RFP_5800_SLW3030_ADD_1_v1.pdf

SOLICITATION ADDENDUM

AUSTIN FINANCIAL SERVICES – CENTRAL PROCUREMENT

Solicitation: IFB 5800 SLW3030 Addendum No: 1 Date: April 1, 2026

This addendum is to incorporate the following changes to the above-mentioned solicitation:

1.0 Clarifications:

a. Exhibit 5 – City January 2026 Employee Dental Plan Census was replaced with Exhibit 5 – City January 2026 Employee Dental Plan Census 040126

b. Exhibit 6 – City January 2026 Retiree Dental Census was replaced with Exhibit 6 – City January 2026 Retiree Dental Census 040126

2.0 Questions:

Q1 Question: The City offers retirees a PPO and DHMO plan. Please confirm that the DHMO plan offered to retirees is not in scope for this RFP.

Q1 Answer: The DHMO is not included in the scope for this RFP.

Q2 Question: Table of Allowance (TOA) – Please provide the table of allowance that is currently in use. We need to reference this to match the current plans in place. If the TOA is different from active and retirees, please provide the TOA for each plan.

Q2 Answer: Refer to Exhibit 1 and Exhibit 2 for the TOA.

Q3 Question: Have there been any plan changes that may have taken place during the experience period provided?

Q3 Answer: No. There have been no plan changes during the experience period provided.

Q4 Question: Who is assisting the city with evaluating all aspects of the proposal, including the determination of total program costs (including plan savings)?

Q4 Answer: The City currently uses Segal for all benefits related to consulting and actuary services.

Q5 Question: What is the current administrative fee? Does this fee include a network access fee?

Q5 Answer: The current administrative fee is $1.90 PEPM and includes all services requested in this Scope of Work. Refer to section 3.15 of the Scope of Work.

Q6 Question: What is the current retention of savings or cost containment charged back to the city for the use of leased network providers?

Q6 Answer: This is a self-funded plan and the DPPO utilizes BCBSTX BlueCare Dental PPO network. All services included in the scope of work are included in the administrative fee.

Q7 Question: What is the current in-network utilization percentage?

Q7 Answer: As of December 31, 2025, in-network utilization is 72.9%.

Q8 Question: Could you please share a provider utilization report for the providers used in 2025?

Q8 Answer: Please see Top Provider List included in this Addendum.

Q9 Question: Could you clarify what the City’s contribution is to the employee rate, and separately, to the dependent rate?

Q9 Answer: The current admin fee is $1.90 PEPM. Employee and retiree premiums are broken out in Exhibits 3 and 4.

Q10 Question: How long has the current carrier been in place? Does the current carrier have other lines of coverage? If yes, please list.

Q10 Answer: The current carrier is BlueCross BlueShield of Texas (BCBSTX) and has been in place since 2021. BCBSTX is the City’s medical, pharmacy, dental and stop-loss carrier.

Q11 Question: Is the city experiencing any issues (billing, eligibility, network, customer services, etc.) with the current carrier? If yes, please list and share details of the issues at hand.

Q11 Answer: There are no issues with the incumbent carrier.

Q12 Question: We did not see a request to provide a GeoAccess analysis. Can you confirm this is not needed? If this is needed, please provide the parameters we are to use for “driving” distance and the mile radius to use by provider.

Q12 Answer: The only GeoAccess information requested is in the Workbook, Tab 8: Provider Network Information.

Q13 Question: Please provide an updated census Excel documents that includes both active and retiree populations which includes DOB, zip code, and enrollee tier and plan selection (PPO or DHMO)

a. For the actives, it would be helpful to have a full-time vs part time designation for each employee that is enrolled since the contributions vary by employment status.

b. For the retirees, we need to know which are in the self-funded plan PPO plan vs the DHMO plan.

Q13 Answer: Refer to the updated Exhibit 5 and Exhibit 6 for active and retiree census information.

a. The report cannot be broken out by full-time and part-time employee designation.

b. Exhibit 6 does not include retirees enrolled in the DHMO

Q14 Question: Please provide the current ER contribution percentages for each contribution level: full time and part time. It Confirm retirees are fully voluntary.

