DHR25006-PBM-qa.pdf

STATE OF DELAWARE

Department of Human Resources

DHR25006-PBM, Questions and Answers 1

DHR25006-PBM

Pharmacy Benefit Management

PLEASE NOTE: As a result of the question and answer process, the following attachments have been updated Attachment 24 – Commercial Account Structure (attached) Attachment 33 – Census, Supplemental – Confidential, NDA required (available in ProposalTech) Attachment 34 – Claims Data - Confidential, NDA required (available in ProposalTech)

VENDOR QUESTIONS AND ANSWERS

Date Received

RFP Section/ Question/Page Question Response

1 07/25/2025 N/A Are we able to just bid on the commercial population for the State of Delaware?

The State of Delaware RFP does allow for the multiple awards of contracts for the PBM RFP. Additionally, the minimum requirements do ask the vendors to clarify if they are bidding on commercial or EGWP or both.

Please consider this as confirmation that the State will review bids for just commercial, just EGWP or both.

2 07/25/2025 Would it be possible to enable the "Answerable Template" for this RFP within Proposal Tech so we can export the template and import our responses? Thank you for your consideration!

This is not an option at this time.

3 07/29/2025 1. If vendors provide questions related to the pricing strategy by August 7th, is the State willing to respond to those questions by August 15th

Thank you for the question submitted in ProposalTech. As indicated in the timeline on page 2 of the RFP and in the RFP Question and Answer Process on page 17, the RFP has specific parameters on the question and answer process.

a. RFP Question and Answer Process

DHR25006-PBM, Questions and Answers 2

Date Received

RFP Section/ Question/Page Question Response as to not disrupt the timing of the RFP submission?

The State will allow written requests for clarification of the RFP. All questions shall be received no later than Wednesday, August 27, 2025, at 9:00 am through the messaging feature in Proposal Tech.

All questions will be consolidated into a single set of responses and posted in ProposalTech and on the State’s website at bids.delaware.gov by Wednesday, September 3, 2025. Vendor names will be removed from questions in the responses released.

Questions should be submitted in the following format. Deviations from this format will not be accepted.

• Section number

• Paragraph number

• Page number

• Text of passage being questioned

4 07/30/2025 • Section number - VII

• Paragraph number – One

• Page number – 44

• Text of passage being questioned -

Attachment 30 - Office of Value Based Health Care Delivery (OVBHCD) PBM Template

On the Reference Document "SOD - DHR25006-PBM-rfp" as it refers to Attachment 30 - Office of Value Based Health Care Delivery

(OVBHCD) PBM

Template: Can you please provide more insight as to

(1) what this template is;

(2) why is it requesting information for all fully insured and self-funded business; (3) is it requesting this information only from the PBM or from Highmark (as administrator) and the PBM? (4) Is this the same template referred to on Attachment 16 (Master Report List): OVBHCD Template

(1) This template is utilized by the Delaware Department of Insurance, Office of Value Based Health Care Delivery (OVBHCD) to analyze pharmacy spend across the Delaware commercial market in compliance with Senate Bill 116 of the 150th General Assembly.

(2) The awarded vendor will only need to submit the requested information for the contracted commercial pharmacy plan. If the PBM operates as a Delaware fully insured commercial vendor outside of the contract with the SEBC, they may also be subject to additional reporting requirements by the Department of Insurance for other pharmacy plans.

(3) The information being requested pertains to the vendor contracted with the State of Delaware for commercial Pharmacy Benefit Management services. If Highmark is contracted with the State of Delaware for PBM services, Highmark would need to fully complete the template with the requested GHIP pharmacy data.

(4) Yes.

DHR25006-PBM, Questions and Answers 3

Date Received

RFP Section/ Question/Page Question Response dup 08/07/2025 • • Section number - VII

• Paragraph number - One

• Page number - 44

• Text of passage being questioned - Attachment 30 - Office of Value Based Health Care Delivery (OVBHCD) PBM Template

On the Reference Document "SOD - DHR25006-PBM-rfp" as it refers to Attachment 30 - Office of Value Based Health Care Delivery

(OVBHCD) PBM

Template: Can you please provide more insight as to

(1) what this template is;

(2) why is it requesting information for all fully insured and self-funded business; (3) is it requesting this information only from the PBM or from Highmark (as administrator) and the PBM? (4) Is this the same template referred to on Attachment 16 (Master Report List): OVBHCD Template

Duplicate question, see response detailed above.

dup 08/08/2025 • Section number - VII

• Paragraph number - One

• • Page number - 228

•Text of passage being questioned - Office of Value Based Health Care Delivery (OVBHCD) PBM Template

Duplicate question, see response detailed above.

5 07/30/2025

• Section number: Attachment 22/Question 3.23.3; SOD-DHR25006- PBM-rfp section 21. Technical Standards and Security Requirements

• Paragraph number Attachment 22, Question 3.23.3; SOD-DHR25006- PBM-rfp Number 3

• Page number: 175

Please confirm this is the correct link; This links to The 18 CIS Critical Security Controls. The question notes the Top 20, so we want to ensure we are reviewing the correct supporting link.

