ATT 1c_BENEFEDS QASP 10.6.2021.docx

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Attached to
Benefits Enrollment and Premium Administration Services for BENEFEDS Program Federal contract opportunity
Solicitation number
24361821R0002
Issued by
Office of Personnel Management

About this file

This request for proposal solicits proposals for benefits enrollment and premium administration services for the BENEFEDS program. The contractor will provide benefits enrollment and premium administration services as described in the attached performance work statement. The government will award an indefinite delivery/indefinite quantity contract with a maximum of 54 months of performance periods available. Anticipated periods of performance are noted in the solicitation. The solicitation utilizes a two-phase proposal and evaluation process with both pass/fail and confidence ratings to determine the highest rated proposal. Questions regarding the solicitation are due by the date noted, as are past performance questionnaires and phase one submissions. The Office of Personnel Management is the issuing agency.

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Other files attached to Benefits Enrollment and Premium Administration Services for BENEFEDS Program, newest first.
File Type Posted
BENEFEDS QA Amendment 5 3.16.22.pdf PDF
ATT 7_SBPCD Template 3.15.22 clean.docx DOCX document
ATT 2_ Quote Schedule 24361821R0002 03.15.2022.xlsx XLSX spreadsheet
ATT 1_BENEFEDS PWS 3.10.22 Amendment 3.pdf PDF
ATT 2_ Quote Schedule 24361821R0002 03.04.2022.xlsx XLSX spreadsheet
ATT 3_CLAUSES 03.08.2022 Amendment 3.pdf PDF
ATT 5_FORMS -02.25.22 clean.docx DOCX document
ATT 7_SBPCD Template 3.4.22 Amendment 3.pdf PDF
SOLICITATION 32591 BENEFEDS 3.10.22 - Amendment 3.pdf PDF
ATT 1a_BENEFEDS Appendices 3.10.22 Amendment 3.pdf PDF
ATT 7_SBPCD Template 3.4.22 clean.docx DOCX document
BENEFEDS QA Amendment 3_3.10.22.pdf PDF
ATT 5_FORMS -02.25.22 Amendment 3.pdf PDF
ATT 6_PPQ 03.10.22.docx DOCX document
ATT 1_PWS.pdf PDF
ATT 1a_BENEFEDS Appendices 2.3.22.pdf PDF
ATT 1b_RTM final 01.11.2022.xls XLS spreadsheet
ATT 5_FORMS -01.13.2022.docx DOCX document
ATT 7_SBPCD Template 08.25.2021.docx DOCX document
SOLICITATION 32591 BENEFEDS released 2.16.22.pdf PDF
ATT 9_SB SubK Plan Template 1.19.22.docx DOCX document
ATT 3_CLAUSES 02.16.22.pdf PDF
ATT 2_ Quote Schedule 24361821R0002 01.13.21.xlsx XLSX spreadsheet
ATT 4_PROVISIONS 02.03.22.pdf PDF
ATT 6_PPQ.docx DOCX document
ATT 8_BENEFEDS FWA Report Template.xls XLS spreadsheet
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Quality Assurance Surveillance Plan (QASP) Requirements and Template A Quality Assurance Surveillance Plan (QASP) will be used as OPM’s method of implementing FAR 37.6, which requires that performance-based contracts use measurable quality/performance standards (i.e., in terms of quality, timeliness, quantity, etc.) and quality assurance surveillance plans, and specify procedures for deductions of a charge or for deductions to the price of a fixed-price contract when services are not performed or do not meet contract requirements.

For the BENEFEDS solicitation, each Offeror shall propose its QASP as part of the Technical Proposal and shall use this template in preparation. This template provides the minimum performance standards and related incentives / deductions which must be included. Proposing less stringent performance standards or smaller deductions is not acceptable.

Definition of terms used in the QASP Template:

(1) Deliverable: One of the items described in the “Deliverables” section of the PWS.