Q14 Answer: The current admin fee is $1.90 PEPM. Employee and retiree premiums are broken out in Exhibits 3 and 4. Retirees are fully voluntary.

Q15 Question: What are the current rates for active employees by plan by tier? By retiree by plan by tier?

Q15 Answer: Refer to Exhibit 3 and Exhibit 4 for active employees and retiree rates.

Q16 Question: Question 8 on Tab 9 of the workbook titled RFP_5800_SLW3030_PAC2_v1 asks about audit allowance. Can you please confirm who will be conducting the audit? Will it be an individual from the City of Austin or third party?

Q16 Answer: The City requests the right to have an independent third party audit the dental plan.

Q17 Question: Please provide the MetLife DHMO summary of benefits.

Q17 Answer: The DHMO is not included in scope for this RFP.

Q18 Question: Are the rate tables provided in Exhibit 2, page 21 the same for in-network?

Q18 Answer: In-network services are reimbursed at the BCBSTX contracted amount.

Q19 Question: Does the current carrier charge a cost containment or shared savings fee? If they do, can you provide details?

Q19 Answer: The current carrier does not charge cost containment or shared savings fee

Q20 Question: Are there any current service concerns with your dental carrier?

Q20 Answer: There are no issues with the incumbent carrier.

Q21 Question: Are there any current network concerns with their dental carrier?

Q21 Answer: There are no current network concerns, but the City is always wanting to grow the dental network.

Q22 Question: Will the current and renewal ASO fee be provided?

Q22 Answer: The current admin fee is $1.90 PEPM.

Q23 Question: Please provide the MetLife DHMO co-pay schedule.

Q23 Answer: This solicitation is for a DPPO plan. It is not for MetLife DHMO.

Q24 Question: The census files do not have coverage, and we cannot use the pivot table, on the census files, to determine coverage as we do not know who the coverage belongs too.

Q24 Answer: Exhibit 5 and Exhibit 6 have been updated to include coverage levels.

Q25 Question: The retiree file only shows retiree & spouse for the relationship, but the pivot table has retiree, retiree spouse, retiree dependent, retiree family for coverage listed.

Q25 Answer: Please see the updated Exhibit 6.

Q26 Question: Does the fee schedule provided represent all covered dental procedures?

Q26 Answer: The fee schedule represents all currently covered dental procedures.

Q27 Question: Is the BCBS TX network limited to the City of Austin?

Q27 Answer: No. The DPPO uses BCBSTX BlueCare Dental PPO network.

Q28 Question: Are there currently any charges billed to customers when they see an in-network provider?

Q28 Answer: When seeking services from an in-network provider for covered services, the member pays $0 out-of-pocket up to the calendar year maximum after the $50 per person, per year deductible. This deductible does not apply to preventive services. Refer to Exhibit 1, Exhibit 2 and Scope of Work 3.2 for the In-network plan design.

Q29 Question: Does the Maximum allowable amount provided apply to both in and out of network providers?

Q29 Answer: Yes, the maximum allowable amount applies to in and out of network providers.

Q30 Question: Is there opportunity to provide a more standard coinsurance DPPO plan that is within the actuarially equivalent of the current plan schedule?

Q30 Answer: Please refer to 3.1.1. Proposers shall provide a plan like the current plan design, as outlined in Exhibit 1 and Exhibit 2.

Q31 Question: Have there been any plan changes during the experience period provided? If so, please provide an effective date for change?

Q31 Answer: There have been no plan changes during the experience period provided.

Q32 Question: Do you have a shared savings arrangement in place today? If so, what percentage of the shared savings earnings are retained by the carrier? Please also provide the most current annual amount retained broken down to a PEPM.

Q32 Answer: We do not have a shared savings arrangement in place.

Q33 Question: Are there any charges to the client in addition to the administrative fees today that come through the bank account or claims wire?

Q33 Answer: On a monthly basis, the City self-bills the monthly dental admin fee and pays the claims administrator by check. The dental claims are billed to the City weekly by the claims administrator and are reimbursed weekly by ACH.

