2026. Quotation packages must be submitted electronically to Matthew Quinn at Matthew.Quinn@occ.treas.gov and Anethra Facione at

Anethra.Facione@occ.treas.gov

QUOTERS MUST COMPLETE AND SUBMIT WITH ITS QUOTATION PACKAGE:

FAR 52.229-11 TAX ON CERTAIN FOREIGN PROCUREMENTS—NOTICE AND

REPRESENTATION (JUN 2020), WHICH IS AVAILABLE WITHIN ATTACHMENT A OR

OTHERWISE ELECTRONICALLY AT: http://www.acquisition.gov/far/.

Further instructions are contained within the pages that follow, particularly, Section E below, for Quoter submission details.

NOTE: Communication with other officials may compromise the integrity and competitiveness of this acquisition, which could result in the cancellation of the solicitation and/or exclusion of your quotation. Therefore, limit your communications accordingly.

https://sam.gov/ https://www.acquisition.gov/far-overhaul mailto:Matthew.Quinn@occ.treas.gov mailto:Anethra.Facione@occ.treas.gov mailto:Matthew.Quinn@occ.treas.gov mailto:Anethra.Facione@occ.treas.gov http://www.acquisition.gov/far/

OCC Vision Insurance RFQ #2031JW26Q00058 P a g e 6 | 50

SECTION B – CONTINUATION FROM SF-1449 (SCHEDULE OF SUPPLIES/SERVICES)

1.0 GENERAL

The Department of Treasury’s Office of the Comptroller of the Currency (OCC), Office of Acquisition

Management on behalf of the OCC’s Human Capital BU is seeking a qualified insurance carrier, not a broker or agency, to provide underwriting and administration of an employer-sponsored vision care insurance program for OCC active employees, Office of Financial Research (OFR) active employees, OCC disabled retirees approved by OPM, and eligible family members. The solicitation is issued in accordance with RFO Part 12 for Acquisition of Commercial Products and Commercial Services simplified procedures for establishing a single-award contract. The Government will NOT be restricting this procurement to any specific business size or class. The Contractor must, however, be registered in the SAM with the assertion of the North American Industry Classification System (NAICS) code

524114—Direct Health and Medical Insurance Carriers, noting a size standard of $47.0M. The coordinating Product Service Code (PSC) is G008—Social / Government Insurance Programs: Other.

The resulting contract will be for a period not to exceed 5 years (60 months) should all option periods be exercised.

2.0 LINE ITEM NUMBERS (LINs)

The Contractor must furnish all services and must do all that which is necessary or incidental to the satisfactory and timely performance of the requirements. The Contractor must furnish all the following items required under a resulting contract at a firm-fixed-unit-price (FFUP) basis per the Price Schedule table below:

2.1 Transition Period: Date of award through December 31, 2026

LIN Task Description Qty Unit Unit Price Extended Price

ADMINISTRATION COSTS RELATED TO

ENROLLMENT (TRANSITION-IN)

TBD MO NSP NSP

Note: Systems must be ready before the start of the Open Enrollment Period (11/9/2026-12/14/2026 for plan start on January 1, 2027)

