The vendor is required to provide for qualified, experienced, financially sound, and responsible firms to perform the services in accordance with the technical specifications included herein.
- A solution to address the need for a medicare advantage plan for agency 403(b) employees aged 65 and older through the agency other postsecondary employee trust (OPEB) account.
• Coverage requirements: outline the specific benefits and coverage options for HMO, PPO, and traditional coverage plans for the following:
o Medicare advantage plan, bundling parts a, b, and d (prescription drug coverage)
o Reasonable premiums, manageable deductible, affordable copayments- minimize out-of-pocket
expenses for plan holders.
o Global access to providers
• Enrollment process: describe the expected enrollment process and any support needed from the provider.
• Agency prefers a requirement and preference for participants to have an online enrollment option.
• Optional coverage: outline the specific benefits and coverage options for items available, for example:
1. Vision (exams, glasses/contacts)
2. Dental (preventative services (cleanings/exams), basic restoration services (fillings/extractions))
3. Hearing (exams and hearing equipment)
4. Wellness program and/or fitness program
5. Transportation services (non-emergency transportation to medical appointments)
6. Telehealth services
7. Other services as offered
- Agency currently has 761 participants on medical retirement plans, excluding separate vision and dental plans.
• 152 participants under 65 years of age with agency
• 609 participants over 65 years of age with agency advantage care.
- Contract Period/Term: 5 years
- Questions/Inquires Deadline: March 24, 2025