Ext 5.TechProp FA6 Attachments List (Vision Plan) 2025.8.9.pdf
PDF 90 KB Posted
- Attached to
- 3-MDOT-MTA Medical/Vision Plan Admin&Svcs, Functional Areas 5 (Medical PPO-SF/HMO-SF) & 6 (Vision)
- Solicitation number
- BPM053905
- Issued by
- Anne Arundel County, Maryland
About this file
This is an attachments list for Functional Area 6 (Vision) of a Request for Proposal (RFP) issued by MDOT MTA for represented health benefits under RFP Number AGY-24-026-SR-A. The document outlines the technical proposal requirements for vision plan services, specifying 26 attachments that bidders must submit with their proposals. Required submissions include a vision technical proposal, vision plan design, explanations and deviations, service area map, plan management reporting package, claims appeal protocol, compliance checklist, performance guarantees, questionnaire, certificates of insurance, provider satisfaction surveys, member communication templates, implementation team and plan documentation, account management organizational structure with resumes, and subcontractor questionnaires. Several attachments are identified as reference documents rather than submission requirements, including vision census reference, claim file reference, explanations of coverage (EOC), and network management organizational charts.
The document does not provide information regarding pricing terms, contract duration, renewal options, award dates, response deadlines, site visits, or bidder conference details. No information is included concerning set-asides, incumbent contractors, funding sources, or amounts. This attachments list serves primarily as a compliance checklist to ensure bidders submit all required documentation and reference materials as part of their technical proposal response.
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Text version
MDOT MTA REPRESENTED HEALTH BENEFITS
RFP NUMBER AGY-24-026-SR-A
ATTACHMENTS LIST
FUNCTIONAL AREA (FA) 6 – VISION TECHNICAL PROPOSAL
ATTACHMENT NUMBER & NAME ATTACHMENT TYPE:
REFERENCE DOCUMENT OR
SUBMIT WITH PROPOSAL
FA6 Attachment 1: Vision Technical Proposal Submit
FA6 Attachment 2: Vision Plan Design Submit
FA6 Attachment 4 (and 4a, if needed):
Explanations and Deviations
Submit
FA6 Attachment 5: Vision Plan Service Area Map Submit
FA6 Attachment 7a: Vision Census Reference
FA6 Attachment 8a: Vision Claim File Reference
FA6 Attachment 10: Vision Plan Management Reporting Package
Submit
FA6 Attachment 12: Vision Plan Claims Appeal Protocol
Submit
FA6 Attachment 14: Vision Plan EOC Reference
FA6 Attachment 16: Compliance Checklist Submit
FA6 Attachment 17: Performance Guarantees
Submit
FA6 Attachment 18: Questionnaire Submit
FA6 Attachment 19: Certificates of Insurance
Submit
FA6 Attachment 20: Provider Satisfaction Surveys Submit
FA6 Attachment 21: Member Letter-Provider Termination
Submit
FA6 Attachment 23: Implémentation Team Submit
FA6 Attachment 24: Implémentation Plan Submit
FA6 Attachment 25: Account Management Team Organizational Chart and Resumes.
Submit
FA6 Attachment 26: Account Management Support
Submit
FA6 Attachment 27: Subcontractor Questionnaire Submit
FA1 Attachment 26: Network Management Organization Chart
Submit
| FA6 Attachment 14: Vision Plan EOC |
| FA6 Attachment 18: Questionnaire |
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