9-Exhibit 2 - Medical Costs Services.xls

This document is a cost exhibit instruction file for Bernalillo County, New Mexico's Group Medical Insurance Services contract opportunity, specifically detailing requirements for Administrative Services Organization (ASO) medical claims administration proposals with an effective date of July 1, 2026. Vendors must complete all applicable worksheets in the provided Excel format without alteration, including Exhibit 2A for ASO fees and Exhibit 2B for ASO service components. The County is soliciting proposals for self-insured medical plan administration services and requests separate fee quotes for both SOLE carrier and SLICE carrier arrangements on a per-employee-per-month (PEPM) basis. Individual and Aggregate Stop Loss rate quotes will be requested at a later date closer to the effective date. Vendors must provide detailed breakdowns of their Core Administrative Services fees, delineating charges for claims administration, disease management, medical and utilization management, provider network access, onsite clinic integration, and carve-out pharmacy benefit management services.

Fees must be guaranteed for a minimum of two consecutive years with no increase permitted in Year 2, quoted net of commission. Vendors must complete comprehensive service component worksheets indicating whether specific services including account management, customer services, compliance, appeals processing, and wellness services are included in the core fee or carry additional costs. The submission must clearly address any impact to ASO fees and data interface charges if the County elects to carve out Stop Loss coverage to a third-party vendor. Failure to comply with worksheet formatting requirements or submission specifications may result in proposal elimination from consideration.