Cost Proposal Form RFP 2600000110.xlsx
XLSX spreadsheet 21 KB Posted
- Attached to
- Actuarial Services C5903
- Solicitation number
- RFP 746 2600000110 1
- Issued by
- Kentucky
About this file
This is a Cost Proposal Form for RFP 2600000110 related to Actuarial Services (Contract C5903) for the State of Kentucky. The RFP seeks actuarial services including managed care services with value-based payment plans, risk adjustment, non-emergency medical transportation (NEMT), directed payments, budget forecasting services, medical loss ratio adjustment, and encounter data monitoring. The contract includes an initial term covering fiscal years 2027 and 2028, with a first renewal term for fiscal years 2029 and 2030. Vendors are required to provide detailed cost proposals for the seven primary service categories as well as additional financial analysis activities including project management, actuarial direction, consulting, IT support, and administrative support across specified estimated hours. Optional services are available with pricing based on an average hourly rate, with up to 500 hours allowed per legislative session in the initial term and 1,000 hours in renewal years.
The cost proposal form requires vendors to submit estimated costs for both fiscal years in each contract period, with supporting narrative documentation required for all proposed costs. Vendor pricing must reflect hourly rates for various staffing categories: Project Manager (100 hours), Director-Actuary (175 hours), Consultants-Actuarial or IT (300 hours), Associates-IT or Support Staff (400 hours), and Administrative Support Staff (25 hours). The form includes sections for optional services cost estimates, which are for informational purposes only. All proposals must be signed by an authorized representative of the vendor organization with the authority to bind the company, certifying the organization's commitment to provide the described personnel and services at the indicated rates.
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Other files
| File | Type | Posted |
|---|---|---|
| No Bid Form C5903 RFP Actuarial Services.docx | DOCX document | |
| Final_RFP_746_2600000110_1_SO_FORM.PDF | ||
| Attachment A Approved Risk Adjustment Model.docx | DOCX document |
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Text version
Cost Proposal Vendor Name:
| INITIAL TERM (FY27/28) | |||
| Project | Est FY27 Cost* | Est FY28 Cost* | Total Estimated Cost |
| 1. Managed Care Services (including value-based payment plan) | |||
| 2. Risk Adjustment | |||
| 3. NEMT | |||
| 4. Directed Payments | |||
| 5. Budget Forecasting Services | |||
| 6. Medical Loss Ratio Adjustment | |||
| 7. Encounter Data Monitoring | |||
| Set Projects Subtotals | $ - 0 | $ - 0 |
| Project | Estimated Hours | Rate | Est FY27 Cost | Est FY28 Cost |
| 8. Additional Financial Analysis Activities (Hourly Rate) | ||||
| Project Manager | 100 | $ - 0 | $ - 0 | |
| Director - Actuary | 175 | $ - 0 | $ - 0 | |
| Consultants - Actuarial or IT | 300 | $ - 0 | $ - 0 | |
| Associates - IT or Support Staff | 400 | $ - 0 | $ - 0 | |
| Administrative - Support Staff | 25 | $ - 0 | $ - 0 | |
| Additional Services Subtotals | 1000 | $ - 0 | $ - 0 |
| FY27 Total | FY28 Total | |
| $ - 0 | $ - 0 | $ - 0 |
| OPTIONAL SERVICES | ||||
| Average Hourly Rate Bid | $ - 0 | $ - 0 | ||
| Hours Allowed per Legislative Session | 500 | 1000 | ||
| Additional Cost Estimate for Optional Services Hours | $ - 0 | $ - 0 | ||
| $ - 0 | $ - 0 | $ - 0 |
| Total Contract Amount if Optional Services Bid | $ - 0 | ||
| 1st RENEWAL TERM (FY29/30) | |||
| Project | Est FY29 Cost* | Est FY30 Cost* | Total Estimated Cost |
| 1. Managed Care Services (including value-based payment plan) | |||
| 2. Risk Adjustment | |||
| 3. NEMT | |||
| 4. Directed Payments | |||
| 5. Budget Forecasting Services | |||
| 6. Medical Loss Ratio Adjustment | |||
| 7. Encounter Data Monitoring | |||
| Set Projects Subtotals | $ - 0 | $ - 0 |
| Project | Estimated Hours | Rate | Est FY29 Cost | Est FY30 Cost |
| 8. Additional Financial Analysis Activities (Hourly Rate) | ||||
| Project Manager | 100 | $ - 0 | $ - 0 | |
| Director - Actuary | 175 | $ - 0 | $ - 0 | |
| Consultants - Actuarial or IT | 300 | $ - 0 | $ - 0 | |
| Associates - IT or Support Staff | 400 | $ - 0 | $ - 0 | |
| Administrative - Support Staff | 25 | $ - 0 | $ - 0 | |
| Additional Services Subtotals | 1000 | $ - 0 | $ - 0 |
| FY29 Total | FY30 Total | |||
| $ - 0 | $ - 0 | $ - 0 | ||
| OPTIONAL SERVICES | ||||
| Average Hourly Rate Bid | $ - 0 | $ - 0 | ||
| Hours Allowed per Legislative Session | 500 | 1000 | ||
| Additional Cost Estimate for Optional Services Hours | $ - 0 | $ - 0 | ||
| $ - 0 | $ - 0 | $ - 0 |
| Total Contract Amount if Optional Services Bid | $ - 0 |
| * Supporting narrative details of cost proposed required. | |
| As owner, president, or other responsible employee of this organization with the authority to sign proposals, agree to provide personnel and services as described in this proposal at the rates indicated. | |
| Signature: | |
| Printed Name: | |
| Title: | |
| Date: |
&18COST PROPOSAL FORM RFP 746 2600000110
ACTUARIAL SERVICES
Supporting Narrative
Optional Services
| Vendor Name: | |||
| Additional Cost Estimates for Optional Service Hours is for Informational Purposes Only | |||
| OPTIONAL SERVICES FY27/28 | |||
| Average Hourly Rate | $ - 0 | $ - 0 | |
| Hours Allowed per Legislative Session | 500 | 1000 | |
| Additional Cost Estimate for Optional Services Hours | $ - 0 | $ - 0 | |
| 1st RENEWAL TERM (FY29/30) | |||
| OPTIONAL SERVICES FY29/30 | |||
| Average Hourly Rate | $ - 0 | $ - 0 | |
| Hours Allowed per Legislative Session | 500 | 1000 | |
| Additional Cost Estimate for Optional Services Hours | $ - 0 | $ - 0 |
APPENDIX 2 &18COST PROPOSAL FORM RFP 746 1400000064
ACTUARIAL SERVICES
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