9531CB20R0040.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

CFPB

WASHINGTON DC 20552

1700 G STREET, NW

OFFICE OF PROCUREMENT

Consumer Financial Protection Burea

CODE 16. ADMINISTERED BYCODE

X

X

524128

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED ORCFP

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

10/09/2020 1500 ET

09/25/2020

JERRY SALINAS

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

9531CB20R0040

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 59 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

WASHINGTON DC 20552

1700 G STREET, NW

OFFICE OF PROCUREMENT

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$41.50

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

Consumer Financial Protection Burea

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Vision Insurance Services

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED

VANESSA DEL TORO

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT:

REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

59 2 of

RFP 9531CB20R0040

Vision Insurance Services

CONSUMER FINANCIAL PROTECTION BUREAU (CFPB), 1700 G STREET, NW, WASHINGTON, DC 20552

CONSUMER FINANCIAL PROTECTION BUREAU

WASHINGTON, D.C. 20552

Date: September 25, 2020

TO: Interested Offerors

SUBJECT: Request for Proposal; RFP # 9531CB20R0040, Vision Insurance Services

Dear Contractor:

The purpose of this Request for Proposal (RFP) 9531CB20R0040 is to acquire a vision insurance carrier to provide vision insurance benefits to CFPB employees, as outlined in the Statement of Requirements (SOR) provided herein. The resulting contract will be Fixed Priced with Economic Price Adjustment (FP-EPA) with a Base and four one-year Option Years not to exceed (5) years, if all options are exercised.

The CFPB hereby issues a combined synopsis/solicitation for commercial items issued on beta.SAM.gov using the policies contained in FAR Part 12 – Acquisition of Commercial Items and FAR Part 13.5 Test Program for Certain Commercial Items, to obtain contractor services in support of this requirement. CFPB intends to award a single contract as a result of this solicitation.

This solicitation is not issued as a small business set-aside. The NAICS code is 524114, Direct Health and Medical Insurance Carriers, and the business size standard is $41.5 Mil.

The Technical and Price Proposal must be received by October 9, 2020, 3:00 p.m. Eastern Time (ET) and shall be emailed to both Vanessa.delToro@cfpb.gov and Jerry.Salinas@cfpb.gov.

Questions concerning this solicitation must be received by September 30, 2020, 12:00 p.m. Eastern Time (ET) and e-mailed to both Vanessa.delToro@cfpb.gov and Jerry.Salinas@cfpb.gov. All responses to questions will be answered through the beta.SAM.gov website in the form of an amendment to the solicitation.

Sincerely, /Signed/

Vanessa del Toro Contracting Officer mailto:Vanessa.delToro@cfpb.gov mailto:Jerry.Salinas@cfpb.gov mailto:Vanessa.delToro@cfpb.gov mailto:Jerry.Salinas@cfpb.gov

REQUEST FOR PROPOSALS (RFP) 9531CB20R0040

TABLE OF CONTENTS

Section I PRICING DESCRIPTION AND TABLES Section II STATEMENT OF REQUIREMENTS (SOR) Section III SOLICITATION PROVISIONS Section IV CONTRACT CLAUSES

ATTACHMENTS

Attachment 1 Pricing Model Attachment 2 CFPB Local Clauses

SECTION I

PRICING DESCRIPTION AND TABLES

1. FIXED UNIT PRICES FOR SERVICES

Offerors shall provide firm fixed unit prices for the Base Year and Option Year 1 as indicated in the tables below. The prices for the Base Year and Option Year 1 are fixed unit prices and shall not be subject to any adjustment. The firm fixed prices shall be inclusive of all expenses, including report preparation, salaries, overhead, other direct costs, general and administrative expenses, and profit. The Contractor shall be paid on a biweekly (i.e., every other week) basis for Operations (i.e., effective period of coverage which begins January 1, 2021) at the fixed prices set forth below.

The unit prices for Option Years 2-4 shall be determined at a later date, in accordance with the Clause titled “Economic Price Adjustment”.

BASE YEAR: January 1, 2021 through December 31, 2021

Individual Only Individual plus One Individual & Family Per Employee/ Biweekly premium

OPTION YEAR 1: January 1, 2022 through December 31, 2022

Individual Only Individual plus One Individual & Family

2. PRICING SUBJECT TO ECONOMIC PRICE ADJUSTMENT CLAUSE

Offerors are not required to complete this section. Pricing is subject to the Economic Price Adjustment (EPA) Clause for Option Years 2-4. Pricing will be requested at the time the option year is contemplated to be exercised in accordance with the EPA clause.

