SECHQ1-15-R-0001-000005_Supplemental_Health_Benefits_Program_-_Attachment_1_-_Questions_ _Answers.pdf

QUESTION # QUESTION SEC RESPONSE

1 Will the SEC consider holding an industry day or conference call? No, vendors were invited to present their capability statements to the SEC April 26 - May 1, 2014.

2 Will the SEC extend the RFP due date of 15 Jan 2015? Yes, the proposal date has been extended to March 2, 2015.

3 Are historical data and loss rates available? Yes, historical claims and premium information for the past three years are provided in Attachments 13 thru 15.

4 Will you please advise if the 50% small business performance requirement shall be based off of the cost of the contract incurred for personnel with its own employees for only NAICS Code 524210 "Insurance Agencies and Brokerages” or will it also include naics code 524292 “Third Party Administration of Insurance and Pension Funds?

(13 CFR 125.6

In the case of a contract for services (except construction), the qualified HUBZone SBC spends at least 50% of the cost of the contract performance incurred for personnel on the concern's employees or on the employees of other qualified HUBZone SBCs)

The fifty percent small business performance requirement is based off the value of the contract. The NAICS code associated with the requirement is 524210.

5 Please advise if the HUBZone price evaluation will apply? Yes, the HUBZone price evaluation applies to this procurement.

6 Will the SEC release the name of the current insurance carrier/s? The current insurance carriers are Humana, (Dental and Vision)

Principal (STD and LTD) and Metlife (Med Evac).

7 Will the SEC provide a copy of the currnet insurance policy? No, the current insurance policy documents will not be provided.

The insurance plan information is provided in Attachments 8 thru

12.

8 Is there Census Data available for the current employees? Yes, please see Attachment 7.

9 Is there a current carrier with historic information on claims? Yes, historical claims and premium information for the past three years are provided in Attachments 13 thru 15.

10 Is it the intent of the SEC to award the dental portion to only one dental carrier? No, the company must provide an all-inclusive solution.

11 Is there a current Plan Design? The insurance plan information is provided in Attachments 8 thru

12 for informational purposes only.

12 Can the SEC provide the insurance certificates (sometimes referred to as a summary plan description) for the following current programs:

a. C.2.1 Dental Plan as well as any buy-up plan offered;

b. C.2.2 Vision Plan as well as any buy-up plan offered;

c. C.2.3 Medical Evacuation Insurance for International Trips;

d. C.2.4 Voluntary Benefits Package programs offered (STD, LTD, Term Life, Critical Care Insurance or any other benefit programs currently offered to SEC through the SHBP)?

The insurance plan information is provided in Attachments 8 thru

12 for informational purposes only.

13 Can any plan changes within the last three years to the programs referenced in question 1 above be supplied with the change effective date noted?

Yes, January 1, 2015 the age increased from 23 to 26. Medical

Evacuation was added 2013.

14 Can premium and claims experience data, by program and plan year, for the last three years be provided? Yes, historical claims and premium information for the past three years are provided in Attachments 13 thru 15.

15 Can premium rate history for the past three years be provided for all programs rated as group products? Yes, historical claims and premium information for the past three years are provided in Attachments 13 thru 15.

16 Does the SHBP preempt State/District premium tax requirements or other State/District law requirements? The SEC is tax exempt.

17 Can a report of the top 100 Dental and Vision providers by utilization be provided in MS Excel format? See Attachment 9 for Dental Providers, Vision Providers report is not available.

SECHQ1-15-R-0001-000005 SHBP - ATTACHMENT 1 - QUESTIONS & ANSWERS

18 For dental out-of-network coverage, what percentile of reasonable and customary charges is currently in place? The insurance plan information is provided in Attachments 8 thru

12.

19 What is the current dental in-network utilization percentage based on covered procedures? Please see historical claims and premium information for the past three years are provided in Attachments 13 thru 15.

20 Can the SEC please provide the number of explanation of benefits issued for the latest complete 12 month policy plan year? Yes, historical claims and premium information for the past three years are provided in Attachments 13 thru 15.

21 Can enrollment by plan tier and year corresponding to the data in question 3 above be provided? Yes, historical claims and premium information for the past three years are provided in Attachments 13 thru 15.

22 For the LTD program, can a paid and incurred exhibit for the past three years be provided? Yes, historical claims and premium information for the past three years are provided in Attachments 13 thru 15.

23 Section C.3.3 Eligible Program Participants does not include annuitants as an eligible participant class of the SHBP. Will the SEC consider inclusion of annuitants in any of the non-disability SHBP programs and, if so, which programs and at what rate structure?

Section C.3.3 Eligible Program Participants will remain as orginally stated.

24 Can a census file in MS Excel format be provided for all SHBP eligible participants be provided and include the following:

a. Date of birth;

b. Active or annuitant indicator;

c. Date of Hire;

d. Gender;

e. Salary;

f. City;

g. State;

h. ZIP code;

i. Participation in:

i. Dental;

ii. Dental buy-up;

iii. Vision;

iv. Vision buy-up;

v. Short term disability; vi. Long term disability; vii. Optional term life;

viii. Auto & home;

ix. Critical illness;

x. Other?

Yes, the available information has been provided in Attachment 7.

Yes, the Contractor itself may be an insurance Company that is A rated or better through which these products will be provided.

Please confirm.