Yes, The 18 CIS Critical Security Controls is the correct link.

https://www.cisecurity.org/controls/cis-controls-list

DHR25006-PBM, Questions and Answers 4

Date Received

RFP Section/ Question/Page Question Response

• Text of passage being questioned:

For your review, the document is available at https://www.cisecurity.org/controls/cis-controls-list/.

dup 08/07/2025

Section number: Attachment 22/Question 3.23.3; SOD-DHR25006- PBM-rfp section 21. Technical Standards and Security Requirements

• Paragraph number Attachment 22, Question 3.23.3; SOD-DHR25006- PBM-rfp Number 3

• Page number: 175 Text of passage being questioned: For your review, the document is available at https://www.cisecurity.org/controls/cis-controls-list/.

Please confirm this is the correct link; This links to The 18 CIS Critical Security Controls. The question notes the Top 20, so we want to ensure we are reviewing the correct supporting link.

Yes, The 18 CIS Critical Security Controls is the correct link.

6 08/07/2025 Claims files Will the claims data be released via ProposalTech? We submitted our signed NDA, and were hoping to gain access to the claims data to start our repricing.

Yes, all vendors who signed an NDA were provided access to the confidential attachments in ProposalTech.

7 08/15/2025 Pre-bid conference call When can vendors expect the invitation for the mandatory pre-bid conference call?

The Teams meeting invite was sent on 8/19/2025 to the contacts for all vendors who had submitted an Intent to Submit a Proposal.

8 08/18/2025 • Section number 8. PBM Member Service

• Paragraph number Question 18

• Page number 147

Text of passage being questioned: 18. Describe your ability to accommodate ex-patriate (global benefits) members transitioning to the US Benefits

This is referencing claims filled outside of the US and the vendor’s ability to reimburse based off the client’s contractual pricing.

https://www.cisecurity.org/controls/cis-controls-list/ https://www.cisecurity.org/controls/cis-controls-list/

DHR25006-PBM, Questions and Answers 5

Date Received

RFP Section/ Question/Page Question Response

Please clarify what this question is asking.

9 08/18/2025 Section number - Attachment 33

• Paragraph number N/A

• Page number 231

• Text of passage being questioned - Zip codes

May we please be get a listing of employee zip codes (which would be a subset of what was provided) for a Pharmacy Geo Access report?

Attachment 33 – Census, Supplemental has been updated to include this information and is available in ProposalTech

10 08/19/2025 General Hello, Can you please provide both a commercial and EGWP claims file with formulary indicators?

Attachment 34 - has been updated to include this information and is available in ProposalTech

11 08/19/2025 General Please confirm attachment 10 is where objections/redlines to scope/terms/min requirements should be submitted.

Attachment 10 is for discrepancies, omissions, unclear or ambiguous intent or meaning, or terms not appropriate to the services requested in the Scope of Services or Minimum Requirements and must be returned no later than September 3. This will be corrected on an addendum to the RFP when questions and answers are submitted.

12 08/19/2025 General Should bidders provide proposed redlines, if necessary, to Appendix B?

Vendor should use Attachment 3- Exceptions for any redlines to Appendix B.

13 08/19/2025 General Where should bidders include their response to the mandatory requirements in the bid package (Section III, Required Information A.

Minimum Requirements)?

The Minimum Requirement questions are to be answered in the first section of Attachment 22 in ProposalTech.

14 08/19/2025 General Item 14 in Section III, Required Information A.

Minimum Requirements-is not the same as the

The question did not reference where the WTW requirement was in the RFP.

Section III, Required Information A. Minimum Requirements is the reference point to be used by vendors in their response.

DHR25006-PBM, Questions and Answers 6

Date Received

RFP Section/ Question/Page Question Response

WTW requirement. Which definition prevails?

15 08/19/2025 General In the Pharmacy Questionnaire-General #4.

4. Review and sign the attached State of Delaware standard contractual documents. - Which documents specifically are required to be signed and delivered?

Please refer to page 46 and Appendix A

16 08/19/2025 General In Questionnaire- Legislation and Transparency Requirements #12. Please confirm that you have reviewed and can support the State of Delaware's current Commercial appeals process at the below link which includes Level I through IV appeals. - Where can bidders find the link?

The State of Delaware’s CVS Caremark non-Medicare Prescription Plan Appeal Process is posted on SBO’s website-https://dhr.delaware.gov/benefits/cvs/documents/cvs-appeal-process.pdf?ver=0815.

17 08/21/2025 • Section number 7- PBM Account Management and Implementation

• Paragraph number - Question 4

• Page number 143

Text of passage being questioned: State of Delaware has the right to review, meet with and approve changes to the account team assigned by PBM to service State of Delaware Please define account management team in this question.

Implementation Manager, Account Manager (the day to day contact), Account Executive, Clinical pharmacist, and Financial Analyst.

18 08/25/2025 • Section number 19

• Paragraph number Question 12

Text of passage being questioned 12. Please confirm that you have

The State of Delaware’s CVS Caremark non-Medicare Prescription Plan Appeal Process is posted on SBO’s website-https://dhr.delaware.gov/benefits/cvs/documents/cvs-appeal-process.pdf?ver=0815 https://dhr.delaware.gov/benefits/cvs/documents/cvs-appeal-process.pdf?ver=0815

DHR25006-PBM, Questions and Answers 7

Date Received

RFP Section/ Question/Page Question Response

• Page number 170 reviewed and can support the State of Delaware's current Commercial appeals process at the below link which includes Level I through IV appeals.

https://dhr.delaware.gov/benefits/cvs/documents/cvs-appeal-process.pdf?ver=0815.

