RFP #2021-03 Health and Wellness Services

Dunn County, Wisconsin has issued Request for Proposals #2021-03 for Health and Wellness Services, seeking qualified service providers to deliver comprehensive health insurance and wellness services for county employees and their families. The procurement aims to secure an Administrative Services Organization (ASO) to manage a self-insured health plan covering approximately 268 enrolled employees out of 465 benefit-eligible workers. The county is requesting proposals for multiple health plan options, including HSA-eligible plans with deductible levels of $3,000/$6,000 and $5,000/$10,000, with requirements for 2-tier, 3-tier, and 4-tier rate structures and vision exam coverage. Proposers must quote current plan designs, alternative plan options with potentially enhanced benefits, and stop loss coverage. The evaluation will be scored across four categories: Background, Experience and Qualifications (25%), Technical Approach (35%), Financial (5%), and Costs (35%), with a minimum 75% score required in the first three categories for short-listing. The RFP was initially posted on March 22, 2021, with questions due by March 30, 2021, answers posted by April 1, 2021, and proposals originally due April 22, 2021 - though an addendum subsequently extended the deadline to May 4, 2021 at 2:00 pm local time.

The county has not specified specific set-aside designations for disadvantaged enterprises. The incumbent vendor is Medica, which has served as the Third Party Administrator for over 20 years, previously transitioning from PreferredOne. The existing infrastructure includes complex health plan configurations with varying employee contribution rates (5-10% for full-time employees, 100% for part-time employees) and a monthly waiver incentive payment of $50-$75 for employees who provide proof of alternative coverage. While no explicit budget range is specified, historical premium data indicates monthly single coverage costs between $826-$913 and family coverage between $2,229-$2,461. The county requires proposers to have experience providing health care services to municipalities, with a preference for references from Wisconsin government clients. The contract is intended to commence on January 1, 2022, with annual review options for renewal upon mutual agreement. Proposers must submit two bound copies and two electronic copies on USB drives, with a separate sealed envelope for cost proposals, and all rates must be quoted net of broker fees, as the county has retained M3 Insurance as its consultant.