FEDVIP_Application__General_Questions_and_Answers_1.doc

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OPM01-FEDVIP-01AP
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General FEDVIP Questions and Answers

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UNITED STATES OFFICE OF PERSONNEL MANAGEMENT

APPLICATION NUMBER OPM01-FEDVIP-01AP

QUESTIONS AND ANSWERS

1. Question: Section L, L.14.3.3 - We cannot locate the referenced drug free work place and anti-lobbying certifications referenced as attached with the application. Can OPM please provide copies or links to the certifications in order for us to review and execute?

Answer: Section L, L.14.3.3 - Certifications for a Drug-free work place and Anti-lobbying has been removed from this application. We have incorporated the following FAR clauses into the application to satisfy the Anti-lobbying certification:

· FAR 52.203-11 Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions (Sept 2007)

· FAR 52.203-12 Limitation on Payments to Influence Certain Federal Transactions (Oct 2010)

· FAR 52.212-3 Offeror Representations and Certifications—Commercial Items (Dec 2012)

FAR 52.223.6 Drug free workplace is already incorporated into the application and will serve as the certification. A separate certification will not need to be completed.

2. Question: Section C, IV Plan Design: Under the dental benefits section on C-10 for Intermediate services coverage it states that there can be no more than a 50% cost share but in Appendix E on page C-42 it states that the cost share should not exceed 45%. Could you please verify the cost share maximum level?

Answer: Total member cost sharing for Intermediate Services (Class B) is updated and should not exceed 50%.

3. Question: Section C, IV Plan Design: Under the dental benefits section on C-11 for Major services coverage it states that there can be no more than a 70% cost share but in Appendix E on page C-44 it states that the cost share should not exceed 65%. Could you please verify the cost share maximum level?

Answer: Total member cost sharing for Major Services (Class C) is updated and should not exceed 70%.

4. Question: Section C, IV Plan Design: Under the dental benefits section on C-11 for Orthodontic coverage it states that there can be no more than a 65% cost share but in Appendix E on page C-48 it states that the cost share should not exceed 60%. Could you please verify the cost share maximum level?

Answer: Total member cost sharing for Orthodontia Coverage (Class D) is updated and should not exceed 65%.

5. Question: On page C-38 are instructions for subscribing to the ListServ service. Is this subscription action something we should do now as part of our response process or is this simply detailing the process to be followed if selected as a Contractor?

Answer: The Listserv instructions are provided for applicants as a reference. After contract award, selected contractors will be encouraged to join the ListServ.

APPLICATION NUMBER OPM01-FEDVIP-01AP

QUESTIONS AND ANSWERS

6. Question: Are a separate set of responses required for companies that plan to propose both Dental and Vision products?

Answer: We expect a separate proposal if your company intends to propose both dental and vision products.

7. Question: In reference to A. Requirements, question #2, on page C-23, please describe or provide a sample of the required OPM format?

Answer: Once selected, contractors will receive information/guidance from the Program Office about the OPM-required format.

8. Question: Will OPM be providing any claims utilization information?

Answer: No, claims information will not be provided.

9. Question: In reference to L.14, please clarify whether responses should be provided online. If so, please provide the website link and login instructions for this online submission as none was found on the FedBizOpps.gov website.

Answer: We expect all proposals to be submitted via mail. The address is outlined in the application.

10. Question: If we deliver our response over the weekend of February 16th or 17th, will there be personnel to accept delivery?

Answer: No, there will not be any personnel available to accept delivery on the weekend. The proposal date has been extended to February 25, 2013. You must confirm that the CO or their designate is available to receive a hand delivery prior to sending. You may send an e-mail to dental-visionapps@opm.gov for confirmation.

11. Question: Does OPM have any enrollment data, similar to the FEHB Headcount Report, for the FEDVIP Program, like how many participate, Plan populations, etc. that would be available to assist potential contractors in assessing the market?

Answer: The numbers of possible eligibles are noted in the application. We are unable to provide enrollment information broken out by carriers and plans. There are approximately 2 million FEDVIP enrollments with a breakdown of about 60% dental and 40% vision. FEDVIP covers over 3 million lives.

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