25 Section C.2.4 Voluntary Benefits Package is written as follows:

The Contractor shall provide a package of voluntary benefits from A rated companies or better at discounted group rates that includes at a minimum, short-term disability (STD) and long-term disability (LTD) insurances, term life insurance, and critical care insurance for eligible SEC employees. The voluntary benefits program shall provide the variety and quality of benefits that promotes the maximum level of employee participation. The Contractor shall provide voluntary benefits from reputable companies that offer standard commercial pricing that is readily available through published price lists, websites, etc. All proposed discounted group rates on voluntary benefits will be incorporated into the contract. These benefits will be paid for entirely by the SEC employee.

We assume the Contractor itself may be an insurance Company that is A rated or better through which these products will be provided. Please confirm.

Section B: Supplies or Services and Prices/Costs, CLIN’s 1-21, request pricing information for implementation, dental insurance, 26 In the C.1 Background section it states "The three externally hosted web-based applications provide the Contractor with information on the benefits that employees select." Is it the intent of the SEC for the contractor to provide and host a website to facilitate the government provided benefit programs and the SHBP? If yes, will all enrollments be initiated through this website or will the website be required to link to other SEC/Federal Agency benefit websites to obtain enrollment data?

No. The contractor's enrollment site will contain the employee census data.

27 Section C.3.9.9.6 Help Desk Support states that the contractor shall maintain a dedicated toll free number and/or an interactive website for SEC employees to provide web application support, answer questions, facilitate enrollment and claims resolution which needs to be available 8 a.m. to 8 p.m. Eastern Time Monday through Friday. Is this the same toll free number described in section

C.2.5 Program Administration? If yes, does the 24/7 service requirement contemplate IVR and website servicing during non-call center hours (8AM-8PM EST) for employees to obtain information to answer questions? If no, what call center hours are required for this separate toll free number?

No, the support services stated in Section C.3.9.9.6 and C.2.5 are separate services and shall be provided during the days/hours stated in the respective section.

28 Can the SEC provide historical SHBP inbound/outbound call center data (i.e. volume by day, volume by interval, average AHT, etc.)

for calendar year 2014?

No, the requested information is not available.

29 Can the SEC provide overall call arrival patterns by intraday, daily, weekly, and monthly and indicate whether there is any seasonality to these patterns?

No, the requested information is not available.

30 Can the SEC provide the file layout for the "output report" including a description of the required data fields referenced in Section

C.1 Background?

No, the requested information is not available.

31 Will all benefit enrollments be transferred to the new contractor and is enrollment in the SHBP plans negative (enrollment carries forward into subsequent plan years until the participant changes or drops the election)?

Yes. Benefit enrollments will be transferred to the new contractor as part of the data transfer during the transition period.

32 Can the SEC provide the file layout or data elements for the biweekly electronic file that contains updated employee information described in Section 3.8.2.3 - Personnel Information Data Integration?

Yes. The file content and layout will be discussed post-award and tailored to meet the needs of the SEC and the contractor's systems/processes.

33 Can the SEC provide historical data for the number of direct bills mailed in 2014 as a result of the 2 missed deductions described in

Section 3.7.5 Non-Pay Status?

Less than 30.

34 Does the SEC require that all premiums for voluntary benefits be paid for through payroll deductions? Can enrollees elect to pay for premiums through different methods? Can the SEC explain why alternative methods of premium collection shall not include direct-draft (EFT) from an employee’s bank account as described in Section C.3.7.5 Non-Pay Status?

Yes. All premiums for voluntary benefits are to be paid through payroll deductions. For the ease of administration, it will be on a

Payroll deduction through allotment.

35 Can the SEC provide the current number of SHBP enrollments broken down by billing type? Yes, historical claims and premium information for the past three years are provided in Attachments 13 thru 15.

36 Relative to STD & LTD coverage, is there currently any coordination between the Carrier and the SEC’s medical or agency payroll vendors?

No, there is no coordination.

37 Relative to Section L.2. Proposal Format and Content, 3. Past Performance, is there a specific past performance questionnaire that the SEC is requiring we send to relevant clients? If yes, please supply a copy of the questionnaire and indicate the number of client reviews the SEC is requesting.

No

38 Can the SEC please provide Section B, Attachments 2 & 3 in MS Excel or Word? Yes, please see updated Attachments 2 and 3.

39 Please clarify whether the electronic copies of the Technical and Business proposals referred to in L.1.1., can be submitted electronically via e-mail, or if they are required to be submitted on a CD included with the paper copies of our proposal.

Email

40 Please confirm that L.1.3. is not applicable to the submission of SECHQ1-15-R-0001.

Section L.1.3 is determined to be repetitive and removed. Proposal submission instructions are provided in Section L.1.1.

41 Please confirm that the electronic copies referred to in L.1.1., third sentence, are to be 100% compatible with either Microsoft

Office Suite or Adobe Acrobat.

Yes, this is correct.

42 Please provide Section K: REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS which is listed as required in L.2.4, but has not been provided in the RFP and was marked as “(Not Used)” or Amend the Solicitation to reflect the section not required.

Yes

43 Section L.2 Proposal Format and Content, Volume 2 – Technical Proposal, 1. Corporate Experience, a. Pass/Fail Factors, ii calls for

“substantial documentation” indicating the insurance companies are A rated from A.M. Best, Moody’s, Standard & Poors, and Fitch.

Please define what represents “substantial documentation” to the SEC.

Section L.2, Volume 2, 1.a.ii. is revised from “Substantial documentation” to “Documentation”.

44 Given the amount of additional information we feel is necessary for the marketplace to evaluate and respond to the SHBP solicitation thoroughly, will the SEC consider extending the response due date from the current January 15th due date?

Yes, the proposal date has been extended to March 2, 2015.