Apdx 2.FinProp FA6 (Medical Vision Plans) 2025.8.9 (AMEND 11) 2025.11.24.xlsx

This is a financial proposal document for a vision insurance plan managed by the Maryland Transit Administration (MTA) under Solicitation No. AGY-24-026-SR-A, Amendment #11. The solicitation requests proposals for self-funded vision coverage under Functional Area 6 (FA6), with specifications outlined across multiple financial appendices including administrative services only (ASO) rates, claims repricing analysis, provider matching, and financial compliance checklists. The contract term consists of a five-year base period (Contract Years 1-5) followed by two three-year renewal options, totaling eleven years of coverage. The current vision plan enrollment is uniformly assumed at 3,830 enrollees for evaluation purposes, though vendors must guarantee quoted fees regardless of actual enrollment. Offerors must submit responses in electronic Excel format with detailed supporting documentation including repriced claims files, provider network matches, and comprehensive cost justifications.

All administration fees must be quoted on a fully-loaded, per-employee-per-month (PEPM) basis as firm, fixed costs, with vendors responsible for run-out claims administration. Offerors are required to hold administration fees flat for the first three years of the contract, with annual increases after year three not to exceed 4 percent. The financial proposal must include guaranteed provider aggregate discount percentages with associated administrative fees at risk, and offerors must demonstrate compliance with specific requirements through the Financial Compliance Checklist (FA6 FP Attachment 2.2). Key requirements include implementation credits for successful program launch, annual claims projections and fee validations beginning September 1 of each year, and detailed explanations for any deviations from stated requirements. The repriced claims file provided shows historical vision plan claims data with details on providers, claim amounts, and network status indicators as of November 1, 2025, which offerors must utilize in developing their cost proposals and validating discount arrangements.