19 08/25/2025 Hello, Can we get access to the document (Preventive Drug List (ACA and non-ACA) so that we can do the analysis requested in question 3.11.5 as well as the maintenance drug list referenced in 3.11.6?

Thank you.

The Preventive Medications & Services list is available on SBO’s website-https://dhr.delaware.gov/benefits/cvs/documents/preventive-medications-services.pdf?ver=0703

20 08/25/2025 In the Scope of Services Section B, Item S on Page 7 "Provide rebate reporting by individual drug and drug class can be shared on all drugs and drug classes" - do you have a list of the drug classes, or an explanation of how you group the drugs into classes?

The standard therapeutic categories that the vendor typically groups medications by.

21 08/26/2025 • Section number Attachment 22

• Paragraph number Question 3.18.3

• Page number n/a Text of passage being questioned Confirm your organization will provide your methodology when providing any ad hoc reporting or modeling requests.

Please define 'methodology' in this question. Are you looking for something more than data parameters used to provide reporting and modeling requests?

Methodology is how the vendor arrived at the reporting or modeling conclusion. Please include any assumptions or caveats that were used.

22 08/26/2025 • Section number Attachment 22

• Paragraph number Section 3.1

• Page number N/A Text of passage being questioned 3.1.5 Review and sign the attached State of

Please specify the documents being referenced.

Please refer to page 46 and Appendix A https://dhr.delaware.gov/benefits/cvs/documents/cvs-appeal-process.pdf?ver=0815 https://dhr.delaware.gov/benefits/cvs/documents/cvs-appeal-process.pdf?ver=0815 https://dhr.delaware.gov/benefits/cvs/documents/preventive-medications-services.pdf?ver=0703

DHR25006-PBM, Questions and Answers 8

Date Received

RFP Section/ Question/Page Question Response

Delaware standard contractual documents.

23 08/26/2025 • Section number Attachment 22

• Paragraph number Section 3

• Page number Text of passage being questioned 3.19.6

Describe your current or future strategy to partner with other health care providers including pharmacies and clinics (i.e. onsite/nearsite) inclusive of clinical information and drug fulfillment. Please clarify this questions, particularly around 'clinics.'

For clinics, in the case that the State of Delaware were to incorporate Rx benefits with State run clinics, how would you support?

24 08/26/2025 3.7.3 Please provide the following general information on your clients and volume for the prior year and current year to date.

Could you please advise the year you are looking for this information. The table shows "2026 Year to Date", should this say "2025 Year to Date"?

Could you please provide a bit more clarification on the below (iii seems to contradict i and ii):

i. The same format requirements apply to follow-up responses and presentation materials. If information in any of the follow-ups and presentation matches the type that was requested for a confidential business information

Yes, this should state 2025 and not 2026

DHR25006-PBM, Questions and Answers 9

Date Received

RFP Section/ Question/Page Question Response determination, you must upload an updated redacted electronic version of the document(s), together with a letter from your legal counsel containing the information required in Section IV.B.2.

ii. ii. Finalist Presentation

- You will be asked for a non-redacted electronic copy that includes PDFs of any supplemental materials or handouts.

iii. If there is a new type of information that was not included in your original proposal and you assert to be confidential business information, you must submit a new redacted copy -together with a new letter from your legal

25 08/26/2025 Proposal Tech Questionnaire; Question 3.1.12

Question 3.1.12 Please expand the 'Details' section within Proposal Tech to accommodate more than 20 words.

This will not be adjusted at this time.

26 08/26/2025 Proposal Tech Questionnaire; Question 3.18.27

Question 3.18.27: Please clarify the definition of "net cost." For example, does the State mean the plan pay amount, the plan pay amount minus rebates, or does the State have another definition?

Net Cost is defined as Ingredient Cost minus all discounts plus dispensary fees minus rebates plus administrative fees.

DHR25006-PBM, Questions and Answers 10

Date Received

RFP Section/ Question/Page Question Response

27 08/26/2025 Proposal Tech Questionnaire;

Questions 3.2.9 and 3.2.10

Questions 3.2.9 and

3.2.10 are duplicative. Did the State mean to ask another question regarding effective rate pharmacies?

These are duplicates and please only respond to 3.2.9.

28 08/26/2025 Proposal Tech Questionnaire; Question 2.14

Question 2.14 Please clarify if Vendor's inability to meet the following mandatory requirement will result in disqualification: "the proposed Account Executive and Account Manager will have worked for your organization a minimum of 3 years in their current role."

Page 7 of the PBM RFP, Section III. Required Information states “Failure to respond to any request for information within this proposal may result in rejection of the proposal at the sole discretion of the State.”

29 08/26/2025 DHR25006-PBM-att 230

DHR25006-PBM-att 230 The excel sheets reference years 2022 and 2023. Please confirm if that was the State's intent? If not, what period(s) is the State looking for?

Attachment 30, OVBHCD reporting template, is a sample version from 2022 and 2023 to demonstrate what information will be requested annually from the OVBHCD to the awarded vendor. This attachment should not be completed with the bid submission and is only attached for vendor awareness. The awarded vendor will be required to submit this template (or an updated version if available) on an annual basis to the OVBHCD, as well as to the Statewide Benefits Office.

