T3093 Attachment C~1.xlsx

This is a bidder instruction attachment for a Medicare Advantage plan solicitation issued by the State Health Benefits Program (SHBP) and School Employees Health Benefits Program (SEHBP) under Bid Solicitation 25DPP01075. The attachment requires bidders to submit CMS STAR ratings for Medicare Advantage plans across multiple calendar and payment years from 2022 through 2026. Bidders must complete yellow-highlighted cells providing STAR ratings published in October of the preceding year for each submission year. For National Open Access MA PPO contracts, bidders shall list membership data for both group and individual segments. For MA HMO contracts, bidders must identify specific contract names and areas, detail the number of current SHBP/SEHBP members covered by service area for both PPO and HMO segments, and provide corresponding STAR ratings for all requested years. The submission of all requested information is mandatory, as bidders may be deemed non-responsive if yellow-shaded data fields are not completed.

The attachment also requires bidders to provide comprehensive book-of-business data across their entire MA and MAPD portfolio, segregated between group and individual membership segments for each calendar year from 2022 through 2026. Bidders must specify the percentage of total group and individual membership enrolled in contracts rated 4 stars or higher for each year. The analysis is limited to the current SHBP/SEHBP Medicare Advantage population only, and current Medicare Supplement members are explicitly excluded from this submission requirement.