Scarsdale UFSD 2025-2026 Health Benefits Consulting Services RFP.pdf

REQUEST FOR PROPOSAL

HEALTH BENEFIT CONSULTING SERVICES

2025-2026

Issued By:

Scarsdale Union Free School District 2 Brewster Road Scarsdale, New York 10583 Phone: (914) 721-2429 Purchasing Agent: Cherie Luiso Email: cluiso@scarsdaleschools.org

Issue Date: September 08, 2025 Proposal Due Date: October 1, 2025 at 12:00 PM (EST)

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GENERAL INFORMATION AND REQUEST FOR PROPOSAL FOR

HEALTH BENEFIT CONSULTING CONTRACT

I. INTRODUCTION AND OBJECTIVES

The Scarsdale Union Free School District (hereinafter the “District”) is issuing this RequestforProposal(“RFP”)fortheselectionofoneormorequalifiedemployeehealth plan advisory/consulting firm(s) to act as theDistrict’shealthplanadvisorandperform consulting services with respect to the District’shealthplans.TheDistrictexpectssuch advisory and consulting services to consistof,butnotnecessarilybelimitedto,review, analysis, and audits of the District’s current health plans, oversight of any contract renewals related to the health plans, program evaluation and development, assistance with employee communications, interface with Third Party Administrator on all plan aspectandanalysisofrelatedlegislativeandregulatoryrequirementsaffectingthehealth plans.Whilecomplyingwithallapplicablelawsandregulations,theDistrictisseekingto identify cost inefficiencies in its health plans, developstrategiestoreducetheirimpact, work collaboratively with labor groups to maintain a competitiveandaffordablehealth careforemployeesandthedistrict,andmonitortheperformanceofthehealthplanswith the ultimate goal of creatingbetterandmorecost-effectivehealthoutcomesandquality of life for covered District employees, dependents, and retirees.

II. DEADLINES, IMPORTANT DATES AND CONTACT INFORMATION

ProposalssubmittedinresponsetothisRFPmustbesentinaccordancewithArticleVIII of this RFP and received by theDistrictOfficesnolaterthan12:00p.m.,Wednesday, October1, 2025(the “RFP Due Date”). Late proposals will be returned unopened.

The following procedural schedule is tentative and the District reserves the right to change the schedule at any time.

September 8, 2025 Distribution of RFP September 19, 2025 at Noon Deadline for Questions October 1, 2025 at Noon RFP Submission Deadline Oct 2 - Oct 17, 2025 Proposal Evaluation/Interviews October 20, 2025 Notification of Selection October 27, 2025 Contract Award November 1, 2025 Services to Commence

QuestionsconcerningthisRFPshouldbedirected,viae-mail,toCherieLuiso, Assistant BusinessManageratcluiso@scarsdaleschools.org.Proceduresforsubstantivequestions relating to the District, its plans, or this RFP may be found later in this RFP.

III. ABOUT THE SCARSDALE SCHOOL DISTRICT AND ITS PLANS

The Scarsdale Union Free School District encompasses a suburban community of approximately 19,000 people located in Westchester County, roughly 29milesnorthof New York City. The District includesScarsdaleHighSchool,ScarsdaleMiddleSchool, and five elementary schools.

The District’s current health plans consist of:

1. The Scarsdale Union Free School District Self-Insured Health Plan, currently administered by UMR, offering employees:

a. Individual and Family Health Coverage

b. Hospital/Major Medical Services

c. Prescription Drug Benefits (currently administered by RX Benefits)

2. Medicare Supplemental Plan for eligible post age 65 retirees

a. Individual and Family Health Coverage

b. Hospital/Major Medical Services

c. Prescription Drug Benefits

As health plans sponsoredbyanagentorinstrumentalityofaStategovernment,neither plan is subject to the Employee Retirement Income Security Act of 1974, as amended

(ERISA).

The District currently maintains collective bargaining agreements with seven (7) labor unionsthatprovidehealthinsurancebenefitsfortheirrepresentedmembersconsistingof teachers, non-teaching staff, and administrators.

