RFQ/P #47-009 Medicare Advantage & Prescription Drugs

Hall County, Georgia's Financial Services Purchasing Division has issued Request for Qualifications with Cost Proposal (RFQ/P) #47-009 to procure Medicare Advantage plans with integrated prescription drug coverage for retirees enrolled in the County's Group Retiree Health Insurance Plan. The County seeks a qualified vendor to administer Medicare Advantage coverage to approximately 183 currently enrolled members, with all retirees and spouses age 65 and older eligible for enrollment as newly age-eligible individuals transition from the traditional group plan. Vendors must demonstrate extensive experience administering Medicare Advantage products, maintain professional liability insurance of $1,000,000 per claim and $2,000,000 annual aggregate, comply with HIPAA guidelines and Georgia's E-Verify requirements, and provide fixed and firm pricing for the initial contract term with itemized medical premiums, prescription drug premiums, and administrative costs submitted on the required Cost Proposal Worksheet. The evaluation committee will employ an 80/20 scoring methodology allocating 800 points (80%) to technical qualifications and 200 points (20%) to cost proposals, with the highest-scoring bidder receiving the award. Critical deadlines include bidders' questions due by May 13, 2026, with County responses provided by May 19, 2026, and sealed bids due June 4, 2026, at 2:00 PM Eastern Time to the Hall County Government Center's fourth-floor Purchasing Division. The County intends to award one firm for an initial one-year term commencing January 1, 2027, with four additional one-year renewal options that are neither automatic nor guaranteed. Mandatory submission documents include a signed contract, W-9 Form, E-Verify Affidavit, Ethics Affidavit, scored questions response, business license, professional licenses, and proof of insurance.

No specific set-aside designations or disadvantaged enterprise restrictions are identified in the solicitation materials. Aetna Life Insurance Company is the current incumbent vendor administering the existing Medicare Advantage PPO plan, which features comprehensive coverage including an annual maximum out-of-pocket limit of $4,150, prescription drug coverage with a $125 calendar-year deductible and four-tier formulary structure, and supplemental benefits such as SilverSneakers fitness programs and telehealth services. Prospective vendors should utilize the provided Medicare Census spreadsheet containing current enrollment data and demographic information to develop accurate cost projections and service delivery plans aligned with the actual beneficiary population. Hall County is exempt from Georgia sales and use taxes, and the awarded vendor must maintain books and records for five years following final payment or audit completion. Turner Wood & Smith has been selected as the County's consultant for this solicitation. No specific budget or award value range is disclosed in the available procurement documents.