Oregon State Based Insurance Marketplace Solution

The Oregon Department of Administrative Services (DAS), Procurement Services (PS), is issuing a Request for Proposals (RFP) on behalf of the Oregon Health Authority (OHA) to procure a comprehensive State-Based Insurance Marketplace (SBM) Solution. The solution requires both a technology platform and a customer assistance call center to support the transition of Oregon's healthcare exchange from a state-based marketplace on the federal platform to a fully state-based eligibility and enrollment system by November 1, 2026. Key objectives include retaining marketplace coverage levels, improving the customer experience, and increasing visibility into enrollment data to support targeted outreach. The RFP seeks a single contractor to provide a broad range of services, including requirements analysis, design, data conversion, testing, training, implementation, and ongoing maintenance and operations of the SBM Platform and Customer Assistance Center. Proposals must demonstrate expertise in cloud-based SBM solutions, working with government entities, and complying with Affordable Care Act requirements. The evaluation process includes a multi-step approach with competitive range determinations, discussions, and best and final offers.

The RFP does not mandate any set-aside designations, but DAS PS encourages participation from certified disadvantaged businesses and will apply any applicable preferences. The State does not currently have an incumbent provider for this solution and is open to negotiations on contract terms, including service level agreements and limitations of liability. While the RFP does not specify an exact budget range, it indicates the State of Oregon has funding available to procure the necessary SBM Solution for the jurisdiction of Marion County.