Exhibit_11_-_Marketplace_Qualifications.docx

Exhibit 11 – Marketplace Qualifications

Purpose This Exhibit evaluates the Bidder’s experience, qualifications, and overall understanding of the State-Based Exchange environment.

general instructions

· Page Limit:11 pages

· Font: Minimum 11-point (Arial, or Calibri)

· Margins: Minimum 1 inch

· Line spacing: Single or 1.15

· Tables and diagrams are encouraged and count toward page limits

· Avoid marketing language; focus on execution detail

· All content within each Exhibit, including bidder instructions, narrative responses, tables, and supporting detail, shall count toward the applicable page limitations unless otherwise specified.

Response Organization Requirement Responses must be organized using the structure provided in this Exhibit. Each subsection must be clearly labeled. Failure to clearly label responses may result in reduced evaluation scores.

Response expectations The Bidder shall describe:

Understanding of the EDE-First State-Based Exchange Model Bidder Instructions - Understanding of the EDE-First Model . Bidder should demonstrate an understanding of the Exchange’s EDE-first State-Based Exchange operating model, including the role of the State-operated consumer portal, Oklahoma Enrollment Partners (OKEPs), issuers, and other ecosystem participants.

Responses should address both operational and technical considerations associated with supporting a multi-channel enrollment ecosystem utilizing shared Exchange services and modular architecture. This should include flexibility to support the Exchange in pursuing an EDE-only model if Federal regulations permit.

Bidder Response - Understanding of the EDE Model In this section, the Bidder shall provide its complete written response to the instructions stated above. Responses must be clearly labeled and organized in accordance with this Exhibit.

Vendor Experience Supporting State-Based Exchanges, EDE Models, and CMS-Integrated Ecosystems Bidder Instructions - Vendor experience supporting State-Based Exchanges, EDE-ENABLED models, and CMS-integrated ecosystems Bidder should demonstrate proven experience supporting State-Based Exchanges, Enhanced Direct Enrollment (EDE)-Enabled models, and integrations with CMS and federal data services (e.g., FDSH).

Include:

· Experience delivering and operating eligibility and enrollment platforms in regulated healthcare environments

· Experience integrating with CMS systems and supporting certification activities (e.g., ATC or equivalent)

· Experience coordinating with issuers, brokers, and external partners in a multi-entity ecosystem

· Experience supporting consumer-facing enrollment capabilities, including account management, eligibility workflows, enrollment support, notices, and related Exchange operations

· Description of the Bidder’s role (prime vs subcontractor), scope, and duration for each relevant engagement

Bidder Response - Vendor experience supporting State-Based Exchanges, EDE models, and CMS-integrated ecosystems In this section, the Bidder shall provide its complete written response to the instructions stated above. Responses must be clearly labeled and organized in accordance with this Exhibit.

Relevant Case Studies and Past Performance Demonstrating Successful Delivery of Similar Solutions Bidder Instructions - Relevant case studies and past performance demonstrating successful delivery of similar solutions Bidder should provide specific examples of prior engagements demonstrating successful delivery of similar solutions.

Include:

· Project overview, objectives, and scope

· Description of services performed and solution implemented

· Key outcomes, including measurable results (e.g., enrollment volume, system performance, operational improvements)

· Relevance to a State-Based Exchange model, where applicable

· Lessons learned and how those lessons inform the proposed approach

Bidder Response - Relevant case studies and past performance demonstrating successful delivery of similar solutions In this section, the Bidder shall provide its complete written response to the instructions stated above. Responses must be clearly labeled and organized in accordance with this Exhibit.

Key Differentiators of the Bidder’s Approach, Solution, and Service Model Bidder Instructions - Relevant case studies and past performance demonstrating successful delivery of similar solutions Bidder should clearly articulate what differentiates Bidder’s solution and delivery model from other potential vendors.

Include:

· Unique capabilities, tools, or accelerators that improve implementation speed, cost, or quality

· Approach to minimizing State effort while maintaining flexibility and control

· Experience or strategies that reduce risk during implementation and operations

· Any innovative approaches specific to EDE-enabled ecosystems, partner enablement, or operational efficiency

Bidder Response - Key differentiators of the Bidder’s approach, solution, and service model In this section, the Bidder shall provide its complete written response to the instructions stated above. Responses must be clearly labeled and organized in accordance with this Exhibit.

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