City of Canton Quote

Title: HEALTH PLAN ADMINISTRATION FOR CITY OF CANTON’S HEALTH CARE PLAN

Deadline: 8/19/2022 2:00 PM   (UTC-05:00) Eastern Time (US & Canada)

Status: Awarded

Quote Number: 2022-69

Description: Please see the attached RFP for the new contract for HEALTH PLAN ADMINISTRATION FOR CITY OF CANTON’S HEALTH CARE PLAN.


Documents:

Documents as of 7/1/2022
City of Canton Health Plan - RFP.pdf
Exhibits A & B - AultCare & UMR Census Information.xlsx
Exhibits C & D - AultCare & UMR Claim Information.xlsx
Exhibit E - Administrative Fee Spreadsheet.xlsx
Exhibit F 2022 - 2023 Summary of Benefits.pdf
Addition 1

Posted: 7/19/2022

Type of Addition: Addendum 1

Overview: Addendum 1

Questions and answers.
Medical and Dental Census Data
UMR Census Data
Dental and Vision Plan Document

Deadline: 8/19/2022 2:00 PM

Documents:

Addition 2

Posted: 7/29/2022

Type of Addition: Addendum 2

Overview: Addendum 2

Questions and Answers
Aultcare and UMR Plan Documents

Deadline: 8/19/2022 2:00 PM

Documents:

Addition 3

Posted: 8/3/2022

Type of Addition: Addendum 3

Overview:

Addendum 3
Answers to questions
Dental and Vision experience for 2021 and 2022

Deadline: 8/19/2022 2:00 PM

Documents:

Addition 4

Posted: 8/4/2022

Type of Addition: Addendum 4

Overview: Addendum 4

Answers to outstanding questions.

Deadline: 8/19/2022 2:00 PM

Documents:

Addition 5

Posted: 9/16/2022

Type of Addition: In Review

Addition 6

Posted: 3/2/2023

Type of Addition: Medical and Dental - Anthem Blue Cross and Blue Shield, Vision-Vision Service Plan Insurance Co.

Overview: Final award is subject to the City's contracting process and the Auditor's certification of funds.

Question 1

Posted: 7/11/2022

Question: There are multiple references in the Health RFP instructions that state a Proposal Form/Signature page needs to be completed in Section 9. There is no Section 9 in the RFP; it concludes at Section 8. I assume this is a typographical error that was carried over from the PBM RFP that has 9 Sections. Is someone able to confirm? I do not want to miss a form for completion. Thank you.

Response: Please see Addendum 1

Question 2

Posted: 7/15/2022

Question: Can you please provide the dental and vision census, certificates/benefit summaries, and experience for dental and vision?

Response: Please see Addendum 1

Question 3

Posted: 7/20/2022

Question: Is it possible to obtain a full summary booklet/cert for the medical plan?

Response: Please see addendum 2.

Question 4

Posted: 7/20/2022

Question: Would an electronic signature be acceptable in lieu of notarized signature?

Response: Please see Addenda.

Question 5

Posted: 7/21/2022

Question: 1. Will claims data and enrollment by month for last 24 months for dental be provided? 2. Please confirm the UCR % for out of network dental claims. 3. Can we deviate from the $100 deductible on orthodontics? The addendum stated they are looking for a more updated plan design. 4. Can you provide the dental admin fee and FIE rates for dental? 5. Will you require GEO Access and Disruption reporting for dental and vision? If so, please provide the appropriate documents.

Response: Please see Addenda.

Question 6

Posted: 7/29/2022

Question: Medical, Dental, Vision RFP Formatting question – Page 13, Section 7 Proposal Questions. In the instructions for Section 7 at the top of the page it reads: “Please provide your responses on a separate sheet for all questions in Section 8…” Is that a typo? Section 8 in the Medical, Dental and Vision RFP is the Proposal Form.

Response: Please see Addenda.

Question 7

Posted: 7/29/2022

Question: Medical, Dental, Vision RFP Formatting question – Page 15, Section 7 Proposal Questions, Networks, Medical. In the Medical questions section, the questions on page 14 are numbered 1 through 7. On page 15, under the heading “Medical cont.,” the count begins anew and are numbered 1 through 11. In the question sections for “Financial & Reporting” and “Service & Reporting,” numbers are continued without restarting when a page break occurs. Do we maintain the RFP numbering as is?

Response: Please see Addenda.

Question 8

Posted: 7/29/2022

Question: Medical, Dental, Vision RFP Formatting question – Page 21, Section 8 Proposal Form. In the instructions (Section 3, number 5) it says the Proposal Form is Section 9. Is this a typo? How would the broker like to amend this? Do we call it Section 9 as the instructions indicate or do we leave it as Section 8 as in the RFP?

Response: Please see Addenda.

Question 9

Posted: 7/29/2022

Question: Medical, Dental, Vision RFP Attachment question – Page 8 of RFP, Terms & Conditions Page. On Section 8/9 (see above question) – Proposal Form, there is a paragraph that reads: “Proposer further agrees that the signing of this Proposal Form represents its acceptance of the terms and conditions set forth within said Request for Proposal.” In Section 3 – Instructions (page 8, number 5), it reads: “Each respondent MUST complete the Proposal Form/Signature page in Section 8/9 of This RFP, as well as the Terms & Conditions page.” Does the item on the Proposal Form equal the “Terms & Conditions page”? There is no solo “Terms & Conditions” signing page.

Response: Please see Addenda.

Question 10

Posted: 7/29/2022

Question: A Non-Disclosure Agreement will be required for signature to release Medical and/or Rx Disruption results. How should this be provided for signature?

Response: Please see Addenda.

