Atch1_CFP-15-Q-00050.doc

RFQ CFP-15-Q-00050

Vision Insurance Services

CONSUMER FINANCIAL PROTECTION BUREAU

WASHINGTON, D.C. 20552

Date:

June 18, 2015

TO:

Interested Offerors

SUBJECT:

Request for Quote; RFQ # CFP-15-Q-00050 Vision Insurance Services Dear Contractor:

The purpose of this Request for Quotation (RFQ) CFP-15-Q-00050 is to acquire a Vision carrier to provide vision insurance benefits to CFPB employees, as outlined in the Performance Work Statement (PWS) provided herein. The resulting contract will be Fixed Priced with Economic Price Adjustment (FP-EPA) with a base and four one-year option periods not to exceed (5) years, if all options are exercised.

The CFPB hereby issues a combined synopsis/solicitation for commercial items issued on

FedBizOpps using the policies contained in FAR Part 12 – Acquisition of Commercial Items and FAR Part 13.5 Test Program for Certain Commercial Items, to obtain contractor services in support of this requirement. CFPB intends to award a single contract as a result of this solicitation.

This solicitation is not issued as a small business set-aside.

The Technical and Price Quote must be received by July 17, 2015, 2PM EST and shall be emailed to Denise Henderson, Senior Contract Specialist, denise.henderson@cfpb.gov.

Questions concerning this solicitation must be received by June 25, 2015, and e-mailed to Denise Henderson at denise.henderson@cfpb.gov. All responses to questions will be answered through the fedbizopps website in the form of an amendment to the solicitation.

INFORMATION ABOUT THE SOLICITATION AND EVALUATION PROCESS

1. Offerors must submit the following as part of the Technical Quote:

a. Submit a technical quote in accordance with Section I, Performance Work Statement and Section II, Proposal Instructions.

2. Submit a Price Quote in accordance with the Performance Work Statement and Pricing Model in Section II of this solicitation. Firm Fixed Pricing is requested for the Base Year and Option Year 1. Loss Ratio Rate Change percentages are requested for Option Years 2-4.

3. The following information must be submitted as part of Volume 1: General Information, of the proposal (See Section II for additional details):

a. Financial Rating of the Prime Contractor submitting the bid.

b. Company’s DUNs number and Taxpayer ID Number.

c. Provide Contractor POC information in Section I, Para 5.7, Contractor Program Manager.

d. Provide signed copies of Attachment 1: Non-Disclosure Agreement

e. Provide an electronic copy of completed Representations and Certifications, as described in Section II, Offeror Representations and Certifications.

f. Offerors who are Other than Small Businesses shall submit a Small Business Subcontracting Plan, in accordance with FAR 52.219-9.

g. Complete Blocks 12, 17 and 30 of the attached cover page (SF1449) of the solicitation.

4. The evaluation is anticipated to result in an award on or before September 30, 2015.

5. This acquisition will be made using the Low Price Technically Acceptable (LPTA) evaluation procedure. The Government will award a contract resulting from this solicitation to the responsible offeror whose Quote conforming to the RFQ offers the lowest evaluated fair and reasonable price of proposals meeting or exceeding the acceptability standards for non-cost factors. The evaluation factors for this solicitation are Technical Capability, Firm Experience and Price. See Section II for specific details.

6. The incumbent is Vision Service Provider (VSP).

7. If you have any questions, please email them to the Contract Specialist, Denise Henderson, denise.henderson@cfpb.gov.

Sincerely, /Signed/

Jeremy Jenkins

Contracting Officer

REQUEST FOR QUOTES (RFQ) CFP-15-Q-00031

PERFORMANCE WORK STATEMENT

Section I

1.0 Scope

2.0 Background

3.0 Requirements

4.0 Deliverables

5.0 Special Provisions

SOLICITATION PROVISIONS

Section II

· Proposal Instructions to Offerors

· Evaluation Criteria

· Offeror Representations and Certifications

· Pricing Model

CONTRACT CLAUSES

Section III

· 52.212-4, Contract Terms and Conditions – Commercial Items

· 52.212-5 Contract Terms and Conditions Required to Implement Statutes and Executive Orders

· 52.217-8 Option to Extend Services

· 52.217-9 Option to Extend the Term of the Contract

· Additional Contract Terms and Conditions

ATTACHMENTS

Attachment 1

Non-Disclosure Agreement (Contractor)

Attachment 2 Solicitation Questionnaire

Attachment 3

Claims Report

SECTION I- PERFORMANCE WORK STATEMENT

VISION INSURANCE SERVICES PROGRAM

1.0 SCOPE

The Human Capital Division of Consumer Financial Protection Bureau (CFPB) requires a Vision carrier to provide a Vision Insurance program for its active employees effective January 1, 2016. The vision insurance plan shall be fully insured and non-participating.

