260125_Chapter_1D_-_Attachment_EAP_Questionnaires_(MOA_and_QE)-RETURN_WITH_BID.xlsx

XLSX spreadsheet 35 KB Posted

Attached to
Medical/Telehealth/Pharmacy, Wellness, Health Savings Account (HSA) and Health Reimbursement Arrangement (HRA) Administration, Dental, and Employee Assistance Program (EAP) Coverage
Solicitation number
260125
Issued by
Pima County, Tucson City, Arizona

About this file

This is an Employee Assistance Program (EAP) Questionnaire for RFP #260125 issued by the City of Tucson, Arizona, seeking a comprehensive EAP services provider. The document is a detailed questionnaire designed to evaluate potential contractors, with sections covering minimum requirements, method of approach, qualifications, experience, and reporting capabilities. The contract is targeted to begin on July 1, 2026, with an implementation period leading up to open enrollment in May 2026. The questionnaire requires respondents to provide extensive information about their organizational capabilities, including service delivery methods, customer support, compliance with HIPAA regulations, counseling approach, and ability to support the City's workforce.

The document outlines specific requirements for the EAP provider, including maintaining a minimum of five face-to-face counseling sessions per employee/household member, 24-hour access to counselors, multilingual support, and capabilities for crisis intervention and management referrals. The City seeks a provider with at least five years of experience, 5,000 full-service covered members, three Arizona clients with a minimum of 2,000 members per client, and no recent bankruptcy filings. The questionnaire emphasizes the need for comprehensive services including legal advice, financial wellness, elder and child care support, and robust reporting capabilities, with a focus on supporting the overall health and wellness of the City's workforce through a holistic and accessible employee assistance program.

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Questionnaire Instructions

Questionnaire Instructions to Offerors:
***DO NOT ALTER THE QUESTIONS OR QUESTION NUMBERING***.
Ø Provide answers to the questionnaires in MS Excel format (per instructions on the Excel files--Questionnaires.
Ø Provide an answer to each question even if the answer is “not applicable” or “unknown.”
Ø Answer the question as directly as possible.
Ø If the questions ask “How many…” provide a number.
Ø If the question asks “Do you…” indicate Yes or No first, followed by your additional narrative explanation.
Ø Lengthy responses may be truncated when displayed. Be concise in your response. Use bullet points as appropriate. Reconsider how to word any response that exceeds 200 words in length so that the response contains the most important points you want displayed.
Ø Where you desire to provide additional information to assist the reader in more fully understanding a response, refer the reader of your RFP response to your appendix/attachments.
Ø RFP responses will become part of the contract between the winning Contractor and the City of Tucson.
Ø Any references to “Client” in the questionnaire refer to the City of Tucson.

Answers to the questions must be provided in MS Excel format. Failure to complete the questionnaire and submit in MS Excel format without alterations will make it difficult to thoroughly understand your proposal.

&"-,Bold"&14RFP #260125 Attachment 1D - Employee Assistance Program

&"-,Bold"&10&F&"-,Regular" Page &P

MOA Questionnaire

MINIMUM REQUIREMENTSOFFEROR RESPONSE
1Please confirm you have been in business, performing the services being proposed herein, for a minimum of five (5) years.
2Confirm you have five thousand (5,000) full-service Contractor covered members
3Confirm you have at least three (3) Arizona clients under contract with a minimum of two thousand (2,000) total members per client
4Confirm you have had no bankruptcy filings within the last five (5) years
5Acknowledge you are compliant with all City of Tucson and federal applicable regulations and currently not restricted or prohibited from conducting business in all states where City of Tucson’s members reside or access related goods and services
6Confirm you have no current senior officer, board member, or director with a felony conviction on record.

Address how you will meet each of the requirements listed under Scope of Work. If you intend to provide services that differ from what is outlined in the Scope of Work, you must provide a detailed explanation of how your services will differ and why that method is an appropriate method for meeting the City’s needs in the Deviations and Exceptions section.

