CSP020709_Amendment_2.pdf
PDF 81 KB Posted
- Attached to
- Competitive Selection OH|CSP020709
- Contract number
- CSP020709
- Issued by
- Ohio
About this file
This document is Amendment No. 2 to a state contract issued by the Ohio Department of Administrative Services (DAS), General Services Division, Office of Procurement Services. The amendment involves iTEDIUM Inc., a contractor located in Overland Park, Kansas, and specifically relates to a contract for COBRA administration of medical, dental, and vision plans for the State Human Resources Division, Office of Benefits Administration Services.
The amendment updates the Cost Summary and OhioBuys Price list by adding a new line item of $5 for mailing a revised notice to a qualified beneficiary, effective 10/02/25. The existing contract maintains a COBRA administration fee of $0.25 per employee per month, with additional services such as ad-hoc reporting and professional services priced at $200 per hour (with a minimum of two hours). The contract was previously renewed in Amendment No. 1 for an additional 24 months, extending through 09/30/27. All other pricing, terms, and conditions remain unchanged from the original agreement.
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Other files
| File | Type | Posted |
|---|---|---|
| CSP020709_-_Rev_Contract.pdf | ||
| CSP020709_-_Contract.pdf |
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Text version
Index No.: DAS009 Contract No.: CSP020709 Eff. Date: 10/02/25
STATE OF OHIO
DEPARTMENT OF ADMINISTRATIVE SERVICES
GENERAL SERVICES DIVISION
OFFICE OF PROCUREMENT SERVICES
4200 SURFACE ROAD, COLUMBUS, OH 43228-1395
AMENDMENT FOR CHANGE
AMENDMENT NO. 2
TO: LIMITED DISTRIBUTION – DEPARTMENT OF ADMINISTRATIVE SERVICES, STATE HUMAN
RESOURCES DIVISION, OFFICE OF BENEFITS ADMINISTRATION SERVICES
FROM: KATHLEEN C. MADDEN, DIRECTOR, DEPARTMENT OF ADMINISTRATIVE SERVICES
SUBJECT: CONTRACT FOR COBRA ADMINISTRATION OF THE MEDICAL PLAN, EXEMPT DENTAL AND VISION
PLANS
Attached are pages two, three, and five to this contract. Remove these pages from the existing contract and replace with the attached pages on the effective date.
This amendment is issued to update the Cost Summary and OhioBuys Price list by adding a line item for the cost to mail a revised notice to a qualified beneficiary.
All other prices, terms and conditions remain unchanged.
This Amendment, the main Requirements Contract and any additional amendments thereto are available from the DAS Web site at the following address:
http://www.ohio.gov/procure
Affected Contractor(s):
0000000352 (OHALL)
iTEDIUM Inc.
6717 Shawnee Mission Parkway Overland Park, KS 66202
MUTUALLY AGREED TO CLARIFICATIONS / MODIFICATIONS TO THE RFP
1. Cost Summary Form Revised, dated 04/01/24.
2. *The Cost Summary and OhioBuys Price list are updated to add the cost to mail a revised notice to a qualified beneficiary, effective 10/02/25.
*Denotes a mutually agreed upon addition to the Cost Summary and OhioBuys Price list, per amendment 2.
COST SUMMARY
COBRA ADMINISTRATION OF THE MEDICAL PLAN, EXEMPT DENTAL AND VISION PLANS
UNSPSC CATEGORY CODE: 80100000
DESCRIPTION UNIT OF
MEASURE
COST
COBRA Administration Fee Per Employee Per Month (PEPM) basis for employees enrolled in the medical plan
PEPM $0.25
Ad-Hoc Reporting (reports not identified in the Scope of Work, minimum of two hours) Hour $200
Professional Services (minimum of two hours) Hour $200
*Cost to mail revised notice to qualified beneficiary Each $5
*Denotes a mutually agreed upon addition to the Cost Summary, per amendment 2.
SUMMARY OF AMENDMENTS
Amendment
Number Effective
Date Description
2 10/02/25
This amendment is issued to update the Cost Summary and OhioBuys Price list by adding a line item for the cost to mail a revised notice to a qualified beneficiary.
All other prices, terms and conditions remain unchanged.
1 10/01/25
As a result of mutual agreement between the State of Ohio and the Contractor, this amendment is issued to renew the subject contract an additional 24 months, effective 10/01/25 through 09/30/27. This amendment is also issued to update the Contractor’s contact information and to add a Summary of Amendments page.
All other prices, terms and conditions remain unchanged.
File details come from the government source that posted it. Updated .