Additionally,theDistrictemploysasmallgroupofunaffiliatedemployeeswhocurrently totalapproximatelyseven(7)non-teachingandnine(9)centraladministrators.Currently all employees have access tothesameself-insuredhealthplan.Therearedifferencesin the employee and retiree contribution toward the premium equivalents forthedifferent labor groups. Thosecontributionshavebeennegotiatedseparatelyfromtheplanbenefit levels. All employees currently have the same plan benefit levels.

IV. ABOUT THIS REQUEST FOR PROPOSAL

The School District reserves the right to amend this RFP foranyreasonorbasedupon questions received in writing during the proposal process. The District, after due consideration of all applicants, intends to award a contract for advisory/consultancy services on the basis of this RFP that is in the best interest of the District and its employees.Consequently,theDistrictreservestherightto:(i)acceptorrejectanyorall proposals received as a result of this RFP; (ii) negotiate with all qualified proposers/candidates (hereinafter referred to interchangeablyas“Proposer”and/or“Candidate”)whoreplyto this RFP; or (iii) cancel this RFP in whole or in part.

The District may select as the successful proposal(s) any proposal(s) submitted by a Candidate that, in the District’s sole discretion and with whatever modifications the DistrictandtheCandidate(s)mutuallyagreeupon,bestmeetstheDistrict’srequirements, regardless of whether such Candidate’s proposal is the lowest priced.

No Proposer shall have anylegal,equitable,orcontractualrightsofanykindunlessthe District,initsdiscretion,entersintoabindingcontractwiththeProposer(s)asaresultof this RFP.

ThisRFPdoesnotobligatetheDistricttoawardacontract,payanycostincurredinthe preparation of a Proposal in response to thisRFP,ortoprocureorcontractforservices with a Proposer.

All contracts submitted as a result of this RFP, as well as all ancillary documents are subject to the review and approval of the School District’s legal counsel.

V. MINIMUM QUALIFICATIONS

In responding to this RFP, Candidates must clearly demonstrate meeting the minimum qualifications for their submission to be considered:

● At least five (5) years of experience providing health plan advisory/consulting services to assist public sector clients. A public sector client, for these purposes, must be a United States federal, state, municipal, or other local government client;

● The Proposer has conducted similar health and welfare consulting work as detailed in this RFP, resulting in positive impacts for at least three (3) other public sector health plan sponsors

● Key personnel assigned to provide services to the District must have the equivalent of five (5) years of experience or more as a health and welfare consultant.

● The Proposer must be eligible and licensed to do business in the State of New York and be located within the geographical region to service the District.

● The Proposer selected must not discriminate against any person in violation of any federal, state and or local laws while conducting services for the School District.

VI. SCOPE OF SERVICES

The awarded Consultant will assist the District in developing and executing a comprehensive benefits strategy to ensure the effective management of its health and welfare programs. Services shall include, but not be limited to, the following:

1. Strategic Planning & Plan Management

● Develop a multi-year benefits strategy that aligns with the District’s financial goals, talent retention, and collective bargaining agreements.

● Evaluate current plan design, and program effectiveness against competitive benchmarks.

● Provide updates on market trends, regulatory changes, and innovative plan designs impacting public-sector organizations.

● Assist in the creation of communication materials for employees and retirees, ensuring compliance with State and Federal law, vendor contracts, and union agreements.

2. Financial & Actuarial Analysis

● Provide monthly and quarterly financial reporting, including claims experience, trend analysis, large-claim monitoring, and renewal projections.

● Deliver cost estimates and actuarial services to support annual budget development, including setting funding rates, reserves, and assessing volatility risk.

● Analyze the impact of plan modifications, cost-control measures, and stop-loss coverage alternatives.

● Benchmark plan costs, utilization, and funding arrangements against comparable entities.

3. Vendor & Renewal Management

● Lead the annual renewal and negotiation process with third-party administrators (TPAs), pharmacy benefit managers (PBMs), Medicare EGWP carriers, and other vendors.

● Review renewal methodologies, assumptions, and experience data to ensure accuracy and logic.

● Prepare comparative analyses of carrier proposals, including pricing, terms, conditions, network access, and plan design.

● Manage vendor relationships, ensuring performance guarantees and service-level commitments are met.

● Evaluate and recommend stop-loss coverage, PBM arrangements, and retiree health plan options (e.g., Medicare Advantage, EGWP).