2.2 Base Period (January 1, 2027 through December 31, 2027)

ASO MONTHLY FEE – OCC EMPLOYEES

AND OCC DISABLED RETIREES

2,739 EA $0.00 $0.00

0003 ASO MONTHLY FEE – OFR EMPLOYEES 101 EA $0.00 $0.00

ESTIMATED GOVERNMENT-FUNDED

TOTAL (ANNUAL) IN AND OUT-OF-

NETWORK CLAIM COSTS – PAYABLE

ONLY FOR ACTUAL COVERED CLAIMS

AND NOT INCLUDED IN THE ASO

CLINS 0002 AND 0003 FEES

NTE $0.00

TOTAL COST FOR BP $0.00

OCC Vision Insurance RFQ #2031JW26Q00058 P a g e 7 | 50

2.3 Option Period One (January 1, 2028 through December 31, 2028)

LIN Task Description Qty Unit Unit Price Extended Price

1001 RESERVED N/A N/A N/A N/A

ASO MONTHLY FEE – OCC EMPLOYEES

AND OCC DISABLED RETIREES

2,739 EA $0.00 $0.00

1003 ASO MONTHLY FEE – OFR EMPLOYEES 101 EA $0.00 $0.00

ESTIMATED GOVERNMENT-FUNDED

TOTAL (ANNUAL) IN AND OUT-OF-

NETWORK CLAIM COSTS – PAYABLE

ONLY FOR ACTUAL COVERED CLAIMS

AND NOT INCLUDED IN THE ASO

CLINS 1001 AND 1002 FEES

TOTAL COST FOR OP1 $0.00

2.4 Option Period Two (January 1, 2029 through December 31, 2029)

2001 RESERVED N/A N/A N/A N/A

ASO MONTHLY FEE – OCC EMPLOYEES

AND OCC DISABLED RETIREES

2,739 EA $0.00 $0.00

2003 ASO MONTHLY FEE – OFR EMPLOYEES 101 EA $0.00 $0.00

ESTIMATED GOVERNMENT-FUNDED

TOTAL (ANNUAL) IN AND OUT-OF-

NETWORK CLAIM COSTS – PAYABLE

ONLY FOR ACTUAL COVERED CLAIMS

AND NOT INCLUDED IN THE ASO

CLINS 2001 AND 2003 FEES

TOTAL COST FOR OP2 $0.00

2.5 Option Period Three (January 1, 2030 through December 31, 2030)

3001 RESERVED N/A N/A N/A N/A

ASO MONTHLY FEE – OCC EMPLOYEES

AND OCC DISABLED RETIREES

2,739 EA $0.00 $0.00

3003 ASO MONTHLY FEE – OFR EMPLOYEES 101 EA $0.00 $0.00

ESTIMATED GOVERNMENT-FUNDED

TOTAL (ANNUAL) IN AND OUT-OF-

NETWORK CLAIM COSTS – PAYABLE

ONLY FOR ACTUAL COVERED CLAIMS

AND NOT INCLUDED IN THE ASO

CLINS 3001 AND 3002 FEES

TOTAL COST FOR OP3 $0.00

OCC Vision Insurance RFQ #2031JW26Q00058 P a g e 8 | 50

2.6 Option Period Four (January 1, 2031 through December 31, 2031)

LIN Task Description Qty Unit/

Amount Unit Price Extended Price

4001 RESERVED N/A N/A N/A N/A

ASO MONTHLY FEE – OCC EMPLOYEES

AND OCC DISABLED RETIREES

2,739 EA $0.00 $0.00

4003 ASO MONTHLY FEE – OFR EMPLOYEES 101 EA $0.00 $0.00

ESTIMATED GOVERNMENT-FUNDED

TOTAL (ANNUAL) IN AND OUT-OF-

NETWORK CLAIM COSTS – PAYABLE

ONLY FOR ACTUAL COVERED CLAIMS

AND NOT INCLUDED IN THE ASO

CLINS 4001 AND 4002 FEES

NTE $0.00

TOTAL COST FOR OP4 $0.00

TOTAL COST FOR BASE PERIOD PLUS ALL OPTION PERIODS $0.00

Note: The quantity of eligible employees enrolled in the vision plan shown in each table above is estimated for the purpose of establishing a quote amount for each performance period. The OCC employee population may fluctuate within each performance period resulting in an increase or decrease throughout the year (i.e., there may be a variation in quantity). The number of eligible employees enrolled in the vision plan is also subject to change. OCC assumes financial risk/cost for all claims.

3.0 BACKGROUND

The OCC is unique from most other federal government agencies because it has independent authority to offer its employees compensation and benefits not offered by other agencies. Any reference to

“employees” here within, means OCC and OFR active employees. The OFR employs approximately 101 employees primarily in the District of Columbia. The OCC, as a governmental plan, is specifically exempted from Title I of The Employee Retirement Income Security Act (ERISA).

The Contractor must provide services in accordance with Subsections 4.0 through 6.0 regardless of the actual number of services or fluctuation in services.

4.0 DESCRIPTION OF SERVICES AND SUPPLIES

4.1 Scope

The OCC seeks an experienced and qualified Contractor to provide vision care insurance services to OCC and OFR active employees, OCC disabled retirees, and eligible family members. The Contractor must be experienced in providing plan administration services for an employer-sponsored vision care insurance program.

In addition, the Contractor must:

• Support OCC wellness initiatives by collaborating with the OCC Wellness Coordinator on ways to promote healthy eye care for employees and their eligible family members. The Contractor must support OCC’s wellness fairs (no more than one per year) at its headquarters location in

Washington, D.C. At a minimum, the Contractor must secure a vendor to provide wellness demonstrations or screenings;

OCC Vision Insurance RFQ #2031JW26Q00058 P a g e 9 | 50

• Attend an onsite, 1-day, health benefits fair during OCC’s annual benefit open season period.

