Third Party Workers' Compensation Claims Administration Services

The Montana University System (MUS) has issued Request for Proposal EDU-RFP-2017-0010JT for Third Party Workers' Compensation Claims Administration Services through the Montana Acquisition & Contracting System (eMACS). The procurement seeks a third-party administrator to handle workers' compensation claims consistent with Montana Workers' Compensation Act requirements. The estimated annual claim volume includes 335 Medical Only and Time Loss claims, along with 200 Notification Only claims that will be closed without payment. Offerors must submit comprehensive documentation including responses to Scope of Services, Offeror Qualifications, Client Reference Form, and a Cost Proposal. Financial requirements mandate submission of audited financial statements for the two preceding years, quarterly financial statements, and proof of an accounting system meeting Generally Accepted Accounting Principles (GAAP). The RFP was released on January 20, 2017, with proposal submissions due by February 27, 2017, at 2:00 PM Mountain Standard Time. Evaluation criteria will assess the offeror's ability to effectively manage claims, financial stability, and proposed pricing structure.

The solicitation does not explicitly indicate specific set-aside designations or restrictions for disadvantaged enterprises. Offerors must provide a flat monthly fee based on estimated claim volumes and acknowledge an Equal Pay for Women attachment. The RFP includes several critical attachments to support the bidding process, such as a Legal Retention Agreement form, MUS Claim Data, and FROI CSV Export Examples. While specific budget ranges are not detailed in the available documentation, the comprehensive nature of the claims administration services suggests a significant annual contract value. The successful vendor will be responsible for comprehensive claims handling, including medical only and time loss claim management, consistent with the duties of an insurance claims adjuster under Montana state law. No information is provided about incumbent vendors or existing technology infrastructure that would require integration.