1-DBM Health Plan Admin&Svcs / 2-DBM Medical insurance benefits for State Law Enforcement Officers Labor Alliance (SLEOLA) members / 3-MDOT-MTA Medical/Vision Plan Health Benefits & Admin. Svcs

The State of Maryland, through the Department of Budget and Management (DBM), Maryland Transit Administration (MDOT-MTA), and State Law Enforcement Officers Labor Alliance (SLEOLA), is seeking comprehensive health plan administration and services for multiple functional areas beginning January 1, 2027. The procurement encompasses health benefits for state employees, retirees, and their dependents, including Preferred Provider Organization (PPO) and Exclusive Provider Organization (EPO) self-funded medical plans. Key deliverables include network management, claims processing, wellness programs, customer service, and comprehensive reporting across various healthcare functional areas. The solicitation (numbers F10B6600001, F10B6600004, AGY-24-026-SR, and BPM051063) requires detailed technical proposals addressing provider network capabilities, plan designs, performance guarantees, and compliance with federal and state healthcare regulations. The pre-proposal conference response form is due by the specified RSVP deadline, with the final proposal submission date set for September 23, 2025. Evaluation criteria will include performance metrics such as telephone responsiveness, complaint resolution, claims accuracy, and participant satisfaction, with potential administrative fee adjustments and liquidated damages for unmet performance standards.

The procurement includes specific Veteran-Owned Small Business Enterprise (VSBE) participation goals, requiring offerors to structure proposals to achieve designated subcontractor participation percentages across administrative fees and premiums. Contractors must complete VSBE Utilization Affidavits and demonstrate good faith efforts in identifying and engaging veteran-owned businesses. The solicitation also includes a Living Wage Requirements Affidavit, mandating compliance with Maryland's wage standards for contract activities. While specific budget ranges are not explicitly detailed, the contract anticipates managing approximately 3,160 members across 5,655 total contracts, with a five-year base contract and two optional two-year renewal periods. Technical requirements are extensive, including mandatory provisions for data security, cybersecurity measures, annual SOC 2 Type 2 Audit Reports, and compliance with Web Content Accessibility Guidelines (WCAG) 2.1. The procurement emphasizes alignment with Maryland's All-Payer Health Equity Approaches and Development (AHEAD) Model, focusing on improving healthcare outcomes, controlling total care costs, and enhancing health equity.