Open season is held over a 4-week period between the months of November and December. The health benefits fair is held at OCC’s headquarters location in Washington, D.C. and the

Contractor is required to attend and provide program materials;

• Prepare a vision program Administration Manual that describes, at a minimum, the enrollment, invoicing, and claims processes. This includes the claims submission requirements and the dispute process for denied claims. The manual must include both the responsibility of the

Contractor as well as that of the OCC. The Contractor must provide the OCC a copy of the manual in electronic format annually. The administration manual will be used by the Human

Resources Benefits staff;

• Produce a plan brochure which will be used as the official statement of benefits. The plan brochure will be accessible to all employees;

• Provide vision program materials in electronic form. Forms must be in a fillable format (e.g., pdf) to include electronic signature for posting on OCC’s Intranet for employee use; and

• Host a biannual online seminar to educate employees on the vision program services/benefits, networks, claims, self-service tools, and resources

4.2 Plan Brochure

The Contractor must produce a plan brochure that, at a minimum, must include the following program information:

• Eligibility

• Enrollment

• How you obtain benefits

• Vision services

• Your cost for covered services

• Claims filing and disputed claims processes

• Definitions of terms

• Exclusion and limitations

• Summary of benefits

• Frequently Asked Questions (FAQs)

The FAQs must include clear, concise answers to common questions about the program and services, organized logically with a search function and relevant links for further information.

4.3 Plan Design

The OCC will offer the benefits as outlined in the plan design below without any deviations by the

Contractor that result in a reduction of benefits to employees. The Contractor must provide vision discount programs. The Contractor must provide key aspects of how the programs work and how members obtain these benefits.

The vision benefits plan design is as follows:

Services In-Network Benefits

[employee pays]

Out-of-Network Benefits

[plan will reimburse employee]

Examination

• once every 12 months Covered in Full up to $60

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Materials

• applies to the entire purchase of eyeglasses

(lenses and frames), or

• select contacts in lieu of eyeglasses

$20 Copay

Frames

• once every 12 months)

• allowance at private practice and retail chain providers

Up to $200 Allowance Up to $75

Pair of Lenses (once every 12 months)

Single Vision Lenses, or

Covered in Full After

Copay up to $61

Lined Bifocal Lenses, or up to $94

Lined Trifocal Lenses, or up to $127

Lenticular Lenses up to $165

Lens Options

Standard scratch-resistant coating

Covered in Full

All types of progressive lenses

All types of anti-reflective coating

Photochromic lenses

Polycarbonate lenses

Ultraviolet coating

Tints Covered in Full

Elective Contact Lenses

• in lieu of eyeglass benefit – lenses & frames

• once every 12 months

• no copay

$160 Allowance applies to the fitting/evaluation fees, and/or the purchase of contact lenses

Or

A value-added contact lens benefit that includes up to

6 boxes of standard disposable contact lenses, the fitting/evaluation fee up to $88

OCC Vision Insurance RFQ #2031JW26Q00058 P a g e 11 | 50 and two follow up visits

(covered in full after $20 material copay) excludes

Toric, Gas Permeable, Monovision and Bifocal contacts.

Medically Necessary Contact Lenses

• in lieu of eyeglass benefit

• once every 12 months

• fitting/evaluation fee, lenses and 2 follow-ups visits (at a minimum) up to $220

Prescription Computer Eyeglasses

• employee only benefit

• one pair every 12 months

• in addition to the eyeglass benefit

• no copay

Types of Lenses – Covered in Full

• Single Vision Lenses, or

• Lined Bifocal Lenses, or

• Lined Trifocal Lenses, or

• Lenticular Lenses

Types of Coatings

• Standard scratch-resistant coating

• Standard anti-reflective coating

Covered up to $90

Allowance Not Covered

Non-Prescription Post Lasik Surgery Sunglasses

(in lieu of eyeglass benefit)

Replace the regular materials benefit for glasses or contacts.

4.4 Eligibility

The OCC will determine eligibility of benefits for employees. The OCC will permit all full-time and part-time employees with an offer of employment that is expected to last for more than one year to participate in the vision program. Employees will have the option, within the first 60 days of their date of hire, to enroll their eligible family members. Then, if the employee experiences a qualifying life event resulting in the addition of eligible family members, the employee will be permitted to enroll their newly eligible family members within 60 days of the qualifying life event. If employees fail to enroll eligible family members within the specified timeframe of their initial eligibility, then employees will be permitted to enroll eligible family members during OCC’s annual open season. Employees will be permitted to cancel the coverage of an eligible family member at any time without having to experience a qualifying life event.