● Develop and manage RFP processes for new or replacement services as needed.

4. Account Management & Advisory Services

● Provide ongoing day-to-day support and consultation regarding benefit administration and policy interpretation.

● Act as an advocate for the District in resolving escalated service or claims issues.

● Attend quarterly update meetings with District Administration and/or the Board of Education.

● Provide timely responses to District inquiries and maintain status updates on all outstanding items.

● Assist in the design and distribution of customized Open Enrollment materials and educational resources.

5. Population Health & Wellness Programs

● Develop a comprehensive population health management strategy aligned with the District’s wellness philosophy.

● Assess current plan costs and utilization to identify cost drivers and opportunities for health improvement.

● Solicit employee input and market vendors through RFP, analyzing proposals and recommending a wellness vendor/program.

● Assist with implementation, communication, and monitoring of wellness initiatives.

VII. IMPORTANT CONDITIONS OF THIS RFP

1. The District reserves the right to: (i) accept any Candidate’s proposal, by specific item or service or in its entirety; (ii) reject any or all proposals; (iii) negotiate with all qualified Proposers/Candidates; and (iv) advertise for new proposals.TheDistrictmaywaiveanyinformality,technicaldefect,andminor irregularityinaproposalanddisregardallnon-conforming,non-responsive,or conditional proposals, and delete any item from a proposal.

2. Any contract or agreement resulting from the District’s decision to engage a CandidateasaresultofthisRFPshallbeone(1)yearinduration.Suchcontract oragreementmaybeextendedforfour(4)additionalone(1)yeartermsatthe sole discretion of the District and subject to the approval of the Board of Education.

3. A proposal, once submitted, cannot be withdrawn until forty-five (45) days after the RFP due date.

4. All Candidates submit their proposals at their expense. The District will not reimburse any Proposer or individual for any costs incurred in the: (i) preparation or submission of a proposal; (ii) preparation or submission of additionalinformationrequestedbytheDistrict;or(iii)theparticipationinany selection interviews.

5. Submission of a proposal indicates acceptance of the conditions contained in this RFP, unless clearly, conspicuously andspecificallynotedotherwiseinthe proposal.

6. The District may, at any time prior toitsopeningoftheproposals,bywritten notification to all Proposers, change any portion of this RFP.

7. Allsubstantivequestionsorrequestsforclarificationorinformationconcerning this RFP must be submitted in writing to the e-mail address and contact designatedinArticleII.,above.Repliestosubstantiveinquirieswillbeissued, as timepermits,byaddendae-mailedtoallpartiesthattheSchoolDistricthas notice of having received this RFP. Only answers issued by written addenda will be binding. Oral interpretations or clarifications will be without legal effect.

8. AllmaterialsubmittedinresponsetothisRFPshallbecomethepropertyofthe District without restriction or limitation upon its use.

9. A Proposer must include with its proposal the most recent annual reports, financial statements, or other financial information sufficient to permit the District to evaluate the financial strength of the Proposer. If theProposerisa joint venture or other entity with no priorfinancialhistory,theProposermust submit information with respect to constituent or parent entities.

VIII. INSTRUCTIONS FOR SUBMISSION

Proposalsshouldbesubmittedviaemailtocluiso@scarsdaleschools.orgnotlaterthan 12:00 P.M. on October 1, 2025

If submitting by mail, the proposer must provide:

● One (1) original hard copy of the proposal and related documents,and

● One (1) electronic copy of the proposal and supporting documents on a thumb drive.

These materials must be enclosed in a separate sealed, opaque envelope clearly marked with:

● The name of the proposal:“HEALTH BENEFITS CONSULTSERVICES 2025-26 RFP PROPOSAL”and

● The name and address of the proposer

Proposers shall allow sufficient time for mail/courier delivery. Proposals must be received nolater than 12:00 P.M. on October 1, 2025at the following address:

Address for mail, courier or hand delivery:

Scarsdale Union Free School District Attn: Cherie Luiso, Purchasing Agent

2 Brewster Road.

Scarsdale, NY 10583 mailto:cluiso@scarsdaleschools.org

IX. REQUIRED CONTENT

Each proposal must include the following information, in the order here stated:

1. TitlePage:TheTitlePagemustincludethedate,subject,nameofthefirmsubmitting the proposal, address, telephone number, fax number, email address, and nameand title of the firm’s contact person.

