Schedule B Pricing.xlsx

XLSX spreadsheet 19 KB Posted

Attached to
HMO Services for MPSERS
Solicitation number
RFP - 171 - 230000003226
Issued by
Ingham County, Lansing City, Michigan

About this file

This document is a Schedule B Pricing document related to an RFP for HMO health coverage services for the Medicare-Eligible Members and non-Medicare Eligible Members, including Retirees, beneficiaries, COBRA participants, and Dependents, of the Michigan Public School Employees' Retirement System (MPSERS), administered by the Michigan Office of Retirement Services (ORS). The RFP solicits proposals from Contractors to provide and administer both a non-Medicare and a Medicare product inclusive of prescription drug coverage to Eligible Members who elect enrollment in an HMO. The Contract resulting from this RFP will have a term of one (1) year, with four (4) one-year options.

The Schedule B Pricing document provides illustrative 2024 HMO premium rates for Self, Spouse, and Per Child, both with and without Medicare coverage. The rates are considered firm-fixed, all-inclusive. Revised benefit design and applicable rates will be provided to awarded Contractors by August 1, 2024 for a service start date of January 1, 2025. The RFP is applicable to Ingham County and the City of Lansing.

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2024 HMO Rates

Schedule B Pricing
RFP No. 230000003226

Pricing: Premium Rate is a Firm-Fixed All-Inclusive rate. See associated pricing requirements in Schedule A, Section 6 Pricing

Rates are provided for illustrative purposes only. Benefit design and rates are applicable to 1/1/24 - 12/31/24. Revised benefit design and applicable rates will be provided to those Contractors to whom the State has made an award by Aug 1. 2024 for service start date of 1/1/2025.

Monthly MPSERS HMO Premium Rates Effective: 1/1/2024 - 12/31/2024

Without Medicare
Self$ 770.67
Spouse$ 638.55
Per Child$ 204.46
With Medicare
Self$ 39.96
Spouse$ 36.13
Per Child$ 35.61

Note: Non-Medicare rates include Insured Provider Assessment (IPA) Tax.

File details come from the government source that posted it. Updated .