Eligibility-The eligibility requirement is defined as a regular employee (full-time or part-time) or temporary employee with an appointment greater than one year; and actively at work at least 60 hours biweekly. Eligible dependents include lawful spouses, domestic partners and children up to age 22 or up to age 25 if a full-time student. Retirees are not eligible for the plan and will remain ineligible, despite being covered under FEHB.

Enrollment and Effective Dates- Initial enrollees will be effective January 1, 2016. New hires will be effective on the date employees meet the eligibility requirements. New hires will have 60 days to elect coverage.

2.0

BACKGROUND

The Dodd-Frank Wall Street Reform and Consumer Protection Act requires that CFPB provide benefits to employees that are comparable to the benefits being provided by the Board of Governors of the Federal Reserve and other financial regulatory agencies. Employees who currently work at the Office of the Comptroller of Currency (OCC) and Federal Deposit Insurance Corporation (FDIC) are offered enhanced benefits in addition to the standard Title 5 Federal benefits. In order to achieve comparability, attract talent, and make sure that there are little or no benefit gaps for transferring employees, the purpose of this PWS is to maintain vision insurance for all employees effective January 1, 2016. CFPB pays the full cost of vision coverage for all employees. CFPB currently has approximately 1,400 employees and will have approximately 1,600 when fully staffed.

The Dodd-Frank Wall Street Reform and Consumer Protection Act includes the strongest consumer protections ever, aiming to protect families from abusive consumer financial practices and give consumers the information they need to make sound financial decisions for themselves and their families. The Act established the CFBP, which possesses consolidated core authorities that were fragmented across several federal agencies. Key responsibilities of the Bureau include:

Issue rules to ensure fairness and transparency for mortgages, credit cards, and other consumer financial services;

Vigorously enforce consumer laws, focusing on the practices and providers that pose the most risk to consumers; and

Provide consumer assistance and education nationwide, including literacy programs, online resources, and a consumer complaints hotline.

3.0

REQUIREMENTS

3.1 Plan Design –The contractor shall provide the following plan design:

Please note any deviations to the Plan Design requirements may render the offeror’s proposal technically unacceptable. Offerors must be able to meet all plan design requirements specified in the PWS and will not be credited for providing deviations to the specified requirements.

Eyeglass Materials (lenses and frame)

· Single Vision Lenses

· Bifocal Lenses

· Trifocal Lenses

· Lenticular Lenses

· Progressive Lenses

· Scratch resistant plus one other lens option

· Eyeglass Frame

$20 copay

Up to $100 wholesale/ $200/retail on eyeglass frame Up to $61

Up to $94

Up to $127

Up to $165

Not Covered

Not Covered

Up to $75

Contact Lenses (in lieu of eyeglasses)

· Elective Lenses

· Medically Necessary Lenses $0 (up to $160)

$0 (covered in full) Up to $88

Up to $220

Computer Eyeglasses (for employees only) Includes exam, only single vision, bifocal or trifocal lenses, and an eyeglass frame valued up to $90 retail.

Extra Discounts and Savings

· 20% savings on the cost of eyeglass materials above what is covered

· 20% off additional prescription eyeglasses or sunglasses

· 15% savings on the cost of elective contact lenses above what is covered

· Discounts on Lasik, Custom Lasik and PRK procedures

3.2 Network Requirements- The Contractor shall provide a national vision network to adequately cover all CFPB employees.

3.3 Administrative and Enrollment Service Requirements- The Contractor shall provide the following administrative and enrollment services for the CFPB Vision benefits:

a) Administer a vision plan that provides the benefits described in this Performance Work Statement on a fully-insured non-participating basis.

b) Design, produce and distribute, subject to the approval of CFPB, specific claim forms, enrollment forms, employee booklets, summary plan descriptions (SPDs), Standard Operating Procedures (SOPs), and all other forms required to administer the plan.

c) Provide electronic files of forms and materials (booklets, SPDs, etc.) in prescribed format to be uploaded to the CFPB.

d) Upon enrollment, send a welcome e-mail and provide employees with information and a link to access the Contractor’s member portal.

e) Ensure compliance with Federal requirements to protect the privacy of individually identifiable health information.

f) Provide a seamless link for the CFPB’s website for this program.

g) As requested by CFPB, assist in the communication to employees regarding benefits including annual employee meeting and open enrollments.

h) Receive initial eligibility data and biweekly updates electronically from CFPB.

i) CFPB will self-bill for biweekly premium. Premiums will be sent via Electronic Fund Transfer (EFT).

j) Provide biweekly enrollment reconciliation reports that indicate all discrepancies in enrollment.

k) Meet with CFPB on an as needed basis to review status of overall operation of the program. Conduct an annual account management satisfaction survey.

l) The plan should be sitused in Washington, DC.