(2) Performance Standard -The level of performance which the Government considers acceptable. A performance standard in general will:

· Measure important things;

· Be simple, but not too simple;

· Be auditable and capable of validation (quantifiable measures preferred, as they are less subjective);

· Attainable and worth the cost;

· Have a level of detail that corresponds to the stated measure and expectation;

· Be consistently combined with other measures to reflect corporate priorities; and

· Be controlled / controllable by the Contractor.

The following performance standards represent the measures OPM considered appropriate to the performance evaluation of the deliverables and services that OPM expects to be delivered.

· Timeliness of deliverable completion

· Degree of accuracy obtained regarding technical compliance of deliverable

· Level of completeness with respect to deliverable

· Degree of quality attained with respect to deliverable

(3) Acceptable Quality Level (AQL): The range of deviation – if any – in which the Government will consider performance to be acceptable.

(4) Monitoring Method - The method OPM will use to monitor performance and determine the extent to which performance has met the standard. In general, OPM prefers monitoring methods that automatically capture measurements as part of the process and do not place a burden on either the Contractor or OPM to collect and analyze data. Regardless of the method or degree of monitoring, OPM reserves the right to audit all performance data to independently verify its accuracy.

(5) Incentives / Price Deductions

a. For each AQL, The Contractor will specify a price reduction that will take effect if it fails to meet the AQL. OPM has listed a minimum acceptable price reduction, the Contractor may not propose less than that minimum.

b. OPM will not consider monetary incentives for performance which exceeds AQLs. Non-monetary incentives applicable to this requirement may include:

· Positive Performance Evaluation (CPARS)

· Exercise of Option in accordance with FAR Part 17

· Letters of appreciation for individual Contractor employees, or teams of Contractor employees.

QASP Table Format and Minimum Content

Contractor shall fill in all blue fields

#
Deliverable
Performance Standard
AQL
Monitoring Method
Non-Financial Incentive
Price Deduction

Minimum Deduction (6% total) Contractor Proposed Deduction (%)

QASP #1: Start Up Period In the Start-Up Period, the deductions / penalties stated are deducted from the total Start Up Period pricing (CLIN 00001 and assessed against the Start-Up Period Invoice.

1
A fully developed high level project plan is submitted to OPM after the kick-off meeting
High level project plan received and accepted by OPM
Not more than 21 calendar days after kick-off meeting
COR Receipt
Positive CPARS
1%
2
An updated project plan is submitted to OPM, with tasks, timelines, staffing by title/position and dates when key personnel as well as other staff will join the contract, including the percentage of their time dedicated to OPM is submitted and updated on a regular basis.
Detailed project plan received and accepted by OPM
Weekly update (every seven days) after initial meeting
COR Receipt
Positive CPARS
1%
3
Contractor timely submits all necessary clearance (background investigation) applications and documentation for all staff requiring clearance
Initial clearance application packages to be submitted within 5 business days following award, additional staffing packages must be submitted at least 90 days prior to their need to perform services
Submitted by deadline
Positive CPARS
1%
4
Progress reviews of all implementation/ transition tasks provided
Progress reviews received timely
Every 14 calendar days
Positive CPARS
1%
5
Timeliness of deliverables including:

· documentation as defined in the management plan

· adherence to project plan

· meeting all timeframes committed

Deliverables completed timely
95%
Positive CPARS
0.6%
6.1
Submission of all documentation required for ATO
Positive CPARS
0.4%
6.2
Obtain ATO
On/before Dec 31, 2022
100%
Confirmation with ATO issuing authority
Positive CPARS
1%

Other Start Up Period Performance Standards Proposed by Contractor (list below)

#
Deliverable
Performance Standard
AQL
Monitoring Method
Non-Financial Incentive
Price Deduction

Minimum Deduction (4.05% of fees, total) Contractor Proposed Deduction (%)

QASP #2: Base and Option Periods of Performance

1
Customer Service
Must total a minimum of 0.6%
1.1. Calls Answered
· Within 30 seconds (Q1-3, excludes open season)

Within 90 seconds (Q4, excludes last day of open season)

95%
Call Center Reports
Positive CPARS
1.2. Timely response to email inquiries (excludes auto-replies)
· Within 3 business days (Q1-3)

Within 5 business days (Q4) 99%

Positive CPARS

1.3. Accurate projections for calls received each quarter, not exceeding 110% for the quarter[footnoteRef:1] [1: The BENEFEDS Contractor provides OPM with proposed quarterly call and email projections no later than 1 ½ months before the beginning of the quarter for which the proposed projections apply (i.e. Q2 2023 projections are provided by February 15th). OPM and the BENEFEDS Contractor shall work together to finalize these projections, including obtaining OPM’s approval, no later than the end of the first week of the month prior to the quarter for which the proposed projections apply.

