RFP stop loss.pdf

This is a Request for Proposals (RFP) issued by the State of Anytown for stop loss insurance coverage. The RFP seeks proposals from qualified vendors to provide stop loss insurance for the State Employee Health Benefit Plan, which covers approximately 25,000 employees and their dependents. The RFP outlines the required coverage details, including specific deductible levels, individual and aggregate stop loss thresholds, and lasers. Proposals are due by June 30, 2023, and the contract term is for three years with two optional one-year renewals.

The RFP provides details on the current self-funded health plan, including historical enrollment, claims, and premium data. Pricing should be provided on a per employee per month basis, with separate pricing for individual and aggregate stop loss coverage. The RFP also includes minority business enterprise (MBE) and women-owned business enterprise (WBE) participation requirements. The current stop loss insurance provider is ABC Insurance Company, and the State has a budget of $5 million annually for stop loss coverage.