30 08/26/2025 Attachment 12; Question 3.4.4.1.4.2

Question 3.4.4.1.4.2 Standard Reports states "PBM guarantees that a minimum of 100% of standard reports will be accurate and delivered to Client by the target date specified in Attachment 12 to the RFP, Master Report List - Commercial. During the term of the

Yes, this should refer to Attachment 16 – Master Report List

DHR25006-PBM, Questions and Answers 11

Date Received

RFP Section/ Question/Page Question Response

Agreement, Client and PBM can change the reporting requirements by mutual written agreement." Please confirm this question should reference Attachment 16.

31 08/26/2025 General Question

General Question: Is the State of Delaware covered under ERISA?

No as the State of DE GHIP is a governmental entity.

32 8/26/25 • Attachment 30 - Office of Value Based Health Care Delivery (OBVHCD) PBM Template.

• Tabs I - IV

• N/A

• General Question

Please confirm whether bidders are required to complete Attachment 30.

If bidders are required to complete attachment 30, please clarify the intent behind this deliverable.

No, bidders are not required to complete Attachment 30 during proposal submission. Attachment 30 was included for vendor awareness as the selected vendor will be required to complete this template on an annual basis if awarded the contract. This is a requirement of the commercial market under the Department of Insurance, Office of Value Based Health Care Delivery, which our office is voluntarily aligning with.

33 8/26/25 • Attachment 24 - State of Delaware Account Structure

• Group Name Column

• N/A

• General Question

The lives count and claims data includes the University of Delaware which is no longer included in the account structure. Can the State please provide updated lives count and claims data that reflects the removal of the University of Delaware?

Attachment 24 – Commercial Account Structure has been updated with this information and is attached to this document.

34 8/26/25 • Attachment 31 - Fee Quote Offer 1 &

• Deal Parameter_EGWP

• N/A

• Pricing Details and Consideration - General Question

Should vendors exclude Maximum Fair Price (MFP) from discount and rebate guarantees?

This should be included for EGWP.

35 8/26/25 • Attachment 22 - Response to Scope of Services Questionnaire

• 1. Pharmacy Questionnaire - General

Please confirm which documents the State is referring to in Question 4

Please refer to page 46 and Appendix A

DHR25006-PBM, Questions and Answers 12

Date Received

RFP Section/ Question/Page Question Response

- Question 4

• Page 122

• Review and sign the attached State of Delaware standard contractual documents.

of the Pharmacy Questionnaire.

36 8/26/25 • Attachment 22 - Response to Scope of Services Questionnaire

• 14. PBM Formulary Management - Question 20

• Page 157

• Please confirm that your organization will support an organization such as a Pharmacy and Therapeutics Committee (P&T Committee) working solely on behalf of the SEBC to develop a formulary designed to provide an ongoing review of all the medications contracted by the SEBC

Please confirm if the questions above is asking vendors to support a carve out of the P&T Committee or to develop a specific P&T Committee for SEBC.

This is in reference to a carve out P&T committee managed by the

SEBC

37 8/26/25 • Attachment 22 - Response to Scope of Services Questionnaire

• 21. Technical Standards and Security Requirements - Question 3

• Page 175

• Threats - The SANS Institute and the FBI have released a document describing the Top 20 Internet Security Threats. For your review, the document is available at https://www.cisecurity.org/controls/cis-controls-list/. The contractor confirms that any systems or software provided by the contractor are free of the vulnerabilities listed in that document.

(A response that security threats are always changing is not acceptable.)

The link provided in question 3 above does not lead to the document referenced. Please provide the correct link.

Yes, The 18 CIS Critical Security Controls is the correct link.

38 8/26/25 • Attachment 6 - Subcontractor Information Form

• N/A

• Page 53

• General Question

Please provide the State of Delaware's definition for Subcontractor.

Subcontracting is addressed on page 17 of the RFP.

https://www.cisecurity.org/controls/cis-controls-list/ https://www.cisecurity.org/controls/cis-controls-list/

DHR25006-PBM, Questions and Answers 13

Date Received

RFP Section/ Question/Page Question Response

39 8/26/25 • Attachment 31 - Fee Quote Offer 1

• Price List Tabs

• N/A

• General Question

Please confirm that the Commercial and EGWP Price List tabs do not apply to offer 1 as vendors are expected to provide minimum AWP discounts.

This is correct, however both types of proposals are being requested. If one type of proposal will not be offered due to your organization not being able to provide such a proposal, please state that in your organization’s response.

40 8/26/25 • Attachment 31 - Fee Quote Offer 2

• Price List Tab

• N/A

• General Question

For Offer 2, please confirm that if vendors offer minimum AWP discounts the Commercial and EGWP Price list tabs are not required to be completed.

This is correct, however both types of proposals are being requested. If one type of proposal will not be offered due to your organization not being able to provide such a proposal, please state that in your organization’s response.

41 08/27/2025 General General and EGWP

Can you please provide both a commercial and an EGWP claims file with formulary indicators?

Attachment 34 has been updated with this information and is available in ProposalTech.

42 08/27/2025 General General and EGWP

Related to your Medicare formulary -is the goal to be member friendly, achieve cost savings, or a balance of the 2?

The Medicare formulary should be member friendly, promote savings, and be reflective of all Medicare Part D EGWP formulary requirements. The current State of Delaware EGWP/Medicare formulary can be found here:

https://dhr.delaware.gov/benefits/cvs/documents/medicare/formulary- 2026.pdf.

43 08/27/2025 General General and EGWP

Are you interested in providing drugs (e.g., adherence Star metric drugs, insulin, vaccines, enhanced, etc.) on an optional tier?

