Stop loss reinsurance

The state and local contracting opportunity posted by the Town of Canton, Massachusetts is for stop-loss reinsurance coverage for their two health plans administered by Blue Cross Blue Shield of Massachusetts for the plan year July 1, 2017 to June 30, 2018. The Request for Proposals (RFP) requests proposals for specific stop-loss insurance with deductible levels of $125,000, $150,000, and $175,000 per covered individual, with claims incurred in 12 months and paid in up to 24 months. Proposals are due by noon on Wednesday, June 7, 2017 and must meet minimum criteria such as the reinsurance carrier being licensed in Massachusetts and having experience tracking claims over the Blue Cross Blue Shield administrator. The pricing terms for the stop-loss coverage are requested on the Proposal Pricing Form, which must be submitted in a separate envelope. The current stop-loss coverage is with Sirius America Insurance Company at the $150,000 deductible level. The RFP also includes detailed underwriting data such as plan subscriber counts, current rates, large claims reports, and an age/gender census.

The RFP does not specify any set-aside designations or restrictions on the types of organizations that can respond. The incumbent vendor for the current stop-loss coverage is Sirius America Insurance Company at the $150,000 deductible level. The RFP does not provide any information about the possible award value or budget range for the stop-loss reinsurance coverage.