FinalEvaluationDocument.pdf

This is a Final Evaluation Document for Request for Proposal (RFP) #122435 O5 issued by the State of Nebraska Department of Administrative Services for Administrative Support Services for the State of Nebraska Employee Health Care Medical Benefit Plans. The solicitation seeks a third-party administrator to provide comprehensive administrative support services for the state's self-insured medical plans, serving approximately 17,500 employees and 13,600 enrolled members across three health plan options: Regular Plan, Consumer Focused Health Plan with Health Savings Account, and WellNebraska. Required services encompass member services, claims processing, network management, medical management, wellness programs, and comprehensive reporting. The RFP was released on June 9, 2025, with proposals due by July 17, 2025, at 2:00 p.m. Central Time. The contract term runs from execution through June 30, 2029, with options to renew for two additional one-year periods. Implementation is targeted before the annual Open Enrollment period in May with a benefit plan year beginning July 1, 2026.

The evaluation process awards a maximum of 100 points distributed across Corporate Overview (25 points), Technical Response (55 points), and Cost (20 points), with potential for an additional 20 points for vendor demonstrations. Two vendors submitted proposals: Blue Cross and Blue Shield of Nebraska, Inc., which scored 73.89 points, and United Healthcare Services, Inc., which scored 73.12 points. Vendors must have at least five years of self-funded medical administration experience, serve public sector groups with a minimum of 15,000 lives, and be licensed to offer solutions in all 50 states and U.S. territories. Administrative fees commence July 1, 2026, with run-out claims administration for 12 months following contract termination. Performance guarantees include financial penalties ranging from 0.50% to 1.50% of annual fees for non-compliance across various service categories. The solicitation does not explicitly mention specific set-aside designations or budget ranges, though the comprehensive nature of services and covered population size indicate significant contract value.