FLTCIP_RFP_Number_OPM35-15-R-0002_-_Amendment_Number_A0001--10.08.2015.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE PAGE OF PAGES

1 10

2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)

A0001 October 8, 2015

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE

United States Office of Personnel Management Contracting Group 1900 E Street, NW, Room 1342 Washington, DC 20415

Same as Item 6

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION

X

OPM35-15-R-0002

9B. DATED (SEE ITEM 11)

September 18, 2015

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 11)

CODE FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of offers Is extended, X Is not extended.

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by:

(1) Acknowledging receipt of this amendment on each copy of your offer submitted.

FAILURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment your desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (IF REQUIRED)

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGEORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NO. IN TTEM 10A

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, Appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, X is required to sign this document and return 1 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

See Page 2.

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

15B. CONTRACTOR/OFFEROR 15c. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

NSN 7540-01-152-8070

Previous edition unusable

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

UNITED STATES OFFICE OF PERSONNEL MANAGEMENT

SSOOLLIICCIITTAATTIIOONN NNUUMMBBEERR OOPPMM3355--1155--RR--00000022

AAMMEENNDDMMEENNTT NNUUMMBBEERR AA00000011

The purpose of Amendment Number A0001 to Solicitation Number OPM35-15-R-0002 is as follows: (1) revise a sentence in Section C.2 Summary of Requirements; (2) revise a definition in Section C.3 Definitions; (3) delete four clauses in Section H – Special Contract Requirements; (4) revise Attachment 7, Quality Assurance Surveillance Plan, Numbers 1.5 and 7.3 in Section J – List of Attachments; (5) revise a sentence in Section L.6.1 General Instructions for the Preparation of Proposals, Number 3; (6) renumber Section L.6.2.2 Technical Proposal, Underwriting Questions; (7) revise Section M.3.2 Technical Evaluation Factors; and (8) provide the questions and answers. Accordingly, the solicitation is amended as follows:

1. Page 11, Section C.2 Summary of Requirements, Paragraph (A)2f(1), the end of the sentence is revised as follows:

“Attachment 6” is revised to “Attachment 6D.”

2. Page 32, Section C.3 Definitions, Qualified Relative, the last sentence is revised as follows:

“Also includes all individuals who are same-sex domestic partners of Employees and Annuitants.”

3. Pages 46-50, SECTION H – SPECIAL CONTRACT REQUIREMENTS, the following four clauses are deleted:

1752.232-70 Large Business Invoice Requirements (October 2012)

1752.232-71 Method of Payment (July 2005)

1752.232-73 Small Business Invoice Requirements (October 2012)

1752.232-74 Providing Accelerated Payment to Small Business Subcontractors (July 2012)

4. Page 86, SECTION J – LIST OF ATTACHMENTS, Attachment 7, Quality Assurance Surveillance Plan is revised as follows:

Page 2, Number 1.5

Performance Standard – Accurate and appropriate correspondence is generated and sent to FLTCIP customers

Measuring Method – Random Sampling of correspondence using standard assessment tool approved by OPM

Page 8, Number 7.3

Target Values – Measurement will be based on tracking documents for deficiency correction in a form prescribed by the Contracting Officer.

OPM has the right to make a downward adjustment to this factor or withhold profit payments to protect the interests of enrollees pending submission or implementation of plans for correction of deficiencies.

5. Page 93, Section L.6.1 GENERAL INSTRUCTIONS FOR THE PREPARATION OF PROPOSALS, Number 3, the end of the last sentence is revised as follows:

“Sections” is revised to “questions.”

6. Pages 104-105, Section L.6.2.2 TECHNICAL PROPOSAL, Underwriting Questions is renumbered as follows:

Question Numbers 3-15 are renumbered to Questions 2-14.

7. Pages 132-133, Section M.3.2 TECHNICAL EVALUATION FACTORS is revised as follows:

We will evaluate the technical proposals based on the following major criteria, listed in descending order of importance. These technical factors, when combined, are approximately equal in importance to price.

1. Plan Design – We will evaluate proposals based on the offeror’s ability to implement the requirements as specified in Section C. We will devote significant attention in the evaluation to the offeror’s plans for ensuring a smooth transition to the next contract for Current Enrollees, especially with respect to administering upgrades and downgrades. We will also give higher ratings to proposals that offer innovative, reasonably priced suggestions for plan design improvements.