Question 11

Posted: 7/29/2022

Question: Please confirm that your current vision plan is through VSP. Can you please provide a VSP benefit highlight sheet for this plan? The cert book does not provide any information about non-network benefits.

Response: Please see Addenda.

Question 12

Posted: 7/29/2022

Question: Please provide a breakdown of your administration costs billed on behalf of AultCare and UMR.

Response: Please see Addenda.

Question 13

Posted: 7/29/2022

Question: Would an electronic signature be acceptable in lieu of notarized signature?

Response: Yes but the City reserves the right to request the notarized signature at later date.

Posted: 7/19/2022

Type of Addition: Addendum 1

Overview: Addendum 1

Questions and answers.
Medical and Dental Census Data
UMR Census Data
Dental and Vision Plan Document

Deadline: 8/19/2022 2:00 PM

Documents:

Posted: 7/29/2022

Type of Addition: Addendum 2

Overview: Addendum 2

Questions and Answers
Aultcare and UMR Plan Documents

Deadline: 8/19/2022 2:00 PM

Documents:

Posted: 8/3/2022

Type of Addition: Addendum 3

Overview:

Addendum 3
Answers to questions
Dental and Vision experience for 2021 and 2022

Deadline: 8/19/2022 2:00 PM

Documents:

Posted: 8/4/2022

Type of Addition: Addendum 4

Overview: Addendum 4

Answers to outstanding questions.

Deadline: 8/19/2022 2:00 PM

Documents:

Posted: 9/16/2022

Type of Addition: In Review

Posted: 3/2/2023

Type of Addition: Medical and Dental - Anthem Blue Cross and Blue Shield, Vision-Vision Service Plan Insurance Co.

Overview: Final award is subject to the City's contracting process and the Auditor's certification of funds.

Posted: 7/11/2022

Question: There are multiple references in the Health RFP instructions that state a Proposal Form/Signature page needs to be completed in Section 9. There is no Section 9 in the RFP; it concludes at Section 8. I assume this is a typographical error that was carried over from the PBM RFP that has 9 Sections. Is someone able to confirm? I do not want to miss a form for completion. Thank you.

Response: Please see Addendum 1

Posted: 7/15/2022

Question: Can you please provide the dental and vision census, certificates/benefit summaries, and experience for dental and vision?

Response: Please see Addendum 1

Posted: 7/20/2022

Question: Is it possible to obtain a full summary booklet/cert for the medical plan?

Response: Please see addendum 2.

Posted: 7/20/2022

Question: Would an electronic signature be acceptable in lieu of notarized signature?

Response: Please see Addenda.

Posted: 7/21/2022

Question: 1. Will claims data and enrollment by month for last 24 months for dental be provided? 2. Please confirm the UCR % for out of network dental claims. 3. Can we deviate from the $100 deductible on orthodontics? The addendum stated they are looking for a more updated plan design. 4. Can you provide the dental admin fee and FIE rates for dental? 5. Will you require GEO Access and Disruption reporting for dental and vision? If so, please provide the appropriate documents.

Response: Please see Addenda.

Posted: 7/29/2022

Question: Medical, Dental, Vision RFP Formatting question – Page 13, Section 7 Proposal Questions. In the instructions for Section 7 at the top of the page it reads: “Please provide your responses on a separate sheet for all questions in Section 8…” Is that a typo? Section 8 in the Medical, Dental and Vision RFP is the Proposal Form.

Response: Please see Addenda.

Posted: 7/29/2022

Question: Medical, Dental, Vision RFP Formatting question – Page 15, Section 7 Proposal Questions, Networks, Medical. In the Medical questions section, the questions on page 14 are numbered 1 through 7. On page 15, under the heading “Medical cont.,” the count begins anew and are numbered 1 through 11. In the question sections for “Financial & Reporting” and “Service & Reporting,” numbers are continued without restarting when a page break occurs. Do we maintain the RFP numbering as is?

Response: Please see Addenda.

Posted: 7/29/2022

Question: Medical, Dental, Vision RFP Formatting question – Page 21, Section 8 Proposal Form. In the instructions (Section 3, number 5) it says the Proposal Form is Section 9. Is this a typo? How would the broker like to amend this? Do we call it Section 9 as the instructions indicate or do we leave it as Section 8 as in the RFP?

Response: Please see Addenda.

Posted: 7/29/2022

Question: Medical, Dental, Vision RFP Attachment question – Page 8 of RFP, Terms & Conditions Page. On Section 8/9 (see above question) – Proposal Form, there is a paragraph that reads: “Proposer further agrees that the signing of this Proposal Form represents its acceptance of the terms and conditions set forth within said Request for Proposal.” In Section 3 – Instructions (page 8, number 5), it reads: “Each respondent MUST complete the Proposal Form/Signature page in Section 8/9 of This RFP, as well as the Terms & Conditions page.” Does the item on the Proposal Form equal the “Terms & Conditions page”? There is no solo “Terms & Conditions” signing page.

Response: Please see Addenda.

Posted: 7/29/2022

Question: A Non-Disclosure Agreement will be required for signature to release Medical and/or Rx Disruption results. How should this be provided for signature?

Response: Please see Addenda.

Posted: 7/29/2022

Question: Please confirm that your current vision plan is through VSP. Can you please provide a VSP benefit highlight sheet for this plan? The cert book does not provide any information about non-network benefits.

Response: Please see Addenda.

Posted: 7/29/2022

Question: Please provide a breakdown of your administration costs billed on behalf of AultCare and UMR.

Response: Please see Addenda.

Posted: 7/29/2022

Question: Would an electronic signature be acceptable in lieu of notarized signature?

Response: Yes but the City reserves the right to request the notarized signature at later date.