REQUEST_FOR_CONFIDENTIAL_DOCUMENTS_FORM_260125.pdf
PDF 97 KB Posted
- Solicitation number
- 260125
- Issued by
- Pima County, Tucson City, Arizona
About this file
This is a Request for Confidential Documents Form for the City of Tucson RFP #260125, involving McGriff/MMA Dallas as the consulting firm. The document outlines a request for confidential documents and repricing files for multiple service categories including Medical/Telehealth, HSA & HRA Administration, Pharmacy Benefit Management (PBM), Wellness, Employee Assistance Program (EAP), and Dental services. Potential vendors are required to submit this form within one week of the RFP release date, with options to indicate their intent to submit a proposal or decline participation for each service category.
The form requires vendors to complete a Non-Disclosure Agreement if they do not already have one on file with McGriff/MMA Dallas. For Medical and Pharmacy Proposals, vendors must submit a repricing file for the City of Tucson's claims, which will be transferred securely. Vendors must return responses to the repricing securely and by a specified deadline. The form includes spaces for company name, contact information, and signature, allowing potential vendors to formally express their interest in participating in the RFP process for these municipal service opportunities.
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Text version
REQUEST FOR CONFIDENTIAL DOCUMENTS FORM
Email:tacompton@mcgriff.com/ troy.rombough@tucsonaz.gov/tracy.garcia@tucsonaz.gov
Attn: Taylor Compton/Troy Rombough/Tracy Garcia
RE: City of Tucson RFP #260125
We are in receipt of the above referenced RFP and requesting the census and additional documents for the service(s) indicated below. We understand that documents containing confidential data (census, claims, etc.) cannot be sent to us without a current signed Confidentiality Agreement on file. Upon receipt of the confidential documents form, Purchasing will release these additional documents.
For Medical and Pharmacy Proposals, Vendors must submit a repricing file for City of Tucson’s claims to be reviewed as part of the cost analysis. The City’s Consultant McGriff/MMA Dallas will be submitting this data and instructions via secure file transfer. A Non Disclosure Agreement will be needed if your organization does not currently have one on file with McGriff/MMA Dallas. Responses to the repricing must be returned back to McGriff securely via the instructions and by the deadline that will be provided. Indicate below if you are requesting repricing files. This form is due within 1 week of RFP Release Date.
_____ Offeror is requesting the Confidential Documents (census, claims, etc.)
_____ Offeror is requesting repricing documents from McGriff/MMA Dallas
Service(s) Respond (mark x if you will submit a proposal)
Decline (mark x if you will NOT submit a proposal)
Reason for Decline
A. Medical/Telehealth, and HSA & HRA Admin
B. Pharmacy Benefit Management (PBM)
C. Wellness
D. EAP
E. Dental
Name of Company
Address
Phone Number
Email Address of Person(s) to receive confidential & repricing files
Signature
File details come from the government source that posted it. Updated .