2. ExperienceandQualifications:Anoutlineofthefirm’sbackgroundandexperiencein providing consulting services shall include:

Firm’s Background

a. AstatementaddressingtheminimumqualificationrequirementsinArticle

V;

b. When the firm was established;

c. A description of the firm and the services it provides;

d. A description of the ownership of the firm;

e. The number and location of offices of the firm;

f. The location of the office that would perform services for the District;

g. Anidentificationofthefirm’sprofessionalstaffmemberswhospecifically will be involved in this engagement, and the qualifications and relevant experience each possesses as it relates to the services sought in this RFP;

h. A description of the firm’s affiliation with other firms or organizations;

i. A description of recent changes in ownership;

j. Whether there are any pending/anticipated ownership or leadership changes;

k. Whether there are any pending/anticipated legal actions against the firm relevant to the services provided pursuant to this RFP.

l. The URL of the firm’s website, if any; and

m. Any additional information that would distinguish the firm in its service to the District.

Firm’s Clients

a. Current number of clients, including school district clients, serviced by yourfirmasawhole,andbytheparticularofficewhichwillbeservicing the District;

b. Listcomparableorganizationsforwhichyouprovidedconsultingservices, including the number of employees covered by your previous clients’ benefit plans, and indicate the years during which you provided those services;

c. Describe the experience your firm and its staff have in working with school districts;

d. Describe the experience your firm has in providing similar benefits consulting services to other organizations, along with how your clients’ needs were met by your staff;

e. Provide at least five (5) references, among your clients to whom you provided similar services, whom we can contact, along with a contact name, address, email and phone number.

3. Cost Each firm submitting a proposal shall:

a. Outline how it is compensated for its services;

b. Provide a proposed fee structure and indicate what services are included in that fee;

c. Submit an itemization of the cost proposal, designating: all involved personnel costs, both direct-service and administrative; OTPS (other than personnel services) costs, including travel, telephone and other essential program costs;

d. Itemize any services for which there would be an additional fee;

e. Outline how additional fees are calculated;

f. List what could cause an increase in the fee structure;

g. List typical increases;

h. Provide how long the fee structure is guaranteed; and

i. Provide any other relevant information that will assist the District in evaluating your Proposal.

j. Brokerage Commissions - All brokerage commissions insurance policies awarded by the District related to the Health Plan, such as Stop Loss or other coverage, must be credited to the District as an offset to the Proposer’s fee for services. The anticipated brokerage commissions must be articulated as a credit to the district in this section of the proposal.

4. Conflicts of Interest

Each proposal must disclose whether the firm has any current or past (within the last three

(3) years) business relationships, which may pose a conflict of interest. Each Proposer must answer as follows:

a. Is anyone in the firm an owner or investor in any other company that would be doing business as a provider of a benefit or service to the District?

b. Would anyone in the firm receive any commission, bonus, payment or any form of remuneration from a provider of a benefit or service to the District?

c. Is any officer, employee, or shareholder of the firm an employee or officer of the District?

d. Is any officer, employee, or shareholder of the firm related to an employee or officer of the District?

5.Financial Statements

Firmssubmittingaproposalmustsubmititsmostrecentfinancialstatements.TheDistrict reserves the right to use third party companies to verify financial information provided.

In addition, the District may make such investigations it deems necessarytodetermine the ability of the consultant firm to perform the work. The firm shall furnish to the Districtwithinfive(5)daysofarequest,allsuchinformationanddataforthispurposeas mayberequested.Failuretoprovidetherequestedinformationwithinfive(5)daysmay result in disqualification of the proposal.

6. Miscellaneous

a. List steps taken to ensure confidentiality of health and personal information acquired during performance of consulting services to your clients;

b. Disclose whether the services of subconsultants will be used to provide any service to the District. If so, explain in detail under what circumstances such subconsultants will be used;

c. Provide a sample proposed contract between your firm and the District.

Allproposedcontractsmustmeetandincludetherequirementssetforthin ArticleXIIofthisRFPandshallbesubject,subsequenttothecompletion of this RFP, to the review and approval of the District’s legal counsel.

