REQUEST FOR PROPOSAL
For
Health Insurance Plan Administrator, Stop Loss Coverage, Pharmacy Benefits Management
And
Ancillary Plans to include Life, Dental, Disability and Vision Insurance
Issued June 21, 2018
PROPOSALS DUE NO LATER THAN 12:00 NOON
ON August 2, 2018
Important Notice to All Parties:
To ensure the proper and fair evaluation of RFPs, Macon-Bibb County prohibits any communication initiated by a bidder/offerer or its agent to an employee of Macon-Bibb County or to any members of the Macon-Bibb County Commission, the Macon-Bibb County Healthcare and Retirement Benefits Committee, and/or any agent, consultant or other advisor of Macon-Bibb County during the period of time following the issuance of the RFP, the opening of proposals, and prior to the time a decision has been made with respect to the Contract award. Any communication initiated by a bidder/offerer during evaluation should be submitted in writing and delivered to Macon-Bibb County, Procurement Department, 700 Poplar Street, Suite 308, Macon, Georgia 31201, or by e‐mail to Chauncey Wilmore at cwilmore@maconbibb.us. An appropriate Procurement employee of Macon-Bibb County may initiate communication with an offerer in order to obtain information or clarification needed to develop a proper and accurate evaluation of the RFP. Unauthorized communication by a bidder/offerer shall disqualify the offerer from consideration.
I. PURPOSE
The Macon-Bibb County Benefits Committee (MBC-BC) is charged with the design and implementation of the employee benefit programs to be offered by the Macon-Bibb County government.
The MBC-BC through its consulting arrangement with BB&T Insurance Services, Inc. is requesting proposals for medical administration of the government’s Benefit Plans.
In addition the MBC-BC is requesting proposals for group life, dental, disability and vision insurance plans.
RFP 18-048-CW Macon-Bibb County Core Benefits Package
Attachment A – Required Submittal Documents
Attachment B – Specifications & Related Documents to RFP
II. INTRODUCTION
This RFP can be considered in multiple parts:
PART 1- PART 1-Adminstratives Services for Medical (TPA) and
Provider Network Access for the Medical Plans
PART 2-Contract Services for Pharmacy Benefits
PART 3-Reinsurance Contract for Medical and Pharmacy
PART 4-Life Insurance Contract
PART 5-Long Term Disability Contract
PART 6-Vision Insurance Contract
PART 7-Dental Insurance Contract
Respondents to the RFP may submit proposals for any part of the contract, or combined for any portion of the contract. If you submit a packaged/buddle services proposals please provide buddle pricing and pricing for single portions of the contract if you wish to bid on them as individual services.
Respondents to Part 1 (Health) must submit proposals for all of the following:
1) Open Access Point of Service health plans plan administration. These are functions currently provided by Blue Cross Blue Shield of Georgia for Macon-Bibb County. All plans should be open access not requiring a gatekeeper referral. Proposals for self-funded and fully insured plans will be entertained. If quoting only fully insured options, please disregard questions throughout this RFP that apply to self-funded plans. Please provide reinsurance funding factors and fixed cost including reinsurance premiums for the following groups:
a) Active employees and retirees who are covered under the medical and prescription plan as one group
b) Active employees only as a separate group
c) Retirees only as a separate group
2) Optional Proposals Accepted. These proposals may include employee and retiree insurance benefits, including but not limited to, direct-to-provider medical services and direct to the provider administrative services.
Respondents to Part 2 (PBM) must submit proposals for all of the following:
Retail and Mail Order Prescription Drug Coverage. The intent is to contract with a pharmacy benefit manager (PBM) through the plan administrator for the medical plan.
Macon-Bibb County will continue to self-insure the pharmacy component of the health plan and reserves the right to carve out the PBM services separate from the medical plan administrator, however if Macon-Bibb selects a fully insured medical proposal, the selected the PBM portion of the coverage should be included in the medical fully insured option as well.
Respondents to Part 3 (Reinsurance) must submit proposals for all of the following:
Stop Loss Insurance. The stop-loss coverage can be provided by the TPA as part of their offers for administrative services of self-funded plans; however stop-loss can also be quoted as a stand-alone quote as long as the reinsurance carrier or provider pays for all service fees connected with the exchange of information between the TPA and the reinsurance carrier. The quotes will need to offer stop loss coverage for both Specific Excess and Aggregate coverage.
Please provide reinsurance funding factors and fixed cost including reinsurance premiums for the following groups:
a) Active employees and retirees who are covered under the medical and prescription plan as one group
b) Active employees only as a separate group
c) Retirees only as a separate group
All proposals must exclude commissions or any kind of compensation.
Respondents to Parts 4, 5, 6 and 7 (Ancillary plans) may submit proposals for any or all of the following lines of insurance coverage:
1) Group Life and Group Supplemental Life
2) Group Long Term Disability
3) Group Vision
4) Group Dental
All proposals must exclude commissions or any kind of compensation.
Proposals must be submitted in a sealed package properly addressed to:
Chauncey K. Wilmore
Senior Procurement Officer
Macon-Bibb County Government
Procurement Department
700 Poplar Street Suite 308
Macon, Ga 31201
P: (478) 803-0551
F: (478) 751-7252
cwilmore@maconbibb.us