SHOWN FOR ILLUSTRATIVE PURPOSES - DO NOT COMPLETE

OPTION YEAR 2: January 1, 2023 through December 31, 2023

Individual Only Individual plus One Individual & Family

TBD

OPTION YEAR 3: January 1, 2024 through December 31, 2024

Biweekly premium TBD TBD TBD

OPTION YEAR 4: January 1, 2025 through December 31, 2025

3. LOSS RATIO PERCENTAGES

Offerors shall provide Loss Ratio Rate Change Percentages in the below tables.

OPTION YEAR 2: January 1, 2023 through December 31, 2023

Loss Ratio Rate change percent 75% or less 76% to 80% 81% to 85% 86% to 90% 91% to 95%

96% to 100% 100% or more

OPTION YEAR 3: January 1, 2024 through December 31, 2024

76% to 80% 81% to 85% 86% to 90% 91% to 95%

OPTION YEAR 4: January 1, 2025 through December 31, 2025

76% to 80% 81% to 85% 86% to 90%

91% to 95%

4. ECONOMIC PRICE ADJUSTMENT – OPTION YEARS 2, 3, & 4 PREMIUMS

The prices for Option Years 2, 3 and 4 shall be established based on the claims experience of the Plan.

These prices may represent an increase or decrease from the respective prior period, as they will be determined by the contractor's demonstrated Loss Ratio. The demonstrated Loss Ratio is defined as the actual vision paid claims for covered CFPB employees and dependents divided by the premium paid for the identified time period. The rates (i.e., individual only, individual + one, and individual & family) for the applicable contract years shall be determined by applying the appropriate rate change percentage in the below tables to the rates of the respective prior year.

The data used to calculate the Loss Ratio shall be taken from the contractor's biweekly enrollment reports and monthly progress reports. The Contracting Officer may require the Offeror to provide additional information to support the accuracy and reliability of the data in these reports. The Government reserves the right to have an independent third party review the data and make recommendations regarding the appropriateness of the proposed rates. The modification exercising the first option year for each of these contract years (i.e., Option Years 2, 3 and 4) shall reflect the adjusted rates. The determination of the adjusted rates shall be made by the Contracting Officer on a unilateral basis. Any dispute regarding the determination (i.e., the appropriate rate change percentage) shall be subject to the “Disputes” provisions of 52.212-4 (d) “Contract Terms and Conditions--Commercial Items” of this contract.

The following tables shall be used to calculate the prices for the identified contract years.

Option Year 2:

Period used to determine Loss Ratio: July 1, 2021-June 30, 2022

76% to 80% 81% to 85% 86% to 90% 91% to 95%

Option Year 3:

Period used to determine Loss Ratio: July 1, 2022 to June 30, 2023

76% to 80% 81% to 85% 86% to 90%

91% to 95%

Option Year 4:

Period used to determine Loss Ratio: July 1, 2023 to June 30, 2024

76% to 80% 81% to 85% 86% to 90% 91% to 95%

The following calculation shown below is illustrative of how the economic price adjustments will be made:

Total of paid claims for the period: $95,000 Total of premiums paid for the period: $100,000

Biweekly Pricing: $10.00 Rate Change for 91% to 95%: +5%

Total of paid claims / Total premiums paid = Loss Ratio: $95,000/$100,000 = 95% Biweekly Pricing Based on the EPA Clause: $10.00*1.05= $10.50.

SECTION II

STATEMENT OF REQUIREMENTS (SOR)

VISION INSURANCE SERVICES PROGRAM

1.0 SCOPE

The Human Capital Division of Consumer Financial Protection Bureau (CFPB) requires a Vision carrier to provide a Vision Insurance program for its active employees effective January 1, 2021.

The vision insurance plan shall be fully insured and non-participating.

Vision Insurance Enrollment Eligibility - The eligibility requirement is defined as a regular employee (full-time or part-time) or temporary employee with an appointment greater than one year;

and actively at work at least 60 hours biweekly. Eligible dependents include lawful spouses, domestic partners and children up to age 22 or up to age 25 if a full-time student. Retirees are not eligible for the plan and will remain ineligible, despite being covered under FEHB.

Employee Enrollment and Effective Dates - Initial enrollees will be effective January 1, 2021. New hires will be effective on the date employees meet the eligibility requirements. New hires will have 60 days to elect coverage.