2 If call and email volumes exceed or fall short by 10% of that stated in the approved plan projections, the award of all part of the period is subject to OPM’s assessment of BENEFEDS response to the actual volume received.

Call/email projection vs. actual quarterly report
Projections not to exceed 110% or be less than 90% each quarter
Weekly Activity Reports
Positive CPARS

1.4. Prompt, accurate and appropriate correspondence is generated and sent to enrollees, including but not limited to

· open season information

· changes to enrollment (child aging out, etc.)

changes to premium or allotment amounts

98%
Sampling of correspondence
Positive CPARS
1.5. Customer Satisfaction
Customers are Satisfied/Very Satisfied
95%
Contractor Surveys
Positive CPARS

1.6. Problem Resolution

98%

Positive CPARS

2
System Architecture
Must total a minimum of 1.125%

2.1. Systems that support carriers, customer service reps, and telephonic enrollments are available during stated hours

100%
Contractor Reports
Positive CPARS

2.2. BENEFEDS.com (including carrier views) is available 24/7

99% uptime
Website Reports
Positive CPARS
2.3. System dynamically scales to successfully support significant capacity surges during open season with no deviation in response time and without failure
2 million concurrent users;

5 page load limit (Q4)

Contractor report on performance
Positive CPARS
2.4. System provides for continuous availability of critical functions and data
24 hours for critical functions

99% of data available within 24 hours

Contractor report on performance
Positive CPARS
2.5. Usability improvements are developed and prioritized based on feedback from customer surveys, OPM feedback, analysis of web enrollment patterns as well as customer service questions, and enrollment/premium administration errors
Enrollees rate overall satisfaction and usability very satisfied or satisfied
98%
Contractor survey of enrollees
Positive CPARS
3
Premium Administration
Must total a minimum of 1.125%
3.1. Payroll bill files sent accurately and timely
Files sent by payroll provider-specific cutoff date
99%
BENEFEDS Report
Positive CPARS
3.2. Payroll payments posted timely
Payments posted within 2 business days of receipt
99%
BENEFEDS Report
Positive CPARS

3.3. Contractor / Carrier Manual reviewed, revised and distributed at least once per year

· FEDVIP

· FSAFEDS

· FLTCIP

At least once per year each
100%
COR receipt of Updated Contractor/ Carrier manual
Positive CPARS
3.4. Post Tax Refunds processed timely
Approved refunds mailed within 15 business days
99%
BENEFEDS Report
Positive CPARS
3.5. Pre-Tax Refunds submitted timely to payroll providers and monitored through disbursement to enrollee
Processed within 3 business days
99%
BENEFEDS Report
Positive CPARS

3.6. FSAFEDS Account Funds Transfers (AFTs) processed timely in the BENEFEDS system

99%
BENEFEDS Report
Positive CPARS

3.7. Enrollees with no premium payment/no allotment are resolved within two pay cycles

· FSAFEDS participants

· FEDVIP enrollees

· FLTCIP enrollees

Resolved within 2 pay cycles
99.5%
BENEFEDS Report
Positive CPARS
4
Financial Management
Must total a minimum of 0.60%
4.1. Funds on hand transmitted accurately and timely to FEDVIP carriers and OPM when required
Exact match
100%
FEDVIP carrier complaint, and/or OPM COR monitoring
Positive CPARS
4.2. Contractor accounting, bank statements and reports to carriers regarding funds match
Exact match
100%
FEDVIP Carrier complaint, and/or OPM COR monitoring
Positive CPARS
4.3. Use of appropriate bank(s) for handling BENEFEDS related funds
As stated in PWS
100%
Annual Financial statements
Positive CPARS
5
Stakeholder and Carrier Relationship Management
Must total a minimum of 0.225%
5.1. Timely response to FEDVIP carrier and FSAFEDS and FLTCIP administrator emails
· Within 3 business days (Q1-3)

