Medicare_Supplemental_Plans_and_Medicare_Part_D_Employer_Group_Waiver_Plans_(Addendum_#1_Revision).pdf
PDF 197 KB Posted
- Solicitation number
- Y26-151
- Issued by
- Orange County, Orlando City, Florida
About this file
This is an Addendum #1 Revision document for Orange County, Florida's Request for Proposals (Y26-151) soliciting sealed responses for Medicare Supplemental Plans and Medicare Part D Employer Group Waiver Plans. The County seeks qualified insurers to provide fully insured group coverage for county retirees and Medicare-eligible dependents across five Florida counties: Orange, Brevard, Osceola, Seminole, and Volusia. Proposers must offer a minimum of three Medicare Supplement plan options (Plans F, G, and N) and Medicare Part D EGWP plans at both low and high coverage levels, with comprehensive plan administration, nationwide pharmacy networks with specific chain participation, disease management and case management programs, and guaranteed issue provisions with no pre-existing condition limitations. The solicitation was released March 26, 2026, with a question submission deadline of May 22, 2026, at 5:00 PM EST and a revised response deadline of June 11, 2026, at 4:00 PM EST. Electronic submission through the OpenGov e-Procurement Platform is mandatory, with responses submitted after the deadline or through alternative methods subject to rejection. The contract term is three years commencing January 1, 2027, with two optional one-year renewal periods.
Proposers must maintain an A.M. Best financial strength rating of A or above and obtain Florida Office of Insurance Regulation approvals. Evaluation criteria allocate 40 points for plan administration and staff qualifications, 15 points for technical approach to plan design and network services, and 45 points for the fee schedule, with bonus points available for hiring dislocated workers (up to 5 points), registered Service-Disabled Veteran subcontractors (up to 10 points), and registered SDV prime contractors (5 points). The County encourages participation from dislocated worker programs and Service-Disabled Veteran-owned businesses through bonus point allocations. Proposers must comply with comprehensive insurance requirements including $1,000,000 commercial general liability, $500,000 business auto liability, and $1,000,000 professional liability coverage, along with E-Verify employment verification and Business Associate Agreements for HIPAA compliance. The incumbent carriers are Cigna-HealthSpring for prescription drug plans and Medicare Surround Cigna for supplemental coverage, with approximately 400+ existing retirees enrolled. Pricing is evaluated competitively through fee schedule submission requiring monthly premium rates for individual retirees across multiple age ranges, with reference plan proposals at $214.97 (Low Plan) and $377.00 (High Plan) for current proposed rates. The County's current Third Party Administrator is Wex Health, Inc., and proposers must be capable of interfacing with this existing infrastructure while accepting monthly premium payments on a group billing basis.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Medicare_Supplemental_Plans_and_Medicare_Part_D_Employer_Group_Waiver_Plans.pdf | ||
| RFP_Y26-151-KK.pdf | ||
| Attachment_F_-_Census.xlsx | XLSX spreadsheet | |
| Attachment_E_-_Fee_Schedule_Worksheet.docx | DOCX document | |
| Attachment_D_-_Pharmacy_Directory_.xlsx | XLSX spreadsheet | |
| Attachment_C_-_Pharmacy_Drug_Plan_Formulary.xlsx | XLSX spreadsheet | |
| Attachment_B_-_Proposal_Worksheet.docx | DOCX document | |
| Attachment_A_-_Mandatory_Features_Checklist.docx | DOCX document |
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Text version
undefined
Y26-151
MEDICARE SUPPLEMENTAL PLANS AND MEDICARE PART D
EMPLOYER GROUP WAIVER PLANS
Orange County, Florida
400 E South Street
Orlando, FL 32801
RELEASE DATE: March 26, 2026
DEADLINE FOR QUESTIONS: May 22, 2026, 5:00 pm
RESPONSE DEADLINE: June 11, 2026, 4:00 pm
RESPONSES MUST BE SUBMITTED ELECTRONICALLY TO:
https://secure.procurenow.com/portal/orangecountyfl https://secure.procurenow.com/portal/%7bproject.government.code%7d
Orange County, Florida undefined
Medicare Supplemental Plans and Medicare Part D Employer Group
Waiver Plans
I. Introduction II. Submittal Instructions
III. Response (Submittal)
Attachments:
A - RFP Y26-151-KK
B - Attachment A - Mandatory Features Checklist
C - Attachment B - Proposal Worksheet
D - Attachment C - Pharmacy Drug Plan Formulary
E - Attachment D - Pharmacy Directory
F - Attachment E - Fee Schedule Worksheet
G - Attachment F - Census undefined #Y26-151 Title: Medicare Supplemental Plans and Medicare Part D Employer Group Waiver Plans
1. Introduction
1.1. Summary
NOTICE IS HEREBY GIVEN that Orange County, Florida, henceforth referred to as the County is accepting sealed responses for Medicare Supplemental Plans and Medicare Part D Employer Group Waiver Plans
(Y26-151)
Sealed offers for furnishing the above will be accepted up to 4:00 pm EST on Thursday, June 11, 2026.