X. ADDITIONAL DOCUMENTS REQUIRED TO BE SUBMITTED

WITH PROPOSAL

In addition to the proposal, a Proposer must also include as part of its submission, signed copies of the following:

Attachment A – Proposal & Non-Collusive Certification Attachment B – Hold Harmless Agreement Attachment C – Proposers Certification, subject to required notarization Attachment D – Certification of Compliance with the Iran Divestment Act

XI. PROPOSAL EVALUATION

Each submitted proposal will be the primary document upon which the District’s selection team will evaluate each Candidate. As indicated earlier in this RFP, it must include the qualifications and relevant experience of those assigned to the project. All proposals will first be screened in determining whether the consultant has previously performed the type of services requested therein.

TheDistrictreservestherightto:(i)acceptanyCandidate’sproposalbyspecificitemor service or in itsentirety;(ii)rejectanyorallproposals;(iii)negotiatewithallqualified proposers/respondents;and(iv)advertisefornewproposals.TheDistrictmaywaiveany informality, technical defect, andminorirregularityinaproposalanddisregardallnon-conforming, non-responsive, or conditional proposals, and delete any item from a proposal.

The evaluation process is designed to award the proposal notnecessarilytothefirmof the leastcost,butrathertothefirmwiththebestcombinationofattributesbasedonthe evaluation criteria.

Significant factors for consideration include, but are not limited to, the following evaluation criteria:

- Scope of Services – the primary consideration is the extent to which the consultant’s description of the scope and objectives is sufficiently detailed, logicallypresented,consistentintermsoftheformandcontent,anddemonstrates a clear understanding of objectives as outlined herein.

- Approach – The primary consideration is the extent to which the proposal presents a clearlydefinedandwell-thought-outmethod(s)toachieveeachofthe District’s objectives andtheextenttowhichthemethodchosenappearstobean effective, efficient way to accomplish each objective.

- Schedule – The primary consideration is whether the Candidate is able to complete the projectinareasonable(orstated)timeframeandwhetherthetime frame is realistic to accomplish all objectives in the time specified.

- Qualifications – Prior Experience and Past Performance – the primary consideration is whether the consultant has a successful track record in performing the activities associated with the scope of work detailed herein.

- Qualifications of the Project Team – the primary consideration will focus on qualifications and experience of the project team assigned to thisprojectandto what extent team members have participated in projects similar in scope.

- Proposed Cost of Services

- Responsiveness to Requested Proposal Format – The quality of the proposal and the degree to which it conforms to the required format.

- Feedback – information from references and others who have had experience with the Candidate on similar projects.

- Interviews/Presentation–thequalityoftheinterviewsandpresentation,ifsuch evaluation method is used.

The District reserves the right torejectanyproposaliftheinformationsubmittedby,or investigationof,suchfirmfailstosatisfytheDistrictthatsuchfirmisproperlyqualified to carry out the obligations of the contract and to complete the work contemplated therein. Conditional proposals will not be accepted.

XII. CONTRACT REQUIREMENTS

ShouldtheDistrictawardaCandidatewithacontractfortheservicesasaresultofthisRFP, theCandidateagreestotheinclusioninsuchcontractofthetermsstatedinthisArticleXII.

InAccordancewithArticleIX.6.c,ofthisRFP,eachCandidateagreestosubmit,aspartof this RFP a proposed contract the includes the provisions in this Article XII as follows:

1.Indemnification

The Candidate agrees to defend, indemnify and hold harmless the District and its employees and agents, from and against all claims, damages, losses and expenses (including without limitations, reasonable attorneys’ fees) arising out of, or in consequence of, any negligent or intentional act or omission of the Candidate, its employeesoragents,totheextentofitsortheirresponsibilityforsuchclaims,damages, losses and expenses.

