T3093 - SHBP and SEHBP Medicare Advantage Plans

The State of New Jersey, through the Department of the Treasury, Division of Purchase and Property, is procuring fully insured Medicare Advantage Preferred Provider Organization (PPO) and Health Maintenance Organization (HMO) plans for the State Health Benefits Program (SHBP) and the School Employees' Health Benefits Program (SEHBP). The state is seeking vendors to provide comprehensive medical and prescription drug coverage, including claims administration, member services, and reporting, for the current SHBP and SEHBP Medicare Advantage population of approximately 85,000 lives. The state has outlined multiple potential award scenarios, ranging from a single vendor being awarded all current members to two vendors being awarded separate PPO and HMO plans. Quotes are due by July 17, 2018 at 2:00 PM Eastern Time, and the state expects to award one or two master blanket purchase orders with an initial term of January 1, 2019 through December 31, 2021, with options to extend.

The state has not identified any small business set-aside goals for this procurement, but it does require compliance with subcontracting and data security requirements. The state explicitly states that it will not consider proposals from the incumbent Horizon Blue Cross Blue Shield of New Jersey. While the solicitation does not provide details on the award value or budget range, it notes that the state reserves the right to separately procure individual requirements during the blanket purchase order term if deemed in the state's best interest. Vendors must agree to performance and financial guarantees, and pricing will be on a fully-insured basis with a gain sharing agreement.