2.0 BACKGROUND

The Dodd-Frank Wall Street Reform and Consumer Protection Act requires that CFPB provide benefits to employees that are comparable to the benefits being provided by the Board of Governors of the Federal Reserve and other financial regulatory agencies. Employees who currently work at the Office of the Comptroller of Currency (OCC) and Federal Deposit Insurance Corporation (FDIC) are offered enhanced benefits in addition to the standard Title 5 Federal benefits. In order to achieve comparability, attract talent, and make sure that there are little or no benefit gaps for transferring employees, the purpose of this Statement of Requirements is to maintain vision insurance for all employees effective January 1, 2021. CFPB pays the full cost of vision coverage for all employees.

CFPB currently has approximately 1,414 employees and will have approximately 1,612 when fully staffed.

3.0 REQUIREMENTS

3.1 Plan Design –The contractor shall provide the following plan design:

Please note: Any deviations to the Plan Design requirements will render the Offeror’s proposal technically unacceptable. Offerors must be able to meet all plan design requirements specified in the Statement of Requirements and will not be credited for providing deviations to the specified requirements.

Plan Design Chart

DURATION

Vision plan

Exams 1 every 12 months Lenses 1 every 12 months Frames 1 every 12 months SERVICES In-Network Out-of-Network Eyeglass Examination $0 (covered in full) Up to $60 Eyeglass Materials (lenses and frame)

• Single Vision Lenses

• Bifocal Lenses

• Trifocal Lenses

• Lenticular Lenses

• Progressive Lenses

• Scratch resistant plus one other lens option

• Eyeglass Frame

$20 copay

Up to $100 wholesale/ $200/retail on eyeglass frame

Up to $61 Up to $94

Up to $127 Up to $165

Not Covered Not Covered

Up to $75

Contact Lenses (in lieu of eyeglasses)

• Elective Lenses

• Medically Necessary Lenses

$0 (up to $160)

$0 (covered in full)

Up to $88

Up to $220

Computer Eyeglasses (for employees only) Includes exam, only single vision, bifocal or trifocal lenses, and an eyeglass frame valued up to $90 retail.

$0 (covered in full) Not Covered

Extra Discounts and Savings

• 20% savings on the cost of eyeglass materials above what is covered

• 20% off additional prescription eyeglasses or sunglasses

• 15% savings on the cost of elective contact lenses above what is covered

• Discounts on Lasik, Custom Lasik and PRK procedures

Covered Not Covered

3.2 Network Requirements- The Contractor shall provide a national vision network to adequately cover all CFPB employees, as follows:

• The Contractor must provide minimum geographic network coverage for the following two (2) types of vision providers: Optometrists and Ophthalmologists.

• Minimum geographic network coverage is defined as follows:

The Contractor must provide the minimum coverage standard for Optometrists to 85% of all CFPB employees, collectively. The Contractor must provide the minimum coverage standard for Ophthalmologists to 65% of all CFPB employees, collectively.

• Minimum coverage standards are as follows:

o Urban Zip Codes:

Optometrists – At least 2 providers within 5 miles.

Ophthalmologists – At least 1 provider within 5 miles.

o Suburban Zip Codes:

Optometrists – At least 2 providers within 10 miles.

Ophthalmologists – At least 1 provider within 15 miles.

o Rural Zip Codes:

Optometrists – At least 2 providers within 20 miles.

Ophthalmologists – At least 1 provider within 25 miles.

• For purposes of this Contract:

o “Urban” is defined as a zip code having a population density greater than 3,000 people per square mile.

o “Suburban” is defined as a zip code having a population density of 1,000 – 3,000 people per square mile.

o “Rural” is defined as a zip code population density of less than 1,000 people per square mile.

3.3 Administrative and Enrollment Service Requirements- The Contractor shall provide the following administrative and enrollment services for the CFPB Vision benefits:

a) Administer a vision plan that provides the benefits described in this Statement of Requirements on a fully-insured non-participating basis.

b) Design, produce and distribute, subject to the approval of CFPB, specific claim forms, enrollment forms, employee booklets, summary plan descriptions (SPDs), Standard Operating Procedures (SOPs), and all other forms required to administer the plan.

c) Provide electronic files of forms and materials (booklets, SPDs, etc.) in prescribed format to be uploaded to the CFPB.

d) Ensure compliance with Federal requirements to protect the privacy of individually identifiable health information.

e) Provide a seamless link for the CFPB’s website for this program.

f) As requested by CFPB, assist in the communication to employees regarding benefits including annual employee meeting and open enrollments.

g) Receive initial eligibility data and biweekly updates electronically from CFPB.

h) CFPB employees shall be mailed a physical “vision enrollment kit” and program information based on the following election events:

• Annual Welcome Benefits Kit (including ID card(s) at the start of the new year benefit service period (currently enrolled)),

• Qualifying Life Event (QLE) changes, and

• New federal hire enrolling during initial 60-day election period through the calendar year.

i) The contractor will submit payments requests bi-weekly through IPP. For payment and invoice questions, go to https:// www.ipp.gov or contact the Accounting Services Division at (304) 480-8000 option 7 or via email at AccountsPayable@fiscal.treasury.gov.

j) Provide biweekly enrollment reconciliation reports to the Contracting Officer Representative (COR) that indicate all discrepancies in enrollment.

k) Meet with CFPB on an as needed basis to review status of overall operation of the program. Conduct an annual account management satisfaction survey.

l) The plan should be sitused in Washington, DC.

