RFP_013_2026_Questions and Responses_8.13.26.pdf

This is a Questions and Responses document for RFP #013-2026 issued by Nassau Health Care Corporation (NHCC), a New York State public benefit corporation, regarding Professional Liability Insurance and Captive Management Strategic Planning Services. NHCC is seeking an independent strategic advisor to evaluate its current medical malpractice and professional liability risk financing structure, including its existing offshore captive insurance company. The deliverables include a comprehensive diagnostic report, strategic recommendations comparing alternative risk financing structures (restructuring the existing Cayman captive, forming a new single-parent onshore captive, or utilizing a risk retention group), domicile analysis, actuarial and financial feasibility modeling, and five-year financial projections. The RFP requires proposals due August 21, 2026 at 4:00 p.m., with questions due by August 10, 2026. The scope requires strategic assessment and recommendations only; implementation planning and transition support are not required unless recommended as separate proposals. Respondents should demonstrate a minimum of 10 years of experience providing similar services to healthcare systems and government entities, with documented expertise in both onshore and offshore captive management, specifically regarding Cayman Islands regulatory frameworks.

Pricing should be submitted as respondents see fit, whether as hourly rates, flat fees, or ranges. The selected vendor must execute NIFA-mandated vendor forms and provide certificates of insurance (general liability $1,000,000 per occurrence/$3,000,000 aggregate, professional liability with identical limits, and cyber liability $5,000,000 per instance/$10,000,000 aggregate) within three business days of award. NHCC has established a 20% Minority and Women-Owned Business Enterprise (MWBE) utilization goal and a 6% Service-Disabled Veteran-Owned Business (SDVOB) goal, and respondents must submit a completed MWBE Utilization Plan. Proposals will be evaluated on a 100-point scoring grid: firm experience and qualifications (45 points), project approach and methodology (25 points), cost and fee proposal (25 points), and New York State diversity and compliance goals (5 points). Respondents must disclose any conflicts of interest related to broker commissions, third-party administrator services, or reinsurance placements. NHCC is not bound to accept the lowest cost and reserves the right to negotiate with all qualified sources, conduct interviews, and reject any or all proposals. No incumbent vendor has been identified for this procurement, and NHCC is currently under financial oversight by the Nassau Interim Finance Authority (NIFA), which must review and approve contracts above a specified threshold.