Please follow the current plan design for all categories

44 08/27/2025 General General and EGWP

How many tiers are on the current formulary and do you want to continue with that structure?

Three tier for both commercial and EGWP, please continue

45 08/27/2025 General General and EGWP

Are you interested in a specialty tier?

Please follow the current plan design for all categories

46 08/27/2025 General General and EGWP

General and EGWP:

Please provide the

Commercial: 2025 annualized PA requests = 35,817 for commercial;

annualized appeals = 1,351 for commercial.

https://dhr.delaware.gov/benefits/cvs/documents/medicare/formulary-2026.pdf https://dhr.delaware.gov/benefits/cvs/documents/medicare/formulary-2026.pdf

DHR25006-PBM, Questions and Answers 14

Date Received

RFP Section/ Question/Page Question Response average number of prior authorizations, appeals, and grievances per month (or annually) for both Commercial and EGWP.

EGWP: 2025 annualized PA requests = 10,769 for the EGWP.

Annualized appeals = 1,356 for the EGWP. Grievances in 2024 = 1,054 for the EGWP.

47 08/27/2025 General General and EGWP

What is the client's ERISA status?

No as the State of DE GHIP is a governmental entity.

48 08/27/2025 General General and EGWP

Please provide the average number of DMRs (direct member reimbursement) per month (or annually).

Commercial: Jul-June 2025 had 1,274 paper claims for commercial EGWP: 2024 had 356 total paper claims submitted for the EGWP.

49 08/27/2025 General General and EGWP

Please provide monthly volume of member calls handled by the call center.

Commercial July – June 2025: ~1,174 per month for the commercial Customer Care Team EGWP: ~1,200 a month for the EGWP Customer Care team.

50 08/27/2025 General General and EGWP

Does the client have a self-insured or fully-insured EGWP today?

EGWP is self-insured

51 08/27/2025 General Will the State be releasing any future RFPs for broader navigation or care management solutions beyond pharmacy? If so, is there value in proposing a platform that could scale to integrate those services over time?

Today, the State does not have a separate contract for standalone navigation or care management services beyond what is offered through the PBM and TPA contracts.

52 08/27/2025 Pricing Can we submit only one offer as Offer #1 Transparent/pass-through, or are we required to submit both Offer #1 and Offer #2 as stated in the Vendor Instructions tab of Attachment 31?

Bidders are permitted to submit individual offers. As a reminder, please ensure that all State of Delaware pharmacy related legislation and laws are reviewed. As it relates to this question, Title 18, § 3325A(b) of Delaware Code states, “A pharmacy benefits manager may not reimburse a pharmacist or pharmacy for pharmacy goods or services in an amount less than the amount the pharmacy benefits manager reimburses itself or an affiliate for the same pharmacy goods or services”. This translates to reimbursement being at no less than NADAC or WAC pricing if NADAC is unavailable.

DHR25006-PBM, Questions and Answers 15

Date Received

RFP Section/ Question/Page Question Response

53 08/27/2025 Questionnaire Is ”erroneous document” meant as each master document, or each mailing?

3.4.4.1.2.1 Member

Communication Mailing Errors. PBM guarantees that 100% of ID cards and welcome booklets shall be accurate. Should an ID card or welcome booklet be sent in error or contain erroneous information regarding any aspect of the Plan's administration, PBM shall pay a penalty per erroneous document not to exceed $1000 per erroneous document up to the total annual penalty.

This guarantee excludes errors made by Client only.

Per mailing

54 08/27/2025 Questionnaire Please confirm we are only to respond to the questionnaire within ProposalTech, and not also to Attachment 22.

Attachment 22 Response to Scope of Services 120-176

Attachment 22 is completed in ProposalTech

55 08/27/2025 Questionnaire Please provide the referenced document (Preventive Drug List (ACA and non-ACA)).

3.11.5 Please conduct a

Preventive Drug List (ACA and non-ACA) Impact Analysis for all Preventive

The Preventive Medications & Services list is available on SBO’s website-https://dhr.delaware.gov/benefits/cvs/documents/preventive-medications-services.pdf?ver=0703

DHR25006-PBM, Questions and Answers 16

Date Received

RFP Section/ Question/Page Question Response

Drug Categories and populate the summary table in the following format. Please provide the summary and the detailed analysis at drug level in Excel format. Provide clear footnotes on how the analysis was calculated.

3.11.6 Confirm that your

organization will provide State of Delaware with a disruption analysis of the maintenance drug list as compared to State of Delaware's current maintenance drug list.

56 08/27/2025 General Please clarify how member experience will be evaluated and weighted within the proposal review process, particularly regarding concierge support, clinical navigation, or behavioral health integration.

Member experience is not a listed as an evaluation criteria

57 08/27/2025 General Does the State have an interest in vendor solutions that unify pharmacy, medical, and behavioral data into a single member platform or experience? If so, how will that be scored?

This is outside the scope of work and is not listed as an evaluation criteria

58 08/27/2025 General Are there specific metrics or KPIs related to member satisfaction or health outcomes (e.g., medication adherence, deprescribing impact) that

This is not listed as part of the RFP.

DHR25006-PBM, Questions and Answers 17

Date Received

RFP Section/ Question/Page Question Response the State would like vendors to address in their proposals?

