ATT 8_BENEFEDS FWA Report Template.xls
XLS spreadsheet 46 KB Posted
- 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 document contains a solicitation for Benefits Enrollment and Premium Administration Services for the BENEFEDS program. The Office of Personnel Management seeks proposals for a contractor to provide benefits enrollment and premium administration services as described in the attached Performance Work Statement. The contract will be an Indefinite Delivery/Indefinite Quantity contract with a maximum performance period of 54 months. The anticipated period of performance is included in the solicitation. Offerors must submit questions by the deadline and past performance questionnaires will be required. Proposals will be evaluated using a two-phase process assessing pass/fail criteria and confidence ratings. The phase one submission deadline is included. The solicitation also notes that agency IT clauses will be updated and amended to the solicitation prior to the closing date.
View the file
Other files for this federal contract opportunity
Show all 26
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Recovery and Savings Data
| OPM | |||||
| Fraud and Abuse Recovery and Savings Data | |||||
| Year: | |||||
| Plan Name: | |||||
| Contact Person: | |||||
| Contact's Title: | |||||
| Contact's Telephone Number: | |||||
| E-Mail Address: | |||||
| Submission Date(mm/dd/yyyy): | |||||
| Total BENEFEDS | Program | Member | Other | ||
| Please place responses in shaded areas only | |||||
| Cases Opened | 0 | Only include cases opened or investigations initiated within the calendar year. | |||
| Dollars Identified as Loss | 0 | a. This segment will capture financial losses and identify the operational source of the loss as to whether the volumes were driven by the inbound (premium acceptance) or outbound (i.e. premium refunds, funds disbursement, etc.) disbursement functions. Evidence exists to support this figure; it is not an estimate. b. All estimated financial losses not included in "a" above, limited to no more than the most recent three-year period in which the fraud was determined to have occurred. Future losses are not to be included. | |||
| Dollars Recovered | 0 | This reporting segment would capture recovery of financial losses identified above across the BENEFEDS operational line of business. This figure should not be estimated or reported prior to actual receipt. | |||
| Cases Referred to Local, State, or Federal Law Enforcement Agencies | 0 | Include the number of cases referred and list the law enforcement agencies where you referred cases during the calendar year. | |||
| Cases Referred to OPM’s OIG | |||||
| Cases Resolved Administratively | 0 | Not Required | Not Required | Not Required | Provide the number of cases resolved through negotiated settlements or other administrative means. |
| Number of Arrests | Provide the number of arrests resulting from cases. | ||||
| Number of Criminal Convictions | Provide the number of criminal convictions resulting from cases. | ||||
| In what area have you found the most fraudulent behavior during the reporting period? | |||||
| * Please maintain supporting documentation for the performance statistics identified above. | |||||
| Legend | |||||
| User Entry(Number or Count) | |||||
| User Entry(Date) | |||||
| User Entry(Dollars) | |||||
| User Entry(Text) | |||||
| Automatically Calculated Field | |||||
| Fraud and Abuse Checklist for Industry Standards | |||||
| Please enter Y or N | |||||
| (Fill in entire first column; second if applicable, else leave blank) | |||||
| In-house | Subcontractor | ||||
| Anti-Fraud Policy Statement | Publish a policy statement providing your corporate strategy to address fraud and abuse and make it available to employees, enrollees, and subcontractors. | ||||
| Written Plan and Procedures | Establish written policies and procedures to be followed by all personnel for the deterrence and detection of fraud. | ||||
| Formal Training | Conduct fraud awareness training for all employees and customer facing subcontractors. Training should consist of an overview of specific fraud and abuse reporting requirements and procedures to enable personnel to identify and handle potential fraud | ||||
| Fraud Hotlines | Establish hotlines for reporting allegations of fraud, both internally and externally. Hotlines should be available to providers, enrollees, employees and others. Compliance programs should prohibit retaliation against whistleblowers. | ||||
| Education | Inform enrollees about fraudulent and abuse practices via email, website and other means. | ||||
| Security | Put safeguards in place to protect member information from unauthorized use or access. | ||||
| Legend | |||||
| Contractor Name | Text Field | ||||
| Yes | Red Text - Inappropriate entry (Y or N only) | ||||
| No | Red Text - Inappropriate entry (Y or N only) | ||||
| Notes | |||||
| Note1 | |||||
| Note2 | |||||
| Note3 | |||||
| Note4 | |||||
| Note5 | |||||
| Note6 | |||||
| Note7 | |||||
| Note8 | |||||
| Note9 | |||||
| Note10 |
File details come from the government source that posted it. Updated .