FMLA - Form D.xlsx

This document appears to be a Pricing Form D for a Request for Proposal (RFP) issued by the Massachusetts Bay Transportation Authority (MBTA) for Family and Medical Leave Act (FMLA) 2nd and 3rd Opinions. The RFP seeks pricing for specialty medical services including allergists, cardiologists, dentists, radiologists, and other medical providers to perform FMLA medical evaluations and provide opinions. Bidders must complete the pricing table by entering their proposed rates for each specialty. The RFP replaces a previous bid that was cancelled, COMMBUYS bid 22-1206-40000-40000-72464.

The pricing form indicates that the proposed rates must be inclusive of the doctor visit charge and any administrative fees, with no other fees or charges to be billed to the MBTA. The RFP does not provide any additional details on funding, term lengths, renewal options, or other salient contract information.