RFP_31786-00187_Draft_The_TN_Plan_Attachment_6.3_Cost_Proposal.xlsx
XLSX spreadsheet 17 KB Posted
- Solicitation number
- RFP 31786-00187
- Issued by
- Davidson County, Tennessee
About this file
This is a Cost Proposal and Scoring Guide attachment (RFP Attachment 6.3) for RFP #31786-00187 issued by the State of Tennessee, Department of Finance and Administration, Division of Benefits Administration, seeking administrative services from a third-party administrator (TPA) for The Tennessee Plan, a self-insured supplemental medical insurance program for Medicare-eligible state retirees. Respondents must submit proposed monthly administrative fees on a per-member basis for calendar years 2027 through 2031, with all pricing entries required to be completed in full without blank cells or deviations, as incomplete submissions may result in rejection. The cost proposal carries a maximum evaluation score of 50 points, calculated using a competitive evaluation formula that compares each respondent's evaluation cost against the lowest evaluation cost from all proposals. All monetary amounts must be expressed in U.S. currency limited to two decimal places, and the cost proposal must remain valid for at least 120 days following the proposal opening date and thereafter in accordance with any resulting contract.
The cost proposal must be signed by an individual with authority to bind the respondent, with evidence of authority required if the signatory is not the President or Chief Executive Officer. The evaluation utilizes an evaluation factor of 48 applied to the annual administrative fee sum to calculate the evaluation cost, though this factor is expressly stated as being for evaluation purposes only and does not constitute any volume guarantee, minimum purchase quantity, or entitlement to the respondent. Blank cells or entries containing non-numeric data, including "N/A," will be treated as zero; however, if the evaluation cost equals zero across all proposals, the respondent will receive the maximum section score and the state will use $0.01 as the baseline for calculating other proposals' point allocations. The contract term runs from January 1, 2027, through December 31, 2031, with implementation activities scheduled from April 2026 through December 2026, and current enrollment is approximately 48,059 members as of July 2025, with historical growth of 1,500 to 2,000 members annually.
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Text version
Instructions and Signature
| RFP ATTACHMENT 6.3. | |
| RFP #31786-00187 | |
| COST PROPOSAL & SCORING GUIDE | |
| NOTICE: THIS COST PROPOSAL MUST BE COMPLETED EXACTLY AS REQUIRED | |
| COST PROPOSAL SCHEDULE— The Cost Proposal, detailed in this spreadsheet, shall indicate the proposed price for goods or services defined in the Scope of Services of the RFP 31786-00187 Attachment 6.6., Pro Forma Contract, for the entire contract period. The Cost Proposal shall remain valid for at least one hundred twenty (120) days subsequent to the date of the Cost Proposal opening and thereafter in accordance with any contract resulting from this RFP. All monetary amounts shall be numerical in U.S. currency and limited to two (2) places to the right of the decimal point. |
Refer to RFP 31786-00187 Attachment 6.6, Pro Forma Contract, Section A.2. for definition of Member.
Provide in tab "A. Admin Fee" your Proposed Monthly Administrative Fee per Member for calendar years 2027, 2028, 2029, 2030, and 2031.
This pricing schedule must be completed in full. Do not skip any cells. If the Respondent fails to detail all cost information for the services proposed as required, the State may determine the proposal to be non-responsive and reject it. Enter numeric figures only. Anything else, including blank cells or any deviated text, will be considered as a zero (0) and will be a cost of zero (0) to the State. The State cannot accept "N/A".
If the sum of the Evaluation Cost on a table equals zero, the Respondent will receive the maximum section score in the table. In this scenario, the State will use one cent (.01) in the formula listed in the table as the 'lowest evaluation cost amount from all proposals" to calculate all other proposals' point allocations
| NOTICE: |
| The Evaluation Factor associated with each compensable unit is for evaluation purposes only. The evaluation factors do NOT and should NOT be construed as any type of volume guarantee or minimum purchase quantity. The evaluation factors shall NOT create rights, interests, or claims of entitlement in the Respondent. |
This Cost Proposal must be signed, in the space below, by an individual empowered to bind the Respondent to the provisions of this RFP and any contract awarded pursuant to this RFP. If the individual signing this Cost Proposal is not the President or Chief Executive Officer, the Respondent must attach evidence to the Cost Proposal showing the individual’s authority to legally bind the Respondent.
RESPONDENT SIGNATURE:
PRINTED NAME & TITLE:
DATE:
RESPONDENT LEGAL ENTITY NAME:
A. Admin Fee
| RFP ATTACHMENT 6.3. | ||
| RFP #31786-00187 | ||
| Respondent’s Guaranteed Monthly Administrative Fee | STATE USE ONLY | |
| Calendar Year 2027 |
1/1/2027 – 12/31/2027 Calendar Year 2028 1/1/2028 – 12/31/2028 Calendar Year 2029 1/1/2029 – 12/31/2029 Calendar Year 2030 1/1/2030 – 12/31/2030 Calendar Year 2031 1/1/2031 – 12/31/2031 Sum (Columns B, C, D, E, and F) Annual (Sum x 12) Evaluation Factor Evaluation Cost (Annual x Evaluation Factor)
| Member | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $ - 0 | 48 | $ - 0 |
| /Member | /Member | /Member | /Member | /Member | |||||
| EVALUATION COST AMOUNT (as shown above): | $ - 0 | ||||||||
| The Solicitation Coordinator will use this amount and the formula below to calculate the Cost Proposal Score. Numbers rounded to two (2) places to the right of the decimal point will be standard for calculations. | |||||||||
| lowest evaluation cost amount from all proposals |
evaluation cost amount being evaluated x 50 (maximum section score)
= SCORE:
State Use – Solicitation Coordinator Signature, Printed Name & Date:
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