Group Health & Dental Plan Administration Services

Solicitation contact:Please log in to view Solicitation contact information
Issuing agency:Collier County, FLSee other Solicitations by this agency
Solicitation Comments:
The Collier County Government’s (CCG) five-year agreement with Allegiance Benefit Plan Administrators expires on December 31, 2022. The Procurement Services Division requires a RFP be conducted for a new five-year agreement that will cover the scope of services outlined in this RFP. Collier County Government employs approximately 2,400 full-time employees.  Over the last 11 years, the health benefit program has experienced a trend of only 2.38% annually in claims, without making any plan design changes.  The intent of this RFP is to obtain proposals for claims payment and administrative services for CCG’s medical and dental plans. Proposal must be unique and based on the scope and characteristics outlined in this solicitation.

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You have the option to attend the
"Pre-Proposal Meeting" in person or virtually.

Zoom Meeting Information:
Topic:     22-7977 Group Health & Dental Plan Administration Services


Time:      Apr 15, 2022 10:30 AM Eastern Time (US and Canada)
 


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Meeting ID: 834 1093 1623
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Added on Apr 14, 2022:ADDENDUM 1:


QUESTION 2 Answers :            

Question:     Who is the current Dental carrier? What was the effective date with the current carrier?
Answer:   We have a self-funded dental plan and we pay a fee to utilize the CIGNA Dental Network.  We have had self-funded plan since 1/1/2016, prior to that we were fully insured with CIGNA for more than 10 years.  
 

Question:     What is the current plan design? Is the current booklet (SPD) available?
Answer:  The complete SPD is necessary to properly understand the current plan provisions and details including frequencies and limitations.   Dental SPD link:
https://www.colliercountyfl.gov/home/showpublisheddocument/66120/635986594266770000  

Question:     Are there currently multiple plan options for employees to choose from? If yes, how may plans are offered? Please provide the plan design for each of the options.
Answer:  2 plans outlined in the SPD link above
 

Question:     How are the out-of-network claims reimbursed? Negotiated fee schedule or R&C? If R&C, which percentile?
Answer:   95
th percentile, no penalty for non-network usage. See page 7 of SPD
 

Question:     What is the current level of employer contribution toward the cost of coverage by tier (by plan)? Is this expected to change?
Answer:   Link to Rates -
https://www.colliercountyfl.gov/government/county-manager-operations/divisions/collier-county-employee-health-benefits/benefit-rates  

Question:     What is the current financial arrangement?
Answer:  Self funded with $2000 calendar year max
 

Question:     What, if any, changes to the current financial arrangement are being requested?
Answer: No changes expected

Question:     Please include plan election on census.
Answer: Census was provide in Appendix B.
 

Question:      Are three years of monthly premium, enrolled lives, and paid claims available (by plan)?
Answer: I’m sure we can provide if requested.
 

Question:     Is a recent billing invoice available?

Answer: Since we are self-funded, it would not be appropriate to share that invoice since it has the rate of our current provider.
 

Question:     What are the current rates (by plan)?
Answer:  Link to rates:
https://www.colliercountyfl.gov/government/county-manager-operations/divisions/collier-county-employee-health-benefits/benefit-rates  

Question:     Are the historical rates available to correspond to the experience?
Answer:   The current rates have been in place since 1/1/2016
 

Question:     Are the renewal rates available (by plan)?
Answer:   No plans at this time to increase employee rates.
 

Question:     Have there been any plan design changes over the past 3 years? If so, please provide the details and dates of any change(s).
Answer:  No plan design changes in the last 3 years. 
 

Question:     Is dental coverage bundled with the medical?
Answer:   It is not bundled.
 Added on Apr 15, 2022:ADDENDUM 2:

ADDITION:  
A follow-up to the question below, document
22-7977 Addendum 2 – Medical and Dental Claims 3 years has been uploaded to BidSync.

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Question:         Are three years of monthly premium, enrolled lives, and paid claims available (by plan)?  

Answer:           I’m sure we can provide if requested.
 
 
  Added on Apr 20, 2022:ADDENDUM 3:

In response to
Question 13 in BidSync:   
What is the current pricing for administrative services?
                 
Answer:  Please see Addendum 3.  
Description:
Please include all required documents outlined in Solicitation.
Contract duration:5 years
Contract renewal:2 annual renewals
Prices good for:180 days