3.4 Claims Administration and Customer Service Requirements. The Contractor shall adjudicate and process claims including the following:

a. Process all claims on a direct claims verification and payment basis.

b. Provide explanation of benefits (EOB) statements electronically and hard copy mailed directly to the address on file with the contractor.

c. Establish and maintain clean turnaround time consistent with industry standards (90% of clean claims processed in 10 work days or less).

d. Maintain claims processing accuracy at 95% or better.

e. Verify claim charges are for covered employees and dependents.

f. Maintain current, complete and confidential records for each covered person in accordance with the Health Insurance Portability and Accountability Act (HIPAA) of 1996.

g . Maintain a claims service unit with office hours from at a minimum from 8:30 a.m. until 6:30 p.m., Eastern Time, Monday through Friday (except Federal holidays) and installing a message device to handle calls after business hours or on weekends. Providing a toll-free telephone service that has the capability to place calls on hold and queue during peak calling hours. Providing adequate staffing so that all calls are answered on average within 30 seconds.

h. Provide members online services, including:

· Benefit plan information

· Web chat with customer service

· Email availability

· Claims status and history

· Financial information, such as deductible status and benefit maximums

· Download forms (claims).

i. Provide direct communication between CFPB administrative staff and the assigned program administrator.

j. Provide legal defense on disputed claims.

k. Provide effective coordination of claims payment and reporting formats.

l Provide service personnel who are accessible and knowledgeable in all aspects of the CFPB plan.

m. Maintain an automated calendar system to ensure follow-up to correspondence and claims review and establishing a mechanism to resolve errors expeditiously.

n. Prepare a customized administrative manual (i.e., policies, procedures, and forms for administering the plan) to be used by CFPB.

o. Provide member online services including:

· Benefit plan information

· Web chat with customer service

· Email availability

· Claims status and history

· Download forms (claims)

3.5 MIS/Reporting and Monitoring Service Requirements

1. The Contractor shall provide monthly reports to include current and cumulative year-to-date information including paid and incurred claims, enrollment by employee and dependent lives, and premiums split by sub-group designation.

2. The Contractor shall provide quarterly network savings report and in-versus out-of-network claims report.

3.6 Transition Period

The Contractor shall provide transition services during a transition period, which will begin on the date of contract award and continue through December 31, 2015. During the transition period, the contractor shall be responsible for setting up the plan design in its system, assisting CFPB with establishing enrollment and billing processes, and providing materials and staffing to aid in the communication of the benefit plan to employees. The contractor shall be responsible for all claims incurred beginning Jan 1, 2016.

In addition, during the last option period of performance exercised under the contract, the contractor will prepare for and assist with a seamless transition to the new contractor (if applicable) by transferring to CFPB and/or the new contractor, as determined by CFPB, within 30 days of notice of this requirement, all required data and records necessary to administer the plans subject to state and federal confidentiality considerations, without a break in service. The transfer may be made electronically, in a file format to be determined based on the mutual agreement between CFPB and the provider of services. The contractor may be asked to provide phase out transition services for up to a one year period, if necessary.

4.0 DELIVERABLES

The Contractor must provide the following deliverables by the corresponding specified due date:

*These dates are subject to change based on mutual agreement.

5.0

SPECIAL PROVISIONS

5.1 Period of Performance

The period of performance is one year with four (4) one year option periods. At the end of the base year, if exercised, the first option period will begin. If all option periods are exercised, the period of performance will not exceed a total of five years. Exercise of any option requires a contract modification signed by the CFPB Contracting Officer.

5.2 Electronic Submission of Payment Requests

(a) Definitions. As used in this clause—

(1) “Payment request” means a bill, voucher, invoice, or request for contract financing payment with associated supporting documentation. The payment request must comply with the requirements identified in FAR 32.905(b), "Payment documentation and process" and the applicable Payment clause included in this contract.

