Attachment N - Deviations Exceptions -- 10.06.25.docx

Attachment N is a deviations and exceptions form for the State of South Dakota Bureau of Human Resources and Administration's RFP #25RFP17863 for Medical Network and Pharmacy Administration Services. The form requires offerors to clearly identify all areas where their proposals differ from the requested services, contract language, or insurance requirements, with particular emphasis on plan benefit features that cannot be administered under the current plan design. The RFP seeks an Administrative Services Organization (ASO) to provide claims administration, enrollment services, provider network management, medical management, and pharmacy benefit management services for approximately 12,435 active state employees across four medical plans and one pharmacy plan. The contract period runs five years from July 1, 2026, through June 30, 2031, with two optional five-year renewals. Proposals are due December 15, 2025, at 5:00 p.m. CDT, with a Letter of Intent and Offeror Privacy and Security Agreement required by November 7, 2025. Final vendor selection is anticipated by January 16, 2026, with implementation to be completed 60 days prior to the FY27 Annual Enrollment period beginning April 15, 2026.

The form explicitly instructs offerors not to reference their standard proposals or assume standard contractual provisions will apply without delineating specific differences, as the State requires thorough understanding of any proposed deviations. CVS Caremark currently administers pharmacy services, though the RFP does not confirm incumbent status for comprehensive services. The State is self-insured for all medical plans without stop-loss coverage, meaning the selected contractor bears no specific or aggregate stop-loss risk. Evaluation will be conducted on a 100-point technical scoring basis, with no specific set-asides for disadvantaged enterprises mentioned. The successful vendor must integrate with the State's existing technology infrastructure, including compliance with BIT Technology Standards and State OAuth 2.0 requirements. No contract award value or budget range is explicitly stated in available procurement documents.