Exhibit_C_-_Census_Final_Enrolled_Medical_2-11-2025.xlsx

The file "Exhibit_C_-_Census_Final_Enrolled_Medical_2-11-2025.xlsx" is a census document related to the Marion County Public Schools (MCPS) Request for Proposal (RFP) #4115RC for a Third-Party Administrator (TPA) to manage their self-funded medical plan. The RFP seeks a vendor to administer claims processing for four existing plan designs serving 4,184 subscribers and 5,611 members, with proposals due by 2:00 PM EST on March 6, 2025, and an anticipated board award date of June 24, 2025. The contract term is initially set for three years (January 1, 2026 through December 31, 2028) with potential renewal options for up to three additional one-year periods.

The RFP requires vendors to provide detailed per-employee-per-month (PEPM) pricing for medical administration fees, including options for broad and narrow network configurations. The current medical administrative services organization is Florida Blue, and three vendors have previously submitted proposals: Aetna Life Insurance Company, Blue Cross and Blue Shield of Florida, Inc., and United HealthCare Services, Inc., with Blue Cross and Blue Shield of Florida, Inc. receiving the highest previous evaluation score of 92.00 points. The district emphasizes a cost-effective solution that can manage healthcare spending while providing comprehensive employee health benefits, with performance guarantees and potential financial penalties for non-compliance in claims processing, financial accuracy, turnaround times, and customer service metrics.