City of Canton Quote
Title: City of Canton Stop-Loss Insurance
Deadline: 1/7/2025 4:00 PM (UTC-05:00) Eastern Time (US & Canada)
Status: Awarded
Quote Number: 2024-86
Description: City of Canton Stop-Loss Insurance
Documents:
Documents as of 12/18/2024 |
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City_of_Canton_Stop_Loss_RFP_2024_Specifications.pdf |
Form_of_Proposal_Stop_Loss_Insurance.xlsx |
Stop_Loss_RFP_Appendices_I_IV.zip |
Addition 1
Posted: 12/24/2024
Type of Addition: Addendum 1
Overview: Addendum 1
Deadline: 1/7/2025 4:00 PM
Documents:
Addition 2
Posted: 12/31/2024
Type of Addition: Addendum 2
Overview: Addendum 2
Deadline: 1/7/2025 4:00 PM
Documents:
Addition 3
Posted: 2/28/2025
Type of Addition: Jefferson Health Plan
Overview: Final award is subject to the City's contracting process and the Auditor's certification of funds.
Question 1
Posted: 12/19/2024
Question: Please provide a separate PBM report from OptumRx (or Aultcare since they were the once who placed it) for the following years: 2/2022 - 1/2023; 2/2023 - 1/2024; 2/2024 - 11/2024. Report should include member names or ID numbers, Rx cost details; and include drugs greater than $5k. Ken knows this report structure.
Response: Please see Addendum 1
Question 2
Posted: 12/20/2024
Question: Please provide a high cost claimant report for 2/2022 - 1/2023. The report should have medical diagnoses included. Thank you.
Response: Please see Addendum 1
Question 3
Posted: 12/30/2024
Question: - Please provide final plan document for all medical/rx plans effective 2/1/2024 - HCC Report ran 2/23-1/24 please provide true diagnosis/IDC10 code, treatment plan, staging for claimants 1,3,4,8 - HCC Report ran 2/24-11/24 please provide true diagnosis/IDC10, treatment plan, staging and projected claims costs for claimant 6
Response: Please see addendum 2.
Question 4
Posted: 12/30/2024
Question: Please provide a high-cost claimant report ran 2/2022 - 1/2023 to include medical diagnosis and ICD10 codes.
Response: Please see addendum 2.
Posted: 12/24/2024
Type of Addition: Addendum 1
Overview: Addendum 1
Deadline: 1/7/2025 4:00 PM
Documents:
Posted: 12/31/2024
Type of Addition: Addendum 2
Overview: Addendum 2
Deadline: 1/7/2025 4:00 PM
Documents:
Posted: 2/28/2025
Type of Addition: Jefferson Health Plan
Overview: Final award is subject to the City's contracting process and the Auditor's certification of funds.
Posted: 12/19/2024
Question: Please provide a separate PBM report from OptumRx (or Aultcare since they were the once who placed it) for the following years: 2/2022 - 1/2023; 2/2023 - 1/2024; 2/2024 - 11/2024. Report should include member names or ID numbers, Rx cost details; and include drugs greater than $5k. Ken knows this report structure.
Response: Please see Addendum 1
Posted: 12/20/2024
Question: Please provide a high cost claimant report for 2/2022 - 1/2023. The report should have medical diagnoses included. Thank you.
Response: Please see Addendum 1
Posted: 12/30/2024
Question: - Please provide final plan document for all medical/rx plans effective 2/1/2024 - HCC Report ran 2/23-1/24 please provide true diagnosis/IDC10 code, treatment plan, staging for claimants 1,3,4,8 - HCC Report ran 2/24-11/24 please provide true diagnosis/IDC10, treatment plan, staging and projected claims costs for claimant 6
Response: Please see addendum 2.
Posted: 12/30/2024
Question: Please provide a high-cost claimant report ran 2/2022 - 1/2023 to include medical diagnosis and ICD10 codes.
Response: Please see addendum 2.