Below is a chart that defines eligible family members of OCC/OFR employees.

Eligible Family Members OCC Definition

Spouse A lawful spouse or domestic partner of the same-sex or opposite-sex

Child An unmarried child under the age of 26 who is the employee’s natural offspring, stepchild, foster child, legally adopted child, child under guardianship, or child of his/her domestic partner

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Eligible Family Members OCC Definition

Disabled Child A child with a disability that began before attaining age 26 who is incapable of self-support and has been certified as disabled by a county, state or federal entity or through the Federal Employees Health Benefits Program.

Other than eligible employees actively employed by the OCC and their eligible family members, the

Contractor must include as a covered class for disabled retirees of the OCC who have been approved for a disability retirement by OPM. This covered class (disabled retirees) is not extended to OFR and is applicable to OCC employees only. The Contractor must also include a separate covered class for OCC active employees and their family members and OFR active employees and their family members to separately identify the population.

4.5 Enrollments and Effective Dates

New hires are automatically enrolled. New hires have 60 days from their hire date to add eligible family members to the enrollment record. When an employee experiences a qualifying life event, employees have 60 days from the date of a qualifying life event to make changes to their enrollment record.

Employees have 4 weeks during the open season period to make changes to their enrollment record. Open season is held the second Monday in November and ends the second Monday in December each year.

Enrollments are effective at the beginning of month from the receipt of the enrollment data. Open season enrollments are effective January 1st following the end of the open season period.

Below is a chart that identifies the enrollment opportunities and the corresponding effective date of the enrollment or change.

Qualifying Life Event Description Time Limit Effective Date

New Hire A newly hired employee

60 days from date of hire

1st of the month following the date enrollment completed

Change in Employment Status from Non- Benefit Eligible to

Benefit Eligible

Initial enrollment opportunity that makes them eligible for vision coverage for the first time

60 days from date of change in employment status

First of the month following receipt of enrollment form

Gaining a New Dependent Marriage, establishment of domestic partner relationship, birth, adoption, placement of foster child, stepchild or child of a domestic partner and it requires the submission of documentation to verify the event

60 days from date of the event

First of the month following receipt of enrollment form

Open Season Annual period identified by the OCC which allows for the addition of dependents to be added without

Generally, a 4-week period between

November and

December

January 1 of the year following the open season period

OCC Vision Insurance RFQ #2031JW26Q00058 P a g e 13 | 50

Qualifying Life Event Description Time Limit Effective Date proof of relationship documentation

Additionally, there are a few other events that may occur which will allow an employee to change their enrollment in the program. They are as follows:

Event Description Time Limit Effective Date

Approval of Disability

Retirement (Note: Applies to

OCC employees who are approved to receive disability retirement benefits only)

Office of Personnel

Management (OPM) approves an employee’s claim to receive disability retirement benefits

Immediately upon receipt of OPM approval notification

Day following the employee’s date of separation

Buyout (OCC employees only) Employee terminates from the OCC under a

“severance” type of agreement and continues coverage for

6 months

60 days from the date of separation

Day following the employee’s date of separation

As part of the enrollment process, and to provide an additional level of protection for employees’

Personally Identifiable Information (PII), the Contractor must assign each enrolled employee an alternate identifier to be used as the employee’s vision ID number for benefit administration purposes instead of the employee’s social security number.

4.6 Enrollment Confirmations and Welcome Packets

The Contractor must provide an enrollment confirmation and welcome packet that includes information about how to access benefits. The enrollment confirmation must include the coverage effective date, the employee’s name and date of birth, list of family members included on coverage to include name and date of birth for each family member. The welcome packet must include information on how employees can access benefits (i.e., benefits, customer service contact information, how to register as a member and search for a provider.) The confirmation and welcome packet must be sent to employees at OCC/OFR email address.

4.7 Termination of Enrollment

When an employee’s employment ends, the coverage terminates on the date of separation. A separated employee is not extended the option to continue coverage beyond their date of separation unless one of the following occurs:

1. Employee is approved for disability retirement by OPM;

2. Employee is offered a “buyout” by the OCC that includes benefits

For family members who become ineligible for coverage (i.e., divorce, dissolution of domestic partnership, employee dies, child aging out, or getting married) their eligibility will end on the date they no longer meet OCC’s eligibility requirements. For family members whose eligibility has been voluntarily terminated by the employee, their coverage will end at the end of the month in which the

OCC Vision Insurance RFQ #2031JW26Q00058 P a g e 14 | 50 employee initiated the cancellation of coverage. The OCC is responsible for providing this information to the contractor.

