RFP_31786-00187_Amendment_One_Schedule_Update.pdf

This Amendment One is a schedule update to RFP #31786-00187 issued by the State of Tennessee Department of Finance & Administration, Benefits Administration, which seeks a third-party administrator (TPA) for The Tennessee Plan, a self-insured supplemental medical insurance program for Medicare-eligible state retirees. The RFP was originally issued on September 23, 2025, with a pre-response conference scheduled for September 30, 2025, at 1:00 p.m. (Central Time). Prospective respondents must submit a Notice of Intent to Respond by October 1, 2025, at 2:00 p.m., with written questions and comments due by October 8, 2025, at 2:00 p.m. A second round of written questions, limited to five questions per respondent, is due by November 6, 2025, at 2:00 p.m. The State will respond to the first round of questions by October 30, 2025, and to the second round by December 3, 2025. Proposals are due by December 10, 2025, at 2:00 p.m., with technical response evaluations to be completed by January 15, 2026, and cost proposals opened and scored on January 16, 2026, at 2:00 p.m. Optional negotiations are scheduled for January 23-27, 2026, at 4:30 p.m., followed by a Notice of Intent to Award on February 26, 2026, at 2:00 p.m., with a protest period ending March 5, 2026. The contractor signature deadline is March 13, 2026, at 2:00 p.m.

The RFP utilizes a weighted scoring methodology allocating 10 points for general qualifications and experience, 40 points for technical qualifications and approach, and 50 points for cost proposals. The current incumbent is UMR, Inc., with the existing contract expiring on June 30, 2028. The plan currently serves approximately 48,059 members as of July 2025, representing consistent annual growth of 1,500-2,000 members, with claims history indicating annual costs increasing by approximately 4 percent. The selected contractor will be responsible for comprehensive administrative functions including weekly claims processing, member communications, call center services, subrogation recovery, and HIPAA compliance. Compensation will be structured through monthly per-member-per-month (PMPM) rates, with contract performance commencing January 1, 2027, through December 31, 2031, and extending through a claims run-out period ending December 31, 2033. Implementation activities are scheduled from April 2026 through December 2026, prior to the January 1, 2027, coverage start date.