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Attachment A Pricing Page
| Attachment A: Pricing Page |
| Section Actuarial Services |
| Section Managed Care Oversight |
| Section Financial Serivces |
| Section Ad Hoc and Optional Services |
| Vendor should complete highlighted cells; formulas built into cells will calculate total costs. |
| Section A: Mandatory Services |
Actuarial Services will be billed on an hourly basis for services as they are needed. Vendors should provide the hourly rate for the below staffing levels and calculate the total cost for each line item.
| Actuarial Services* | | Base Year | | Optional Renewal Year 1 | | Optional Renewal Year 2 | | Optional Renewal Year 3 | | Optional Renewal Year 4 | | Optional Renewal Year 5 | |
| Staff by Level | # of Hours (total) | Cost Per Hour | Total Cost | Cost Per Hour | Total Cost | Cost Per Hour | Total Cost | Cost Per Hour | Total Cost | Cost Per Hour | Total Cost | Cost Per Hour | Total Cost |
| Lead Actuaries | 5,000 | | | | | | | | | | | | |
| Staff Actuaries | 20,000 | | | | | | | | | | | | |
| Technical Support Staff (non-actuary) | 5,000 | | | | | | | | | | | | |
| Clerical Support Staff | 5,000 | | | | | | | | | | | | |
| *hours listed are for bid review purposes only. Vendor is responsible for all travel costs. |
| Managed Care Program Oversight will be billed on a fixed annual amount divided into 12 equal monthly installments and is all-inclusive of all services outlined within that section of the RFP. |
| Vendor should provide the annual cost in the highlighted box below for Managed Care Program Oversight. |
| Managed Care Program Oversight Services | Base Year | Optional Renewal Year 1 | Optional Renewal Year 2 | Optional Renewal Year 3 | Optional Renewal Year 4 | Optional Renewal Year 5 |
| Total Cost (Annual) | | | | | | |
| Financial Services will be billed on a fixed annual amount divided into 12 equal monthly installments and is all-inclusive of all services outlined within that section of the RFP. |
| Vendor should provide the annual cost in the highlighted box below for Financial Services. |
| Financial Services | Base Year | Optional Renewal Year 1 | Optional Renewal Year 2 | Optional Renewal Year 3 | Optional Renewal Year 4 | Optional Renewal Year 5 |
| Total Cost (Annual) | | | | | | |
| Ad hoc services may be rendered for various services. Vendor should calculate the total cost by multiplying the number of hours by the cost per hour. |
| Vendor shall provide an estimated rate that would cover any of the potential services outlined within the Ad Hoc section of the RFQ. |
| Ad hoc projects requiring actuarial support will utilize the fixed hourly rates established in Section A. |
| Section B: Ad Hoc and Optional Services: | | Base Year | | Optional Renewal Year 1 | | Optional Renewal Year 2 | | Optional Renewal Year 3 | | Optional Renewal Year 4 | | Optional Renewal Year 5 | |
| Staff | # of Hours Per Year | Cost Per Hour | Total Cost | Cost Per Hour | Total Cost | Cost Per Hour | Total Cost | Cost Per Hour | Total Cost | Cost Per Hour | Total Cost | Cost Per Hour | Total Cost |
| Managed Care Oversight Ad Hoc Services | 5,000 | | | | | | | | | | | | |
| Actuarial Services | 5,000 | | | | | | | | | | | | |
| Rate Setting Services (Optional) | 5,000 | | | | | | | | | | | | |
Base Year Total Optional Renewal Year 1 Total Optional Renewal Year 2 Total Optional Renewal Year 3 Total Optional Renewal Year 4 Total Optional Renewal Year 5 Total
Total Project Cost (Sum of Actuarial Services Cost, Managed Care Oversight Cost, Financial Services and Ad Hoc Cost):
| Notes: |
| 1.) Total Project Cost will be used for purposes of bid evaluation. |
| 2.) Contract services will be paid monthly in arrears. |
| 3.) Payment for Ad Hoc Services will be based on an approved Statement of Work . |
| 4.) All amounts bid shall include all general and administrative expenses, including travel, training andsupplies necessary to provide the services required in this solicitation. |
| 5.) Total Project Cost shall be calculated as Total Cost of Mandatory Services (Section A) + Total Cost of Ad Hoc and Optional Services (Section B) |
| 6.) Hours in Ad Hoc section are for bid purposes only and are not to be considered an annual project cap. |
| ____________________________________________________________________________ |
| (Company) |
| ____________________________________________________________________________ |
| (Representative, Name, Title) |
| ____________________________________________________________________________ |
| (Contact Phone/Fax Number) |
| ____________________________________________________________________________ |
| (Date) |