SRC0000038100 Exhibit 7 GeoAccess Ohio Med HDHP and PPO Template.xlsxSRC0000038100 Exhibit 7 GeoAccess Ohio Med HDHP and PPO Template.xlsx

This file is an exhibit template for a medical plan rate proposal submission related to the State of Ohio's Department of Administrative Services (DAS) Request for Proposal for a Medical Plan Third-Party Administrator. The RFP solicits proposals from contractors to administer Ohio Med, the state's self-insured medical plan, which offers three plan options: preferred provider organization (Ohio Med PPO), narrow network plan (Ohio Med Select), and high-deductible health plan (Ohio Med HDHP). The contractor must administer existing plan designs without modifications and manage all claims incurred on or after July 1, 2027. The document serves as a GeoAccess template for Ohio Med HDHP and PPO rate submissions, providing the standardized format for offerors to present pricing information relevant to these specific plan designs. Offerors must execute a nondisclosure agreement (Exhibit 14) and submit it to Shaun Roderer at shaun.roderer@das.ohio.gov by November 4, 2026, to gain access to Exhibits 9 and 10, which contain sensitive plan data necessary for developing competitive proposals.

The State of Ohio will not accept proposed modifications to the NDA, and offerors bear full responsibility for timely submission to obtain required exhibits and supporting documentation. If a contractor change results from this RFP, the selected contractor must ensure a smooth transition of care, service administration, eligibility verification, and claims history transfer from the prior contractors. The template format enables standardized evaluation across regional proposals and facilitates comparison of pricing structures for both the HDHP and PPO plan options. This procurement represents a significant administrative services contract for managing employee and dependent health benefits across the state's workforce.