Q34 Question: Please provide a provider disruption file based on submitted charges to include in network identifiers. Please provide the timeframe for the submitted charges provided.

Q34 Answer: Please see Top Provider List included in this Addendum.

Q35 Question: Please provide the current in-network utilization %.

Q35 Answer: As of December 31, 2025, in-network utilization is 72.9%.

Q36 Question: Please clarify the submission package requirement in 4.1 (Pricing, Technical and Offer and Certification). Should each package be provided in a separate zip file or is there a specific area within the portal to upload each? Is there specific file naming required that allow the portal to check your upload for required files?

Q36 Answer: The system will require the upload of a price document and an offer and certifications document. Beyond that, please submit your offer in the way you believe is easiest for evaluators to review.

eResponse instructions are located here: https://austin.widen.net/s/hccwbprqsc/submitting-offers-in-afo

Q37 Question: Are there any specific file type requirements we should be aware of (i.e., MS Word, PowerPoint, Excel, WinZip, PDF)?

Q37 Answer: Please refer to the eResponse instructions in Q36Answer.

Q38 Question: Do you currently have a dedicated 800 line for your members?

Q38 Answer: Yes. The City has a dedicated 800 line for our members.

https://austin.widen.net/s/hccwbprqsc/submitting-offers-in-afo

Q39 Question: Would you consider a dental solution in which the carrier does not guarantee out of network maximum allowable amounts (by ADA code), and where those out of network amounts are not disclosed in the certificate? In other words, we would provide a Maximum Allowance Schedule or other Reasonable & Customary fee allowances out of network.

Q39 Answer: Refer to 3.1.1. The City will only entertain proposals that provide a plan like the current plan design, as outlined in Exhibit 1 and Exhibit 2.

Q40 Question: Will fully insured proposals be considered?

Q40 Answer: No. The Solicitation is for a self-funded Dental PPO.

Q41 Question: Would the City like for offerors to provide design recommendations for consideration?

Q41 Answer: No. The City will not evaluate more than one plan design. Refer to the Scope of Work 3.0 General Requirements for requested services.

Q42 Question: Regarding the request for an audit allowance, please confirm the City’s audit cost for the Dental plan. What specific services would the audit allowance be covering? Who will be performing the services (customer, broker, TPA)?

Q42 Answer: The City is not requesting an audit allowance. Please refer to 3.14 where auditing requirements are described.

Q43 Question: What is the current ASO fee?

Q43 Answer: The current admin fee is $1.90 PEPM

Q44 Question: What are the historical ASO fees past five years?

Q44 Answer: The current admin fee is $1.90 PEPM

Q45 Question: Do you have separate fees for Actives and Retirees today and what is your expectation for the Actives vs. Retirees going forward (separate or combined)?

Q45 Answer: The administration fee of $1.90 PEPM applies to both Actives and Retirees. This solicitation is for a self-funded plan with one administration fee.

Q46 Question: Please provide a dental provider utilization report for providers utilized the past 12 months to confirm which providers are participating in our network.

Q46 Answer: Please see Top Provider List included in this Addendum.

Q47 Question: Have there been any plan design changes over the past 36 months? If so, please provide the details and dates of any change(s).

Q47 Answer: There have not been any plan design changes over the past 36 months.

Q48 Question: Regarding Section 3.12.2 of the Scope of Work, please clarify the frequency and scope of ad-hoc reports the City has historically requested and received.

Q48 Answer: A limited number of ad-hoc reports are requested each year for a variety of needs.

Q49 Question: May offerors propose an aggregate penalty cap for fees at risk in the performance measures?

Q49 Answer: Refer to Workbook, Tab 7, which has an area for you to propose alternative penalties.

Q50 Question: Regarding Tab 8 of the Dental Workbook, can the City confirm the current and desired out of network fee R&C percentile?

Q50 Answer: Refer to Exhibit 1 and Exhibit 2 for the current out-of-network fees. The table of allowance matches the current carrier’s MAC.

Q51 Question: Regarding Tab 8 of the Dental Workbook, will the City provide network utilization dates to further evaluate offerors network offering? If so, we are requesting claims, claimants, allowed amounts, and procedure count.

