CSP020709_-_Contract.pdf
PDF 72 KB Posted
- Attached to
- Competitive Selection OH|CSP020709
- Contract number
- CSP020709
- Issued by
- Ohio
About this file
This is a Mandatory Use Contract issued by the Ohio Department of Administrative Services (DAS), General Services Division, Office of Procurement Services for COBRA Administration services. The contract is awarded to iTEDIUM Inc., located in Overland Park, Kansas, through Request for Proposal (RFP) No. SRC0000013470. The contract number is CSP020709 and will be effective from July 1, 2024, to September 30, 2025.
The contract covers COBRA administration for the medical plan, exempt dental, and vision plans, with pricing structured on a Per Employee Per Month (PEPM) basis. The primary COBRA administration fee is set at $0.25 PEPM for employees enrolled in the medical plan. Additional services are priced at $200 per hour, including ad-hoc reporting and professional services (with a minimum two-hour billing). The contract is available to the Ohio Department of Administrative Services, State Human Resources Division, and the Office of Benefits Administration Services. The state makes no guarantee of purchase volume, and agencies can make purchases of contracted services at their discretion.
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Other files
| File | Type | Posted |
|---|---|---|
| CSP020709_Amendment_2.pdf | ||
| CSP020709_-_Rev_Contract.pdf |
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Text version
Index No.: DAS009
Eff. Date: 07/01/24
STATE OF OHIO
DEPARTMENT OF ADMINISTRATIVE SERVICES
GENERAL SERVICES DIVISION
OFFICE OF PROCUREMENT SERVICES
4200 SURFACE ROAD, COLUMBUS, OH 43228-1395
MANDATORY USE CONTRACT FOR: COBRA ADMINISTRATION OF THE MEDICAL PLAN, EXEMPT DENTAL AND
VISION PLANS
CONTRACT NUMBER: CSP020709 EFFECTIVE DATES: 07/01/24 TO 09/30/25
The Department of Administrative Services has accepted Proposals submitted in response to Request for Proposal (RFP) No.
SRC0000013470 that opened on 02/28/24. The evaluation of the Proposal responses has been completed. The Offeror listed herein has been determined to be the highest ranking Offeror and has been awarded a Contract for the services listed.
The respective Proposal response including, Contract Terms & Conditions, any Proposal amendment, special Contract Terms & Conditions, specifications, pricing schedules and any attachments incorporated by reference and accepted by DAS become a part of this Services Contract.
This Requirements Contract is effective beginning and ending on the dates noted above unless, prior to the expiration date, the Contract is renewed, terminated, or cancelled in accordance with the Contract Terms and Conditions.
This Requirements Contract is available to the Department of Administrative Services, State Human Resources Division, Office of Benefits Administration Services as applicable.
The agency is eligible to make purchases of the contracted services in any amount and at any time as determined by the agency. The State makes no representation or guarantee that department will purchase the volume of services as advertised in the Request for Proposal.
This Requirements Contract and any Amendments thereto are available from the DAS Web site at the following address:
https://procure.ohio.gov/
MUTUALLY AGREED TO CLARIFICATIONS / MODIFICATIONS TO THE RFP
1. Cost Summary Form Revised, dated 04/01/24.
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
CONTRACTOR INDEX
CONTRACTOR AND TERMS: CONTRACT NO.: CSP020709
0000000352 (OHALL) TERMS: Net 30 Days iTEDIUM Inc.
6717 Shawnee Mission Parkway Overland Park, KS 66202
PAYMENT ADDRESS:
iTEDIUM Inc.
Customer (Group) Billing P.O. Box 504265 St. Louis, MO 63150-4265
CONTRACTOR’S CONTACT: Mr. Robert Meyers Telephone: 913-499-4860 Fax: 913-438-8385 Email: Robert.Meyers@itedium.com
CONTRACT FOR: COBRA ADMINISTRATION OF THE MEDICAL PLAN, EXEMPT DENTAL AND VISION PLANS
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