RFP 013-2026 - professional liability insurance (including captive management) strategic planning services

Nassau Health Care Corporation (NHCC), a New York State public benefit corporation, is requesting proposals for professional liability insurance and captive management strategic planning services under RFP 013-2026, with proposals due August 21, 2026 at 4:00 p.m. NHCC has established a 20% Minority and Women-Owned Business Enterprise (MWBE) utilization goal and a 6% Service-Disabled Veteran-Owned Business (SDVOB) goal; respondents must submit a completed MWBE Utilization Plan with their proposals.

NHCC operates Nassau University Medical Center (530-bed tertiary care teaching hospital), A. Holly Patterson Extended Care Facility (589-bed skilled nursing facility), Nassau County Correctional Center, and Community Health Practices in partnership with Long Island FQHC, Inc. The selected vendor will serve as an independent strategic advisor to evaluate NHCC's current medical malpractice and professional liability risk financing structure, including its existing offshore captive insurance company. Deliverables include a comprehensive diagnostic report, strategic recommendations comparing alternative risk financing structures (restructuring the existing Cayman captive, forming a new single-parent onshore captive, or utilizing a risk retention group), domicile analysis, actuarial and financial feasibility modeling, and five-year financial projections under recommended alternatives.

Respondents must demonstrate a minimum of 10 years of experience providing similar services to healthcare systems and government entities, with documented expertise in both onshore and offshore captive management, specifically regarding Cayman Islands regulatory frameworks. Respondents must disclose any conflicts of interest related to broker commissions, third-party administrator services, or reinsurance placements.

Proposals will be evaluated on a 100-point scoring grid: firm experience and qualifications (45 points), project approach and methodology (25 points), cost and fee proposal (25 points), and New York State diversity and compliance goals (5 points). NHCC is not bound to accept the lowest cost and reserves the right to negotiate with all qualified sources, conduct interviews, and reject any or all proposals. Questions are due August 10, 2026. NHCC is currently under financial oversight by the Nassau Interim Finance Authority (NIFA), which must review and approve contracts above a specified threshold; selected vendors must execute NIFA-mandated vendor forms and provide certificates of insurance (general liability $1,000,000 per occurrence / $3,000,000 aggregate, professional liability with identical limits, and cyber liability $5,000,000 per instance / $10,000,000 aggregate) within three business days of award.