(b) Except as provided in paragraph (c) of this clause, the Contractor shall submit payment requests electronically using the Invoice Processing Platform (IPP). Information regarding IPP is available on the Internet at www.ipp.gov. Assistance with enrollment can be obtained by contacting the IPP Production Helpdesk via email ippgroup@bos.frb.org or phone (866) 973-3131.

(c) The Contractor may submit payment requests using other than IPP only when the Contracting Officer authorizes alternate procedures in writing.

(d) If alternate payment procedures are authorized, the Contractor shall include a copy of the Contracting Officer’s written authorization with each payment request.

5.3 Payment and Invoice Questions For payment and invoice questions, go to https://www.ipp.gov or contact the Accounting Services Division at (304) 480-8000 option 7 or via email at AccountsPayable@fiscal.treasury.gov.

5.3.1 Overpayments

5.3.1.1

In accordance with FAR 52.212-4, section (i)5, overpayments: Accounts Receivable Conversion of Check Payments to EFT: If the Contractor sends the Government a check to remedy duplicate contract financing or an overpayment by the government, it will be converted into an electronic funds transfer (EFT). This means the Government will copy the check and use the account information on it to electronically debit the Contractor’s account for the amount of the check. The debit from the Contractor’s account will usually occur within twenty-four hours and will be shown on the regular account statement.

5.3.1.2 The Contractor will not receive the original check back. The Government will destroy the Contractor’s original check, but will keep a copy of it. If the EFT cannot be processed for technical reasons, the Contractor authorizes the Government to process the copy in place of the original check.

5.4 Type of Contract

This is a Firm Fixed Price with Economic Price Adjustment (FP-EPA) contract.

5.5 Contracting Officer a.

The Contracting Officer for this contract is:

Jeremy Jenkins Contracting Officer

Consumer Financial Protection Bureau

1275 1st Street NE

Washington, DC 20002 Phone Number: 202-435-9256 Email: jeremy.jenkins@cfpb.gov b.

The Contracting Officer, in accordance with Subpart 1.6 of the Federal Acquisition Regulation, is the only person authorized to make or approve any changes in any of the requirements of this contract, and notwithstanding any clauses contained elsewhere in this contract, the said authority remains solely with the Contracting Officer. In the event the Contractor makes any changes at the direction of any person other than the Contracting Officer, the change will be considered to have been made without authority and no adjustment will be made in the contract price to cover any increase in cost incurred as a result thereof.

5.6 Contracting Officer Representative (COR) Designation and Authority a.

The Contracting Officer Representative (COR) is: TBD b.

Performance of work under this contract must be subject to the technical direction of the COR identified above, or a representative designated in writing. The term “technical direction” includes, without limitation, direction to the contractor that directs or redirects the labor effort, shifts the work between work areas or locations, fills in details and otherwise serves to ensure that tasks outlined in the work statement are accomplished satisfactorily.

c.

Technical direction must be within the scope of the specification(s)/work statement. The COR does not have authority to issue technical direction that:

(1) Constitutes a change of assignment or additional work outside the specification(s);

(2) Constitutes a change as defined in the clause entitled “Changes”;

(3) In any manner causes an increase or decrease in the contract price, or the time required for contract performance;

(4) Changes any of the terms, conditions, or specification(s)/work statement of the contract;

(5) Interferes with the contractor’s right to perform under the terms and conditions of the contract; or

(6) Directs, supervises or otherwise controls the actions of the contractor’s employees.

d.

Technical direction may be oral or in writing. The COR shall confirm oral direction in writing within five workdays, with a copy to the contracting officer.

e.

The contractor shall proceed promptly with performance resulting from the technical direction issued by the COR. If, in the opinion of the contractor, any direction of the COR, or his/her designee, falls within the limitations in (c), above, the contractor shall immediately notify the contracting officer no later than the beginning of the next Government work day.

f.

Failure of the contractor and the contracting officer to agree that technical direction is within the scope of the contract shall be subject to the terms of the clause entitled “Disputes.”

5.7 Contractor Project Manager a.

The Contractor's designated Project Manager for this contract is:

Name and Title

Co Name

Co Address

Phone:

E-mail:

b.

The Project Manager shall be responsible for the overall management and coordination of this contract and shall act as the central point of contact with the Government. The Project Manager shall have full authority to act for the Contractor in the performance of the required services. The Project Manager, or a designated representative, shall meet with the COR to discuss problem areas as they occur. The Project Manager, or a designated representative, shall respond within four hours after notification of the existence of a problem. The Project Manager shall be able to fluently read, write, and speak the English language.