3.4 Claims Administration and Customer Service Requirements. The Contractor shall adjudicate and process claims including the following:

a. Process all claims on a direct claims verification and payment basis.

b. Provide explanation of benefits (EOB) statements electronically and hard copy mailed directly to the address on file with the contractor.

c. Establish and maintain clean turnaround time consistent with industry standards (90% of clean claims processed in 10 work days or less).

d. Maintain claims processing accuracy at 95% or better.

e. Verify claim charges are for covered employees and dependents.

f. Maintain current, complete and confidential records for each covered person in accordance with the Health Insurance Portability and Accountability Act (HIPAA) of 1996.

g. Maintain a claims service unit with office hours, at a minimum, from 8:30 a.m. until 6:30 p.m., Eastern Time, Monday through Friday (except Federal holidays) and installing a message device to handle calls after business hours or on weekends. Providing a toll-free telephone service that has the capability to place calls on hold and queue during peak calling hours.

Providing adequate staffing so that all calls are answered on average within 30 seconds.

h. Provide members online services, including:

• Benefit plan information

• Web chat with customer service mailto:AccountsPayable@fiscal.treasury.gov

• Email availability

• Claims status and history

• Financial information, such as deductible status and benefit maximums

• Download forms (claims).

i. Provide direct communication between CFPB administrative staff and the assigned program administrator.

j. Provide legal defense on disputed claims.

k. Provide effective coordination of claims payment and reporting formats.

l. Provide service personnel who are accessible and knowledgeable in all aspects of the CFPB plan.

m. Maintain an automated calendar system to ensure follow-up to correspondence and claims review and establishing a mechanism to resolve errors expeditiously.

n. Prepare a customized administrative manual (i.e., policies, procedures, and forms for administering the plan) to be used by CFPB.

o. Provide member online services including:

• Benefit plan information

• Web chat with customer service

• Email availability

• Claims status and history

• Download forms (claims)

3.5 Management Information System (MIS) / Reporting and Monitoring Service

Requirements

1. The Contractor shall provide monthly reports to the COR to include current and cumulative year-to-date information including paid and incurred claims, enrollment by employee and dependent lives, and premiums split by sub-group designation.

2. The Contractor shall provide quarterly network savings report and in-versus out-of-network claims report.

3.6 Transition Period

The Contractor shall provide transition services during a transition period, which will begin on the date of contract award and continue through December 31, 2020. During the transition period, the contractor shall be responsible for setting up the plan design in its system, assisting CFPB with establishing enrollment and billing processes, and providing materials and staffing to aid in the communication of the benefit plan to employees. The contractor shall be responsible for all claims incurred beginning Jan 1, 2021.

In addition, during the last option year of performance exercised under the contract, the contractor will prepare for and assist with a seamless transition to the new contractor (if applicable) by transferring to CFPB and/or the new contractor, as determined by CFPB, within 30 days of notice of this requirement, all required data and records necessary to administer the plans subject to state and federal confidentiality considerations, without a break in service. The transfer may be made electronically, in a file format to be determined based on the mutual agreement between CFPB and the provider of services. The contractor may be asked to provide phase out transition services for up to a one-year period, if necessary.

4.0 DELIVERABLES

The Contractor must provide the following deliverables to the Contracting Officer’s Representative (COR) by the corresponding specified due date:

Deliverable SOR Para. Due Date* Enrollment Report Section 3.3 Biweekly

Program Status Meeting Section 3.3 Quarterly

Account Management Satisfaction Survey Section 3.3 Annually

Customized Administrative Manual Section 3.4 90 Days After Contract Award

Claims Progress Report Section 3.5 Monthly

Claims/Network Savings Report Section 3.5 Quarterly

*These dates are subject to change based on mutual agreement.

5.0 SPECIAL PROVISIONS

5.1 Period of Performance

The period of performance is one year with four (4) one year option years. At the end of the base year, if exercised, the first option year will begin. If all option years are exercised, the period of performance will not exceed a total of five years. Exercise of any option requires a contract modification signed by the CFPB Contracting Officer.

