Attachment 7 - Technical Capability Questionnire.pdf
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- Attached to
- OCC Group Life Insurance (OGLI) Services (RFP)
- Solicitation number
- 2031JW26R00001
About this file
This document is a Technical Capability Questionnaire for a group life insurance contract for the Office of the Comptroller of the Currency (OCC). The 15-question form seeks detailed information from potential insurance providers about their capabilities to administer a group life insurance program, including claims processing, underwriting, enrollment procedures, and administrative requirements. Key areas of inquiry include claims settlement systems, quality assurance programs, fraud detection, Evidence of Insurability (EOI) processes, conversion policies, and specific administrative details like remittance frequency, rate-setting methodologies, and contract termination procedures.
The questionnaire specifically requests vendors to address unique aspects of the OCC Life Program, such as domestic partner coverage, and seeks commitment to firm fixed rates for Basic Life and Optional coverage over a five-year period. Potential providers must explain their approach to handling claim disputes, accounting deficits, and provide transparency around their claims processing performance, including average timeframes for claim payments and their appeals process. The document is part of a Request for Proposal (RFP) with the reference number 2031JW6R0001, indicating the OCC is seeking a comprehensive and detailed response from insurance providers to evaluate their technical capabilities.
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Text version
ATTACHMENT 7
Technical Capability Questionnaire
RFP #2031JW6R0001
1) Confirm your ability to provide all underwriting and administrative requirements in the
Statement of Work. Please thoroughly explain any areas where your company cannot meet a requirement or where your agreement is conditional.
2) Describe your company’s ability to administer the plan effectively based on your relevant experience handling similar type and size plans; the quality of your office, marketing, and claims personnel; and your locations and facilities.
3) Describe your company’s group life insurance claims settlement system in detail. Please include information on the average timeframe to complete a claim payment.
4) Describe in detail your current quality assurance program for death claim processing and payments including performance and turnaround time standards.
5) How are claim disputes handled? Please describe your appeals process.
6) How do you detect and investigate fraud?
7) Describe how your company proposes to manage installation of the Office of the
Comptroller of the Currency (OCC) Group Life Program, including enrollment procedures.
8) What is an acceptable remittance frequency for you? The OCC currently remits bi-weekly for active employees and monthly for retirees.
9) How is a deficit handled during an accounting period? Is it amortized over extended periods? If so, do you charge interest on the carryovers? How much?
10) Are you willing to provide firm fixed rates for Basic Life and Optional coverage for five years?
11) Please provide a detailed description of the methodology for setting renewal rates and indicate when such rates will be provided to OCC.
12) Describe the procedures that your company would follow in the event of termination of the contract. When will the final accounting be available? How soon after this date will your company refund any surpluses in the Premium Stabilization Rate (PSR) to the OCC or to the subsequent Insurance provider, if applicable.
13) Please identify the state that this contract will be taking SITUS. Please take into account some of the unusual features of the OCC Life Program, e.g. domestic partner coverage.
ATTACHMENT 7
Technical Capability Questionnaire
RFQ #2031JW26R00001
14) Describe your medical Evidence of Insurability (EOI) approval process. Does your company have the ability to allow employees to submit EOI information online? How will OCC be informed of application status?
15) Describe the cost to the OCC for conversion policies and how it is assessed. Provide a current premium chart for conversion policy. Is portability available as an option to conversion? If so, what qualifies a former employee for portability and is there a charge to OCC if a former employee elects this option?
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