BENEFEDS Enrollment and Premium Administration Services

Award Notice Posted

Solicitation number
OPM3516R0002
Agency
Awarded
to Long Term Care Partners LLC
Set-aside
No set-aside

Opportunity facts

Contract number
OPM3517C0002 Federal IDV award
NAICS code
524292 Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
PSC
Not on record

Notice details come from SAM.gov. Updated .

Notice text

4 versions

Update #4 · Latest ·

The purpose of Amendment Number A0001 to Solicitation Number OPM3516R0002 is as follows: (1) provide an answer to the question we received by the August 18, 2016 due date and (2) make one correction to the solicitation. Please see the attached Amendment for complete information.

Update #3 ·

The United States Office of Personnel Management invites you to submit a proposal in response to Solicitation Number OPM3516R0002 to provide BENEFEDS Enrollment and Premium Administration Services. Please see the attached Request for Proposals (RFP), Appendices, and Attachments for complete information.


We must receive all RFP questions or issues requiring clarification in writing no later than August 18, 2016, 3:00 P.M. Local Time. We will answer the questions or issues requiring clarification and include them in an amendment to this RFP, which we will post on the Federal Business Opportunities (FBO) website at https://www.fbo.gov. You must clearly phrase your questions or issues requiring clarification and reference the applicable RFP Page and Section Number. You must e-mail all RFP questions or issues requiring clarification to Cheryl D. Allen, Contracting Officer, at Cheryl.Allen@opm.gov. You are responsible for confirming receipt of your e-mail.


You must submit your proposal via e-mail to Cheryl D. Allen, Contracting Officer, at Cheryl.Allen@opm.gov. You are responsible for confirming receipt your e-mail. As specified on the Standard Form 1449, Page 1, Block 8, we must receive all electronic proposals by September 12, 2016, 3:00 P.M. Local Time.

Update #2 ·

The United States Office of Personnel Management (OPM) is responsible for setting benefits and human resources policies government-wide and providing guidance to agencies, as well as for procuring and managing the contractual relationships with carriers for the various benefit programs. Interested parties can find more information about OPM and the benefits we administer on www.opm.gov/insure.


As the Federal government's human resources agency, OPM administers insurance and retirement benefits for millions of Federal employees, retirees, temporary Wildland firefighters and fire protection personnel, employees of Federally recognized Indian tribes, tribal organizations, and urban Indian organizations (tribal employer), and their eligible family members. As part of its mission to manage insurance benefits, OPM oversees BENEFEDS, an enrollment website and customer service call center that currently performs payroll allotment for the Federal Flexible Spending Account Program (FSAFEDS) and enrollment and premium administration for the Federal Employees Dental and Vision Insurance Program (FEDVIP) and the Federal Long Term Care Insurance Program (FLTCIP). While OPM provides contractual and program oversight, the BENEFEDS contractor is solely responsible for hiring, training, and managing its employees, subcontractors, etc.


BENEFEDS was implemented in late 2006 to perform enrollment and premium administration functions for the then-new FEDVIP. This centralized system was designed to eliminate the need for each FEDVIP carrier to establish its own enrollment/premium administration interface with a multitude of Federal agencies. To further consolidate the number of interfaces, BENEFEDS began administration of participant allotments for FSAFEDS in 2006, receiving enrollment information from the FSAFEDS third-party administrator. The current FSAFEDS third-party administrator is ADP Benefit Services KY, Inc. The new FSAFEDS third-party administrator beginning September 1, 2016 will be WageWorks, Inc. Today it is responsible for managing over 2 million FEDVIP enrollments and administering over 355,000 FSAFEDS and over 270,000 FLTCIP participant allotments, and interfacing with 12 FEDVIP, FLTCIP and FSAFEDS carriers, and more than 50 payroll providers.


All Federal benefit programs are administered in accordance with Federal law and implementing regulations. The successful offeror must be intimately familiar with each Federal benefit program's law and regulations to ensure it is in compliance. The BENEFEDS system must be capable of recognizing sometimes very subtle nuances which can mean the difference between an individual or group of individuals being eligible for a particular benefit or not.


