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
The document is an Attachment A Requirements Matrix for a Consulting and Actuarial Services Request for Proposal (RFP) issued by the State of Nebraska Department of Administrative Services (DAS) State Purchasing Bureau, RFP Number 120005 O5. The procurement seeks a vendor to provide comprehensive consulting and actuarial services for five self-insured health plans covering approximately 13,300 eligible public servants and their dependents. Electronic responses were due January 6, 2025, at 2:00 PM Central Time, with a contract award expected February 20, 2025, and services to commence March 1, 2025. The initial contract term is two years with three optional one-year renewal periods, during which pricing must remain fixed for the first two years, with subsequent increases limited to 4% per period.
The evaluation criteria include Corporate Overview (25 points), Technical Approach (55 points), and Cost Proposal (20 points), with a potential additional 20 points for an optional oral interview. Current incumbent vendors include United Healthcare (health and pharmacy benefits), Hartford (life insurance), ASI Flex (flexible spending), Deer Oaks (EAP services), and Gallagher Benefit Services (VEBA administration). The state's annual health fund investment exceeds $167.2 million, covering approximately 27,580 total lives. Vendors must maintain specific insurance coverage, including $2 million general liability aggregate, $5 million umbrella/excess liability, and $5 million cyber liability. The state requires comprehensive data analytics tools and strategic consulting services, and a mandatory Business Associate Agreement (BAA) is necessary to ensure HIPAA compliance for handling Protected Health Information (PHI).
View the file
Other files
Show all 49
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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:
File details come from the government source that posted it. Updated .