ESBD_360338_1717797768907_Addendum 1 - RFP 2024-P11.pdf

Addendum #1 RFP 2024-P11 Employee Group Health, Dental, and Employee Assistance Plans

Issue Date: June 7, 2024

HAYS COUNTY PURCHASING OFFICE

Stephanie Hunt, Purchasing Agent

712 S. Stagecoach Trail, Ste. 1012 San Marcos, Texas 78666

512-393-2267 ● purchasing@co.hays.tx.us

June 7, 2024

ADDENDUM #1

Please find attached Addendum #1 to RFP 2024-P11 Employee Group Health, Dental, and Employee Assistance Plans. All questions were answered by Hays County staff and NFP Corporate Services (TX), LLC.

Attachments to this addendum:

• Questions & Answers

• Attachment B – Hays County Census (April 2024) – Excel Version

• Attachment I – Updated - Additional Supporting Claims and Enrollment Information

• Attachment R – Dental PPO Summary of Benefits

• Attachment S – DHMO Fee Schedule

Acknowledge receipt of this addendum by signing and returning this page with your proposal.

Signature

Company Name Date mailto:purchasing@co.hays.tx.us

Questions & Answers

Questions:

1. Is the County working with a broker? If so, please provide details.

• No, NFP Corporate Services (TX), LLC s our consultant and then Hays County has an internal team that executes Broker duties.

2. Please confirm effective date. The document entitled “RFP 2024-P11 Employee Group Health, Dental and Employee Assistance Plans” states that the initial contract term is August 2024-August 2027, whereas the document entitled “Attachment A – Response Forms” states that the effective date of coverage is January 1, 2025.

• The contract would be executed in August 2024 for the awarded company to provide insurance coverage from January 1-December 31, 2025. And the subsequent renewals would follow. In order for the awarded firm to start working on open enrollment and other required items a contract must be in place.

3. Please provide top 25 providers for IP, OP and Hospitals.

• By sorting Attachment K you can obtain this information.

4. Can the EAP only be bid or or are you looking for a company that can do everything?

• Please review III. Specifications, A. Introduction – 3rd paragraph.

5. We are hoping that you could send us a copy of the census provided in the RFP docs in an excel spreadsheet.

• Attachment B – Hays County Census (April 2024) – Excel Version will be posted with this addendum.

6. We acknowledge the request for hard copies of Cigna's proposal. As a global health service company, we also recognize the connection between personal health and environmental health. Our corporate responsibility platform focuses on reducing our emissions, energy, and water consumption, and utilizing the “reduce, reuse, and recycle” model to minimize our waste footprint. To support Cigna's sustainability goals and digital-first philosophy, we respectfully request permission to submit our proposal electronically only. Please confirm your agreement.

• A hard copy is required with your electronic proposal.

7. We respectfully request to provide references upon being named as finalist for your business due to the high volume of these requests. In lieu of providing references, we would be happy to include a sample list of our local clients and current duration of partnership. Please confirm that this is acceptable.

• Reference submittals are required for your proposal to be deemed responsive.

8. Is it possible to have an extension? Is it also possible to have an extension for asking questions?

• No extension are being granted at this time.

9. Please provide the DHMO benefit plan schedule.

• See Attachment R – Dental PPO Summary of Benefits and Attachment S – DHMO

Fee Schedule

10. Please provide a census in Excel. The PDF does not convert well into Excel.

• See Question 5

11. What are the criteria for quoting ASL and ISL? 12/12, 24/12, etc.?

• The County is requesting Stop loss bids for 48/12 or will accept a Cash basis Stop loss proposal for the individual stop loss level of $200,000. 12/12 bids will not be accepted.

12. Please explain the different plan numbers for the EP1 and PS1:

a. EP1 Plan 2

b. EP1 Plan 20

c. HSA Plan 3

d. PS1 Plan 1

e. PS1 Plan 10

f. PS1 Plan 16

g. PS1 Plan 17

h. PS1 Plan 18

• See Attachment G

13. Please confirm that you need an O65 retiree plan proposal. If this is correct, please provide the retiree Medicare plans.

• Retirees are provided the same benefits as current employees. We currently have

Humana and have 1 retiree enrolled. We do not need a proposal for Medicare eligible plans.

14. Please include monthly claims by plan to include monthly enrollment for the retiree

Medicare plans.

• See Attachment I

15. Please provide the EAP plan in place today.

• Deer Oaks is the current vendor, please see page 9: Employee Assistance Plans of the solicitation for more details of what is provided and what services Hays County is requesting. Please make sure to include all services that are options from your firm in your proposal.

16. Do you currently have a broker/agent assisting with this RFP? If so, please identify.

• See question 1

17. Are there any pain points with the current carrier or areas for opportunity?

• We are open to having that discussion with the finalist.

18. Is there any clinical integration today between the medical carrier(s), PBM and the dental carrier? If so, can you please provide details on what is done today?

• New programs effective 1/1/2024 include Livongo. Real Appeal has been in place for multiple years. There are currently no clinical programs integrating medical, dental and pharmacy.

19. Are there any current initiatives powered by the incumbent focused on increasing preventive utilization. If yes, can you please describe them?

• The incumbent carrier conducts outreach by mail and phone to promote preventive care usage and other programs offered that supplement the medical plan.

20. Can you please expand on the expectations that exist for the selected dental partner as it relates to communications (i.e., scope, method, languages needed, etc.)?

• Dental carriers are expected to promote preventive care, recruit local providers, direct campaigns to members encouraging regular check-ups and education about the link between oral health and overall health.

21. Do you have a wellness plan today? Are you looking for your carrier partners to be able to compliment your current wellness programs?

• Wellness funds have been used for educational campaigns and ergonomic education.

22. What is the current wellness allowance?

• $35,000, as shown in Attachment P.

23. Is there a required HUB subcontracting goal? If so, what is the percentage proposers are expected to meet?

• Ther are no HUB Subcontracting goals identified.

24. We respectfully request a week extension in the deadline if possible to allow us to offer our most thorough response to the questionnaire and disruption/repricing requests.

• See Question 8

25. The ASL request does not seem to show the requested corridor, can we to confirm?

• 125%

26. Regarding the Rx claims file, please provide a unique pharmacy identifier, i.e. 7-digit

NABP or 10-digit NPI of the pharmacies.

• Report has been requested by current provider and will post through another addendum when received. This report should not impede any respondent from submitting a proposal if not received.

27. We will need a clear mail/retail indicator on the file as well.

• See Question 26

28. Can they provide the Actual Dental Certificates for this RFP?

• PPO for frequencies and allocations

• DHMO schedule for us to find the best match

• See Question 9

29. The Census appears to have been just a reformat of their PDF file, which is very challenging to work with. Do you have a updated Excel file that is easier to work with?

• See Question 5

30. The DHMO Plan is showing different rates depending on the documents. Would you please confirm which rates are the accurate DHMO Dental rates?

• The rates on Attachment Q (Dental Renewal) and Attachment H (March 2024 invoice) are the same. Those are the correct rates.

31. For Attachment I – Additional Supporting Claims and Enrollment information

• Would you confirm the Tab ‘Payments by month’ is the Dental PPO Claims?

• Confirmed, those are the Dental PPO clams, not DHMO.

• Would you explain the significant low amounts listed for Dental for Feb and March 2024?

• See updated Attachment I: the original was based on when the claim was incurred, the updated Attachment I is based on the date claims are paid.