It is important for interested parties to understand that OPM does not maintain eligibility files, perform enrollments, or keep enrollment records, except related to the Federal Employees Health Benefits (FEHB) Program and Federal Employee's Group Life Insurance Program (FEGLI) enrollments of its own agency employees.


In this procurement, we intend to procure the current BENEFEDS functionality. These include:


• FEDVIP Enrollment and Premium Administration;
• FSAFEDS Allotment Administration;
• basic decision support tools;
• customer service/call center services;
• MyBENEFEDS - expanded online account information and history; and
• FLTCIP enrollment and premium administration.


The principal objectives of this procurement are to provide:


• A cost effective, centralized insurance and cafeteria plan (Section 125) benefit enrollment system and call center;
• Related premium/allotment administration services;
• A mechanism to completely and accurately reconcile enrollment and premium at the individual enrollee level;
• Superior customer service for the convenience of users; and
• Consistent, uniform benefit administration.


In accordance with Federal Acquisition Regulation 19.303(b), since different services are required in the proposed solicitation, we have identified the applicable North American Industry Classification System (NAICS) codes and size standards as follows:


(1) NAICS: 519190 - All Other Information Services
SIZE STANDARD: $27.5 Million
Applicable Services: Development and management of a second-generation government-wide web-based enrollment and premium administration system


(2) NAICS: 524292 - Third Party Administration of Insurance and Pension Funds
SIZE STANDARD: $32.5 Million
Applicable Services: All other services


We will procure the proposed acquisition using full and open competition procedures in accordance with FAR Part 12 in conjunction with FAR Part 15. All responsible sources may submit a proposal, which we will consider.


The proposed contract will be firm-fixed-price. The performance period for the proposed contract is expected to be five years: a one-year base period and four one-year options.


OPM intends to issue a request for proposals (RFP) on or about August 1, 2016. The RFP and all documents relating to this requirement will only be available on the Federal Business Opportunities (FBO) website at https://www.fbo.gov. Interested parties are responsible for monitoring the FBO website for release of the RFP and all other documents relating to this requirement. We encourage interested parties to register on the FBO website for e-mail notification of all actions relating to the RFP and for the interested vendors list. After we release the RFP, we will give interested parties the opportunity to ask questions. We will include all questions and answers in an amendment to the RFP and post the amendment on the FBO web site.


Proposals will be due on or about August 31, 2016. We anticipate awarding the proposed contract by January 2017.


The current contractor for BENEFEDS Enrollment and Premium Administration Services is Long Term Care Partners, LLC.

We posted a Sources Sought Notice for this acquisition on the FBO website on April 25, 2016. The Sources Sought Notice can be found at:

https://www.fbo.gov/index?s=opportunity&mode=form&id=168c03d117a9208ec7bb603f61003714&tab=core&_cview=1

Update #1 ·

The United States Office of Personnel Management (OPM) is responsible for setting benefits and human resources policies government-wide and providing guidance to agencies, as well as for procuring and managing the contractual relationships with carriers for the various benefit programs. Interested parties can find more information about OPM and the benefits we administer on www.opm.gov/insure.

As the Federal government's human resources agency, OPM administers insurance and retirement benefits for millions of Federal employees, retirees, temporary Wildland firefighters and fire protection personnel, employees of Federally recognized Indian tribes, tribal organizations, and urban Indian organizations (tribal employer), and their eligible family members. As part of its mission to manage insurance benefits, OPM oversees BENEFEDS, an enrollment website and customer service call center that currently performs payroll allotment for the Federal Flexible Spending Account Program (FSAFEDS) and enrollment and premium administration for the Federal Employees Dental and Vision Insurance Program (FEDVIP) and the Federal Long Term Care Insurance Program (FLTCIP). While OPM provides contractual and program oversight, the BENEFEDS contractor is solely responsible for hiring, training, and managing its employees, subcontractors, etc.