2. Insurance

a. Notwithstanding any terms, conditions or provisions in any other writing between the parties, the Candidate agrees to name the District as an Additional Insured on its professional insurance policies,excludingits workers' compensation and NY Disability insurance.

b. The policy naming the school as an additional insured must:

i. Be an insurance policy from an A.M. Best rated A- or better insurer, licensed to conduct business in New York State.ANew York licensed and admitted insurer is strongly preferred.

ii. State that the organization's coverage shall be primary and non- contributory coverage for the District, its board, employees and volunteers with a waiver of subrogation in favor of the district for all coverages including Workers Compensation.

c. Additional insured status shall be provided by standard or other endorsements that extend coverage to the District (CG 20 26 ) or equivalent. The decision to accept an endorsement rests solely with the District. A completed copy of the endorsements must be attached to the Certificate of Insurance to include General Liability, Auto Liability (where applicable) and Umbrella/Excess coverages.

i. The certificate of insurance must describe the services provided by the professional consultant that are covered by the professional liability, commercial general liability policy and the umbrella policy.

ii. At the District’s request, the Candidate must provide a copy of the declaration page of the liability and umbrella/excess policies with a list of endorsements and forms. If so requested, the professional consultant will provide a copy of the policy endorsements and forms.

d. The Candidate agrees to indemnify the school for any applicable deductibles and self-insured retentions.

3. Insurance Required of Successful Candidate

● Commercial General Liability Insurance $1,000,000 per occurrence/ $2,000,000 aggregate.

$2,000,000 Products and Completed Operations $1,000,000 Personal and Advertising Injury $100,000 Fire Damage $10,000 Medical Expense

• Automobile Liability $1,000,000 combined single limit for owned, hired borrowed and non-owned motor vehicles.

• Workers' Compensation Statutory Workers' Compensation (C-105.2 or U-26.3); and NYS Disability Insurance (DB- 120.1) for all employees. Proof of coverage must be on the approved specific form, as required by the New York State Workers’ Compensation Board.

ACORD certificates are not acceptable. A person seeking an exemption must file a CE-200 Form with the state. The form can be completed and submitted directly to the WC Board online.

• Professional Errors and Omissions Insurance $2,000,000 per occurrence/$2,000,000aggregatefortheprofessionalactsofthe Candidate performed under the contract for the school. If written on a “claims-made”basis,theeffectivedatemustpre-datetheinceptionofthecontract or agreement. Coverage shall remain in effect for three years following the completion of work.

• Umbrella/Excess Insurance $3 million each Occurrence and Aggregate. Umbrella/Excess coverage shall be on a follow-form basis over the required Auto Liability, General Liability and Professional Liability coverages.

TheCandidateacknowledgesthatfailuretoobtainsuchinsuranceonbehalfoftheDistrictin accordancewiththisArticleXIIwillconstituteamaterialbreachofcontract.TheCandidate istoprovidetheDistrictwithacertificateofinsurance,evidencingtheaboverequirements havebeenmet,priortothecommencementofwork.ThefailureoftheDistricttoobjectto the contents of the certificate or the absence ofsameshallnotbedeemedawaiverofany and all rights held by the school

4. No Assignment

The Candidate must not assign or transfer any interest in a contract with the District without the District’s prior written consent.

5. Termination Clause

Any agreement between the District and theCandidatemaybeterminateduponwritten notice by the District at any time during the term of said agreement for any cause whatsoeverwiththefeedueandowingtheCandidatetobeproratedbasedontheperiod oftimetheagreementwasinforceandeffectuptoandincludingthedateoftermination, provided said fee(s) are not in dispute.

6. Legal Construction

The parties to any contract entered into resulting from this RFP will be bound by all applicable laws, rules and regulations of the State of New York. In case any one or more of the provisions contained in such agreement shall for any reason be held to be invalid, illegal or unenforceable in any respect, such invalidity, illegality or unenforceability shall not affect any other provision thereof and such agreement must be construed as if such invalid, illegal or unenforceable provision was never included therein.

7. Brokerage Commissions

Consultant agrees that all brokerage commissions received in connection with insurance policies placed or renewed on behalf of the District shall be applied as a credit against the fees owed by the District for services under this Agreement. Consultant shall provide the District with an annual written certification identifying all such brokerage commissions received during the applicable contract year.

Scarsdale Union Free School District

HEALTH BENEFIT CONSULTING SERVICES

AttachmentA

PROPOSAL/NON-COLLUSIVE CERTIFICATION

FIRM NAME BUSINESS ADDRESS

TELEPHONE NUMBER DATE OF PROPOSAL

I. General Certification

The Candidate certifies that they will furnish, at the prices herein quoted, the materials, equipment and/or services as proposed.

