Third Party Administration Self-Insured Workers Compensation and Heart & Lung Claims
Closed State & local contract opportunity
- Solicitation number
- 2022-RFQ-012
- State
- Pennsylvania
- Responses due
Opportunity facts
- Jurisdiction
- NIGP codes
- 91869 Insurance Consulting
- 946 Financial Services
- 94610 Accounting And Billing Services (Including Payroll Services, 3Rd Party Reimbursement For Medicare, Medicaid, Private Insurance, Etc)
- 94648 Financial Advisor
- 94993 Worker's Comp., Indemnity Claims
- 94994 Worker's Comp., Medical Services
- 94995 Worker's Comp., Other Contr Svcs
- 953 Insurance And Insurance Services, All Types
- 95392 Worker's Compensation
- 95861 Insurance And Risk Management Services
- UNSPSC codes
- 84131605 Workmens insurance
- 84000000 Financial and Insurance Services
- 84100000 Development finance
- 81162309 Payroll process as a service
- 84111507 Inventory accounting service
- 84101503 Guarantee agreements
- 84111500 Accounting services
- 84101502 Savings mobilization programs
- 64122305 Workers compensation insurance
- 84130000 Insurance and retirement services
- Point of contact
-
- Julie Reed jreed@scrantonpa.gov (570) 575-6835
Opportunity details come from procurement.opengov.com. Updated .
About this opportunity
The City of Scranton's Office of Business Administration is seeking a third-party administrator for its self-insured Workers' Compensation and Heart & Lung Claims program through a Request for Qualifications (RFQ). The contract will involve comprehensive claims administration services, including establishing records, processing payments, managing regulatory reporting, maintaining claimant contact, coordinating vendor relationships, supporting return-to-work programs, and providing quarterly and annual reporting. Respondents must submit detailed proposals through the city's e-Procurement Portal by 10:00 am on July 14, 2022, with all questions and clarification requests due by 4:00 pm on July 11, 2022. The evaluation criteria will assess responses based on five key areas: completeness (10%), responsiveness to requirements (25%), professional qualifications and experience (25%), proposed work plan (25%), and project fees and staff rates (15%). Potential administrators must demonstrate expertise in workers' compensation claims management and be prepared to support the city's self-insurance program through a three-year contract term.
The RFQ does not explicitly specify set-aside designations or restrictions for disadvantaged enterprises. Respondents must provide professional liability insurance of at least $1,000,000 per occurrence and $2,000,000 aggregate, and comply with non-segregated facilities and affirmative action requirements. While the specific budget is not directly stated, the actuarial report indicates projected annual expenditures of $3,013,363 for claims payments, administrative expenses, and trust fund operating costs. The most recent actuarial analysis, prepared by Casualty Actuarial Services, reveals total discounted outstanding losses of $15,918,519 as of August 31, 2021, suggesting a complex claims environment that will require significant administrative expertise. Potential administrators should be prepared to work closely with city personnel and demonstrate a robust understanding of Pennsylvania's workers' compensation regulatory landscape. The procurement is specifically for Lackawanna County, with all submissions and communications to be conducted through the city's designated e-Procurement Portal.
Opportunity text
- The City of Scranton Office of Business Administration is seeking separate sealed Qualification Statements, hereinafter referred to as a "Response," from qualified individuals or firms, hereinafter referred to as a "Respondents," to provide Third Party Administration Self-Insured Workers Compensation and Heart & Lung Claims. Responses will be received online by the City of Scranton Controller via the City's e-Procurement Portal until 10:00 am on Thursday, July 14, 2022, at which time such Responses will be opened in City Council Chambers, 2nd Floor and made available for public viewing at www.youtube.com/user/electriccitytv570.
CITY OF SCRANTON
Third Party Administration Self-Insured Workers Compensation and Heart & Lung Claims
Responses shall be made upon the specifications included in the official Request for Qualifications (RFQ) which may be obtained by visiting the City of Scranton's e-Procurement Portal, https://secure.procurenow.com/portal/scrantonpa. If you intend to submit a Response, you shall register on the City's e-Procurement Portal. Once registered, Companies may view and click "Follow" to be a prospective Respondent for this solicitation and will appear on the Follower's list. Companies that fail to Follow this project will not receive automatic addenda notifications, nor will they be able to draft a response in the City's e-Procurement Portal, and therefore will be unable to participate or be considered for this RFQ.
All Response documents and supplementary documents must be uploaded and submitted using the City's e-Procurement Portal prior to 10:00 am on Thursday, July 14, 2022, as instructed in this solicitation. Once file(s) have been uploaded and the Submission Status shows as "Submitted" the submission is complete. At that point, the Respondent representative who is registered with the City will receive an email confirmation from the City's e-Procurement Portal.
All Responses must be accompanied by a certificate of insurance, a signed affirmative action, non-segregated facilities, non-collusion affidavits, and disclosure by current contractor.
All communications regarding technical, scope, and/or project related questions and requests for clarifications, changes, exceptions, and deviations to the terms and conditions set forth in this RFQ shall be submitted via "Q & A" through the City's e-Procurement Portal, before the deadline of 4:00 pm on Monday, July 11, 2022 and according to these specifications herein.
If a Respondent encounters any technical difficulties utilizing the City's e-Procurement Portal, a representative may contact, OpenGov, the Software Administrator, using the real-time chat function on the website (located in lower right-hand corner of the screen), or via email at support@procurenow.com. It is still the Respondent's responsibility to ensure that their response is submitted before the deadline.
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