Cost Proposal Form RFP 2600000110.xlsx

XLSX spreadsheet 21 KB Posted

Attached to
Actuarial Services C5903
Solicitation number
RFP 746 2600000110 2
Issued by
Elliott County, Kentucky

About this file

This is a Cost Proposal Form for RFP 2600000110 related to Actuarial Services (C5903) for the State of Kentucky. The procurement 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 covering fiscal years 2029 and 2030. Additional Financial Analysis Activities are available on an hourly basis with specific rates for Project Manager (100 hours), Director-Actuary (175 hours), Consultants in Actuarial or IT (300 hours), Associates in IT or Support Staff (400 hours), and Administrative Support Staff (25 hours). Optional Services are available at an average hourly rate with 500 hours allowed per legislative session in the first year and 1,000 hours in the second year.

Vendors must complete the cost proposal form by providing estimated costs for each fiscal year in both the Initial Term and Renewal Term periods, along with hourly rates for additional services and optional services. The form requires a supporting narrative detailing the costs proposed and must be signed by an authorized representative of the vendor organization. The form structure indicates separate cost calculations for each fiscal year, with totals computed for both terms, and provides space for optional service cost estimates for informational purposes only. All cost entries are currently blank in the template, indicating this is a blank form awaiting vendor completion and submission.

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Text version

Cost Proposal Vendor Name:

INITIAL TERM (FY27/28)
ProjectEst 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
ProjectEstimated HoursRateEst FY27 CostEst FY28 Cost
8. Additional Financial Analysis Activities (Hourly Rate)
Project Manager100$ - 0$ - 0
Director - Actuary175$ - 0$ - 0
Consultants - Actuarial or IT300$ - 0$ - 0
Associates - IT or Support Staff400$ - 0$ - 0
Administrative - Support Staff25$ - 0$ - 0
Additional Services Subtotals1000$ - 0$ - 0
FY27 TotalFY28 Total
$ - 0$ - 0$ - 0
OPTIONAL SERVICES
Average Hourly Rate Bid$ - 0$ - 0
Hours Allowed per Legislative Session5001000
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)
ProjectEst 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
ProjectEstimated HoursRateEst FY29 CostEst FY30 Cost
8. Additional Financial Analysis Activities (Hourly Rate)
Project Manager100$ - 0$ - 0
Director - Actuary175$ - 0$ - 0
Consultants - Actuarial or IT300$ - 0$ - 0
Associates - IT or Support Staff400$ - 0$ - 0
Administrative - Support Staff25$ - 0$ - 0
Additional Services Subtotals1000$ - 0$ - 0
FY29 TotalFY30 Total
$ - 0$ - 0$ - 0
OPTIONAL SERVICES
Average Hourly Rate Bid$ - 0$ - 0
Hours Allowed per Legislative Session5001000
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 Session5001000
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 Session5001000
Additional Cost Estimate for Optional Services Hours$ - 0$ - 0

APPENDIX 2 &18COST PROPOSAL FORM RFP 746 1400000064

ACTUARIAL SERVICES

File details come from the government source that posted it. Updated .