58 08/27/2025 General Please elaborate on how the selected PBM is expected to integrate with existing wellness, disease management, or medical navigation vendors. Would the State consider a partner that combines pharmacy benefit management with care navigation under a unified platform?

The State is only procuring for the PBM services detailed in the RFP.

Care navigation is not a component of this RFP. The selected PBM is expected to work alongside current and future TPA’s contracted with the State for health plan TPA services, including current TPA’s, Highmark and Aetna.

59 08/27/2025 General Given the State's reference to integration with Highmark and Aetna, would the State consider alternative or enhanced integration models that improve data fluidity and member guidance across medical and pharmacy benefits?

The State is only procuring for the PBM services detailed in the RFP.

Alternative and enhanced integration models outside of the terms of the RFP will not be considered.

60 08/27/2025 General Would the State consider evaluating models that include clinical and engagement-based performance guarantees in addition to traditional financial guarantees?

Please refer to Attachment 15, page 75 in the instruction section that permits vendors to offer alternative guarantees or additional fees at risk.

61 08/27/2025 General Given the State's strong interest in cost containment and rebate transparency, would the SEBC consider awarding to a vendor that partners with a transparent PBM and delivers a

The State is only procuring for the PBM services detailed in the RFP.

If a differentiated clinical model aligns with all requirements of this RFP, the State will consider the proposal.

DHR25006-PBM, Questions and Answers 18

Date Received

RFP Section/ Question/Page Question Response differentiated clinical model layered on top?

62 08/27/2025 General Question – Timeline There are discrepancies in, and clarity needed around, the benefit exclusions for commercial and EGWP.

Please see below around specific exclusions

63 08/27/2025 General Question – Timeline Clarity is also needed around weight loss coverage strategy, considering the recent 7/1 formulary update in this category, in order to appropriately offer a solution that closely matches the State's current benefits and formulary.

Assume that standard covered weight loss GLP-1s under bidder’s current formulary will be a covered benefit

64 08/27/2025 General Question – Timeline The Vendor Question response timeline (9/3) does not allow much time for adjustments to our offer due to this uncertainty. We respectfully ask the State to consider granting an extension to accommodate these changes.

Dates for this RFP are firm and will not be adjusted.

65 08/27/2025 DHR25006 – PBM RFP;

Pharmacy Questionnaire

– General Section Chart in question 1 (item b)

Text: b. EGWP - Pharmacy Benefit exclusions include: : Non-Federal Legend Drugs (OTC) excepted where

Please clarify if benefit exclusions for both commercial and EGWP should or should not include: Plan B One Step, Anti-Obesity Preparations, Weight Loss Medications

These are listed on page 121 of the “DHR25006 -

EGWP does not cover Plan B One Step, Anti-Obesity Preparations, Weight Loss Medications

The list is fully complete within EGWP exclusions for both the RFP and the questionnaire

DHR25006-PBM, Questions and Answers 19

Date Received

RFP Section/ Question/Page Question Response mandated by ACA, Investigational drugs, Prescription drugs that have OTC equivalents, Ostomy supplies, Blood Glucose Monitors not issued by the Health Plan Diabetes Care Management Program, Mifeprex, Cosmetic and hypopigmentation drugs, Plan B One Step, Anti-Obesity Preparations, Weight Loss Medications, Dental fluoride products except where mandated by ACA, Allergy Sera and blood products, Erectile dysfunction agents, Hypoactive Sexual Desire Disorder (HSDD) Agents, Continuous Blood Glucose Monitoring Systems (e.g., monitor, transmitter, receiver, sensor), Insulin Pumps and Supplies, Peak Flow Meters and Nebulizers, Nutritional Supplements, Select Vitamins requiring a prescription, Periodontal Subgingival Implants, Medical Benefit Only Drugs (drugs designated to be covered under the health plan), Addyi

PBM RFP”, but are not included in 3.1.1 and 3.1.2 within the proposal tech questionnaire. It also appears text is cutoff or missing at the very end of this item in the

“DHR25006 – PBM RFP”

document.

66 08/27/2025 General Question – Weight Loss Coverage

Is it the state’s intention to continue to cover weight loss meds? If so, should we assume Zepbound should be included on the formulary or assume the 7/1 formulary change.

The SEBC makes all decisions regarding drug coverage and exclusions. Bidders to refer to the State’s current formulary as of 7/1/25.

67 08/27/2025 General Question - Supplier Diversity Does this RFP have a set

MBE/WBE/VOBE,

SDVOBE spend utilization target? If so, please specify the utilization percentage.

No, the State of Delaware does not have utilization targets.

68 08/27/2025 General Question - Supplier Diversity How many certified

MBE/WBE/VOBE,

SDVOBE vendors are

Two

DHR25006-PBM, Questions and Answers 20

Date Received

RFP Section/ Question/Page Question Response currently involved in supporting the State PBM contract?

69 08/27/2025 General Question - Supplier Diversity Are there any partnerships you wish to maintain if a new provider is awarded the business? What commodities do they offer?

This is not part of the RFP scope of work

70 08/27/2025 General Question - Pricing Offer Confirm all bidders are to include all known impacts of MFP products in the offer.

Confirmed

71 08/27/2025 General Question - Pricing Offer Confirm all bidders are to include all known impacts of AMP Cap (including wave 4 effective 1/1/26) in the offer.

