RFP 26-02 Addendum No. 1 Questions and Answers.pdf

RFP Number: 26-02: BROKER SERVICES FOR INTERNATIONAL STUDENT MEDICAL INSURANCE (F-1 VISA and

M-1 VISA COMPLIANCE)

Addendum Number: 1

NOTICE TO PROPOSERS: THIS ADDENDUM SHALL BECOME PART OF THE RFP, AND PROPOSERS SHALL ACKNOWLEDGE, IN WRITING, RECEIPT AND INCORPORATION OF ALL ADDENDA AND CLARIFICATIONS IN THEIR RESPONSE. FAILURE OF THE PROPOSER TO RECEIVE ADDENDA SHALL NOT RELIEVE THE PROPOSER FROM ANY OBLIGATION UNDER ITS PROPOSAL AS SUBMITTED. THE PROPOSER SHALL IDENTIFY AND LIST IN ITS PROPOSAL ALL ADDENDA RECEIVED AND INCLUDED IN ITS PROPOSAL; FAILURE TO DO SO MAY BE ASSERTED BY THE DISTRICT AS A

BASIS FOR DETERMINING THE PROPOSAL NON-RESPONSIVE.

ANSWERS TO QUESTIONS

Number Questions Response

1 Is it the intention of the RFP to have brokers provide an insurance proposal for international students in their response or will the awarded broker then be authorized to get carrier quotes?

It is the intention of this RFP is to select a Broker to assist with placement of International Student Medical Insurance.

The selected broker will be responsible for servicing the program and obtaining final carrier quotes after the contract has been awarded.

2 Specifically, should proposers include a formal insurance plan design and pricing as part of the response, or is LACCD intending to select a broker first, with carrier marketing and plan design to occur post-award?

Please see response to Question 1.

3 Please confirm whether all nine Schools listed in the RFP currently offer the same benefit plan.

• If yes, only one current benefit summary is needed.

• If no, please provide the current benefit summary for each plan applicable to each School, along with the experience data requested below.

Yes, only one current benefit summary is needed.

4 Please provide 2–3 years of monthly experience data, including:

• Monthly membership (please confirm whether dependent counts are included)

• Monthly paid premium

• Monthly claims Please confirm whether claims are paid or incurred. If incurred, specify the paid through date.

This question is not relevant to being able to provide the best services and most advantageous value to the District.

5 Please confirm any plan design changes that occurred during the experience period, including:

• Effective dates

• A detailed description of each change

District.

6 Please provide large claimant details for all individuals with claims exceeding $25,000, including:

• Diagnosis

• Prognosis

This question is not relevant to being able to provide the best services and most advantageous value to the District.

7 Per Appendix A: Scope of Services — please verify whether a performance guarantee is required.

Per Appendix A: Scope of Services – a performance guarantee is not stated as a requirement.

8 Confirm whether the current plan is non-ACA and that an ACA is not being requested.

We are a Non-ACA program.

9 Kindly confirm if all Schools are required to opt in, or is participation optional?

All nine colleges are required to participate.

10 Please confirm the waiver type currently in place.

Students supported by their country consulates may be provided with a waiver, with certification from the consulate.

11 Please clarify whether online enrollment is required or if this will be a list enrollment process.

The Enrollment list will be provided by the District.

12 Please verify if this is a broker only RFP and quotes will then be requested after a Broker appointment is finalized.

13 Provide the number of insured international students attending by institution within LACCD for the last 3 academic years, and share any expected enrollment numbers for 2026-2027 for each school.

On average, approximately 900 international students attend LACCD colleges each year.

There are no current enrollment numbers for 2026-2027 to share at the moment.

14 Please provide a breakdown of your total insured students by institution, in the following age groups for last 3 academic years if possible, as well as expected breakdown per school for 2026-2027:

- Under 25

- 25 – 29

- 30 – 64

District.

15 We see the LACCD schools have health centers – are services free for students?

Please provide a breakdown of charges if the students are required to pay.

The health centers services are free for all students.

16 Do your student health centers bill insurance for any services rendered? Is there any difference in services amongst each individual center?

No, health centers services are free for all students.

17 Please share any historical claims loss reports from at least the past 3 academic years.

This question is not relevant to being able to provide the

18 Is your board date of approval the intended start date of the contract? Or will the start date align with the beginning of your academic year?

Yes. The contract start date will align with the Board approval date. However, the program implementation and coverage effective dates may be structured to correspond with the beginning of the academic year, as appropriate. Further coordination regarding transition and timing will occur with the awarded broker to ensure continuity of coverage and administrative readiness.

19 Are there any service opportunities/pain points that the school has discovered with the current program?

This question is not relevant to being able to provide the

20 Are students automatically enrolled each term or required to opt in?

The District automatically enrolls qualified international students.

21 What is the waiver criteria used for students to be able to waive out of the mandatory plan? How many students have previously waived and who is normally in charge of the waiver process?

Please see response to Question 10.

22 List the mechanisms used by the colleges/district to ensure that health insurance is mandated.

Health insurance is only mandated for international students, as required by immigration law.

Exhibit G shows a line asking to fill a city from California for the declaration date as well as a county field at the top – if we are outside California, should we provide our own cities?

See Section F- Authorization to do Business.

All Candidates must be licensed to do business in the State of California

24 Are dependents covered under the current plan? Is a quote required for dependents?

Coverage for spouses and dependent children will be optional and must be purchased and paid for by the student directly to the broker.

25 Scope of services lists “Customized enrollment options, including flexible add/drop dates”. Please provide a list of programs/variations and the add/drop timeline currently used by the district colleges.