Q51 Answer: Please see Top Provider List included in this Addendum. All available reporting has been provided in Exhibit 7 and Exhibit 8.

Q52 Question: In the standard terms and conditions, there are several requirements that we believe do not apply to the administration of dental benefits. Would the City accept a general exception on this issue so that the parties can further discuss the applicability during the negotiation of the contract if we are awarded the contract?

Q52 Answer: As noted in Section 4.3 of the solicitation instructions:

Exceptions. Offerors shall indicate if they take exception to any portions of the Solicitation in their Proposal. Any exceptions included in the Proposal may negatively impact the City’s evaluation of the Proposal or may cause the City to reject the Proposal entirely.

Exceptions are also addressed in Section 10.9 of the Solicitation Instructions:

Exceptions. If any exceptions are taken to any portion of the Solicitation, the Proposer must clearly indicate the exceptions or proposed changes with a full explanation as a separate attachment to the Proposal. The failure to identify exceptions or proposed changes with a full explanation will constitute acceptance by the Proposer of the Solicitation as proposed by the City. The City reserves the right to reject a proposal containing exceptions, additions, qualifications or conditions not called for in the solicitation. Complete Workbook, Tab 9: Exceptions to Solicitation.

3.0 ALL OTHER TERMS AND CONDITIONS REMAIN THE SAME.

ACKNOWLEDGED BY:

Offeror Name Offeror Authorized Signature Date

RETURN ONE COPY OF THIS ADDENDUM WITH YOUR RESPONSE PRIOR TO THE SOLICITATION CLOSING

DATE. FAILURE TO DO SO MAY CONSTITUTE GROUNDS FOR REJECTION OF YOUR OFFER.

Top 25 In Network Dental Providers - Paid: 01-2025 TO 12-2025

Provider Address Tax ID Members Seen

1 OLIVER W MCELVEEN DDS 7408 CAMERON RD STE A AUSTIN TX 78752 742767539 135

2 GRETCHEN S HOOVER DDS 4630 WESTGATE BLVD STE 100 AUSTIN TX 78745 452545117 133

3 JUHI D HIRPARA DDS 4650 S FM 1626 STE 104 KYLE TX 78640 813069281 145

4 SHELBY KNIGHT DDS 135 W SLAUGHTER LN STE C AUSTIN TX 78748 842853264 147

5 KESHAVI PATEL DDS 22510 INTERSTATE 35 STE 104 KYLE TX 78640 825257669 92

6 ADAM L GUTWEIN DMD 3100 S CONGRESS AVE STE 1F AUSTIN TX 78704 473818609 111

7 MATTHEW B JOHNSON DDS 119 CIMARRON PARK LOOP STE C BUDA TX 78610 853850571 190

8 JOANN H LEE DDS 2606 FM 1825 STE 106 PFLUGERVILLE TX 78660 462430957 105

9 ALI LATIF DMD 1221 W BEN WHITE BLVD STE 207A AUSTIN TX 78704 991361919 66

10 JEFFREY D HOM DDS 5581 KYLE CENTER DR STE 102 KYLE TX 78640 862585364 79

11 KIMBERLY V KAISER DDS 2719 E 7TH ST AUSTIN TX 78702 921714648 118

12 JEREMY WITTICH DDS 4100 EVERETT DR STE 215 KYLE TX 78640 264382574 89

13 JAMISEN KOHLMAN DDS 2907 DUVAL ST AUSTIN TX 78705 873520639 79

14 YARON SHVETS DDS 7002 MENCHACA RD STE 100 AUSTIN TX 78745 832884562 107

15 CHARLES N ALSTON DDS 1620 GRAND AVENUE PKWY STE 130 PFLUGERVILLE TX 78660 843263347 93 16 DEVISHKUMAR PATEL DDS 14008 SHADOWGLEN BLVD STE 203 MANOR TX 78653 882292503 91

