RFP_31786-00192_Appendix_7_5%20Enrollment_by_Coverage_2023_June_2026_REVISED.xlsx

This file is an enrollment dataset for the State of Tennessee's voluntary, fully-insured vision insurance plan serving state employees, local education and local government employees, retirees, and dependents. The State of Tennessee, through RFP 31786-00192, is requesting proposals for a vision insurance plan offering two benefit options—Basic Vision and Expanded Vision—with statewide coverage across Tennessee's 83 counties and national coverage across all 50 states and the District of Columbia. The enrolled population as of June 2026 totals approximately 175,000 members across all coverage types, including employee-only, employee plus spouse, employee plus child(ren), and family plans, with coverage distributed among state employees, local education employees, local government employees, and retirees. The RFP requires responses by November 6, 2026, with contract performance spanning January 1, 2028, through December 31, 2032. A pre-response conference is scheduled for August 21, 2026, written questions are due September 4, 2026, with a second round deadline of October 2, 2026. Technical evaluation completion is targeted for December 17, 2026, cost proposal opening on December 18, 2026, negotiations scheduled for January 6-8, 2027, and Notice of Intent to Award on January 28, 2027.

The enrollment data spans January 2023 through August 2023, tracking monthly enrollment counts by group classification (state, local education, local government), employee type (employee, dependent, retiree), plan type (Basic Vision, Expanded Vision), coverage code (single, employee plus spouse, employee plus child(ren), family), and COBRA status (active or COBRA). Monthly enrollment figures show stability across the dataset period, with state employees representing the largest enrollment segment, followed by local education and local government employees. Utilization projections indicate monthly paid claims ranging from $550,000 to $1.088 million across both plans, with exams representing the highest-volume service category. Respondents must hold a current Tennessee Certificate of Authority from the Department of Commerce and Insurance and demonstrate at least six years of experience providing group vision insurance to at least five employer accounts, with at least one account serving 10,000 members. The current vendor is EyeMed Vision. Evaluation criteria weight general qualifications and experience at maximum 10 points, technical qualifications and experience at maximum 20 points, network analysis at maximum 30 points, and cost proposals at maximum 40 points, for a total of 100 points, with award made to the responsive and responsible respondent with the best combination of attributes rather than necessarily the lowest cost.