Coverage for a family member will terminate when:

1. The employee’s coverage is terminated;

2. The dependent child attains age 26;

3. A dependent child under age 26 gets married;

4. The dependent dies;

5. The employee divorces their spouse or terminates their relationship with their domestic partner;

6. A stepchild or a child of the domestic partner is no longer in a “parent-child relationship” with the employee; or

7. The employee chooses to drop a family member from coverage during open season or outside of open season. In this scenario, the employee can re-enroll the family member during any open season only

4.8 Vision Program Services

4.8.1 Provider Network

The Contractor must make available a provider network that consists of optometrists, ophthalmologists and opticians with, at a minimum, 50,000 provider access locations nationwide.

The Contractor’s provider network must include full-service providers that provide exam and dispensing services at the same location. At least 85% of the OCC population must have access to two (2) network providers within a 5-mile radius of the employee’s home zip code. The

Contractor’s network of participating providers must consist of at least 40% private practice providers.

4.8.2 Order Fulfillment

The Contractor must require network providers to fulfill eyeglass orders within 7–14 business days of a complete eyeglass order. For specialized lenses, the Contractor must require network providers to fulfill eyeglass orders within 7–30 business days of a complete eyeglass order.

(specialized lenses: (progressive (no-line) lenses, high-power or complex prescriptions, specialty coatings (blue light, anti-reflective, polarized), bespoke/custom tints or sport frames).

4.8.3 Prescription Warranty/Guarantee

The Contractor must ensure that its network providers offer a warranty or guarantee on prescriptions. It must allow for a free one-time adjustment or remake within 30 to 90 days if the employee or eligible family member cannot adapt to the new lenses. It must cover prescription changes made by the provider and defects in lens coatings, such as anti-reflective treatments.

4.8.4 Out of Network Claims Adjudication

The Contractor must process out-of-network reimbursements within 10–14 business days once they receive a complete claim.

4.8.5 Customer Service

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The Contractor must provide live customer service assistance to answer a toll-free telephone number for employees and OCC disabled retirees, at a minimum, between the core hours of

8:00AM until 7:00 PM, Eastern time, Monday through Friday (excluding Federal holidays).

Live customer service representatives are to be available on Saturdays between the core hours of

9:00 AM until 2:00 PM (Eastern time). The Contractor must make available an alternative solution for callers who prefer to speak with a customer service representative in another language. The alternative solution must accommodate at least 100 languages, at a minimum it must support major languages, including Spanish, Portuguese, French, German, Italian, Korean, Japanese, and Mandarin Chinese. During the non-core hours, the Contractor must make available an Interactive Voice Response System.

Customer Service Core Hours Eastern Time

• Monday through Friday: 8:00 AM – 7:00 PM

• Saturday: 9:00 AM – 2:00 PM

Note: The Contractor customer service must comply with the Section 6.0 OCC Security and

Privacy Requirements subsection B General Requirements Location terms below.

4.8.6 Member Portal/Website Access

The Contractor must provide secure access to their website through various methods including multi-factor authentication, biometrics, and robust access control models to allow for account information access. The Contractor must provide step-by-step instructions on how to access the member account. The Contractor must make available a secure website that is available to employees 24/7 to perform the following functions:

• Network provider search

• View eye health information

• Print ID card with employee’s name and alternative identifier

• View a list of enrolled eligible family members

• View claims history

• Print a copy of the plan brochure (official statement of benefits)

4.8.7 Transition

After contract award, and before services start on January 1, 2027, the contractor must provide online enrollment in November and December of 2026 to active OCC and OFR employees, and

OCC disabled retirees.

4.8.8 Electronic File Transmission Requirements

The Contractor is required to establish and maintain a secure File Transfer Protocol (FTP) site.

The OCC will send the Contractor a data file through the secure FTP site established by the

Contractor. This data file will be sent each week and will consist of demographic data for every eligible OCC employee, OFR employee, and OCC disabled retiree. The Contractor must process the file within 2 business days and send an error file to the OCC through the secure FTP site. The error file must identify any records that could not be updated due to invalid or missing data.

