Worker's Compensation Third Party Claims Administration Professional Services
Closed State & local contract opportunity Posted
- Solicitation number
- BPM041172
- State
- Maryland
- Responses due
Opportunity facts
- NIGP code
Opportunity details come from emma.maryland.gov. Updated .
About this opportunity
The Maryland Uninsured Employers' Fund (UEF) is issuing a Request for Proposals (RFP) to obtain third party administrator services for the full scope of services necessary to process, investigate, and administer all relevant workers' compensation claims. This includes claims found compensable by the Maryland Workers Compensation Commission where the claimant was employed by an uninsured employer, or where the UEF has been impleaded as a party to the claim. The selected contractor will provide claims administration, investigation, case preparation, case management, bill review, provider network access, pharmacy benefit programs, peer review, Medicare reporting, nurse triage, and connected care services. The contract term is five (5) years. The RFP sets forth minimum qualifications, responsibilities and tasks, general contractor requirements, proposal format, and evaluation criteria. Technical and financial criteria will receive equal weight in the evaluation process.
The RFP has a 5% Minority Business Enterprise (MBE) subcontracting goal but no Veteran-Owned Small Business Enterprise (VSBE) subcontracting goal. The current third party administrator contract with CorVel Enterprise Corporation expires on June 30, 2024. Historical data on claims volume and activities has been provided. Offerors must provide a minimum of 8 claims personnel, including 3 full-time claims adjusters, 1 supervising claims adjuster, and 4 full-time claims investigators. The State will consider exceptions to the contract terms, but any exceptions may impact the proposal's chances of award. The total proposed contract price is not specified.
Opportunity text
The Maryland Uninsured Employers' Fund (UEF or the Agency) is issuing this Request for Proposals (RFP) in order to obtain third party administrator services that will provide the full scope of all services necessary for the third party administrator to function as the processor, investigator and administrator for all relevant UEF claims. UEF claims shall include all workers compensation claims found compensable by the Maryland Workers Compensation Commision pursuant to in accordance with the provisions of Md. Code Ann., Title 9, Labor and Employment Article where a claimant is found to have been employed by an uninsured employer, and the UEF is triggered to provide benefits per statute, or where the UEF has been implead as a party to the claim, as well as any other claims assigned to the UEF for administration by Maryland Law.
Files
| File | Type | Posted |
|---|---|---|
| RFP- UEF2024-001.pdf | ||
| Signed fully executed contract UEF.pdf | ||
| loss run-Standard Loss Run.xlsx | XLSX spreadsheet | |
| Modification contract pdf 2.5.19 (1).pdf | ||
| Q & A-1.pdf | ||
| Q & A-2.pdf | ||
| Pre Proposal Conference Summary.pdf | ||
| UEF 2024-001FP.xlsx | XLSX spreadsheet | |
| Amendment 1.pdf | ||
| PPC Attendance List.pdf | ||
| RFP Amendment 2.pdf |
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