Confirmed

72 08/27/2025 General Question - EGWP Setup Please confirm that the expectation is that the EGWP population will be set up under the PBM's EGWP program. To avoid further doubt, please confirm that you are not looking for the PBM to manage claims and the EGWP be managed by an outside organization.

A possible outcome of the RFP is that Commercial is managed by one PBM and EGWP by another.

73 08/27/2025 General Question - Performance Guarantees

There are three different documents that contain performance guarantees (i.e. Attachment 15, DHR25006-PBM RFP and the questionnaire in Proposal Tech). Many of them are duplicative and/or overlap. Please clarify if the expectation is for the Vendors to respond to all three

Attachment 15 – Performance Guarantees is the document vendors should complete and submit with their proposal.

DHR25006-PBM, Questions and Answers 21

Date Received

RFP Section/ Question/Page Question Response documents or if Vendors should only complete Attachment 15 which appears to be a stand-alone PG document.

74 08/27/2025 Attachment 15 Performance Guarantees EGWP Timely Data Feeds

Text: PBM will guarantee 100% accurate and timely data feeds to external PBM on a per file and on a “missed” Business Day basis (e.g., inaccurate, missed or late transmissions will be charged a penalty per file plus an additional penalty for each Business Day until such file is successfully delivered.) The definition of timely and accurate will be mutually agreed upon between PBM and Client.

Standard: 100%, Fees at Risk: 5.0%.

This guarantee is reported quarterly and measured annually on a client specific basis.

Please confirm this item pertains to data feeds or data exchange between PBM and external vendors, not external

PBM.

Pertains to data feed/exchange between PBM and any external vendor as outlined in the final contract.

75 08/27/2025 Attachment 15 Performance Guarantees PDP Reporting PG

Text: PBM guarantees that at no cost to Client, PBM will prepare and provide PDP reports set forth in Attachment 13 of the RFP, Master Report List - EGWP. During the term of the Addendum, Client and PBM may change the reporting requirements by mutual written agreement. The reports set forth in the Attachment 13, Master Report List - EGWP will be available within the time periods set forth in Attachment 13, or as soon as

Please clarify if this item should be modified to state Attachment 16 instead of Attachment 13.

This should refer to Attachment 16 (Master Report list)

DHR25006-PBM, Questions and Answers 22

Date Received

RFP Section/ Question/Page Question Response reasonably possible. PBM will make every effort to provide the reports in Attachment 13 within the target time frames. However, in those instances in which PBM must rely on a third party in order to provide the reports, PBM reserves the right to work with Client to identify a mutually agreeable delivery date if the third party has delays in providing the necessary data for the report.

76 08/27/2025 Attachment 22 Proposal Tech Questionnaire Pharmacy Questionnaire – General Question 3.2.8

Confirm you will remit to the client all rebates received from pharmaceutical companies on a quarterly basis within 90 days after the submitted quarter.

Should Attachment 16 be updated to request rebate reports and payment 90 days after the close of quarter to match Question

3.2.8 in Attachment 22 (Scope of Services Questionnaire in Proposal Tech)?

Currently Attachment 16 states 60 days

77 08/27/2025 Attachment 16 Master Report List

EGWP Master Report

The EGWP Master Report Section Lists both "Rebate Reports" and "Rebate Payment" requesting timing of 60 days following close of quarter.

Should Attachment 16 be updated to request rebate reports and payment 90 days after the close of quarter to match Question

3.2.8 in Attachment 22 (Scope of Services Questionnaire in Proposal Tech)?

Currently Attachment 16 states 60 days

78 08/27/2025 Attachment 22 Scope of Services Questionnaire (Proposal Tech) Pharmacy Questionnaire - General

Question 3.4.4.1.2.2 Account Management Satisfaction

Account Management Satisfaction.

Client may assess a penalty per Contract Year and each successive Contract Year, Client's benefits staff do

Please clarify if this item should be modified to state Attachment 17 instead of Attachment 10.

The referenced document should be Attachment 17 and not Attachment 10

DHR25006-PBM, Questions and Answers 23

Date Received

RFP Section/ Question/Page Question Response not rate the account team's performance for such Contract Year an average of 3 or better on a scale of 1 to 5 (5 being the best based on a range of performance criteria agreed to between Client and PBM at the beginning of such Contract Year). All members of the account team will be reviewed as part of this guarantee measurement.

Final measurement of Client's satisfaction with the account team will be subjective and will be based upon Attachment 10 to the RFP, Account Management Survey.

79 08/27/2025 Attachment 22 Scope of Services Questionnaire

(Proposal Tech) Pharmacy Questionnaire - General

Question 3.4.4.1.4.2 Standard Reports

Standard Reports. PBM guarantees that a minimum of 100% of standard reports will be accurate and delivered to Client by the target date specified in Attachment 12 to the RFP, Master Report List - Commercial. During the term of the Agreement, Client and PBM can change the reporting requirements by mutual written agreement.

Please clarify if this item should be modified to state Attachment 16 instead of Attachment 12.

The referenced document should be Attachment 16 and not Attachment 12

80 08/27/2025 Attachment 31 Fee Quote Offer Admin Fees Tab Question 3 Hard Copy Eligibility Submission

Is this applicable? If so, please clarify what the intended process for hard copy eligibility submission would entail.

Not applicable

81 08/27/2025 Attachment 31 Fee Quote Offer Admin Fees Tab Entire Tab Attachment 31, Admin Fees tab.

