Attachment A Requirements Matrix Final.docx
DOCX document 21 KB Posted
- Attached to
- Consulting and Actuarial Services
- Solicitation number
- 120005 O5
- Issued by
- Lancaster County, Nebraska
About this file
This is a Requirements Matrix document (Attachment A) that outlines required responses from bidders for what appears to be a State of Nebraska employee benefits consulting contract. The document contains 24 detailed requirements that bidders must address, focusing on strategic consulting services for state benefit programs, including health insurance, pharmacy benefits, and wellness programs for a workforce of over 20,000 participants.
The matrix requires bidders to demonstrate their capabilities in several key areas: actuarial services, data analytics for medical and pharmacy claims, premium equivalent calculations, IBNR calculations, Value on Investment (VOI) reporting for wellness programs, budget reporting, RFP assistance, ACA compliance, regulatory updates, and implementation services. Bidders must provide specific examples of reports including premium equivalents, CFR analysis, IBNR calculations, VOI reporting, monthly budget reports, and annual health insurance plan reports. The document emphasizes experience with state government operations and collective bargaining environments.
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Text version
Attachment A Bidder Requirements Matrix
| 1. |
| Describe bidder’s understanding of the business requirements in Section V.C. |
Response:
| 2. |
| Describe bidder’s understanding of the project requirements in Section V.D. |
Response:
| 3. |
| Describe the bidder’s approach to providing strategic consulting services to the State on all of the benefit programs. Include a summarized listing of services included with the proposal. |
Response:
| 4. |
| Describe bidder’s process to consult on a self-insured health plan with over 20,000 participants. |
Response:
| 5. |
| Describe bidder’s process to assist the State in managing a pharmacy benefit program. |
Response:
| 6. |
| Describe bidder’s process to consult on a wellness program comparable in size to the State’s wellness program. |
Response:
| 7. |
| Describe the bidder’s process to work with collective bargaining to assist a State government, or large employer similar to the State of Nebraska. |
Response:
| 8. |
| Describe the data analytic tools used to analyze medical and pharmacy claims data. Indicate if the State will have access to any of the data analytic tools. |
Response:
| 9. |
| Describe the resources utilized to stay informed of best practices in employee benefits in State Government and other employers similar in size. |
Response:
| 10. |
| Describe bidder’s process to perform actuarial services for States or companies of similar size. |
Response:
| 11. |
| Provide an example of a premium equivalents report for a self-insured health plan with multiple plans. |
Response:
| 12. |
| Explain the approach to analyzing and recommending a CFR level. Provide an example of a CFR report the State would receive. |
Response:
| 13. |
| Explain the approach to calculating IBNR. Provide an example of IBNR report the State would receive. |
Response:
| 14. |
| Describe bidder’s process to calculate VOI on a wellness program. Provide an example of a VOI report. |
Response:
| 15. |
| Provide an example of the monthly budget report for self-insured health plan. |
Response:
| 16. |
| Explain the preparation of a report similar to the State of Nebraska Health Insurance Plan Annual Report. |
Response:
| 17. |
| Provide a sample of a report similar to the State of Nebraska Health Insurance Plan Annual Report. |
Response:
| 18. |
| Provide a list of other reports that are offered including health plan analytic reports. Include examples of the reports. |
Response:
| 19. |
| Describe bidder’s process to assist customers similar to the State with RFP. |
Response:
| 20. |
| Explain how the bidder educates customers of updates and changes to ACA regulations. Indicate resources available specific to ACA. |
Response:
| 21. |
| Describe how the bidder stays updated with Federal and State regulations which affect employee benefit programs. |
Response:
| 22. |
| Describe tools and resources available to help stay compliant with all federal and state regulatory requirements. |
Response:
| 23. |
| Provide two (2) examples of recent training offered to customers. |
Response:
| 24. |
| Describe bidder’s ability to perform implementation per Section V. F. |
Response:
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