9-Attachment B - Vision RFP Submission Form.xlsx
XLSX spreadsheet 2 MB Posted
- Attached to
- Employee Dental and Vision Benefits
- Solicitation number
- 3708-26.02
- Issued by
- Orange County, Texas
About this file
This is a Vision RFP Submission Form for the Amarillo Independent School District's Employee Dental and Vision Benefits solicitation in Texas. The form requests comprehensive information from vision insurance providers regarding their ability to serve the district's employees and retirees. Bidders must submit proposals by 2:00 pm on March 20th, 2026. The RFP covers fully insured vision benefit plans and requires responses across multiple categories including general organizational information, vision-specific service capabilities, and performance statistics. Providers must demonstrate their experience administering vision plans, detail their network composition within the Amarillo MSA, and describe coverage options for eye exams, frames, lenses, and contact lenses. The form also requests evidence of Texas Department of Insurance licenses and registrations necessary to underwrite and administer fully insured vision benefits.
The submission form requires bidders to provide premium quotes for the effective date of July 1, 2026, with multiple plan design options across employee-only, employee plus spouse, employee plus children, and employee plus family coverage tiers. Premiums must be guaranteed for a minimum of 26 months, and providers must include any applicable implementation credits. The form indicates the current plan uses the VSP network and seeks clarification on whether proposed alternatives would create service disruption. Bidders must demonstrate specific performance metrics across ten service categories including call responsiveness, claim accuracy and timeliness, and account management standards. The submission requires detailed information on third-party relationships, organizational ownership structure, service locations, and standard agreement templates to enable the district to evaluate vendor capability and stability.
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Text version
Contacts
| Vision Provider RFP | |
| Solution Provider | Response |
| Organization Name | |
| Street Address | |
| City | |
| State | |
| Zip | |
| Telephone # | |
| Fax Phone # | |
| Web Address | |
| Primary RFP Contact | |
| Name | |
| Title | |
| Address | |
| City | |
| State | |
| Zip | |
| Telephone # | |
| Fax Phone # | |
| E-mail Address |
Informational Responses
| Vision Provider Overview | ||
| ID | General Information | Response |
| G1 | Please provide an overview of your organization, including: years in business and a breakdown of the various lines of business your organization serves | |
| G2 | Provide details of your company’s ownership structure, financial interests and stability. Is your organization privately or publicly held? | |
| G3 | Provide details of any third party relationships you would engage to fulfill services being requested. | |
| G4 | Discuss any impending changes in your organization that could impact the delivery of services, such as impending mergers or acquisitions. | |
| G5 | Are there any restrictions by state and/or federal agencies imposed on your organization? If yes, explain. | |
| G6 | Please provide an overview of your service location(s). Please disclose the primary site from which this account will be serviced. | |
| G7 | Please provide copies of your standard Agreements (Separate Attachment). | |
| G8 | Please provide evidence of all necessary licenses and registrations required by the Texas Department of Insurance to underwrite and administer fully insured vision benefits in the State of Texas. | |
| G9 | We currently use the VSP network. What network does your proposed plan use? Should we expect disruption? |
Vision
| Vision | ||
| ID | Question | Response |
| V1 | How many clients/members does your organization currently administer the following plan types: | |
| a. Indemnity Vision Plans | ||
| b. Network based Vision Plans | ||
| V2 | What communication materials (e.g., I.D. cards, letters) are provided to the employee/retiree to identify them as a Subscriber? Please provide samples. | |
| V3 | Within the Amarillo MSA, what is the percentage of ophthalmologist and optometrist offices in your organizations proposed network? How many maintain the ability to dispense eyewear? | |
| V4 | Describe the coverage/selection for frames and lenses which are available through your providers. (Discuss the quality of frames, lenses, the variety of styles, and the ability to service all ages, consistency of frames between different provider offices.) | |
| V5 | What is the average size of inventory in the provider locations and what percentage of the inventory is at or below a typical member allowance of $150 to $250? | |
| V6 | Describe the coverage/selection of contact lenses available from your network. Indicate the type and extent of coverage for daily wear soft lenses, hard contacts, extended wear and disposable. | |
| V7 | Does your organization limit in any manner the materials members may purchase using their benefit allowance (e.g. only allowing members to choose from certain inventory, etc.)? | |
| V8 | Please confirm what services are covered in your organizations basic/routine eye exam: • Vision history • Visual acuity • General eye health • Glaucoma testing • Assess eye muscles • Refraction • Patient education. Describe any other standard services which may be covered that are not listed. | |
| V9 | Describe discounts offered beyond the funded benefit specifically for laser vision correction and additional lens options or add on services |
Performance STD
| Performance Statistics | ||||
| ID | Category | Service Performance | Response | Amount at Risk |
| PS1 | Service | Telephone Responsiveness |
Please indicate statistical performance level data surrounding average wait time of calls answered within 30 seconds. (Example 3%) PS2 Service Abandonment Please indicate the average of member service calls placed on hold, which hang up before a representative is available, in comparison to the number of calls received. (Example 3%) PS3 Service Blockage Rate Please indicate the average of all calls that receive a busy signal over the entire workday. (Example 2%) PS4 Service Turnaround Time Please indicate the average of phone/email/website generated claim inquiries resolved within two working days. (Example 95%) PS5 Service Financial Accuracy Please indicate the average of claims processed (financially) accurate. (Example 95%) PS6 Service Claim Accuracy Please indicate the average of claims payments processed accurately. (Example 95%) PS7 Service Processing Please indicate the average of application and /or coverage changes processed within five working days of receipt date. (Example 100%) PS8 Service Claims Timeliness Please indicate the average of all claims processed within 14 calendar days. (Example 95%) PS9 Service Account Management Please indicate the average of Plan Sponsor calls returned in 1 business day. (Example 95%) PS10 Service Account Management Please indicate the average of Plan Sponsor emails returned in 1 business day. (Example 95%)
Premium Response
| Premiums (Fully Insured) | ||
| Effective | Year 3 | |
| Current Plan Design | July 1, 2026 | Fee Cap |
| Premiums | ||
| Employee Only | $0.00 | $0.00 |
| Employee + Spouse | $0.00 | $0.00 |
| Employee + Children | $0.00 | $0.00 |
| Employee + Family | $0.00 | $0.00 |
| Effective | Year 3 | |
| Option 1 Plan Design | July 1, 2026 | Fee Cap |
| Premiums | ||
| Employee Only | $0.00 | $0.00 |
| Employee + Spouse | $0.00 | $0.00 |
| Employee + Children | $0.00 | $0.00 |
| Employee + Family | $0.00 | $0.00 |
| Effective | Year 3 | |
| Option 2 Plan Design | July 1, 2026 | Fee Cap |
| Premiums | ||
| Employee Only | $0.00 | $0.00 |
| Employee + Spouse | $0.00 | $0.00 |
| Employee + Children | $0.00 | $0.00 |
| Employee + Family | $0.00 | $0.00 |
| Effective | Year 3 | |
| Option 3 Plan Design | July 1, 2026 | Fee Cap |
| Premiums | ||
| Employee Only | $0.00 | $0.00 |
| Employee + Spouse | $0.00 | $0.00 |
| Employee + Children | $0.00 | $0.00 |
| Employee + Family | $0.00 | $0.00 |
| Implementation Credits | ||
| [credits] | $0.00 | $0.00 |
| [credits] | $0.00 | $0.00 |
| It is required that premiums be guaranteed for a minimum of 26 months. |
| Please include any applicable Implementation Credits. |
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