We will also evaluate the following:

a. Any additional options and/or features that the offeror proposed for plan design;

b. The offeror’s proposal for a different inflation index for determining the amount of each future purchase option increase;

c. The offeror’s experience in starting up and administering large group plans;

d. The offeror’s experience in administering large group plans they have taken over from another company;

e. The offeror’s communication plan to contact Current Enrollees about any changes to their benefits or premiums, including timeframes for enrollee decision; and

f. The offeror’s plans for the administration of the international benefit, the

Alternative Insurance Plan and the service package.

2. Claims Administration – We will evaluate each offeror’s proposal to determine their capability of processing long term care insurance claims on a timely and accurate basis as specified in Section C and Attachment 7, Quality Assurance Surveillance Plan (QASP). The claims operation should be similar to the size and scope of FLTCIP. We will pay close attention to the offeror’s claims processing workflow, their process for managing high volume claim periods, and their procedures for handling invalid claims.

In addition, we will evaluate each offeror’s proposals based on the comprehensive care coordination services. We will give significant attention in the evaluation to the offeror’s plans for ensuring a smooth transition for enrollees who are on claim as of the Transfer Date.

We will also evaluate the following:

a. The offeror’s standard ADL assessment forms, claims forms, and explanation of benefits forms;

b. The offeror’s ability to process claims received from enrollees in other countries;

c. The offeror’s process for enrollees to appeal a denial of a claim or denial of the enrollee’s eligibility for benefits;

d. The establishment of quality assurance guidelines and audit procedures for the offeror’s subcontractors; and

e. The offeror’s current care coordination services plus the qualifications for those care coordinator employees.

3. Customer Service – We will evaluate each offeror’s proposal based on the standards indicated in Attachment 7. The Offeror must provide customer service at or above the levels indicated in Attachment 7. These service levels also apply to subcontract operations. We will give higher ratings to proposals guaranteeing the most rigorous standards, without qualification.

a. The offeror’s description and diagram of the departments that will have customer service responsibility of FLTCIP;

b. The offeror’s process for monitoring the performance of their customer service unit, including the quality of the customer service;

c. The plans of offeror’s for providing quality customer service to agency human resource professionals;

d. The offeror’s system used to provide timely and accurate information to customers.

e. The offeror’s process to handle customer dissatisfaction; and

f. The offeror’s plan to evaluate the effectiveness of service to FLTCIP customers, including the proposed survey instrument.

4. Administration and Systems – We will evaluate proposals based on the offeror’s ability to assume the FLTCIP business, interface with BENEFEDS, operate a call center, and host a Section 508-compliant web site by the Transfer Date.

Proposals that do not meet these requirements as specified in Section C will be considered unacceptable. We will give higher ratings to proposals featuring the most robust capabilities in these areas.

a. The offeror’s description of the systems that will be fully functional by the

Transfer date including claims payment and care coordination for Current Enrollees; systems to accept, underwrite, and process application from eligible persons;

b. The offeror’s description of their system security measures and their compliance with Federal directives;

c. The offeror’s toll free call center capabilities including the training process for marketing and call center staff to ensure they are fully prepared to handle FLTCIP business by the transfer date;

d. The offeror’s resources that will be devoted to interfacing with BENEFEDS for premium administration and periodic reconciliations;

e. The offeror’s policy and procedures for protecting PII and PHI; and

f. The offeror’s plan for the dedicated FLTCIP website.

5. Past Performance – In conducting the past performance evaluation, OPM may, at its discretion, use information obtained from other sources, as well as that provided in the offeror’s proposal. While OPM may elect to consider information obtained from other sources, the burden of providing complete information rests with the offeror.

OPM’s evaluation will only consider past performance information as it relates to the requirements and similar requirements listed in Section C. Past performance history not specifically related to providing long term care insurance will not be considered relevant information for determining successful past performance.

Failure to provide all reviews/investigations/findings, reports, sanctions, admonishments, restrictions, or other positive or negative written material for the prime and each proposed first-tier subcontractor may have an adverse impact on the past performance evaluation of an offeror. If an offeror does not have a record of relevant past performance or past performance is not available, we will give the offeror a neutral rating.

6. Underwriting – We will evaluate proposals based on how well the offeror develops underwriting standards that balance premium levels and stability.

a. The offeror’s description of their underwriting plan and workflow, including the use of other persons who are not the actual underwriters;

b. The offeror’s description of circumstances that a spouse could be underwritten in the exact same manner as an active worker;

c. The number of underwriting applications the offeror’s staff are capable of processing, including the largest number of abbreviated/full underwriting applications they have handled during one campaign and the time period to process them; and

d. The offeror’s plan, both from a technology and staffing standpoint, to handle a surge of underwriting applications.