5.8 Confidential and Sensitive Information

The Contractor agrees that the work to be performed and information released to the Contractor is, because of the proprietary and confidential nature of such information, sensitive in nature and is not to be disclosed to anyone other than CFPB employees assigned to the contracted project and other Contractor personnel working on the project. The Contractor agrees to protect all confidential and/or proprietary information received by or provided to the Contractor pursuant to this contract from unauthorized disclosure or use for as long as the information remains proprietary or confidential and further agrees that it will not use such information for any purpose other than that relating to the performance of this contract. For purposes of the contract, all information provided to or received by the Contractor is deemed confidential and proprietary.

The Contractor shall execute and is responsible for having all of its employees and agents working under this contract and/or having access to sensitive information under this contract execute a statement entitled " Attachment A, Non- Disclosure Agreement." This Statement, a copy of which is appended to this contract, provides that sensitive but unclassified information provided to the Contractor or its employees or agents shall not, except as permitted in connection with the performance of the contract, be further disclosed or used without the prior written approval of the CFPB. Executed copies of this statement must be completed and returned to the CFPB by a duly authorized official of the Contractor and by all Contractor employees or agents who will perform work on the Contract before their work begins.

Notwithstanding the forgoing, Contractor may use and disclose claims data to carry out the obligations of the Contractor set forth in this Agreement, or as allowed by law, subject to the provisions set forth in this Agreement.

SECTION II

SOLICITATION PROVISIONS

A. PROPOSAL INSTRUCTIONS TO OFFERORS

1. Submission of Quotes. Technical and Price Quotes are due electronically by July 17, 2015 by 2:00PM EST, to Senior Contract Specialist, Denise Henderson, denise.henderson@cpfb.gov . All proposals shall have the subject line “RFQ-CFP-15-Q-00031, Attn: J. Jenkins. Technical and Cost Quotes submitted after the deadline will not be considered.

Facsimile transmissions will not be accepted.

2. Questions. Questions concerning this RFQ shall be submitted in writing via email to Denise Henderson at denise.henderson@cpfb.gov no later than COB June 25, 2015. Questions will be answered in writing through an amendment to the solicitation in Fedbizopps.

3. Quote Preparation

a. The Offeror shall ensure all electronic materials and attachments submitted are formatted in accordance with the CFPB Security Requirements. The following file extensions are not allowable and application materials/data submitted with these extensions cannot be considered: .bat, .cmd, .com, .exe, .pif, .rar, .scr, .vbs, .hta, .cpl, and .zip files

b. Microsoft Office compatible documents are acceptable. If the Offeror determines that other formats are necessary, it is the Offeror’s responsibility to verify with CFPB that those formats are acceptable. Proposal materials with unacceptable or unreadable formats may be found non-responsive.

c. Offerors are prohibited from communicating about this procurement with any CFPB personnel other than the Contracting Officer and Contract Specialist.

d. All proposal information shall be in the English language. Proposals shall be submitted on standard 8.5 x 11 paper. Font size shall be no smaller than 10 point with margins no less than 1 inch (top, bottom, right, left), including headers, footers, and page numbers. The offeror shall number each page and provide an index/Table of Contents with each Volume. Graphics, presentations, including tables, shall have spacing and text that is easily readable.

4. Proposal Form and Content A. The overall proposal shall consist of two separate, written volumes, individually entitled as stated below.

1) Volume I – General/Price

2) Volume II – Technical

B. The volumes of the proposal must conform to the following instructions. Any pages beyond the cited page limitations identified in the following paragraphs will be removed from the proposal, and shall not be considered by the Government. For the purpose of the cited page limitations, “page” is defined as one side of one piece of paper. Additionally, any other information beyond what is requested below, such as brochures or other marketing materials, will be removed from the proposal, and shall not be considered by the Government.

**NOTE – The Government may remove any proposal from further consideration that does not fully comply with all proposal preparation instructions.**

C. Volume I - General, shall include the following items:

i. Cover Letter - Provide a cover letter referencing the solicitation number and signed by an authorized official of the firm. Complete the Contractor Designated POC information in Section II, Para 5.7, titled Contractor Program Manager.

ii. Summary Page or Table of Contents.

iii. Completed Standard Form 1449 - Complete blocks 12, 17 & 30 of the cover page of this RFP (i.e., Standard Form 1449 “Solicitation/Contract/Order for Commercial Items”).

iv. Acknowledgement of Amendments - Provide an acknowledgement of RFP amendments, if any. The acknowledgement must reference the amendment number(s).