4.8.9 Benefits Administration System

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The Contractor must provide an electronic system to process and maintain enrollment data. The

Contractor must provide Human Resources staff access to the system for the purpose of processing new hire enrollments, qualifying life events, and open season changes. The

Contractor must grant OCC the ability to add, terminate, and update dependent data on an ongoing basis.

The Contractor must provide training to HR staff on the use of their system. The Contractor must troubleshoot any issues with processing enrollments.

4.8.10 Self-Service Microsite – New Hire

The Contractor must provide a microsite that captures new hires through data file exchange in which new hires will be automatically enrolled. The Contractor’s microsite must allow new hires to add eligible family members within 60 days their hire date. If the new hire does not access the system to add eligible family members, the system will close resulting in an employee only enrollment.

The enrollment application must generate an email confirmation notice and welcome packet to the employee after the employee has submitted the enrollment.

4.8.11 Self-Service Microsite – Qualifying Life Events and Open Season

This is optional and not a requirement under the resulting contract. If offering, the Contractor must provide an electronic enrollment microsite that employees can use to make self-service changes resulting from qualifying life events and open season changes. The enrollment application must generate an email confirmation notice of the enrollment change.

4.8.12 Future OCC Benefits Enrollment Platform

At any point during the period of performance, the OCC reserves the right to implement its own benefits enrollment platform to manage vision enrollment data for its vision insurance program.

If at any future date the OCC implements its own benefits enrollment platform, the Contractor must collaborate with the OCC to transition enrollment data and participate in the project team to ensure there is a smooth transition.

4.9 Key Personnel Requirements

The Contractor must appoint a single point of contact that will be the Account Manager who will serve as a liaison between the Contractor and the OCC on all services related to this contract. The Account

Manager must be involved with the contract implementation and will address day-to-day issues and respond to the OCC on outcomes and solutions. The Account Manager must ensure smooth administration of this contract. The individual must have a minimum of five (5) years of account management experience in the health care insurance industry.

4.10 Period of Performance

The contract award period includes one 12-month base period, and four 12-month option periods. The base period includes a transition period for the Contractor to perform the required services involved with transitioning in and initial contract implementation.

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4.11 Place of Performance

Employees of the Contractor must perform all its duties relating to this contract at the Contractor’s location.

Note: The Contractor place of performance must comply with the Section 6.0 OCC Security and

Privacy Requirements subsection B General Requirements Location terms below.

4.12 Business Hours and Coverage

The Contractor must provide customer service between the hours of 8:00 AM - 7:00 PM ET, Monday through Friday.

4.13 Legal Holidays

The following legal holidays are observed:

1. New Year's Day (January 1)

2. Birthday of Martin Luther King, Jr. (Third Monday in January)

3. Washington's Birthday (Third Monday in February)

4. Memorial Day (Last Monday in May)

5. Juneteenth National Independence Day (June 19)

6. Independence Day (July 4)

7. Labor Day (First Monday in September)

8. Indigenous People’s/Columbus Day (Second Monday in October)

9. Veterans Day (November 11)

10. Thanksgiving Day (Fourth Thursday in November)

11. Christmas Day (December 25)

4.14 Deliverables

Program

Deliverables

(Electronic)

Description Due Date

Administration

Manual

Document the following: 1) system access by the

OCC; 2) how all enrollments are handled (new hire enrollments, qualifying life events, cancellations and terminations); 3) the weekly file transfer process and explain how records are updated (along with the purpose of the error report that generates after each weekly file transfer process); and 4) invoicing.

Once – Submit to the COR by

March 31, 2027, and annually thereafter

Enrollment

Confirmation and

Welcome Package

Captures enrollment effective date, name of employee and date of birth; and family members listed on coverage to include name and date of birth. It must also include information about how employees can access their benefit information.

The date the Contactor receives the enrollment data/record in their system.

This information must be sent to the member’s OCC/OFR email address.

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Deliverables

(Electronic)

Description Due Date

Plan Brochure

Official statement of benefits to include at a minimum the following:

• eligibility,

• enrollment,

• how you obtain benefits,

• vision services,

• your cost for covered services,

• claims filing and disputed claims processes,

• definitions of terms, summary of benefits,

• exclusion and limitations,

• summary of benefits, and

• frequently asked questions (FAQs).

Annually – Submit to the COR by March 31, 2027, and annually thereafter

Claims Activity

Report

Capture vision benefits usage, both in and out of network benefits, for all employee groups (OCC employees, OFR employee and OCC disabled retirees) and their eligible family members.