II. Non-Collusive Certification

By submission of this proposal, the Candidate certifies that they are complying with Section 103-D of the General Municipal Law as follows:

Statement of non-collusion in bids and proposals to political subdivision of the State:EverybidorproposalhereaftermadetoapoliticalsubdivisionoftheState oranypublicdepartment,agencyorofficialthereof,wherecompetitivebiddingis requiredbystatute,rule,regulation,orlocallaw,forworkorservicesperformed or to be performed, or goods sold or subscribed by the bidder and affirmed by such bidder as true under the penalties of perjury.

Non–Collusive Certification.

(A) By submission of this proposal, each Candidate andeachpersonsigning on behalf of any Candidate certifies, and in the case of a joint proposal each party thereto certifies as to its own organization, under penalty of perjury, that to the best of its knowledge and belief:

1. Thepricesinthisproposalhavebeenarrivedatindependentlywithout collusion, consultation, communication or agreement, for the purpose of restrictingcompetition,astoanymatterrelatingtosuchpriceswithanyother competitor.

2. Unless otherwise required by law,thepriceswhichhavebeenquoted inthisproposalhavenotbeenknowinglydisclosedbytheCandidateandwill not knowingly be disclosed by the Candidate prior to opening, directly or indirectly to any other competitor; and

3. NoattempthasbeenmadeorwillbemadebytheCandidatetoinduce any other person, partnership or corporation to submit or not to submit a proposal for the purpose of restricting competition.

(B) Aproposalshallnotbeconsideredforawardnorshallanyawardbemade where (A), (1), and (3) above have not been complied with; provided, however, that if in any case the Candidate cannot make the foregoing certification, the Candidate shall so state andfurnishwiththeproposala signed statement which sets forth in detail the reasons therefore. Where (A),(1),(2)and(3)abovehavenotbeencompliedwiththeproposalshall notbeconsideredforawardnotshallanyawardbemadeunlessthehead of the purchasing unit of the political subdivision, public department, agency or officialthereoftowhichtheproposalismade,ornotmadefor the purpose of restricting competition.

The fact that a Candidate (a) had published price lists, rates or tariffs coveringitemsbeingprocured,(b)hasinformedprospectivecustomersof proposed or pending publication of new or revised price lists for such items,or(c)hassoldthesameitems,toothercustomersatthesameprices beingproposed,doesnotconstitute,withoutmore,adisclosurewithinthe meaning subparagraph one (a).

Any proposal hereafter made to any political subdivision of the Stateor any public department, agency or official thereof by a corporation for workorservicesperformedortobeperformedorgoodssoldortobesold, wherecompetitivebiddingisrequiredbystatute,rule,regulation,orlocal law, and where such proposal contains the certification referred to in subdivisiononeofthesection,shallbedeemedtohavebeenauthorizedby the board of directors of the Candidate, and such authorization shall be deemed to include the signing and submission of the proposal and the inclusionthereinofthecertificateastonon-collusionastheactanddeed of the corporation.

SIGNATURE

NAME / TITLE

CORPORATION OR COMPANY NAME

DATE

HEALTH BENEFIT CONSULTING SERVICES

Attachment– B

HOLD HARMLESS AGREEMENT

The undersigned hereby agrees to defend, indemnify, and hold harmless the Scarsdale Union Free School District from and againstanyandallliability,loss,damages,claims for bodily injury and/or property damages, cost and expense,includingcounselfees,to theextentpermissiblebylaw,thatmayoccurorthatmaybeallegedtohaveoccurredin the course of the performance of thisagreementbytheCandidate,whethersuchclaims shall be made by an employee of the Candidate or by a third party. The Candidate covenants and agrees that it will pay all costs and expenses arising therefrom and in connection therewith, and if any judgment shall berenderedagainsttheDistrict,inany such litigation, the Candidate shall at its own expense satisfy and discharge the same.

