Change Order Notice - MAPD Aetna

The State of Illinois, through the Chief Procurement Office for General Services on behalf of CMS Benefits, is issuing a Change Order Notice for the Medicare Advantage Prescription Drug (MAPD) plan contract with Aetna (BBREFNO: 22-416CMS-BENF4-B-25740). This procurement addresses necessary modifications to the existing healthcare coverage services contract that provides MAPD benefits to Illinois state retirees, annuitants, and survivors. The change order was necessitated by the Inflation Reduction Act (IRA) of 2022, which restructured the distribution of Part D costs among plans, manufacturers, and the federal government, resulting in reduced federal subsidies that require corresponding increases to plan rates to maintain service continuity. The deliverable is the continuation of comprehensive MAPD coverage under the modified rate structure, with the objective of ensuring uninterrupted healthcare and prescription drug benefits for eligible state employees and their dependents. Under the state's contribution model, retirees and annuitants with 20 or more years of service receive premium-free coverage, while those with fewer than 20 years of service pay 5% of coverage costs for each year of service below the 20-year threshold, with all members responsible for dependent coverage premiums. The posting was made on December 1, 2025, with a due date of December 15, 2025, and the change order notice will remain available for 14 days as required by 720 ILCS 5/33E-9 for change orders exceeding $25,000 or extending completion timelines by 180 days or more.

The incumbent contractor for this MAPD plan is Aetna, which continues to provide services under the modified contract terms. No specific set-aside designations or disadvantaged enterprise restrictions are detailed in the change order notice. The state is estimated to cover approximately 90% of total costs under the modified rate structure, with member contributions accounting for the remaining 10%. The specific dollar amount of the rate increase resulting from this change order is not disclosed in the available documentation, as the focus of this notice is on implementing the necessary adjustments mandated by federal legislation rather than identifying a discrete award value. This change order represents a contractual modification to an existing agreement rather than a competitive procurement, and approval of the modified rates is required to maintain the continuity of benefits for the enrolled member population.