5.2 Electronic Submission of Payment Requests

(a) Definitions. As used in this clause—

(1) “Payment request” means a bill, voucher, invoice, or request for contract financing payment with associated supporting documentation. The payment request must comply with the requirements identified in FAR 32.905(b), "Payment documentation and process" and the applicable Payment clause included in this contract.

(b) Except as provided in paragraph (c) of this clause, the Contractor shall submit payment requests electronically using the Invoice Processing Platform (IPP). Information regarding IPP is available on the Internet at www.ipp.gov. Assistance with enrollment can be obtained by contacting the IPP Production Helpdesk via email ippgroup@bos.frb.org or phone (866) 973-3131.

(c) The Contractor may submit payment requests using other than IPP only when the Contracting Officer authorizes alternate procedures in writing.

(d) If alternate payment procedures are authorized, the Contractor shall include a copy of the Contracting Officer’s written authorization with each payment request.

5.3 Payment and Invoice Questions

For payment and invoice questions, go to https://www.ipp.gov or contact the Accounting Services Division at (304) 480-8000 option 7 or via email at AccountsPayable@fiscal.treasury.gov.

5.3.1 Overpayments

5.3.1.1 In accordance with FAR 52.212-4, section (i)5, overpayments: Accounts

Receivable Conversion of Check Payments to EFT: If the Contractor sends the Government a check to remedy duplicate contract financing or an overpayment by the government, it will be converted into an electronic funds transfer (EFT). This means the Government will copy the check and use the account information on it to electronically debit the Contractor’s account for the amount of the check. The debit from the Contractor’s account will usually occur within twenty-four hours and will be shown on the regular account statement.

5.3.1.2 The Contractor will not receive the original check back. The Government will destroy the Contractor’s original check, but will keep a copy of it. If the EFT cannot be processed for technical reasons, the Contractor authorizes the Government to process the copy in place of the original check.

5.4 Type of Contract

This is a Fixed Price with Economic Price Adjustment (FP-EPA) contract.

mailto:ippgroup@bos.frb.org https://www.ipp.gov/ mailto:AccountsPayable@fiscal.treasury.gov

SECTION III

SOLICITATION PROVISIONS

A. PROPOSAL INSTRUCTIONS TO OFFERORS

1. Submission of Proposals. Technical and Price Proposals are due electronically by October 9, 2020 by 3:00 p.m. Eastern Time (ET), to both Vanessa.delToro@cfpb.gov and Jerry.Salinas@cfpb.gov.

All proposals shall have the subject line “RFP-9531CB20R0040.”

Proposals received after the deadline will not be considered.

Facsimile or physical mail transmissions will not be accepted.

2. Questions. Questions concerning this RFP shall be submitted in writing via email to both

Vanessa.delToro@cfpb.gov and Jerry.Salinas@cfpb.gov no later than September 30, 2020, 12:00 p.m.

Eastern Time (ET). Questions will be answered in writing through an amendment to the solicitation in beta.SAM.gov.

3. Proposal Preparation

a. The Offeror shall ensure all electronic materials and attachments submitted are formatted in accordance with the CFPB Security Requirements. The following file extensions are not allowable and application materials/data submitted with these extensions cannot be considered:

.bat, .cmd, .com, .exe, .pif, .rar, .scr, .vbs, .hta, .cpl, and .zip files

b. Microsoft Office compatible documents are acceptable. If the Offeror determines that other formats are necessary, it is the Offeror’s responsibility to verify with CFPB that those formats are acceptable. Proposal materials with unacceptable or unreadable formats may be found non-responsive.

c. Offerors are prohibited from communicating about this procurement with any CFPB personnel other than the Contracting Officer and Contract Specialist.

d. All proposal information shall be in the English language. Proposals shall be submitted on standard

8.5 x 11 paper. Font size shall be no smaller than 10 point with margins no less than 1 inch (top, bottom, right, left), including headers, footers, and page numbers. The Offeror shall number each page and provide an index/Table of Contents with each Volume. Graphics, presentations, including tables, shall have spacing and text that is easily readable.

4. Proposal Form and Content

A. The overall proposal shall consist of two separate, written volumes, individually entitled as stated below.

1) Volume I – General/Price

2) Volume II – Technical

B. The volumes of the proposal must conform to the following instructions. Any pages beyond the cited page limitations identified in the following paragraphs will be removed from the proposal, and shall not be considered by the Government. For the purpose of the cited page limitations, “page” is defined as one side of one piece of paper. Additionally, any other information beyond what is requested below, such as brochures or other marketing materials, will be removed from the proposal, and shall not be considered by the Government.