7. Education, Marketing, and Enrollment – We will evaluate proposals for the offeror’s ability to conduct an education campaign that is multi-dimensional, creative, and cost-effective for the entire contract term. We will give higher ratings to proposals featuring a robust education and marketing strategy attuned to the challenges of reaching the eligible population that also contains a comprehensive open season component.

a. The offeror’s description of their marketing/enrollment staff including the number, role, and training level;

b. The offeror’s detailed FLTCIP education/marketing plan proposal for year one, including an assumed open season, plus the high level marketing plan for the remainder of the contract term;

c. The offeror’s plans to overcome the lack of an eligibility file and home addresses for eligible groups, plus plans to conduct outreach to groups that have low penetration rates;

d. The offeror’s ability to educate and market to a group with the size and type as the FLTCIP eligible population; and

e. The offeror’s plan for making a complex product, FLTCIP, understandable given the various benefit combinations.

8. Contractor Information – We will evaluate proposals based on the offeror’s demonstration of significant experience in providing group long term care insurance to large employers. If offeror proposes a Consortium, we will evaluate proposals based on the clarity of the roles and responsibilities of each entity.

a. The offeror’s demonstration of their capability of performing this contract and assuming the risk;

b. The offeror’s description of its largest group term long term contract and how they implemented and managed underwriting, reporting, administration, education/marketing, customer service, and care coordination; and

c. The number of regulatory or administrative actions taken against the offeror in the last ten years regarding any aspect of its long term care or other insurance programs.

9. Reporting – We will evaluate proposals based on the offeror’s ability to provide accurate and timely reports.

a. The offeror’s description of their proposed reports to validate performance standards in the QASP;

b. The offeror’s description and examples of reports produced for current large group long term care insurance clients; and

c. The offeror’s capability to produce electronic reports or to have a system that allows clients to access reports online.

10. Transition Schedule – We will evaluate offeror’s proposals based on reasonableness and completeness.

a. The offeror’s timeline to assume responsibility for FLTCIP is both reasonable and achievable; and

b. The offeror’s transition plan is thorough and provides the details needed to determine their success is reaching the anticipated milestones.

8. The questions and answers are as follows:

Question: Is this RFP a new RFP or a revised continual of previous contract?

Answer: This is a new RFP.

Question: Is the current contract incumbent allowed to compete for this contract?

Answer: Yes, the incumbent is allowed to submit a proposal in response to the RFP.

Question: On p. 93, Section L.6.1 General Instructions for the Preparation of Proposals, regarding the email submission of the proposal, is there a file size maximum for attachments? The technical volume could be several megabytes given the documentation requested by the RFP, such as three years’ worth of audited financial statements. If there is a maximum attachment size, we recommend allowing offerors to submit the technical volume in multiple parts as separate documents in separate emails. As an alternative to what may prove to be a number of emails with large attachments, we recommend allowing offerors to submit attachments to the technical volume on a secure USB drive to be postmarked on or before the due date, for overnight delivery to the contracting officer.

Answer: The maximum allowable file size for attachments is 20 MB. Offerors are allowed to send their files in separate e-mails. We must receive all of the offerors files by the offer due date and local time.

Question: On p. 104 of the solicitation, in Section L.6.2.2 Technical Proposal, Underwriting Questions, Question 2 is missing. Does the Government intend to re-number the subsequent questions in this section?

Answer: Yes, Question Numbers 3 – 15 are renumbered to Question Numbers 2 –

14. See Amendment Number A0001, Number 6.

Question: Regarding Attachment 7, Quality Assurance Surveillance Plan, the text in the following sections appears to be truncated. Can the Government provide the full text for the following sections?

a. Standard 1.5, Measuring Method

b. Standard 7.3, Target Values

Answer: The full text for Number 1.5, Performance Standard and Measuring Method and Number 7.3, Target Values is as follows:

a. Number 1.5

Performance Standard – Accurate and appropriate correspondence is generated and sent to FLTCIP customers

Measuring Method – Random Sampling of correspondence using standard assessment tool approved by OPM

b. Number 7.3

Target Values – Measurement will be based on tracking documents for deficiency correction in a form prescribed by the Contracting Officer.

OPM has the right to make a downward adjustment to this factor or withhold profit payments to protect the interests of enrollees pending submission or implementation of plans for correction of deficiencies.

See Amendment Number A0001, Number 4.

Except as provided herein, all terms and conditions of Solicitation Number OPM35-15-R- 0002, as heretofore changed, remain unchanged and in full force and effect.

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT