74BAI-S3531 Q and A.xlsx

This is a Bid Questions and Answers document related to Nevada's Department of Business and Industry, Division of Insurance, RFP 74BAI-S3531 for a Workers Compensation Claims Third Party Administrator (TPA). The solicitation seeks comprehensive claims administration services for the Insolvency Fund for Self-Insured Employers and the Insolvency Fund for Self-Insured Associations, with responsibility for approximately 78 open claims and over 16,000 closed claims. The RFP was released on October 16, 2025, with a submission deadline of November 6, 2025, and an anticipated contract start date of January 1, 2026, pending Board of Examiners approval. The contract is structured for a four-year term, and the state will fund all claim payments and associated expenses. Required services include claim processing, medical bill review, rehabilitation program coordination, litigation support, and comprehensive reporting.

Key clarifications from the Q&A document address bidding structure, volume information, and evaluation procedures. The state requires bidders to submit one comprehensive proposal addressing all service elements rather than accepting unbundled bids from specialized vendors. Due to an expedited timeline, the state declined to provide specific medical bill review volumes for 2022 through 2025, instructing bidders to submit their best proposals based on available information. Additionally, the state eliminated the reference requirement from the reissued RFP, foregoing the bidder reference process entirely to accommodate the expedited procurement schedule. Evaluation will utilize a weighted scoring system allocating 25% each to timely requirement fulfillment, service experience, and key personnel expertise, with 15% for RFP conformance and 10% for cost.