17 DANIEL W QUICK DDS 2110 W SLAUGHTER LN STE 119 AUSTIN TX 78748 743024068 80

18 CLAYTON NGUYEN DDS 8916 BRODIE LN UNIT 400 AUSTIN TX 78748 871672628 74

19 SCOTT B HERRING DDS 306 N HIGHWAY 95 ELGIN TX 78621 853712315 95

20 DENNIS C RAUSCH DDS 3801 S CONGRESS AVE STE 106 AUSTIN TX 78704 932715462 116

21 KURREN VIRK DMD 4650 S FM 1626 STE 104 KYLE TX 78640 813069281 105

22 RUPA RAJANNA DMD 6700 WEST GATE BLVD STE 103 AUSTIN TX 78745 832281140 46

23 DIVYA Y SHETTY DMD 1201 BARBARA JORDAN BLVD STE 1435 AUSTIN TX 78723 204022970 74

24 DANIEL S KWON DDS 6406 N 1735 2580 AUSTIN TX 78752 994099042 71

25 JINAL PATEL DDS 12836 HIGHWAY 290 E STE 500 MANOR TX 78653 991643885 71

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Top 25 Out of Network Dental Providers - Paid: 01-2025 TO 12-2025

Provider Address Tax ID Members Seen

1 TODD C HARRIS, DDS 1600 W 38TH ST STE 305 AUSTIN TX 78731 742773868 102

2 KIM T HOANG DDS 9001 BRODIE LN STE C2 AUSTIN TX 78748 463170876 142

3 ASHLEY B STRICKLAND DDS 220 N MAIN ST BUDA TX 78610 208190015 120

4 JONATHAN LANE DDS 1901 W WILLIAM CANNON STE 137 AUSTIN TX 78745 862081795 102

5 MATTHEW LASSEN DDS 1207 CHESTNUT ST BASTROP TX 78602 452714093 71

6 JENNIFER L KIENING DDS 205 DENALI PASS STE A CEDAR PARK TX 78613 203068430 87

7 MAXWELL OLDHAM DDS 115 KOHLERS CROSSING STE 350 KYLE TX 78640 843872493 36

8 TUAN A LEVO DDS 3701 GUADALUPE ST STE 104 AUSTIN TX 78705 852323973 79

9 AMBER C BURGESS DDS 3965 HIGHWAY 71 E BASTROP TX 78602 200512796 20

10 SANDEEP PATEL DDS 11215 S INTERSTATE 35 STE 116 AUSTIN TX 78747 203345171 65

11 SHEA VOGELSONG DDS 4419 FRONTIER TRL 104 AUSTIN TX 78745 852211170 60

12 RANDY KUNIK, DDS 3423 BEE CAVES RD STE C202 AUSTIN TX 78746 742728782 20

13 STANTON J HENRY, DDS 14365 HWY 29 STE 12 LIBERTY HILL TX 78642 200512796 21

14 SETH RICHARD BRIGGS DDS 11743 JOLLYVILLE RD AUSTIN TX 78759 814201475 20

15 KATHRYN ZOUMBOUKOS DDS 6000 W WILLIAM CANNON DR STE A200 AUSTIN TX 78749 825182476 77 16 CHRISTOPHER F FELICETTA DDS 14933 WEST STATE HWY 29 LIBERTY HILL TX 78642 881479808 64

17 JASON T CARLYON DDS 220 N MAIN ST BUDA TX 78610 208190015 83

18 JOHN C BAINES DDS 2500 W WM CANNON DR STE 701 AUSTIN TX 78745 810632639 45

19 HELEN E RAGSDALE DDS 11615 ANGUS RD STE 101 AUSTIN TX 78759 742390884 51

20 NOEL SINT DDS 9001 BRODIE LANE STE C2 AUSTIN TX 78748 471036591 18

21 COLE SMITH DDS 708 PECAN ST BASTROP TX 78602 822277539 65

22 DIANA KOPPUZHA DDS 301 HWY 71 W STE 200 BASTROP TX 78602 263884341 52

23 TERESA B GADDY, DDS 2501 RED BUD LANE ROUND ROCK TX 78664 934062180 68

24 DARRYL C BAUCUM DDS 4456 FRONTIER TRAIL AUSTIN TX 78745 454117188 63

25 DANIEL SZALAY DDS 2501 W WILLIAM CANNON DR STE 6B AUSTIN TX 78745 741699140 34

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