Monthly – Submit to the COR at the end of the month following the previous month

Claims Expense

Summary

Lists the total claim dollars paid and broken out by primary member and dependents.

Quarterly within the first 30 days of the quarter

Headcount Activity

Report

Reconciliation of the monthly billing invoice for administrative fees. The report shows the enrollment activity for all employee groups (OCC employees, OFR employee and OCC disabled retirees) that occurred from one month to the next.

Monthly – Submit to the COR along with the monthly invoice

Disabled Child

Report

Identifies family members who are not identified as a spouse or domestic partner with a relationship designation that they are a disabled child and are eligible for continued enrollment beyond age 26.

Monthly – Submit to the COR by the 10th of each month

Vision Eligibility

Report

Identify every employee (OCC only) that is enrolled in the vision program. Data will be used to upload to an online personalized benefits statement on the OCC intranet.

Monthly – Submit to the COR by the 10th of each month

User Access Control

List and Activity

Report (OCC HR

Staff)

Identify all user’s IDs and status (active, term, capability). Identify all activity processed in the enrollment system (date stamp, time stamp, user

ID, and type of activity)

The Contractor must evaluate suspicious or anomalous activity and provide reports to the OCC to support audit assessments.

Quarterly – Submit to the COR by the end of each quarter

Issues Log Record and track all instances of requests made by the COR to the Account Manager.

Quarterly – Submit to the COR at the end of the month following the end of the previous calendar quarter

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Deliverables

(Electronic)

Description Due Date

Invoices

The Contactor must have a mechanism to identify cost separately for the OCC and OFR for administrative fees and claims.

Monthly

Forms

Any forms required for filing claims must have a method to submit electronically and complete online.

Within 10 days after contract award.

2-Tier Insurance

Rates (Applicable to

Domestic Partner

Benefits)

Rates, for informational purposes only, for the following categories of beneficiaries:

OCC and OFR Active Employees, OCC disabled retirees - Employee only

OCC and OFR Active Employees, OCC disabled retirees - Family

These rates must be provided for the base year and each option year.

Within 10 days after contract award.

5.0 SECTION 508

1. The Contractor must adhere with the OCC Best Practice Guide for Crafting 508-Compliant

Word/PDF Documents (see Exhibit 1) to produce all electronic documents or reports for use by

OCC users.

2. The Contractor must also test, and remediate as needed, all web pages, application user interfaces, as well as electronic documents, charts, tables, spreadsheets, presentation slides, diagrams, graphics, and/or videos that will be generated for use by OCC users to be accessible to OCC’s assistive technology tools for users with visual, hearing, or motor manipulation accommodation needs. The OCC currently provides JAWS Versions 2025/2024/2023, ZoomText Versions

2025/2024/2023, and Dragon Professional Version 16 as approved assistive technology tools.

6.0 OCC SECURITY AND PRIVACY REQUIREMENTS

A. Compliance with Applicable Laws, Regulations, and Standards

Secure User-to-Cloud Communications Standards. All user-to-cloud service communications (e.g., via internet) must be encrypted with the latest industry standard browser protocol.

B. General Requirements

Location. Information collected, used, stored, maintained, or otherwise processed by the contractor in the performance of this contract shall be accessed, transferred, stored or processed only within the United

States. In addition, the maintenance and support operations of the contractor's technology and information must take place, and originate from, within the United States.

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The contractor shall not host any portion of the information, information system, infrastructure, or environment in facilities outside the contiguous United States, Alaska, Hawaii, and other U.S. Territories.

Authorization to Use, Store, or Share Sensitive Information. The contractor shall be responsible for properly protecting all information used, gathered, or developed because of work under this contract. The contractor shall also protect all government data, equipment, etc. by treating the information as sensitive.

All information gathered or created under this contract shall be considered as Controlled but Unclassified

(CUI) information. It is anticipated that this information will be gathered, created, and stored within the primary work location. If contractor personnel must remove any information from the primary work area, they shall protect it to the same extent they would their proprietary data and/or company trade secrets.

Confidentiality. The contractor agrees to assume responsibility for protecting the confidentiality of government records and data associated with this contract, which are not public information.

Deliverables. The deliverables in this contract will be considered CUI and shall not be shared with any other organization without prior written approval from the [insert specific OCC role].