**NOTE – The Government may remove any proposal from further consideration that does not fully comply with all proposal preparation instructions.**

C. Volume I - General, shall include the following items:

i. Cover Letter - Provide a cover letter referencing the solicitation number and signed by an authorized official of the firm. Complete and submit the Contractor Designated POC information in Section II, Para 5.7, titled Contractor Program Manager.

ii. Summary Page or Table of Contents.

iii. Completed Standard Form 1449 - Complete blocks 12, 17 & 30 of the cover page of this

RFP (i.e., Standard Form 1449 “Solicitation/Contract/Order for Commercial Items”).

iv. Acknowledgement of Amendments - Provide an acknowledgement of RFP amendments, if any. The acknowledgement must reference the amendment number(s).

v. A completed copy of 52.204-24, Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment

vi. A completed copy of 52.212-3 “Offeror Representations and Certifications--Commercial

Items.

vii. Completed Non-Disclosure Agreement (NDA) form provided as Attachment 1.

viii. Subcontracting Plan, if required. As part of its initial proposal, each large business offeror shall submit a subcontracting plan as prescribed in FAR 52.219-9. If the Offeror does not normally subcontract for services, a narrative, explaining why services are not available to subcontract to small business, shall be submitted.

ix. Rating of Company. Provide the company’s most recent rating or filing (identify date) from each of the following rating agencies. This must be the rating of the prime contractor. If your company is not rated by any of the agencies listed above, please provide a copy of or a link to your most recent audited financial statement.

A.M. Best Rating:____________________ Date______________________

Moody’s Rating______________________ Date____________________________

Standard & Poor’s Rating___________________ Date_____________________

Fitch Rating_____________________ Date________________________

D. Volume I - Price, shall include the following items:

1 A completed Pricing Model (Attachment 2). This includes pricing for the Base Year and Option Year 1. Pricing for the Option Years 2-4 is not required at this time. However, rate change percentages for the Loss Ratio tables must be completed for Option Years 2-4 (also in the Pricing Model (Attachment 2)).

2. A copy of the Offeror’s current SAM registration.

3. The Tax Identification Number (TIN) and DUNS Number of the Offeror.

4. A confirmation by the Offeror that its proposed prices are inclusive of the services outlined in the Statement of Requirements.

****In pricing the plan, offerors are reminded that CFPB is seeking a plan that will be fully insured and non-participating.

E. Volume II - Technical

1. The Technical Proposal shall be divided into the following sections and is limited to 25 Pages.

a. Plan Design. Offerors shall provide a copy of the Plan Design Chart in Section 3.1 of the Statement of Requirements, and add a column to the Plan Design Chart to demonstrate how they meet the Plan Design Requirements. Offerors shall confirm that they provide all required services and require no deviations from the Plan Design.

Please note: Any deviations to the Plan Design requirements will render the offeror’s proposal technically unacceptable. Offerors must be able to meet all plan design requirements specified in the Statement of Requirements and will not be credited for providing deviations to the specified requirements.

b. Network Coverage.

• Provide a Geographic Access Report, including summary information, based on each of the parameters described below. Label the attachment “Geo Access Report.”

o Please contact both Vanessa.delToro@cfpb.gov and Jerry.Salinas@cfpb.gov to receive the CFPB census data required to produce your Geographic Access Report.

In order to receive the census data for this requirement, the Offeror must submit, as part of its email request to both Vanessa.delToro@cfpb.gov and Jerry.Salinas@cfpb.gov, a signed Non-Disclosure Agreement (NDA) (last page of Attachment 2), signed by an authorized representative of the Offeror.

• Offerors’ Geographic Access Report must be broken down by geographic location based on CFPB employee zip codes (Urban, Suburban, and Rural) and must include:

mailto:Vanessa.delToro@cfpb.gov mailto:Jerry.Salinas@cfpb.gov o the type of provider (Optometrist or Ophthalmologist), o the number of respective providers within the Offeror’s network, o the distance from CFPB employees (in miles), o the number of CFPB employees currently requiring service (by provider type), o the number of CFPB employees within your network’s service area, and o the percentage of employees that the Offeror’s network will reach.

• The Geographic Access Report must clearly demonstrate that the Offeror’s Network Coverage meets the minimums detailed in Evaluation Factor 2 (below).

c. Firm Experience. The Offeror shall submit examples of its experience as a prime contractor providing vision benefit services for at least a year. The vision benefit services must have been provided within the last five years (from the proposal submission deadline). The Offeror must submit the following information to demonstrate the experience requirements above.

Customer name and address.

Contract number.

Total dollar value of the contract. If performed as part of a team, provide the dollar value of your firm’s contribution.