METHOD OF APPROACH - GENERAL INFORMATIONOFFEROR RESPONSE
1Organization: Please complete the following background information about your organization:
1aOrganization’s name
1bAddress of your corporate headquarters
1cAddress of the location that will service the City of Tucson’s account
1dDate your firm became operational
1eOwnership of your firm
1fIf your firm is not a corporation, please advise who each of the partners, proprietors or other owners are and whether they have interest in any other service provider firms related to any services requested under this RFP.
1gIs your organization "affiliated" with another company? If so, describe the affiliate relationship. "Affiliated" means owned by another company, owned by a common controlling shareholder or interest, or inter-tied by contract so as to be under the dominion or influence of another.
1hHas your organization acquired, been acquired by, or merged with another organization in the past 24 months?
1iIs your organization anticipating restructuring or reorganizing in the next two years? (Include any major staff relocations or office closings.)
1jIn order to meet ALL of the services in this Attachment are you including any subcontractors or partners in the delivery of ANY services to the City? If so, please list ALL subcontractors and partners including a list of services they will provide, their location and any fees that will be associated with their services.
1kOffshore: Identify any services under any subsequent contract that may be awarded as part of this RFP that are currently or planned to be performed outside the borders of the United States.
2Litigation:
2aIs your organization involved in any current litigation against or from the City? If yes, please describe.
2bHave you been involved in litigation within the last five years arising out of your performance in the administration of a program similar to what your organization is proposing for the City of Tucson? Exclude routine matters involving participants that do not reflect on your organization’s performance under the contract with your client. If the answer is yes, explain fully.
3Laws:
3aExplain how you stay current with changes in federal and state laws pertaining to the services you are proposing.
3bDo you agree to supply, upon request by the City, verification of compliance with any regulation stipulated herein or pursuant to any state or federal law?
4HIPAA:
4aAre all your systems and staff HIPAA compliant?
4bHave you had a HIPAA violation in the past? If yes, please describe.
4cAre you aware of any complaints that have been filed against your organization regarding HIPAA EDI, Privacy or Security with a government oversight agency?
4dDo you collect the minimum necessary data needed to administer your program in compliance with HIPAA privacy?
4eHow do you remain current on the latest HIPAA developments / changes?
4fDo you plan to sell, lease or transfer the City’s protected health information (PHI) to a third party in the course of administering this contract or after the contract has terminated?
4gPlease discribe the liability insurance (including the amount) that your organization currently holds. Include HIPAA coverages you hold.
4hDo ou agree to communicate through HIPAA-coompliance electronic sites to exchange data between yourself and any other required contractor as requested by the City at no additional cost?
5Implementation:
5aDo you agree to begin implementation immediately upon award or at the direction of the City, and participate as specified in this RFP in the open enrollment for coverage that will begin July 1, 2026? Open Enrollment generally occurs the month of May.
5bProvide an implementation plan outlining tasks necessary to install the program, the timetable and the parties responsible with a July 1, 2026 effective date.
5cWill you provide the City with communications and data support within a specified time-frame designated by the City during implementation for a successful transition to the new contractor? Describe.
5dWhat is the minimum amount of implementation lead-time you need in order to initiate the proposed services for the City of Tucson?
5eList any transition issues the City of Tucson should consider with respect to moving services from an existing Contractor to your organization.
5fAre there any specific administrative procedures or information that your firm will need from the City of Tucson in order to implement your services? If yes, describe.
6Scope of Work:
6aDo you agree to provide each and every item listed in the Scope of Work?
6bIf not, have you listed all deviations or exceptions on the Deviations exhibit?
7Future:
7aWhat features or enhancements to the program or services you are proposing are on your roadmap for the next 12 months?
7bHow do you anticipate assisting members if another pandemic crisis were to arise?
8Commissions: Confirm your proposal is net of commissions.
9Eligibility and Billing:
9aConfirm you agree that the City determines eligibility for coverage.
9bDo you agree to provide coverage for members on approved leave of absence (with or without pay) provided the member and the City continue to pay premiums according to the City's rules for the period of the approved leave of absence?
10Account Management:
10aProvide information about access you can provide to the City of any electronic tracking and resolution log of all open and closed City issues.
10bDo you agree to notify the City within 1 business day of receipt of any public information written request regarding any information that relates to the City’s benefit plans and to review all responses with the City and obtain approval prior to the release or response of any inquiry?
10cDo you agree to respond to the City’s HR team’s questions within 1 business days of request (even if the answer is “I am working on it”)?
11Onsite Visits:
11aDo you agree to provide knowledgeable personnel to attend onsite meetings as noted in this RFP?
11bDo you agree to attend in person benefit fairs (2 per year), quarterly and annual on-site program reviews, with periodic telephone calls, upon request from the City’s insurance benefits office?
12Customer/Member Service:
12aDescribe your company’s expectations for quality of customer service.
12bDescribe your customer service capabilities.
12cHow many customer service representatives are employed by your organization?
12dWhat is the average tenure of your customer service representatives?
12eConfirm you will provide at a minimum a designated customer service team of representatives for the City and describe that team.
12fHow are after hours calls handled?
12gDo members have access to the customer service group via:YesNoHours Available if

