Health Insurance Database Management System

The Michigan Department of Technology, Management and Budget (DTMB) and Office of Retirement Services (ORS) are seeking a comprehensive Health Insurance Database Management System to support the Michigan Public School Employees' Retirement System (MPSERS). This Request for Proposal (RFP No. 250000003097) aims to procure a sophisticated database solution capable of managing data for approximately 198,000 medical enrollees, 196,000 prescription drug enrollees, and 263,000 dental and vision enrollees across multiple insurance administrators. The system must store 63 months of historical data, provide advanced analytics, support extensive reporting, and offer consulting services to help strategic decision-making. Key deliverables include monthly, quarterly, and annual reports, key performance indicator tracking, and proactive analytics with data integration from Blue Cross Blue Shield of Michigan, Optum Rx, Delta Dental, and EyeMed Vision Care. The contract will span six years from July 1, 2026, to June 30, 2032, with potential for four additional one-year renewals. Potential bidders must submit proposals by October 13, 2025, with implementation beginning March 1, 2026, and full services commencing July 1, 2026. Evaluation criteria will focus on strategic partnership capabilities, system user-friendliness, analytical capabilities, and the ability to provide current retiree benchmarks and industry trend insights.

The RFP does not explicitly outline specific set-aside designations or restrictions for disadvantaged enterprises. The incumbent vendor is not directly named, though the procurement suggests a transition from an existing contract. The system must integrate with MiLogin for single sign-on and support both Medicare and non-Medicare populations, with approximately 81-84% of enrollees being Medicare eligible. Technical requirements mandate a web-based solution accessible from multiple devices without additional licensing requirements. Contractors must provide annual SOC 1 Type 2 and SOC 2 Type 2 audit reports and ensure HIPAA compliance. While specific budget ranges are not explicitly stated, the pricing schedule in Schedule B allows for flexible fee structures, including monthly administration fees and rates for supplemental services. The system must support complex data requirements across medical, pharmacy, dental, and vision claims, with precise data feed specifications outlined in multiple schedules, suggesting a sophisticated and robust technological infrastructure with significant technical complexity.