v. A completed copy of 52.212-3 “Offeror Representations and Certifications--Commercial Items.

vi. Completed Non-Disclosure Agreement form provided as Attachment A.

vii. Subcontracting Plan, if required. As part of its initial proposal, each large business offeror shall submit a subcontracting plan as prescribed in FAR 52.219-9. Use of the subcontracting plan outline contained in Attachment 2 of this solicitation is optional, however, plans must contain all elements included in the outline.

viii. Rating of Company. Provide the company's most recent rating or filing (identify date) from each of the following rating agencies. This must be the rating of the prime contractor. If your rating has changed within the past 12 months for any of the rating agencies, discuss changes. If your company is not rated by any of the agencies listed above, please provide a copy of or a link to your most recent audited financial statement.

A.M. Best Rating:____________________ Date______________________

Moody's Rating______________________ Date____________________________

Standard & Poor's Rating___________________ Date_____________________

Fitch Rating_____________________ Date________________________

D. Volume I- Price, shall include the following items:

1 A breakdown of all pricing in Section II, Pricing Model for the Base Year and Option Year 1. Pricing for the Option Years 2-4 is not required at this time. (See Pricing Model, Economic Price Adjustment Clause). However, rate change percentages for Loss Ratio table must be completed for Option Years 2-4.

2. A copy of the current SAM registration shall be included in the Price Quote submitted.

3. The price quote must include the Tax Identification Number (TIN) and DUNS Number of the Quoter.

4. The Offeror shall confirm that the proposed prices are inclusive of the services outlined in the Performance Work Statement.

****In pricing the plan, offerors are reminded that CFPB is seeking a plan that will be fully insured and non-participating.

E. Volume II- Technical

1. The Technical Quote shall be divided into the following sections and is limited to 25 Pages

a. Plan Design – Offerors shall complete the Plan Design Chart in Section 3.1 of the PWS.

Please note any deviations to the Plan Design requirements may render the offeror’s proposal technically unacceptable. Offerors must be able to meet all plan design requirements specified in the PWS and will not be credited for providing deviations to the specified requirements.

b. Quality of the Network.

· Offerors shall provide a response to the questions in Attachment 2 (Network Coverage and Design).

· Provide a geo-access report, including summary information, based on each of the parameters shown below. Label the attachment “Geo Access Report”. Please contact the Contracting Officer, jeremy.jenkins@cfpb.gov to access the census data.

GEO Access Report Table

c. Administrative/Claims/Enrollment Services – The Offeror shall provide a response to the questions in Attachment 2 titled Solicitation Questionnaire.

d. Reporting/MIS Services- The Offeror shall indicate if it can provide the reporting requirements listed in Section 3.5 of PWS. The offeror must describe its online reporting capabilities and indicate if ad hoc reports (eg enrollment summary info, data reports on specific elements, and specific claims, etc) are available. The offeror must describe the timing and procedures of providing ad hoc reports.

e. Firm Experience. The Quoter shall submit examples of its experience as a prime contractor providing vision benefit services for at least a year. The vision benefit services must have been provided within the last five years (from the proposal submission deadline). The offeror must submit the following information to demonstrate the experience requirements above.

· Customer name and address.

· Contract number.

· Total dollar value of the contract. If performed as part of a team, provide the dollar value of your firm’s contribution.

· Period of contract performance.

· Description of services provided, including the specific services provided by your firm.

B. EVALUATION OF PROPOSALS FOR AWARD

1. The CFPB intends to award a Firm Fixed Price single award contract, to the responsible offeror on the basis of the lowest evaluated price of proposals meeting or exceeding the acceptability standards for non-cost factors, which is known as the Low Price Technically Acceptable (LPTA) methodology. A decision on the technical acceptability of each offeror’s quotation will be made.

For those offerors which are determined to be technically acceptable, award will be made to that offeror with the lowest overall price.

2. To be accepted and eligible for technical evaluation, Quotes must be prepared in accordance with this solicitation and must comply with the instructions given in this solicitation document and must meet all the solicitation requirements. Quotes meeting the requirements of this solicitation and complying with other contract provisions will be evaluated and award made to the responsible Quoter whose quote is deemed technically acceptable and offering the lowest price.

3. The Quotes will be evaluated based on the following factors:

Factor 1:

Technical Capability

Factor 2: Firm Experience

Factor 3:

Price

Factor 1 Technical Capability – The degree to which the Quoter’s technical capabilities demonstrates an understanding of and meets the following technical requirements of this solicitation:

a) Plan Design - CFPB will evaluate the offeror’s plan design. and any plan design deviations (See Sect I Para 3.1).