· Within 5 business days (Q4)

99%
BENEFEDS Report
Positive CPARS

5.2. Accurate daily enrollment files processed and sent within 2 business days.

Outliers not included in this measurement are full files, such as end of open season file and regular full file reconciliations.

Accurate, and sent within 2 business days
95%
BENEFEDS Report
Positive CPARS
5.3. Update files sent accurately and timely
Accurate, and within 2 business days
95%
BENEFEDS Report
Positive CPARS
5.4. Quarterly enrollment reconciliation completed timely
· Initial analysis completed within 7 business days upon receipt of a complete master enrollment file from FSAFEDS carrier.

· Discrepancies resolved within 10 business days upon receipt of analysis verification from FSAFEDS carrier.

95%
BENEFEDS Report
Positive CPARS
5.5. Enrollment full file reconciliations are performed and completed for each carrier timely
· FEDVIP = monthly or quarterly, per carrier preference

· FSAFEDS = monthly

· FLTCIP = quarterly

98%
Carrier and/or enrollee complaint
Positive CPARS
5.6. Response provided to the carrier regarding full file discrepancies
· within 10 business days of receipt of discrepancies from carrier.
98%
Carrier and/or enrollee complaint
Positive CPARS
6
Responsiveness to OPM: OPM will evaluate Contractor responsiveness through measures listed below
Must total a minimum of 0.375%

A. Incident Reporting

6.A.1. Contractor reports to the Contracting Officer and Program Office (by phone or email) those incidents/potential incidents that Contractor believes could have significant adverse impact to FEDVIP customer service, enrollee satisfaction, or OPM constituencies.
within two hours of Contractor becoming aware, including weekends
98%
OPM receipt
Positive CPARS
6.A.2. Contractor provides the Contracting Officer and Program Office with a preliminary incident report
Within 24 hours
98%
OPM receipt
Positive CPARS
6.A.3. Contractor monitors and tracks the incident and provides the Contracting Officer and Program Office with updates, new information. and corrective plan of action
At least weekly until final resolution
98%
OPM receipt
Positive CPARS
6.A.4. OPM contractors must report any breach or potential breach to the OPM Situation Room and the Contracting Officer. All breaches should be reported, even if it is believed the breach is limited, small, or insignificant.
within 30 minutes of becoming aware of the risk – regardless of the time or day of the week.
98%
OPM receipt
Positive CPARS

B. Incident Correction Plan

6.B.1. Detailed plans for correction of deficiencies provided
within 7 business days following OPM notification of deficiencies
100%
OPM receipt
Positive CPARS

C. General Working Relationship

6.C.1. As a measure of the general working relationship, OPM will consider the volume and validity of complaints received by OPM.

The volume of valid complaints received by OPM are (please define a number per specified period of performance)

98%
Complaint monitoring
Positive CPARS
6.C.2. The Contractor submits timely, accurate and complete Ad-Hoc reporting as requested
Ad Hoc Reports are received within the agreed upon timeframes and require no corrections.
98%
OPM Review
Positive CPARS
6.C.3. Responsiveness to OPM offices, carriers, enrollees, applicants, OMB, Federal agencies and Congress, etc.,
Contractor responds to inquiries from these parties within the agreed upon timeframes
98%
Stakeholder feedback / complaints
Positive CPARS

D. Innovation

6.D.1. Successful implementation and use of innovations, especially Contractor-initiated, that enhance the accuracy, timeliness, use, or usability of BENEFEDS for enrollees, carriers and OPM

98%

Positive CPARS

Other Base and Option Period Performance Standards Proposed by Contractor (list below)

File details come from the government source that posted it. Updated .