Period of contract performance.

Description of services provided, including the specific services provided by your firm.

B. EVALUATION OF PROPOSALS FOR AWARD

1. The CFPB intends to award a single Fixed Price with Economic Price Adjustment (FP – EPA) contract, to the responsible offeror on the basis of the lowest evaluated price of proposals meeting or exceeding the acceptability standards for non-cost factors, which is known as the Low Price Technically Acceptable (LPTA) methodology. A decision on the technical acceptability of the lowest priced Offeror will be made. If the lowest priced Offeror’s proposal is determined to be technically acceptable, an award will be made to that Offeror and technical evaluations of other Offerors will not be conducted. If the lowest priced Offeror’s proposal is determined to be technically unacceptable, the next lowest priced Offeror’s proposal will be evaluated for technical acceptability, and so on.

2. To be accepted and eligible for technical evaluation, Proposals must be prepared in accordance with this solicitation and must comply with the instructions given in this solicitation document and must meet all the solicitation requirements. Proposals meeting the requirements of this solicitation and complying with other contract provisions will be evaluated and award made to the responsible Offeror whose proposal is deemed technically acceptable and offers the lowest total evaluated price.

3. Proposals will be evaluated based on the following factors:

Factor 1: Financial Rating (Go / No Go Factor) Factor 2: Technical Capability (Plan Design and Network Coverage) Factor 3: Firm Experience Factor 4: Price

Factor 1: Financial Rating) (Go / No Go Factor) – Offerors must meet the following

Minimum Financial Rating(s) for at least one (1) of the Rating Agencies below in order to progress to the technical proposal evaluation stage. In lieu of being rated by one (1) or more of these Rating Agencies, the Offeror must have an annual premium volume of $1 billion or more as documented in the Offeror’s annual report. In lieu of providing evidence of its Minimum Financial Rating(s) (set forth below), the Offeror shall provide its annual report as part of its Proposal, in order to verify the Offeror’s annual premium volume.

Failure to meet the evaluation criteria for Financial Rating will deem the offeror’s proposal Unacceptable and Unresponsive and the Proposal will not be further evaluated.

Minimum Financial Ratings:

A.M. BEST: Rating of B+ Standard and Poor’s: Rating of BBB Fitch: Rating of BBB Moody’s: Rating of Baa2

Factor 2: Technical Capability – The degree to which the Offeror’s technical capabilities demonstrates an understanding of and meets the following technical requirements of this solicitation:

a) Plan Design - CFPB will evaluate the offeror’s plan design. and any plan design deviations

(see Section II, Paragraph 3.1). Offerors shall complete the Plan Design Chart in Section 3.1 of the Statement of Requirements. Offerors shall confirm that they provide all required services and require no deviations from the Plan Design.

Please note: Any deviations to the Plan Design requirements will render the offeror’s proposal technically unacceptable. Offerors must be able to meet all plan design requirements specified in the Statement of Requirements and will not be credited for providing deviations to the specified requirements.

b) Network Coverage.

• Offerors must demonstrate minimum geographic network coverage for the following two (2) types of vision providers: Optometrists and Ophthalmologists.

• Minimum geographic network coverage is defined as follows:

Each Offeror must demonstrate that it can provide the minimum coverage standard for Optometrists to 85% of all CFPB employees, collectively. Each Offeror must demonstrate that it can provide the minimum coverage standard for Ophthalmologists to 65% of all CFPB employees, collectively.

• Minimum coverage standards are as follows:

o Urban Zip Codes:

Optometrists – At least 2 providers within 5 miles.

Ophthalmologists – At least 1 provider within 5 miles.

o Suburban Zip Codes:

Optometrists – At least 2 providers within 10 miles.

Ophthalmologists – At least 1 provider within 15 miles.

o Rural Zip Codes:

Optometrists – At least 2 providers within 20 miles.

Ophthalmologists – At least 1 provider within 25 miles.

• For purposes of this Solicitation:

o “Urban” is defined as a zip code having a population density greater than 3,000 people per square mile.

o “Suburban” is defined as a zip code having a population density of 1,000 – 3,000 people per square mile.

o “Rural” is defined as a zip code population density of less than 1,000 people per square mile.

Factor 3: Firm Experience – The Offeror must have one (1) year of prior experience providing vision benefit services as a prime contractor within the last five (5) years.

The Offeror must submit the following information to demonstrate this minimum experience requirement:

Customer name and address.

Contract number.

Total dollar value of the contract. If performed as part of a team, provide the dollar value of your firm’s contribution.

Period of contract performance.

Description of services provided, including the specific services provided by your firm.

