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Solicitation 115-10759 Single Source Managed Care Third-Party

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Solicitation 115-10759 Single Source Managed Care Third-Party City of Fort Lauderdale Bid 115-10759 Solicitation 115-10759 Single Source Managed Care Third-Party Administrator (TPA) City of Fort Lauderdale Jun 30, 2011 1:14:16 PM EDT p. 1 City of Fort Lauderdale Bid 115-10759 Bid 115-10759 Single Source Managed Care Third-Party Administrator (TPA) Bid Number 115-10759 Bid Title Single Source Managed Care Third-Party Administrator (TPA) Bid Start Date May 18, 2011 11:09:03 AM EDT Bid End Date Jun 23, 2011 2:00:00 PM EDT Question & Answer Jun 13, 2011 3:30:00 PM EDT End Date Bid Contact Michael F Walker Procurement & Contracts Manager Procurement 954-828-5677 [email protected] Pre-Bid Conference May 23, 2011 10:00:00 AM EDT Attendance is optional Location: City of Fort Lauderdale 100 N. Andrews Avenue 3rd Floor Training Room Fort Lauderdale, FL 33301 Changes made on May 24, 2011 4:28:06 PM EDT New Documents RFP 10759 TPA Total Census.xls Changes made on May 26, 2011 3:05:11 PM EDT New Documents 115-10759 doc. - TPA RFP - Medical Plan Census 5-15-2011 2.xls Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA) Changes made on May 26, 2011 3:26:41 PM EDT New Documents Addendum 3 - 115-10759 Single Source Managed Care 3rd Party Administrator.doc Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA) Changes made on May 26, 2011 3:47:43 PM EDT New Documents Addendum 4 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf Jun 30, 2011 1:14:16 PM EDT p. 2 City of Fort Lauderdale Bid 115-10759 Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA) Changes made on May 26, 2011 3:59:06 PM EDT New Documents Addendum 5 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf Jun 16, 2011 2:00:00 PM EDT Jun 23, 2011 2:00:00 PM Previous End Date New End Date EDT Jun 6, 2011 2:00:00 PM EDT Jun 13, 2011 2:00:00 PM Previous Q & A End Date New Q & A End Date EDT Changes made on May 26, 2011 4:27:51 PM EDT New Documents Addendum 3 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf Addendum 4 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf Addendum 5 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf Removed Documents Addendum 3 - 115-10759 Single Source Managed Care 3rd Party Administrator.doc Addendum 4 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf Addendum 5 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA) Changes made on May 26, 2011 4:32:28 PM EDT New Documents Addendum 4 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf Addendum 5 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf Removed Documents Addendum 4 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf Addendum 5 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf Changes made on May 27, 2011 12:21:12 PM EDT New Documents 115-10759 Addendum4Underwriting Package.pdf Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA) Changes made on May 31, 2011 1:50:55 PM EDT New Documents RFP 10759 2011 RFP TPA Sample Vision Plan.xls Jun 30, 2011 1:14:16 PM EDT p. 3 City of Fort Lauderdale Bid 115-10759 Changes made on Jun 1, 2011 4:03:39 PM EDT New Documents RFP 10759 Revised Claims Repricing Form3.xls RFP 10759 Addendum No. 10 dated 060111.doc Removed Documents RFP 10759 Claims Repricing Form2.xls RFP 10759 TPA Total Census.xls Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA) Changes made on Jun 3, 2011 1:49:09 PM EDT New Documents RFP 10759 Health Plan Design Changes.doc Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA) Changes made on Jun 8, 2011 4:19:37 PM EDT New Documents RFP 10759 - 2011 RFP TPA Repricing Form Updated 2.xls Removed Documents RFP 10759 Revised Claims Repricing Form3.xls Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA) Changes made on Jun 10, 2011 2:31:50 PM EDT New Documents Addendum 4 - 115-10759 Single Source Managed Care 3rd Party Administrator.doc Removed Documents Addendum 4 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA) Changes made on Jun 13, 2011 2:51:51 PM EDT Jun 13, 2011 2:00:00 PM EDT Jun 13, 2011 3:30:00 PM Previous Q & A End Date New Q & A End Date EDT Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA) Changes made on Jun 15, 2011 4:06:34 PM EDT New Documents RFP 10759 Revised Claims Repricing Form4.xls Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA) Jun 