260220_Attachment_D_-_Confidential-Proprietary_Submittal_Form-FINAL.pdf
PDF 150 KB Posted
- Attached to
- SPECIFIC STOP LOSS INSURANCE
- Solicitation number
- 260220
- Issued by
- Pima County, Arizona
About this file
This is a Confidential/Proprietary Submittal Form and Deviations/Exceptions form issued by the City of Tucson, Business Services Department, Shared Services Procurement Division, in connection with Proposal No. 260220 for Specific Stop Loss Insurance. The City of Tucson, Arizona's second-largest municipality, is procuring stop loss insurance coverage for approximately 4,508 covered employees and retirees with an effective date of July 1, 2026. The City is transitioning from its current self-funded plan administered by Cigna (in place since July 1, 2019) to Blue Cross Blue Shield of Arizona for medical TPA/network services and OptumRx as the PBM partner. The procurement process requires offerors to complete both the Confidential/Proprietary Submittal Form to identify any sensitive materials and the Deviations/Exceptions form to clearly document any proposal variances from the requested services, contract terms, and insurance language specifications.
The stop loss insurance will cover medical and prescription drug claims, with recent claims history showing approximately $43.5 million in paid claims over the most recent 12-month period through March 2026. Offerors are instructed to identify specific questionnaire numbers or page references when claiming confidential or proprietary treatment and must explicitly list all deviations or exceptions with corresponding RFP references rather than directing reviewers to locate differences within submitted materials. The procurement manager is Troy Tombough, CPPB, located at 255 W. Alameda, 6th Floor, Tucson, AZ 85701.
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Text version
CITY OF TUCSON PROPOSAL NO.260220
BUSINESS SERVICES DEPARTMENT Page 1 of 1
SHARED SERVICES PROCUREMENT DIVISION PROCUREMENT MANAGER: TROY TOMBOUGH, CPPB
255 W. ALAMEDA, 6TH FLOOR, TUCSON, AZ 85701 EMAIL: Troy.Rombough@tucsonaz.gov
ATTACHMENT D
CONFIDENTIAL/PROPRIETARY SUBMITTAL FORM
Confidential/Proprietary Submittals (mark one):
No confidential/proprietary materials have been included with this offer
Confidential/proprietary materials included. Offerors should identify below any portion of their proposal deemed confidential or proprietary. The City of Tucson will only review the specific areas listed below and will not review the entire proposal for confidential information indicators. Identification in this section does not guarantee that disclosure will be prevented but that the items will be subject to review by the Offeror and the City prior to any public disclosure. Requests to deem the entire proposal or price as confidential will not be considered.
Questionnaire Number and/or Page Number Reason for Request
Offeror Name
Authorized Signature Date mailto:Troy.Rombough@tucsonaz.gov
CITY OF TUCSON PROPOSAL NO.260220
BUSINESS SERVICES DEPARTMENT Page 1 of 1
SHARED SERVICES PROCUREMENT DIVISION PROCUREMENT MANAGER: TROY TOMBOUGH, CPPB
255 W. ALAMEDA, 6TH FLOOR, TUCSON, AZ 85701 EMAIL: Troy.Rombough@tucsonaz.gov
ATTACHMENT E
DEVIATIONS/EXCEPTIONS
Directions: Indicate all areas where your proposal may differ from the requested services or contract and insurance language. Do not refer the reader to “see proposal” or include your standard contract and expect the City to determine where differences exist. The City needs to thoroughly understand any differences you are proposing. If you do not have any deviations please mark N/A. If nothing is indicated on this form, then it will be assumed your proposal matches the specifications, terms and conditions exactly even if you include material that states differently. Use additional pages as necessary.
Offeror Company Name:
Authorized Signature:
Date:
Deviations/Exceptions
Reference in RFP
(Page #/Question #) Explanation of Deviation mailto:Troy.Rombough@tucsonaz.gov
File details come from the government source that posted it. Updated .