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 document is Attachment A Requirements Matrix Final, which is part of Nebraska Department of Administrative Services' RFP for Consulting and Actuarial Services. The matrix contains 24 response requirements focusing on the bidder's capabilities in providing strategic consulting services for state benefit programs, including health plan consulting for over 20,000 participants, pharmacy benefit management, wellness program consulting, collective bargaining assistance, and actuarial services. The requirements matrix solicits detailed responses about the bidder's processes, tools, and experience in areas such as data analytics, premium equivalent calculations, IBNR calculations, and Value on Investment (VOI) reporting.
The matrix specifically requests examples and samples of various reports including premium equivalents reports, CFR reports, IBNR reports, VOI reports, monthly budget reports, and the State of Nebraska Health Insurance Plan Annual Report. Additionally, bidders must describe their capabilities regarding ACA compliance, regulatory updates, implementation processes, and training offerings. The document serves as a comprehensive evaluation tool for assessing bidders' qualifications and understanding of the state's requirements for managing its employee benefits programs, which currently covers approximately 27,580 lives across five self-insured health plans with an annual health fund investment exceeding $167.2 million.
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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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