BENEFEDS was implemented in late 2006 to perform enrollment and premium administration functions for the then-new FEDVIP. This centralized system was designed to eliminate the need for each FEDVIP carrier to establish its own enrollment/premium administration interface with a multitude of Federal agencies. To further consolidate the number of interfaces, BENEFEDS began administration of participant allotments for FSAFEDS in 2006, receiving enrollment information from the FSAFEDS third-party administrator. The current FSAFEDS third-party administrator is ADP Benefit Services KY, Inc. The new FSAFEDS third-party administrator beginning September 1, 2016 will be WageWorks, Inc. Today it is responsible for managing over 2 million FEDVIP enrollments and administering over 3,550,000 FSAFEDS and over 270,000 FLTCIP participant allotments, and interfacing with 12 FEDVIP, FLTCIP and FSAFEDS carriers, and more than 50 payroll providers.


All Federal benefit programs are administered in accordance with Federal law and implementing regulations. The successful offeror must be intimately familiar with each Federal benefit program's law and regulations to ensure it is in compliance. The BENEFEDS system must be capable of recognizing sometimes very subtle nuances which can mean the difference between an individual or group of individuals being eligible for a particular benefit or not.


It is important for interested parties to understand that OPM does not maintain eligibility files, perform enrollments, or keep enrollment records, except related to the Federal Employees Health Benefits (FEHB) Program and Federal Employee's Group Life Insurance Program (FEGLI) enrollments of its own agency employees.


In this procurement, we intend to procure the current BENEFEDS functionality. These include:


• FEDVIP Enrollment and Premium Administration;
• FSAFEDS Allotment Administration;
• basic decision support tools;
• customer service/call center services;
• MyBENEFEDS - expanded online account information and history; and
• FLTCIP enrollment and premium administration.


The principal objectives of this procurement are to provide:


• A cost effective, centralized insurance and cafeteria plan (Section 125) benefit enrollment system and call center;
• Related premium/allotment administration services;
• A mechanism to completely and accurately reconcile enrollment and premium at the individual enrollee level;
• Superior customer service for the convenience of users; and
• Consistent, uniform benefit administration.


In accordance with Federal Acquisition Regulation 19.303(b), since different services are required in the proposed solicitation, we have identified the applicable North American Industry Classification System (NAICS) codes and size standards as follows:


(1) NAICS: 519190 - All Other Information Services
SIZE STANDARD: $27.5 Million
Applicable Services: Development and management of a second-generation government-wide web-based enrollment and premium administration system


(2) NAICS: 524292 - Third Party Administration of Insurance and Pension Funds
SIZE STANDARD: $32.5 Million
Applicable Services: All other services


We will procure the proposed acquisition using full and open competition procedures in accordance with FAR Part 12 in conjunction with FAR Part 15. All responsible sources may submit a proposal, which we will consider.


The proposed contract will be firm-fixed-price. The performance period for the proposed contract is expected to be five years: a one-year base period and four one-year options.


OPM intends to issue a request for proposals (RFP) on or about August 1, 2016. The RFP and all documents relating to this requirement will only be available on the Federal Business Opportunities (FBO) website at https://www.fbo.gov. Interested parties are responsible for monitoring the FBO website for release of the RFP and all other documents relating to this requirement. We encourage interested parties to register on the FBO website for e-mail notification of all actions relating to the RFP and for the interested vendors list. After we release the RFP, we will give interested parties the opportunity to ask questions. We will include all questions and answers in an amendment to the RFP and post the amendment on the FBO web site.


Proposals will be due on or about August 31, 2016. We anticipate awarding the proposed contract by January 2017.


The current contractor for BENEFEDS Enrollment and Premium Administration Services is Long Term Care Partners, LLC.

A sources sought notices for this acquisition was issued on Federal Business Opportunity previously. Information regarding that sources sought is found at:

https://www.fbo.gov/index?s=opportunity&mode=form&id=168c03d117a9208ec7bb603f61003714&tab=core&_cview=1

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