Self-Funded_Medical_Plan_ASO_RFP_4115RC_TABULATION.pdf
PDF 3 MB Posted
- Attached to
- Self-Funded Medical Plan ASO
- Solicitation number
- 4115RC
- Issued by
- Florida
About this file
The document is a Request for Proposal (RFP) Tabulation for the School Board of Marion County, Florida, specifically RFP #4115RC for a Self-Funded Medical Plan Administrative Services Only (ASO) contract. The RFP seeks a third-party administrator to manage the school district's medical plan, with proposals due on March 6, 2025, at 2:00 PM and a board award date of June 24, 2025. The contract term is set for three years from January 1, 2026, through December 31, 2028, with potential renewal options for up to three additional one-year periods. The procurement covers comprehensive medical plan administration for four existing plan designs serving 4,184 subscribers and 5,611 members.
The evaluation criteria comprehensively assess proposers across ten categories, including network access, claims repricing, utilization management, administration, customer service, technology, reporting, wellness, and medical administrative fees, with a total possible score of 100 points. Three vendors submitted proposals: Aetna Life Insurance Company, Blue Cross and Blue Shield of Florida, Inc., and United HealthCare Services, Inc. Blue Cross and Blue Shield of Florida, Inc. received the highest evaluation score of 92.00 points and is recommended for award. The RFP requires vendors to provide detailed per-employee-per-month pricing for medical administration fees, with performance guarantees and potential financial penalties for non-compliance in areas such as claims processing accuracy, financial payment accuracy, turnaround times, and customer service metrics.
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Text version
SCHOOL BOARD OF MARION COUNTY FLORIDA, "AN EQUAL OPPORTUNITY SCHOOL DISTRICT"
Request for Proposal Tabulation Posted: April 3, 2025 Request for Proposal # 4115RC Request for Proposal Title: Self-Funded Medical Plan ASO Date & Time Due: March 6, 2025 @ 2:00 PM Board Date: June 24, 2025
Request for Proposal #4115RC
SR 8 9 2
CC 9 8 8
LZ 9 10 0
8.67 9.00 3.33
SR 8 10 1
CC 9 10 6
LZ 5 10 1
7.33 10.00 2.67
SR 13 15 14
CC 9 11 13
LZ 15 15 15
12.33 13.67 14.00
SR 3 5 4
CC 3 5 4
LZ 5 5 5
3.67 5.00 4.33
SR 5 8 7
CC 10 10 10
LZ 5 10 9
6.67 9.33 8.67
SR 3 5 3
CC 5 5 3
LZ 2 5 2
3.33 5.00 2.67
SR 10 10 10
CC 9 8 9
LZ 10 10 9
9.67 9.33 9.33
SR 5 5 5
CC 5 4 4
LZ 5 5 5
5.00 4.67 4.67
SR 4 5 5
CC 4 4 3
LZ 5 5 5
4.33 4.67 4.33
SR 3 4 4
CC 4 3 5
LZ 2 5 2
3.00 4.00 3.67
SR 12 18 12
CC 18 15 15
LZ 15 19 15
15.00 17.33 14.00
100 79.00 92.00 71.67
2 1 3
Self-Funded Medical Plan ASO
Network Access Analysis
Network Disruption
Aetna Life Insurance Company United HealthCare Services, Inc.
P O I N T
V A L U E
Blue Cross and Blue Shield of Florida, Inc.
EVALUATION CRITERIA
E V A L U A T O R
Claims Repricing
Utilization Management
SCORING TOTAL:
Implementaton Enrollment Eligibility and Maintenance
Administration
Customer Service
Wellness
RANKING
Medical Admin Fees/Costs
Average
Average
Average
Average
Average
Average
Average
Average
Average
Average
Average
Technology
Reporting
Self-Funded Medical Plan ASO RFP 4115RC TABULATION 1
SCHOOL BOARD OF MARION COUNTf FLORIDA, •AN EQUAL OPPORTUNITY SCHOOL DISTRICF' Requestfor Proposal Tabulation Posted: April 3,2025 Request for Proposal # 4115RC Request for Proposal Title: Self-Funded Medical Plan ASO Date & Time Due: March 6, 2025 @ 2:00 PM Board Date: June 24, 2025
REQUEST FOR PROPOSAL EVALUATION RESULTS
After calculating the scoring provided by the Evaluation Committee, Blue Cross and Blue Shield of Florida, Inc.
is being recommended for award as the top rated proposer.
Rick H. Collins Purchasing Specialist
Garrett McCallum ^^^< WJtness
April 3,2025 Date
Failure to file a protest within the time prescribed in section 120.57(3), Florida Statutes, or failure to post the bond or other security required by law within the time allowed for filing a bond shall constitute a waiver of proceedings under chapter 120, Florida Statutes.
Self-Funded Medical Plan ASO RFP 4115RC TABULATIOBI
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