DOE Hanford TPA RFP_Solicitation Questions_2.16.2024-posted.xlsx

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DOE Hanford Third Party Administration of the Workers' Compensation Claim Processing Program
Solicitation number
89303923REM00008
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This solicitation is for third party administration services to support the Department of Energy's Hanford site workers' compensation program. The contractor will process all workers' compensation claims filed under the program on a fixed-price basis, utilizing an automated payment system to authorize payments for claims, legal expenses, pension payments, and other assessed amounts. The contractor is responsible for notifying the contracting officer if total projected payments in the next 30 days will exceed available funds and will not issue checks in excess of available funding. The Department of Energy is the issuing agency for this opportunity.

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Atch J.2 Workers’ Compensation Program at the U.S. Department of Energy Hanford (DOE-Hanford) Site, RFP 89303923REM000008

Question TitleSection NumberPage NumberClarifying Question
Instructions clarificationL.3.a.ii.A156Should "Section B" actually refer to Section C in the following statement? "The Offeror shall describe its approach for transitioning the work from the incumbent contractor, in accordance with the contract requirements contained in Section B." Yes, should be Section C.
Instructions clarificationL.1154Where do we put contractual documents and Reps & Certs? In Volume II
Provide cost containment servicesL.3.a.i155Will the contractor be able to utilize vendors they have existing contracts with for services such as PBM, DME, Home Health and other ancillary services or will they be required to use vendors from a list provided by DOE-Hanford? There is no required vendor list.
Price Factor, Allocated ExpensesL.3.a.i, L.2155Please confirm that the claim fees proposed in the pricing template shall include all costs incurred by contractor in handling claims submitted except those costs normally referred to as “allocated expenses” (e.g. attorney fees, independent medical exams, court costs, etc.) Can we assume that these types of expenses will be billed to the individual claim file when incurred. Yes, the firm fixed price should cover all contractor costs and fee to process claims. All claims incurred costs, which do include attorney fees, benefits payments, IMEs, court costs, will be paid by the contractor with DOE funds from the ASAP account and should not be included in the price factor.
Customer service and intergration [sic] with other DOE - Hanford contractorsC.2.b.i13What is the specific requirement for staff to be in person at DOE-Hanford location vs online? There is no specific requirement for contractor to establish an on-site presence.
Price Factor, Claim data regarding volume existing and newL.2155The DOE-Hanford stated that there are 481 open claims to be transferred and managed as well as an average of 250 claims per year. Please provide a five year loss run, redacted of private health information, containing the dates of loss, claim types and sub types (Indemnity, Future Medical, Incident Only, First Aid, Medical Only etc), litigation flag, open/closed status, total incurred, total reserved, total paid. Please look to publicly available data such as L&I published data.
Pass-Through Charges52.215-2270Please provide more detail on all "pass-through" including cost containment and other ancillary services such as PBM, DME, Home Health and etc? The limitation on pass-through costs listed in 52.215-22 applies only to EEOICPA (see section C.1(3)).
Financial management RequirementsC.1.d.i, bullet 116Please share the "Authority level" on items such as reserves, settlement, accept/deny, cash calls, etc. This is a significant element to understand given the pending State of Washington Bad Faith regulations and the need to adhere to claim timeline requirements. These are internal levels of authority and organizational structure to the contractor.
Statement of Work, Program Management Requirements, Customer ServiceC.2.b.ii, bullet 614In reference to the requirement to “Maintain DOE-Hanford Workers’ Compensation Contractor Website, as approved by the CO”, is the website already in existence? Would we would assume control / work within it? Or is the expectation that we would create a website to satisfy this item? The government will not be providing a website, however if you have an existing website that meets all contract requirements that can be utilized or create a new website .
IntroductionB.19Are there any excess or reinsurance carriers associated to these claims? If so may we have a listing of those carriers involved? No.
Statement of Work, Program Management Requirements, Customer ServiceC.110How many claims are currently utilizing Telephonic or Field case management? What is the name of the firm providing these services? None.
Hardware and Software System RequirementsH.535Can you provide an estimate of how many System users are expected? Up to 10, which include CO and Program Official, as well as contractors workers' compensation representatives.
Statement of WorkC.110Program Management Requirements, ii Customer Service: The Contractor shall: In reference to the requirement to “Maintain DOE-Hanford Workers’ Compensation Contractor Website, as approved by the CO”, is the website already in existence and we would assume control / work within it? Or is the expectation that we would create a website to satisfy this item?Duplicate
IntroductionB.19Are there any excess or reinsurance carriers associated to these claims? If so may we have a listing of those carriers involved?Duplicate
Statement of WorkC.110How many claims are currently utilizing Telephonic or Field case management? What is the name of the firm providing these services?Duplicate
Contractor Legal Management RequirementsH.429Does DOE – Hanford have a preferred legal panel? Can you provide a listing of those attorney firms assigned? - DOE does not select attorneys or law firms. The requirements for attorney selection that the Contractor must consider are found in H.4.IV. The firm engaged by the current DOE Third Party Administrator on DOE covered claims is Wallace Mann Capener Bishop & Debney.

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