Applicable (AZ Time)

12giPhone
12giiE-mail
12giiiOn-site face-to-face as needed
12hWould the City be provided with a dedicated member services 800 number?
12iWhere is the customer service staff located that will service the City of Tucson account?
12jWhat is the ratio of member services representatives to 1,000 members?
12kDescribe your phone management system's ability to track, monitor and manage incoming calls. How are calls distributed to staff?
12lDescribe your training program for member services representatives.
12mDescribe the type of background checks your organization conducts on potential new employees.
12nDo your customer service representatives have outbound call capabilities and authority?
12oDo you provide members with limited English proficiency, Spanish-speaking, and those who are deaf or hearing impaired with access to communication services that enable them to utilize the phone lines?
12pPlease detail your escalation process to assist in matters that cannot be resolved at the customer service unit level.
13Data: (Respond with no more than 500 words in total)
13aDescribe your organization’s approach to authorizing systems access and City information access both for your employees and for participants of the program.
13bWho owns the critical data (i.e., client information, network data, etc.) within your organization and how is it secured?
13cWhat quality control measures do you have in place to ensure it remains secured?
13dAre these processes audited? If yes, how often?
14Historical Results: Please provide the following statistics for calendar years 2024 and 2025:
14aAverage speed to answer: ___% within 30 seconds
14bBusy rate: ___ seconds
14cAbandonment Rate : ___%
14dResolution of an issue on the first call
15Communications:
15aWhat type of communication support do you provide to your clients (videos, posters, kits, etc.)?
15bPlease provide sample communication materials you have produced for your clients.
15cAre customized communications available at no additional cost to the City?
15dDoes your organization have the capability to provide communication pieces in Spanish and other languages? Please specify which languages you can accommodate
15eIdentify the services and any communication allowances you will provide to help the City introduce the new program to its employees.
15fDescribe all services currently available to members on your website. What on-line services do you expect to make available to members in the coming year?
15gConfirm you will supply electronic member communication materials (flyers, plan benefit information, etc.) at no additional cost to the City. Contractor will print materials and ship them to the City at no additional cost on an as needed basis.
16Website and/or Mobile Applications:
16aIndicate if you have a mobile application or mobile optimized website.
16bWhat features does the mobile application include or is it limited compared to the regular member website?
16cWhat information (if any) can be customized by the City at no additional charge?
16dIf you offer one, provide information regarding how to access your mobile application.
16eIndicate whether and how you maintain consistency between your mobile application and website.
16fPlease provide a temporary login and link to your website and/or information on your mobile application(s) that would be used by the City and their participants.
METHOD OF APPROACH - EAPOFFEROR RESPONSE
1Describe your proposed program in detail. Include the following information, at a minimum:
1aNumber of face to face sessions per employee/household member per issue
1bApproach to connecting a plan member with an appropriate counselor
1cAccommodations for Public Safety personnel (Police & Fire)
1dApproach to connecting members in need of continuing counseling to in-network providers. How do you coordinate with the City’s medical program to ensure members are utilizing an in-network provider or transitioned to an in-network provider.
1eResources available through the program in addition to counseling (crisis lines, live web chat, wellness resources, newsletters, etc.) and how these resources are made available
1fMethods available for scheduling services (telephone, email, web portal, etc.)
2Describe your approach to educating employees about the program and your plan for ongoing communications. Include samples such as brochures, screen shots, etc.
3Please explain how you promote services to eligible household members of employees.
4How do you propose to alert the City’s key management and Benefits staff regarding problem areas or trends identified from your EAP services?
5Will you provide 24-hour access to an EAP counselor qualified to assess and triage cases? Will you maintain this 24-hour service seven days a week, through a toll-free number, including telephonic crisis counseling?
6If the coverage furnished by your company differs in any respect from the benefits general conditions, stipulations or other provisions of the specification requested herein, indicate clearly on the Deviations exhibit. If you do not so indicate, it will be assumed that the benefits and contract provisions including services contained in your proposal do match or improve upon the benefits described herein.
7Can you provide initial and ongoing training for the City’s Benefits staff and appropriate managers and supervisors regarding the EAP program, proper referrals, early warning signs, problem employees, etc.? Describe the training program.