30, 2011 1:14:16 PM EDT p. 4 City of Fort Lauderdale Bid 115-10759 Changes made on Jun 20, 2011 12:55:17 PM EDT New Documents RFP 10759 Revised Claims Reprising Form5.xls Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA) Description The City of Fort Lauderdale is requesting a Single Source Managed Care Third-Party Administrator (TPA) for City of Fort Lauderdale's Self-Funded Group Health, Vision, & Wellness Programs. MINIMUM QUALIFICATIONS OF PROPOSER In order to be considered, a proposer must, as of the proposal return date stated in this RFP and throughout the duration of the program, meet the following applicable minimum qualifications. Proposer must provide documentation of existing qualifications in Section VII of the proposal. (See Section 8.1 of this RFP for complete instructions for submitting your proposal) Third Party Health Plan Administrator (TPA) · Authorized by the State of Florida Department of Financial Services Department to provide the services requested in the RFP. · Operating as a TPA for a minimum of five (5) years in Florida at the time of the proposal due date. Exclusive Provider Organizations/Network · Licensed and authorized by the State of Florida Department of Financial Services to provide the services requested in the RFP. · Comply with any requirements imposed by the Florida Department of Financial Services with respect to quality assurance accreditation. All HMOs must have achieved accreditation by the submission date of the proposal. · Demonstrate financial ability to provide the services requested in the RFP. Insurance Companies – PPO or POS Plans/Network, Parent Holding Companies · Licensed by the State of Florida Department of Financial Services to provide the services requested in the RFP; and · Hold an A.M. Best rating of “A" or better and a financial size category of IV or higher; OR · Hold an A.M. Best financial performance rating of “6" or better for those insurers with a letter rating of NA-2 or NA-3 and a financial size category of IV or higher; OR · Hold a Moody's Investor Service insurance financial strength rating of Aa3 or better; OR · Hold a Weiss A rating While not a minimum requirement, the City will award evaluation points to companies that provide documentation as part of the RFP and have received favorable SAS 70 or SSAE 16 audit reports. For information concerning procedures for responding to this solicitation, contact Procurement Specialist Michael Walker at (954) 828-5677 or email at [email protected] . Such contact shall be for clarification purposes only. For information concerning technical specifications, please utilize the question / answer feature provided by BidSync at www.bidsync.com . Questions of a material nature must be received prior to the cut-off date specified in the RFP Schedule. Material changes, if any, to the scope of services or bidding procedures will only be transmitted by written addendum. (See addendum section of BidSync Site). Pre-proposal meeting 10:00am EST Monday, May 23, 2011 At: City of Fort Lauderdale City Hall 100 N. Andrews Avenue 3rd floor training room Fort Lauderdale, FL 33301 Added on May 26, 2011: Medical Plan Census 5/15/2011 has been added to the Documents page. Jun 30, 2011 1:14:16 PM EDT p. 5 City of Fort Lauderdale Bid 115-10759 Added on May 26, 2011: Addendum #3 has been added to the Documents Page (Fully Insured Vision Plan) Added on May 26, 2011: Addendum #4 has been added to the Documents page (Fully Insured Health Premiums) Added on May 26, 2011: Addendums #3,4,5, have been replaced in the documents page (to correct the issue date) - Please be sure to use these updated ones. Added on May 27, 2011: The Underwriting Package as referenced in Addendum #4 has been added to the Documents Page. Added on Jun 1, 2011: See Addendum No 10 dated June 1, 2011 deleting the documents called RFP 10759 Claims Repricing Form2 and RFP 10759 TPA Total Census. These two documents have been replaced with document called Revised Claims Repricing Form3. This Shall be the only Claims Repricing Document submitted with your RFP response. Added on Jun 8, 2011: The original Repricing Form called "RFP 10759 Revised Claims Repricing Form3.xls" has been deleted and replaced with the new Revised Repricing Form called "RFP 10759 - 2011 RFP TPA Repricing Form Updated 2.xls (attached).
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