C. Security and Privacy Authorization

Authorization Boundary. The contractor shall provide a diagram specific to the OCC, that clearly demarcates the information system authorization boundary and depicts all its connections and components, including the means for monitoring and controlling communications at the external boundary and at key internal boundaries within the system. The contractor shall address all components and managed interfaces of the information system authorized for operation (e.g., routers, firewalls). The diagram must include a predominant border drawn around all system components and services included in the authorization boundary.

If there are OCC-specific components (e.g., components developed or customized for the OCC, OCC-hosted components, etc.) and/or other components supporting this solution that are not in the scope of the contractor's existing security documentation, then identify those components in the diagram as well, as part of a separate OCC-specific boundary since those are unique to OCC and shall be part of the OCC-specific security authorization. The diagram must be easy to read and understand. Formal names of components as they are known at the service provider organization in functional specifications, configuration guides, other documents and live configurations shall be named on the diagram and described. The contractor shall provide a key for symbols used.

External Service Provider Compliance & Monitoring Background. The FISMA and OMB policies require that federal agencies using external service providers to process, store, or transmit federal information or operate information systems on behalf of the federal government, assure that such systems meet the information security protections commensurate with the information and system sensitivity.

Federal agencies are responsible and accountable for the information security risk incurred by the use of information system services provided by external providers.

Such risk is addressed by incorporating the Risk Management Framework (RMF)1 and security requirements for external information systems and services as part of the terms and conditions of the contracts with external providers. Federal agencies can also require external providers to provide appropriate evidence to demonstrate that they have complied with protecting federal information. Prior to the implementation of the contractor's system or services, the OCC ensures compliance with the RMF by issuing an Authorization to Operate (ATO) or Authorization to Use (ATU), based on its review and analysis of the external provider's security documentation (described in detail in the next section) and assessment of customer (OCC's) security responsibilities.

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1NIST Special Publication 800-37, as amended, Risk Management Framework for Information Systems and Organizations: A System Life Cycle Approach for Security and Privacy.

Non-Federal External Service Provider Security Documentation. Non-federal organizations with primarily non-federal customers have limitations with respect to complying with all federal requirements.

As a result, the OCC obtains assurance through other industry standard security reviews, including

Statement on Standards for Attestation Engagements (SSAE) No. 18.

a. Statement on Standards for Attestation Engagements (SSAE) No. 18 Requirements. The contractor shall provide the OCC with an SSAE 18 System and Organization Controls (SOC) 2 Type 2 Report on an annual basis for services provided.

b. The preferred coverage period for the report is July 1 through June 30 with a bridge letter covering the three months to September 30.

c. For any gaps in the fiscal year coverage period (October 1 - September 30), the OCC will work with the contractor to complete the internal controls assessment by relying on the work performed by the contractor's competent and objective internal audit function per Statement on Auditing Standards No.

128, Using the Work of Internal Auditors.

d. The submission of the results of the SSAE 18 SOC 2 Type 2 Report shall be as instructed per the

"Security and Privacy Vendor Deliverables" section.

e. If SOC 2 Type 2 reports are not available within the last three years, the contractor shall inform the

OCC to determine if there is a suitable alternative with similar level of information and detail.

f. If any portion of standard security objectives (e.g., contingency planning controls, etc.) were not in the scope of the independent auditors testing, then the contractor shall provide a bridge letter to identify the type of test, date of test, and third party who performed the testing of those security objectives not covered by the SOC 2 Type 2 report. The contractor shall also summarize any deficiencies identified by the auditor in the bridge letter.

OCC Security Authorization to Use. The determination of whether to issue an OCC security authorization will be made by the OCC based on the identified risks to the OCC's data and operations.

These risks include: (1) deficiencies noted in the contractor's most recent SOC 2 Type 2 Report, (2) the gaps identified in the IT security and privacy control assessments performed specific to OCC customer responsibility implementations as designated in the CRM.

D. Configuration Management

Security Configuration Settings. The contractor shall establish and enforce security configuration settings for information technology products employed in the [insert acquisition/solution name].

Security Updates and Patches. The contractor shall ensure that the [insert acquisition/solution name] is properly maintained and monitored, to include immediate response to critical security patches, routine maintenance windows to allow for system updates, and compliance with the defined configuration management and change control processes. All patches and system updates shall be properly tested in a development environment before being implemented in the production environment.

Least Functionality. The contractor shall restrict, disable, or prevent the use of nonessential programs, functions, ports, protocols, and services for information technology products employed in Vision

Insurance.

E. Continuous Monitoring

OCC Vision Insurance RFQ…