Please note any deviations to the Plan Design requirements may render the offeror’s proposal technically unacceptable. Offerors must be able to meet all plan design requirements specified in the PWS and will not be credited for providing deviations to the specified requirements.

b) Quality of Network - CFPB will evaluate the size and quality of the Offeror’s PPO network (See Sect I Para 3.2).

c) Administrative and Claims Services - Claim administration, enrollment, and processing will be evaluated based upon the answers to the questions provided within the instruction submission section of this solicitation. Answers shall be evaluated in consideration of the resulting effectiveness and ease and timeliness of claim administration and customer services.

d) Reporting - CFPB will evaluate the Offeror’s ability to provide the requested reporting and online capabilities. (See Sect I Para 3.5) Factor 2: Firm Experience – The Quoter must have one year of prior experience of providing vision benefit services as a prime ccontractor within the last five years.

The Quoter must submit the following information to demonstrate the experience requirements listed above:

· Customer name and address

· Contract number

· Total dollar value of the contract. If performed as part of a team, provide the dollar value of your firm’s contribution

· Period of contract performance

· Description of services provided, including the specific services provided by your firm

Factor 3 Price

Price Quotes will be evaluated and determined to be fair and reasonable based on offers submitted. If only one offer is submitted, price will be evaluated based on a determination of fair and reasonable pricing in accordance with FAR Part 13.106-3(a)(2).

C.

REPRESENTATIONS, CERTIFICATIONS AND OTHER STATEMENTS

OF BIDDERS

FAR Clause 52.212-3 “Offeror Representations And Certifications—Commercial Items (MAR 2015)“ applies. The contractor shall complete representations and certifications online at. https://www.sam.gov/

The applicable NAICS code is 524114, Direct Health and Medical Insurance Carriers, and the size standard is $38.5 Million.

D.

PRICING MODEL

Offerors shall submit pricing for Volume 1, Price Proposal in accordance with the following pricing tables and instructions.

1. FIXED UNIT PRICES FOR SERVICES

Offerors shall provide fixed unit prices for the Base Period and Option Period 1 as indicated in the tables below. The prices for the Base Period and Option Period 1 are fixed unit prices and shall not be subject to any adjustment. The total firm fixed price per performance period shall be inclusive of all expenses, including report preparation, salaries, overhead, other direct costs, general and administrative expenses, and profit (but excluding travel expenses). The Contractor shall be paid on a biweekly basis (ie., effective period of coverage which begins January 1, 2016) at the fixed prices set forth below.

Fixed unit prices for Option Periods 2-4 shall be determined in accordance with Clause titled “Economic Price Adjustment”.

BASE PERIOD: January 1, 2016-December 31, 2016

OPTION PERIOD 1: January 1, 2017 through December 31, 2017

Per Employee/ Biweekly premium

2. PRICING SUBJECT TO ECONOMIC PRICE ADJUSTMENT CLAUSE

Offerors are not required to complete this section. Pricing is subject to the Economic Price Adjustment (EPA) Clause for Option Periods 2-4. Pricing will be requested at the time the option period is contemplated to be exercised in accordance with the EPA clause.

TABLES SHOWN FOR ILLUSTRATIVE PURPOSES- DO NOT COMPLETE

OPTION PERIOD 2: January 1, 2018 through December 31, 2018

Per Employee/ Biweekly premium

OPTION PERIOD 3: January 1, 2019 through December 31, 2019

Per Employee/ Biweekly premium

OPTION PERIOD 4: January 1, 2020 through December 31, 2020

Per Employee/ Biweekly premium

3. LOSS RATIO PERCENTAGES

Offerors shall provide Loss Ratio Rate Change Percentages in the below tables.

OPTION PERIOD 2: January 1, 2018 through December 31, 2018

75% or less

76% to 80%

81% to 85%

86% to 90%

91% to 95%

96% to 100%

100% or more

OPTION PERIOD 3: January 1, 2019 through December 31, 2019

75% or less

76% to 80%

81% to 85%

86% to 90%

91% to 95%

96% to 100%

100% or more

OPTION PERIOD 4: January 1, 2020 through December 31, 2020

75% or less

76% to 80%

81% to 85%

86% to 90%

91% to 95%

96% to 100%

100% or more

4. ECONOMIC PRICE ADJUSTMENT – OPTION YEAR 2, 3, & 4 PREMIUMS

The fixed unit prices for Option Periods 2, 3 and 4 shall be established based on the claims experience of the Plan. These prices may represent an increase or decrease from the respective prior period, as they will be determined by the contractor's demonstrated loss ratio. The demonstrated loss ratio is defined as the actual vision paid claims for covered CFPB employees and dependents divided by the premium paid for the identified time period. The rates (i.e., individual only, individual + one, and individual & family) for the applicable contract years shall be determined by applying the appropriate rate change percentage in the below tables to the rates of the respective prior year.