REPRESENTATIVE

SIGNATURE

TITLE

COMPANY NAME

DATE

HEALTH BENEFIT CONSULTING SERVICES

Attachment– C PROPOSERS CERTIFICATION

THIS FORM MUST BE SIGNED AND NOTARIZED

The below signed Proposer affirms the following as true under penalties of perjury:

Bysubmissionofthisproposal,eachfirm/companyandeachpersonsigningonbehalfof anyfirm/companycertifies,andinthecaseofajointproposaleachpartytheretocertifies astoitsownorganization,underpenaltyofperjury,thattothebestofitsknowledgeand belief that each firm/company is not on the list created pursuant to paragraph (b) of subdivision 3 of Section 165-a of the state finance law.

Corporate or Company Name

By:

Signature Title

State of

County of

Sworn to before me this day of , 20

Notary Public

HEALTH BENEFIT CONSULTING SERVICES

Attachment– D

CERTIFICATION OF COMPLIANCE WITH THE IRAN DIVESTMENT ACT

THIS FORM MUST BE SIGNED AND NOTARIZED

AsaresultoftheIranDivestmentActof2012(the“Act”),Chapter1ofthe2012Lawsof NewYork,anewprovisionhasbeenaddedtoStateFinanceLaw(SFL)§165‐aandNew YorkGeneralMunicipalLaw§103‐g,botheffectiveApril12,2012.UndertheAct,the Commissioner of the Office of General Services (OGS) will be developing a list of “persons” who are engaged in “investment activities in Iran” (botharedefinedtermsin the law) (the “Prohibited EntitiesList").PursuanttoSFL§165‐a(3)(b),theinitiallistis expectedtobeissuednolaterthan120daysaftertheAct’seffectivedateatwhichtimeit will be posted on the OGS website.

Bysubmittingabidinresponsetothissolicitationorbyassumingtheresponsibilityofa contractawardedhereunder,eachBidder/Candidate,anypersonsigningonbehalfofany Bidder/Candidate and any assignee or subcontractor and,inthecaseofajointbid,each party thereto, certifies, under penalty of perjury, thatoncetheProhibitedEntitiesListis posted on the OGS website, that to the best of its knowledge and belief, that each Bidder/Candidate and any subcontractor or assignee is not identified on the Prohibited Entities List created pursuant to SFL § 165‐a(3)(b).

Additionally, Bidder/Candidate isadvisedthatoncetheProhibitedEntitiesListisposted on the OGS Website, any Bidder/Candidate seeking to renew or extend a Contract or assume the responsibility of a Contract awarded in response to this solicitation must certifyatthetimetheContractisrenewed,extendedorassignedthatitisnotincludedon the Prohibited Entities List.

During the term of the contract, should the District receive information that a Bidder/Candidate is in violation of the above‐referenced certification, the District will offer the person or entity an opportunity to respond. If the person or entity fails to demonstrate thathe/she/ithasceasedengagementintheinvestmentwhichisinviolation oftheActwithin90daysafterthedeterminationofsuchviolation,thentheDistrictshall takesuchactionasmaybeappropriateincluding,butnotlimitedto,imposingsanctions, seeking compliance, recovering damages or declaring the Bidder/Candidate in default.

The District reserves the right to reject any bid or request for assignment for a Bidder/Candidate that appears on the Prohibited Entities List prior to the award of a contractandtopursuearesponsibilityreviewwithrespecttoanyBidder/Candidatethatis awarded a contract and subsequently appears on the Prohibited Entities List.

I, , being duly sworn, deposes and says that he/sheis the of the [insert Candidate name] and that neither the Bidder/ Candidate nor any proposed subcontractor is identified on the Prohibited Entities List.

Subscribed and sworn to before me this day of , _________

(Person, Firm, or Corporation)

Notary Public (Authorized Signature)

Commission Expires___________________________

EMPLOYEE HEALTH BENEFITS CONSULTING SERVICES

APPENDIX A

Attach Summary of Benefits

TheSchoolDistrictcurrentlyoffersthefollowinghealthservicestoitsemployeesunder its health plans to assist each Candidate with its proposal attached are copies of each plans’ Summary of Benefits and Coverage.

1. Scarsdale Union Free School District Self-Insured Health Plan, currently administered by UMR

a. Individual and Family Health Coverage

b. Hospital/Major Medical Services

c. Prescription Drug Benefits (currently administered by RX Benefits)