NOTE: Respondents are required to submit responses electronically via the OpenGov e-Procurement
Platform.Respondents shall not be permitted to hand-deliver, mail, telephone, fax or email offers.
Responses received after the submission deadline and/or transmitted outside of the designated
OpenGov e-Procurement Platform shall be rejected.
1.2. Background
Orange County exercises the rights and privileges conveyed to it by the State of Florida, and the Orange
County Charter. It presently operates with an elected chief executive officer, Orange County Mayor, and six elected district commissioners, who together comprise the Board of County Commissioners.
Procurement is an essential function of the County, affecting all operational departments, ongoing projects and future initiatives. The Procurement Division is divided into three (3) Sections, the “Buying
Section”, the “Purchasing Section” and the “Contracts Section”.
The Orange County Procurement Division operates under the leadership of Carrie Mathes, MPA, NIGP-
CPP, CFCM, CPPO, CPPB as Procurement Division Manager and Chief Procurement Official in accordance with the Orange County Ordinance.
1.3. Contact Information
Orange County Procurement Point of Contact
Kaitlin Kolhoff
Contracting Agent
Email: kaitlin.kolhoff@ocfl.net
Phone: (407) 836-5438
Department:
Human Resources Department mailto:kaitlin.kolhoff@ocfl.net tel:(407)836-5438
1.4. Timeline
Release Project Date March 26, 2026
Question Submission Deadline May 22, 2026, 5:00pm
Submission Deadline June 11, 2026, 4:00pm
2. Submittal Instructions
2.1. Important Instructions for Electronic Submittal
The County is ONLY accepting electronic submissions using the OpenGov Platform. Respondents shall create a FREE account with OpenGov by signing up at https://secure.procurenow.com/signup. Once you have completed account registration, browse back to this page, click on "Submit Response", and follow the instructions to submit.
Note: Firms shall not be permitted to hand-deliver, mail, telephone, fax or email offers.
Responses received after the submission deadline and/or transmitted outside of the designated
OpenGov e-Procurement Platform shall be rejected.
It is the respondent's responsibility to ensure they commence their upload efforts timely to meet the submission deadline. The County shall not be responsible for delays caused by any occurrence, including the respondent's network delays, bandwidth issues, internet outages, or technical difficulties.
2.2. Timely Questions Regarding this Solicitation
TAKE NOTE:
The question and answer module of OpenGov IS being utilized for this solicitation.
Timely questions concerning this solicitation shall be submitted via the question and answer module in accordance with the deadline for questions: Friday, May 22, 2026 at5:00 pm EST.
Respondents are instructed not to contact the initiating division directly.
Consideration for modification or alteration of the documents contained in this solicitation shall be requested during the specified question period, before the applicable deadline. No oral interpretation of the meaning of the plans, specifications, or other Contract documents shall be considered binding. The
County shall be bound by information and statements only when such statements are written and executed under the authority of the Manager, Procurement Division.
Timely questions and answers will be addressed in the OpenGov question and answer module or as an addenda to this solicitation depending on volume. Participants are encouraged to subscribe as a follower and monitor all notifications. Beyond questions and answers, any and all modifications, clarifications, interpretations and supplemental instructions will also be in the form of a written addendum which, if issued, will be available for download. All addenda so issued shall become part of the Contract Documents and receipt shall be acknowledged as specified herein.
https://secure.procurenow.com/signup
This provision exists solely for the convenience and administrative efficiency of Orange County. No respondent or other third party gains any rights by virtue of this provision or the application thereof, nor shall any respondent or third party have any standing to sue or cause of action arising there from.
2.3. OpenGov Technical Support
For Technical Support, respondent's can reach the OpenGov Service Desk:
Chat (preferred): Click the button in the lower right hand corner of the portal
Email: support@procurenow.com
Phone: 1 (855) 680-4747
Hours: Mon-Fri 8am - 8pm EST mailto:support@procurenow.com
3. Response (Submittal)
Respondent acknowledges that they are solely responsible for reviewing their submission to ensure all files and attached documents uploaded are uncorrupted. Failure to perform quality assurance on your submission may result in your offer being deemed non-responsive if key data is omitted or inaccessible.
All offers shall be submitted on the County’s standard response forms as provided herein. Modification of the forms herein or submission on the respondent's quotation forms shall not be accepted and shall be deemed non-responsive.
3.1. Upload your Complete Response *
For upload items, electronic files must be in a common format accessible by software programs the
County uses. Those common formats are generally described as Microsoft Word (.doc or .docx), Microsoft Excel (.xls or .xlsx), Microsoft Power Point (.ppt or pptx), or Adobe Portable Document Format
(.pdf.). Respondents will not secure, password protect or lock uploaded files; the County must be able to open and view the contents of the file. Respondents will not disable or restrict the ability of the County to print the contents of an uploaded file. Scanned documents or images must be of sufficient quality, no less than 150 dpi, to allow for reading or interpreting the words, drawings, images or sketches.
*Response required
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