Customized enrollment options will be designed with the insurer or broker. Add and drop timeline, to be in line with the college class deadlines, to be designed with insurer or broker.

26 Among the 3000 international students noted in RFP, how many lives are enrolled in the insurance program?

Active enrollment is an average of 900 students.

27 Pricing. Page 49 #3. Fees states: District pays Contractor fees set forth in Exhibit B. However, Exhibit B is the Certification of Non-Discrimination. Should brokers include fees? If so, in what section of the RFP?

Pricing. Page 49, Section 3. Fees is Exhibit J:

Professional Services Agreement that references Exhibit B.

28 Is this a regular bid cycle for the District or are there any pain points or other reason(s) for the bid

This question is not relevant to being able to provide the

29 Section 5.3.4 requires Responses to Specifications of Scope of Services with an 8 page limit. Should we also supply responses to each line item in Appendix A Scope of Services or do we confirm we provide those services?

Full responses are required for Section 5.3.4 questions.

The total pages including responses from Section 5.3.4 questions should not exceed 8 pages.

Refer to Appendix A Scope of Services when responding to Section 5.3.4 questions.

30 If full responses are needed for Appendix A, is there a page limit for the responses to Appendix A?

Full responses are required for Section 5.3.4 questions.

31 In Appendix A #1. Insurance Coverage and Plan Requirements, a) Provide plans written on A-rated insurance paper. Are you looking for bidder to confirm they comply? Does bidder list the carriers? Or does bidder provide actual benefit plans and/or quotes from the carriers?

32 Please confirm this is a broker only RFP and no carrier bids/quotes are required?

33 The broker award of April 8, 2026 (tentative) and Board approval May 6, 2026 could impact the timing of receiving your 26/27 renewal and the ability of the awarded broker to assess the carrier market and solicit competitive bids. Given this timeline, will the current broker complete the renewal for 26/27? If so, when would a new broker begin work and when would the new broker receive compensation

Please see response to Question 18.

34 Please confirm whether LACCD intends to select the broker first and conduct carrier marketing/plan design post-award, or whether proposers must submit a named carrier and formal plan design with the proposal.

a) This is a broker only bid?

b) This is a broker and carrier/plan bid?

35 If a carrier bid is requested, will the district provide 4 years of claims, enrollment, premium and plan design data?

Yes, the District will provide 4 years of claims, enrollment, premium and plan design data.

36 Should proposals include broker service fees only, or does the District also expect indicative student premium rates or carrier pricing at proposal stage?

Please see response to Question 1.

37 What is the current broker fee for the district? This question is not relevant to being able to provide the

38 Please confirm insured enrollment counts by term and campus for the past 3 years, given the reference to approximately 3,000 international students annually.

Please see response to Question 26.

39 Please clarify dependent eligibility rules, effective date rules, termination rules, and whether these must mirror student coverage

The District does not support dependent coverage.

Students may purchase this separately with the insurer.

40 Please provide current waiver criteria, documentation standards, annual waiver volume, and any required audit criteria.

See response to Question 10.

41 Are integrations required with LACCD’s Student Information Systems or campus portals? If so, please provide technical specifications, file layouts, and data transfer requirements.

There are no integrations with LACCD’s Student Information Systems or campus portals.

42 How many student orientations and staff trainings are required each year, and should these be in-person, virtual, or both?

This is part of the proposers offering to be assessed.

43 Does LACCD have minimum service-hour requirements, multilingual support requirements, or specific expectations for communication channels beyond the SLA response times?

See response to Question 42.

44 Please provide templates or examples for required monthly and annual reports, including data fields and preferred formats.

See response to Question 42.

45 Will SLA metrics (claims processing, enrollment/waiver processing, inquiry response times) apply to the broker, the carrier, or both? How will LACCD measure these?

The SLA metrics will apply to the Broker and the insurance carrier. The measuring of metrics will depend on reporting capabilities of the insurance carrier.

46 What is the District’s preferred annual renewal timeline, including deadlines for plan proposals, review, approval, and campus rollout?

Ideally, each covered term begins August 15. The District prefers to have a plan in place by April 1 preceding the August term.

47 Following anticipated Board approval on May 6, 2026, what is the expected implementation start date and go-live term for the new contract?

Please see response to Question 18.

48 Are there any additional LACCD data security, privacy, or FERPA-related standards beyond those in Exhibit J that proposers must address in the submission?

No, there are no additional data security or privacy related standards in Exhibit J, but acknowledgement of Exhibit I: Exceptions and Deviations to the Standard Form Agreement is required.

49 Please confirm that evaluation scoring will follow the weights listed in Section 6.2 and clarify where broker fee considerations factor into the evaluation.

The evaluation scoring will follow the weights listed in Section 6.2 from the proposers’ written responses, and please see response to Question 1 regarding the broker fee.

50 Are there any additional documents—such as current plan documents, reporting templates, waiver standards, claims summaries, or administrative workflows—that proposers should review to ensure a complete and accurate response?

See response to Question 42.

Please be reminded: UNAUTHORIZED COMMUNICATIONS

Proposers shall not, prior to Award, contact or communicate, either verbally or in writing, with any of the following persons (other than the person named above) for the purpose of discussing the requirements of the RFP Documents or the RFP process: (1) any trustee, officer, employee, or representative of the District; or (2) any consultant, or employee of a consultant, providing the District with assistance, advice, or professional services relating to the matters covered by the RFP Documents or who is involved in any aspect of the RFP evaluation or scoring processes.

Unauthorized communication by a Proposer in violation of the foregoing may result in disqualification.

CONTACT FOR ALL COMMUNICATIONS IS:

Marcia Webb Procurement Specialist webbms@laccd.edu