Health insurance actuarial services

Seminole County, Florida is seeking a qualified vendor to provide comprehensive Health Insurance Actuarial Services for the county's self-funded health plan. The Request for Quotation (RFQ) requires the selected contractor to perform three specific tasks: first, review the self-funded health plan including medical and prescription claims, contribution rates, stop loss schedules, and enrollment reports for a period ending September 2023; second, prepare an estimate of claim liability as of September 30, 2023 for financial statement inclusion; and third, prepare and complete the actuarial certification required by the Florida Office of Insurance Regulation by December 31, 2023. Electronic quote submissions are due by August 25, 2023 at 2:00 pm through the county's e-Procurement Portal, with vendors required to submit a lump sum price proposal covering the three distinct tasks. Potential bidders must demonstrate business authority in Florida, provide worker's compensation documentation, complete an E-Verify affidavit, and submit past performance references. The county reserves the right to reject any or all quotes, conduct interviews, and make partial awards based on the submitted proposals.

The solicitation does not explicitly indicate specific set-aside designations or restrictions for disadvantaged enterprises. Vendors must comply with numerous administrative requirements, including drug-free workplace certification, Americans with Disabilities Act affidavit, and conflict of interest disclosures. The RFQ is accompanied by a FEMA Requirements addendum, which outlines additional compliance expectations for potential federal disaster relief funding, including provisions related to equal employment opportunity, labor standards, record-keeping, and civil rights. While a specific budget range is not disclosed, the comprehensive nature of the actuarial services suggests a professional services contract with requirements for detailed financial analysis and regulatory compliance. Potential bidders should carefully review the FEMA Requirements document, as it provides extensive guidelines for contractors and outlines potential consequences for non-compliance, including contract termination and potential legal actions.