Does the Admin Fees tab apply only to the commercial plan? There is an EGWP Fees tab that

Admin fees tab is applicable to both lines of business; EGWP fees tab are only for fees specific to EGWP plans

DHR25006-PBM, Questions and Answers 24

Date Received

RFP Section/ Question/Page Question Response appears to cover fees for the EGWP LOB.

DHR25006-PBM, Attachment 24 revised 09/03/2025 1

Attachment 24, revised

Commercial Account Structure

Super Client Name

Carrier

ID

Carrier Name

Account

ID

Account Name

Group

ID

Group Name

Client Coverage Effective Date

Client Coverage Expiration Date

EIN

Issuer Name1

State

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11001

ALL MERIT

AGCY NO SCH

AHF

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11002

BRANDYWINE

SCHOOL DIST

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11003

APPOQUINIMINK

SCHOOL DIST

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11004

RED CLAY

SCHOOL

DISTRICT

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11005

CHRISTINA

SCHOOL

DISTRICT

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11006

COLONIAL

SCHOOL

DISTRICT

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11007

NEW CASTLE

COUNTY VO

TECH

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11008

STATE BOARD

OF EDUCATION

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11009

SMYRNA

SCHOOL

DISTRICT

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

DHR25006-PBM, Attachment 24 revised 09/03/2025 2

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11010

LAKE FOREST

SCHOOL DIST

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11011

CAESAR

RODNEY

SCHOOL DIST

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11012

CAPITAL

SCHOOL

DISTRICT

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11013

POLYTECH

SCHOOL

DISTRICT

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11014

DEL TECH

COMM COLLEGE

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11015

DEL STATE

UNIVERSITY

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11016

WOODBRIDGE

SCHOOL DIST

07/01/2021 12/31/2039 516000279

STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11017

DELMAR

SCHOOL

DISTRICT

07/01/2021 12/31/2039 516000279

STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11018

CAPE

HENLOPEN

SCHOOL DIST

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11019

MILFORD

SCHOOL

DISTRICT

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11020

SEAFORD

SCHOOL

DISTRICT

07/01/2021 12/31/2039 516000279

STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

DHR25006-PBM, Attachment 24 revised 09/03/2025 3

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11021

INDIAN RIVER

SCHOOL DIST

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11022

LAUREL

SCHOOL

DISTRICT

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11023

SUSSEX VO

TECH

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11024

CHARTER

SCHOOL OF

WILM

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11025

POSITIVE

OUTCOMES

07/01/2021 12/31/2039 516000279

STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11026

EAST SIDE

CHARTER

SCHOOL

07/01/2021 12/31/2039 516000279

STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11027

CAMPUS

COMMUNITY

SCHOOL

07/01/2021 12/31/2039 516000279

STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11028

THOMAS A.

EDISON

CHARTER

07/01/2021 12/31/2039 516000279

STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11029

SUSSEX

ACADEMY OF

ARTS

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11031

KUUMBA

ACADEMY

CHARTER

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11032 MOT CHARTER 07/01/2021 12/31/2039 516000279

STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

DHR25006-PBM, Attachment 24 revised 09/03/2025 4

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11033

PVD CREEK

ACAD CHTR SCH

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11034

DELAWARE

MILITARY

ACADEMY

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11035

ACADEMY OF

DOVER

CHARTER

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11036

CHTR SCH OF

NEW CASTLE

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11038

ODYSSEY

CHARTER

SCHOOL

07/01/2021 12/31/2039 516000279

STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11039

NEWARK

CHARTER

SCHOOL

07/01/2021 12/31/2039 516000279

STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11045

LAS AMERICAS

ASPIRA ACAD

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11046

GATEWAY LAB

CHTR SCH

07/01/2021 12/31/2039 516000279

STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11047

EARLY

COLLEGE HIGH

SCHOOL

07/01/2021 12/31/2039 516000279

STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11048

ACADEMIA

ANTONIA

ALONSO

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11049

FIRST STE

MONTESSORI

ACAD

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

DHR25006-PBM, Attachment 24 revised 09/03/2025 5

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11052

FIRST STATE

MILITARY ACAD

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11055

GREAT OAKS

CHARTER

SCHOOL

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11056

FREIRE

CHARTER

SCHOOL

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11058

SUSSEX

MONTESSORI

SCHOOL

07/01/2021 12/31/2039 516000279

STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

11059

BRYAN ALLEN

STEVENSON SCH

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

12001

SOD PENS

NOMED SPC

MDFIL

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

12003

CITY OF DOVER

PENSIONERS

07/01/2021 12/31/2039 516000279

STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

12004

TOWN OF

SMYRNA

PENSIONERS

07/01/2021 12/31/2039 516000279

STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

12005

DE STE HOUS

AUTH PENS

07/01/2021 12/31/2039 516000279

STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

12006

CITY OF

REHOBOTH

PENS

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

13002

U OF DE ACT

FUTR SOD RETD

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

DHR25006-PBM, Attachment 24 revised 09/03/2025 6

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

13003

U O DE PENS SPC

MDFILW RX

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STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE

21AD

STATE OF

DELAWARE

863728

AETNA

GOLD

PLAN

14001

DE TRANSIT

CORP

07/01/2021 12/31/2039 516000279

STATE OF

DELAWARE

GROUP

HEALTH

INSURANCE

PLAN

DE

STATE OF

DELAWARE