8Does your plan use maximum allowable cost for limiting non-network allowances? If yes, explain how the allowable is derived.
8aPlease confirm that the billing will be conducted on a self-bill basis and there will not be a reconciliation done following payment.
8bGrace Period: Confirm you agree to accept payment of fees and premiums 60 days in arrears. For example, July’s premium would be due August 29.
9How will you assist the City’s supervisors and managers in identifying employees appropriate for referral to your EAP services?
10Indicate who may make a referral to your services (e.g. supervisor, co-workers, doctor, family member, etc.).
11How do you handle anonymous referrals (e.g., a co-worker or family member makes a referral regarding an employee but does not want to be “known”)?
12Outline the process from initial phone call to the first meeting with an EAP counselor.
13Indicate the average time to complete your intake process.
14Indicate the qualifications of the staff who interact with the individual from initial phone call or walk-in, to triage and actual counseling.
15How do you manage individuals who are initially assessed as having long-term treatment needs (e.g., needs beyond the purchased number of EAP visits)?
16How do you accommodate calls to your EAP Program from people who:
16aDo not speak English?
16bAre hearing-impaired?
17Indicate the process/protocol for triage intake.
18How do you match the enrollee’s needs with the EAP counselor’s skills and expertise?
19List any behavioral health (mental or substance abuse) diagnosis which your EAP does not handle.
20What services can your organization offer to an employee who tests positive during a random drug screening?
21Indicate your staff counseling services availability for:
21aPediatric
21bAdolescent
21cAdult
21dGeriatric
22Describe your wellness promotion / maintenance services available for the City (e.g., stress, weight reduction, smoking cessation, eating disorders, adolescent conduct, positive parenting, etc.), seminars/lunch and learns. How many hours are available, if any?
23What is your protocol for individuals who indicate that they may have Post-Traumatic Stress Disorder due to work related activities?
24What do you do when a patient exhausts the number of visits available under their employer’s EAP plan design?
25How do you assist an individual who exhausts their number of visits on the EAP find and transition to a new provider in their medical plan who has the expertise to treat their issue?
26When a patient exhausts the available visits and is referred to another provider for continuing care, how are the patient’s records transferred? What steps are taken to refer the patient to a provider in the patient’s healthcare plan network?
27Please provide a list of medical networks that your providers are also contracted with in order to help facilitate the ease of care for the City’s plan participants should they need to transition from the EAP to the medical network for continued care.
28Describe your resources for mediation / management referrals relative to job performance problems, substance abuse identification and intervention, and conflict resolution, and other items including general counseling. Confirm that these sessions are included in your base pricing and are not applied as "training" hours. Confirm that these sessions are included in your base pricing and are not applied as “training” hours.
29Describe your mediation / management referral process for emergencies, crisis response, and crisis intervention. Indicate what you believe to be the best practices regarding management referral for services, and what steps you take relative to addressing matters with the greatest amount of discretion and confidentiality possible. Confirm that these sessions are included in your base pricing and are not applied as “training” hours.
30Provide a listing of all available training programs in your library to include title, description and length (30 mins, 1 hr, etc.)
31Do you offer telephonic, video or text sessions in lieu of face to face sessions? If so, please describe how the member accesses care and how they stay connected with the same provider.
32Complete the following chart regarding services available from your EAP Program.Benefit Available Yes/NoBenefit Available Within Fees Quoted? Yes/NoServices Provided by Staff of Your Firm Yes/NoIf services provided under a subcontracted arrangement, indicate name of Contractor with whom you work.
Service (Advice and Information)
Legal
Identity Theft
Financial
Wellness
Elder Care
Child Care
Pet Care
Worik/Life Resources
Health Information Audio Library
Mediation / Management Referrals – General Counseling
Mediation / Management Referrals – Emergency & Crisis Response
Career or Education Services
Training / Educational Resources
Other:
33Please provide descriptions regarding “Yes” answers to services available from your EAP Program in the above chart.Description
Service (Advice and Information)
Legal
Identity Theft
Financial
Wellness
Elder Care
Child Care
Pet Care
Worik/Life Resources
Health Information Audio Library
Mediation / Management Referrals – General Counseling
Mediation / Management Referrals – Emergency & Crisis Response
Career or Education Services
Training / Educational Resources
Other:

&"-,Bold"&14RFP #260125 Attachment 1D - Employee Assistance Program

Q&E Questionnaire

QUALIFICATIONS AND EXPERIENCEOFFEROR RESPONSE
1Organization: Please complete the following information about your organization:
1aProvide a Brief History
1bDate your firm became operational for the services requested in this Attachment
1cHow many employees does your organization have?
1dWhat is the average tenure of your behavioral health counseling staff?
1eIn Arizona, what is the size of the staff that will service the City of Tucson?
1fHow long have you been providing services requested in this Attachment to employers in Arizona?
1gDescribe your experience providing services to other public sector employers in Arizona.
1hHow many direct group plan sponsor clients do you currently service?
1iWhat is the average group size (covered employees)?
1jWhat proportion of your business is providing the coverage you are proposing? Other lines of group coverage you are not proposing? Please detail.
1kWhat are your long-term corporate objectives regarding your business with respect to the coverage you are proposing?
1lIn what states are you NOT licensed to do business?
1mWhat certifications, accreditations, awards or recognition has your organization received?
1nWhat is your organization’s customer service philosophy? How do you ensure consistent implementation of the philosophy?
1oPlease explain how you will ensure the City and their plan participants will receive exceptional service from your organization. Define exceptional service.
1pWhat key attributes distinguish your organization from your competitors?
1qHow will the service you are proposing support the overall health and wellness of the City’s workforce?
2Financials: Describe the financial condition of your company.
3Account Management:
3aProvide the name of the client manager who will be responsible for the City of Tucson including a brief bio with location, years with your organization and a brief summary of their experience.
3bDescribe Key Personnel of the team to be designated to the City’s account. Provide the names, titles, location, brief bios, qualifications and capacity in which they will serve.
3cConfirm you agree to provide the necessary staff for planning, transition, implementation, requested onsite meetings and the ongoing administration of the plan at no additional cost to the City?
3dDescribe your account management team’s experience in providing services for similar entities including how they will be trained in the City’s plan issues, their accessibility to the City and their capacity and authority to respond to the City’s issues in a timely manner.
3eProvide information about access you can provide to the City of any electronic tracking and resolution log of all open and closed City issues.
4References:
Current Client References (Similar Sized Arizona Clients Preferred)
Client NameContact NamePhone Number and Client LocationNumber of MembersContract Start Date
4a
4b
4c
Recently Terminated Clients (Similar Sized Arizona Clients Preferred)
Client NameContact NamePhone Number and Client LocationNumber of MembersContract Start Date
4d
4e
4f
REPORTINGOFFEROR RESPONSE
1Consultative Analytics: Confirm you will provide Quarterly and annual consultative analytics measuring types of EAP services accesses by participants.
2Standard Reports:
2aConfirm that at a minimum you are able to provide the reports identified in the Scope of Work section titled “Data and Reporting” and at the frequency rate requested at no additional cost to the City.
2bList the reports you will make available to the City
2cPlease provide sample copies of these reports.
2dWhat kind of reports are accessible by the City through the Internet or on your website?
2eCan the City and their designated consultant generate reports on their own or are reports delivered by secure website or email on a periodic basis? Please explain.

&"-,Bold"&14RFP #260125 Attachment 1D - Employee Assistance Program

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