Factor 4: Price

The Government will determine which Offeror proposes the lowest evaluated price for the five (5) year period (base year and four option years), using the following methodology and analysis of information supplied in the pricing tables of the Pricing Model (Attachment 2) of this solicitation.

The proposed biweekly premium rates for the Base Year and Option Year 1 will be multiplied by the enrollment by enrollment tier (individual, individual + one, or family), to develop a biweekly premium. That sub-total for the Base Year will then be multiplied by twenty-six (26) to develop an evaluated price for the Base Year, and the sub-total for Option Year 1 will be multiplied by twenty-six (26) to develop an evaluated price for Option Year 1 (note: twenty-six (26) represents the number of biweekly pay periods in each calendar year). Premiums for Option Years 2-4 will be evaluated using the proposed rate changes by Loss Ratio.

For price evaluation purposes, the Government will select a Loss Ratio based on CFPB’s historical data, and will use it to calculate the evaluated price for Option Periods 2-4. The same Loss Ratio will be utilized by the Government to develop an evaluated price for Option Periods 2, 3, and 4, and will be used for evaluation purposes only.

C. REPRESENTATIONS, CERTIFICATIONS AND OTHER STATEMENTS

OF OFFERORS

Solicitation Provisions

1.0 FAR 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (August 2020)

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it “does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument” in the provision at 52.204-26, Covered Telecommunications Equipment or Services—Representation, or in paragraph (v) of the provision at 52.212-3, Offeror Representations and Certifications-Commercial Items.

(a) Definitions. As used in this provision—

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to—

(i)Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii)Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

https://www.acquisition.gov/content/52204-26-covered-telecommunications-equipment-or-services-representation#id19CAC0P0ESS https://www.acquisition.gov/content/52212-3-offeror-representations-and-certifications-commercial-items#i1060550 https://www.acquisition.gov/content/52204-25-prohibition-contracting-certain-telecommunications-and-video-surveillance-services-or-equipment#id1989I600I4C

(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system.

This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to—

(i)Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii)Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for “covered telecommunications equipment or services”.

(d) Representation. The Offeror represents that—

(1)It □ will, □ will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds “will” in paragraph (d)(1) of this section; and

(2)After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that—

It □ does, □ does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds “does” in paragraph (d)(2) of this section.

(e) Disclosures.

(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded “will” in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i)For covered equipment— https://www.sam.gov/

(A)The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

(B)A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C)Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii)For covered services—

(A)If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B)If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded “does” in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i)For covered equipment—

(A)The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B)A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C)Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii)For covered services—

(A)If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B)If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

2.0 FAR 52.204-26 COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES-

REPRESENTATION (DEC 2019)

(a) Definitions. As used in this provision, “covered telecommunications equipment or services” has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for “covered telecommunications equipment or services”.

(c) Representation. The Offeror represents that it □ does, □ does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.

(End of provision)

3.0 FAR 52.212-3 “OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL ITEMS

(AUG 2020)” applies. The contractor shall complete representations and certifications online at https://www.sam.gov/

The applicable NAICS code is 524114, Direct Health and Medical Insurance Carriers, and the size standard is $41.5 Million.

https://www.acquisition.gov/far/52.204-25#FAR_52_204_25

SECTION IV

CONTRACT CLAUSES

1.0 FAR 52.212-4, Contract Terms and Conditions-Commercial Items (Oct 2018) is incorporated by reference

2.0 Addendum to FAR 52.212-4

2.1 CFPB Local Clauses – Attachment 2

3.0 FAR 52.252-2 Clauses Incorporated by Reference (Feb 1998).

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): https://www.acquisition.gov/.

FAR 52.203-17 Contractor Employee Whistleblower Rights and Requirement to Inform

Employees of Whistleblower Rights (Jun 2020).

FAR 52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber Content Paper (May

2011).

FAR 52.204-13 System for Award Management Maintenance (Oct 2018).

FAR 52.204-24, Prohibition on Contracting with Certain Telecommunications and Video

Surveillance Services or Equipment (Aug 2020) FAR 52.227-14 Rights in Data-General (May 2014) FAR 52.232-39 Unenforceability of Unauthorized Obligations (Jun 2013).

FAR 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Dec

2013).

FAR 52.242-13 Bankruptcy (Jul 1995).

FAR 52.243-1 Changes-Fixed Price (Aug 1987).

FAR 52.246-4 Inspection of Services – Fixed Price (Aug 1996).

4.0 FAR 52.212-5 Contract Terms and Conditions Required to Implement Statutes or

Executive Orders-Commercial Items (Aug 2020).

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are…