Self Insured Group Health Administration Services and Stop Loss Insurance Coverage Addendum 2

Agency:	United Independent School District
Level of Government:	State & Local
Category:	Q - Medical Services R - Professional, Administrative and Management Support Services
Opps ID:	NBD15602709731795961
Posted Date:	Feb 23, 2023
Due Date:	Mar 9, 2023
Solicitation No:	RFP 012-2023

Bid Information

Type	Request for Proposal
Status	Issued
Number	RFP 012-2023 Addendum 2 (Self Insured Group Health Administration Services and Stop Loss Insurance Coverage)
Issue Date & Time	2/20/2023 09:01:00 AM (CT)
Close Date & Time	3/9/2023 03:00:00 PM (CT)
Time Left	13 days 21 hours 22 minutes 57 seconds
Notes	United Independent School District is soliciting bids for Self Insured Group Health Administration Services and Stop Loss Insurance Coverage to all interested vendors.

Contact Information

Name	Ms. Cordelia Flores-Jackson Director
Address	3501 E. Saunders Laredo, TX 78041 USA
Phone	(956) 473-7921
Fax	(956) 473-7950
Email	cflores@uisd.net

Bid Documents

Document name	Format
Bid Invitation	Acrobat / PDF
Public Question & Answer	Acrobat / PDF

Bid Attachments

File Name	Description	File Size
RFP 012-2023 Bid Proposal Invitation.pdf	RFP Bid Proposal Invitation	844 KB
FORMS_FOR_PROPOSALS_06.09.2022.pdf	Forms that must be reviewed, signed and returned via this E-bid Portal.	1.27 MB
Professional Services 12.02.15.pdf	Insurance requirement for this RFP	127 KB
RFP 012-2023 Bid Price Sheet.xlsx	RFP 012-2023 Bid Price Sheet	13 KB
BCBS Wellness Coordinator Job Description.pdf	BCBS Wellness Coordinator Job Description	233 KB
Stop Loss Request for Proposal Submission Form.pdf	Stop Loss request for proposal submission form	440 KB
Stop Loss Reports.pdf	Aggregate and Specific Stop Loss Insurance Report for the 3 prior plan years and the current plan year as of 12/31/2022.	156 KB
Enrollment Summary.pdf	Health Insurance Enrollment Summary	79 KB
Enrollment Detail.pdf	Health Insurance Detail-Sorted by Benefit Package	258 KB
Enrollment By Zip Code.pdf	Health Insurance Enrollment by Zip Code and Benefit Package	80 KB
Response for Q#1Financial Overview High Cost Claimants.pdf	Financial Overview: High Cost Claimants 2022-2023	161 KB
Response for Q# 2 Financial Overview High Cost Claimants.pdf	Financial Overview: High Cost Claimants 2020-2021	578 KB
Response for Q#2 BCBS Paid Claims.pdf	BCBS Paid Claims & Medical & Drug Enrollment & Paid Claims	320 KB
Response for Q#3 App for Stop Loss.pdf	Application for Stop Loss Coverage	1.53 MB

Bid Questions

Question	In question 4 of the RFP Submission Form for Prescription Drug services, the question states, "Provide list of pharmacists currently in pharmacy network in Webb County." Can you please confirm that you want a list of pharmacists vs. a list of pharmacies in the pharmacy network in Webb County?
Answer	This bid is requesting a list of pharmacies in the pharmacy network in Webb County.
Submitted	2/23/2023 01:10:54 PM (CT)

Question	The RFP Assumptions state that evaluation of the PPO Network and the Prescription Drug cost evaluation will include claim repricing based on a sample of claims to be provided after initial receipt of proposals. As the incumbent provider, we standardly do not complete the medical and pharmacy repricing. Please confirm if it is required that we conduct a repricing as we would be repricing our own claims.
Answer	Claim repricing based on a sample of claims allows the vendor to provide claim repricing based on the same claim information for medical and prescription drug claims that is provided to all vendors.
Submitted	2/23/2023 12:32:11 PM (CT)

Question	Can you confirm the requirement for hardcopy responses in addition to submission through the portal?
Answer	Hard copy response allows the vendor to include supplemental information that may not be requested through the portal.
Submitted	2/23/2023 11:45:09 AM (CT)

Question	Would it be possible to obtain the following; Rx Data from 2020 to 2023 Large Claims Reports with Identifiers ISL rates for current year
Answer	Please view addendum II to answer your question.
Submitted	2/22/2023 05:19:57 PM (CT)

Question	Can you please provide monthly claims and RX paid for the following reporting periods 9/01/2021 to 09/01/2022 and 09/01/2022 to 01/01/2023?
Answer	Please view addendum II to answer your question.
Submitted	2/22/2023 11:18:17 AM (CT)

Question	Can you provide the following information needed to process this request? -Large claimant reports that include diagnoses for September 2019-August 2020, September 2020-August 2021, and September 2021-August 2022, and September 2022-January 2023? -Current Stop loss rates and terms (deductible, contract type, etc).
Answer	Please view addendum II to answer your question.
Submitted	2/21/2023 01:12:16 PM (CT)

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