The data used to calculate the loss ratio shall be taken from the contractor's biweekly enrollment reports and monthly progress reports. The Contracting Officer may require the Offeror to provide additional information to support the accuracy and reliability of the data in these reports. The Government reserves the right to have an independent third party review the data and make recommendations regarding the appropriateness of the proposed rates. The modification exercising the first option period for each of these contract years (i.e., Option Periods 2, 3 and 4) shall reflect the adjusted rates. The determination of the adjusted rates shall be made by the Contracting Officer on a unilateral basis. Any dispute regarding the determination (i.e., the appropriate rate change percentage) shall be subject to the “Disputes” provisions of 52.212-4 (d) “Contract Terms and Conditions--Commercial Items” of this contract.

The following tables shall be used to calculate the prices for the identified contract years.

Option Period 2:

Period used to determine loss ratio: July 1, 2016-June 30, 2017

75% or less

76% to 80%

81% to 85%

86% to 90%

91% to 95%

96% to 100%

100% or more

Option Period 3:

Period used to determine loss ratio: July 1, 2017 to June 30, 2018

75% or less

76% to 80%

81% to 85%

86% to 90%

91% to 95%

96% to 100%

100% or more

Option Period 4:

Period used to determine loss ratio: July 1, 2018 to June 30, 2019

75% or less

76% to 80%

81% to 85%

86% to 90%

91% to 95%

96% to 100%

100% or more

The following calculation shown below is illustrative of how the economic price adjustments will be made:

Total of paid claims for the period: $95,000 Total of premiums paid for the period: $100,000

Biweekly Pricing: $10.00

Rate Change for 91% to 95%: +5% Total of paid claims / Total premiums paid = Loss Ratio: $95,000/$100,000 = 95%

Biweekly Pricing for Year 4 Based on the EPA Clause: $10.00*1.05= $10.50.

SECTION III – CONTRACT CLAUSES

1.0 52.212-4 Contract Terms and Conditions-Commercial Items (May 2015)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights --

(1) Within a reasonable time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C.3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71,Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at FAR 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include --

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, contract line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer— System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer—Other Than System for Award Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

(i) Payment.

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt Payment. The Government will make payment in accordance with the Prompt Payment Act (31 U.S.C. 3903) and prompt payment regulations at 5 CFR Part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212-5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall—

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the—

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected contract line item or subline item, if applicable; and

(D) Contractor point of contact.

(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period at fixed by the Secretary until the amount is paid.

(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.

(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if—

(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;

(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the Contractor has requested an installment payment agreement; or

(C) The Contractor requests a deferment of collection on a debt previously demanded by the Contracting Officer (see 32.607-2).

(iv) If a demand for payment was previously issued for the debt, the demand for payment included in the final decision shall identify the same due date as the original demand for payment.

(v) Amounts shall be due at the earliest of the following dates:

(A) The date fixed under this contract.

(B) The date of the first written demand for payment, including any demand for payment resulting from a default termination.

(vi) The interest charge shall be computed for the actual number of calendar days involved beginning on the due date and ending on—

(A) The date on which the designated office receives payment from the Contractor;

(B) The date of issuance of a Government check to the Contractor from which an amount otherwise payable has been withheld as a credit against the contract debt; or

(C) The date on which an amount withheld and applied to the contract debt would otherwise have become payable to the Contractor.

(vii) The interest charge made under this clause may be reduced under the procedures prescribed in 32.608-2 of the Federal Acquisition Regulation in effect on the date of this contract.

(j) Risk of loss. Unless the contract specifically provides otherwise, risk of loss or damage to the supplies provided under this contract shall remain with the Contractor until, and shall pass to the Government upon:

(1) Delivery of the supplies to a carrier, if transportation is f.o.b. origin; or

(2) Delivery of the supplies to the Government at the destination specified in the contract, if transportation is f.o.b. destination.

(k) Taxes. The contract price includes all applicable Federal, State, and local taxes and duties.

(l) Termination for the Government’s convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience. In the event of such termination, the Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work.