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["Request for Medical, Carved in Rx, and On-site Clinic, and Dental Proposal (RFP) for Arlington County Government"]
["RFP No. 21-HRD-RFP-141  General Questions"]
["Arlington County Government hereinafter referred to as \"County\""]
[]
["General Questionnaire Instructions"]
["All Offers, regardless of line of coverage quoting in RFP No. 21-HRD-RFP-141 , should fill out the attached:\n\nThis workbook consist of the following information:"]
["General Questionnaire File (s):  The Questionnaires and sheets to provide Explanations are contained in this Excel file.  You are expected to respond to the Questionnaire by entering your responses in this file.  The majority of the questions in the Questionnaire have been structured to elicit declarative responses through the use of drop down boxes."]
[]
["To record your response:"]
["*  Click on the response cell in the Response column;"]
["*  Click on the down arrow which appears directly to the right of the cell;"]
["*  Click on the response that best describes your answer."]
[]
["To enter your responses where a numeric, percent or ratio value is indicated as the answer format, simply enter the value in the corresponding response cell."]
[]
[]
["Next to each response cell, additional space is available for a brief text explanation.  However, if the length of the explanation is greater than 400 characters, you must go to the \"Explanation\" worksheet to provide your detailed explanation.  All explanations must be numbered to correspond to the questions to which they pertain and should be brief."]
[]
[]
["Worksheet Files:  Worksheet(s) to enter your proposal are contained within the companion Excel file.  Generally, the types of information that you will be entering into this file are plan design deviations, geo-access etc.  You are expected to provide the requested information by completing this workbook.  In addition, this file may also contain reference information (rate history, enrollment data, etc.) that will assist you in putting together your quote."]
[]
["Electronic File Attachments:  Any attachments that you are being asked to provide about your organization must also be submitted electronically. Hard copy attachments will not be accepted.  An explanation of each attachment that you are required to provide appears in the Questionnaire; please be sure to follow the naming conventions that are provided for each attachment."]
[]
["Important: As a reminder, please provide complete responses in your RFP submission as there will be no requests for clarification and your responses will be scored according to how you reply to each question and on requested materials provided."]
[]
["In order to help you organize your proposal and ensure that it is complete, please review the following contents list  to ensure that you have provided each required item for the various tabs. "]
[]
["1.0 CONTENTS"]
[]
["Questionnaire File (s):"]
[null,null,"Name of Worksheet Tab"]
["Introduction",null,"Introduction"]
["Questionnaire                                                                             ",null,"Questionnaire"]
["Explanations, if necessary                                                    ",null,"Explanation"]
["Account Management",null,"Account Management"]
["Active Employee Census",null,"Census"]
["Retiree Census",null,"Census"]
["Mandatory Requirements",null,"Mandatory Requirements"]
["Hold Harmless",null,"Hold Harmless"]
[]
["2.0  REQUESTED INFORMATION"]
["Questionnaire File:  Refer to instructions above. No references to accompanying material or documents will be accepted in lieu of these completed RFP Worksheets although where noted, vendors may provide supplemental exhibits."]
[]
["3.0 County's PROPOSAL REQUIREMENTS"]
[]
["A. Basis of Cost Proposal"]
["Your proposal should be based on your charge for the services requested. Any deviations must be clearly noted. "]
[]
["B. Subcontractors"]
["It is the intent that County will contract directly with a vendor for all the capabilities described in this RFP. Any capability for which the vendor will be relying upon the services or assistance of a third party must be disclosed. The vendor should describe the nature of such relationships, including a description of all relevant agreements between the two parties."]
[]
["C. Completeness"]
["We ask that your proposal be complete and that it comply with all aspects of these specifications. Any missing information could disqualify your proposal. Unless you note to the contrary, we will assume that your proposal conforms to our specifications in every way."]
[]
[]
["D. Compensation"]
["County does not pay a commission to a broker or agent for the administration of its group health insurance.  County has retained Aon Consulting, Inc. on a fixed fee for service basis to prepare these specifications, analyze all proposals and make recommendations to County.  As a result, no commissions will be payable by any vendor selected during this RFP process.  Therefore, please quote all fees net of commissions."]
[]
[]
["E. Format"]
[" Your proposal MUST be submitted in the requested RFP format.  Do not edit the RFP files in any way such as adding or deleting rows, columns, or cells, or otherwise changing the file format.  Failure to comply with the specifications provided will negatively impact the analysis of vendor's proposal."]
[]
["4.0  EVALUATION FORMAT AND CONTENT"]
[]
["Your proposal will be assessed based on each answer provided. Do not refer to attachments or exhibits. Responses should reflect data specific to the market(s) to which you are responding. Do not default to nationally collected data or statistics unless the information or processes are identical. YOU MUST CLEARLY IDENTIFY ANY QUALIFICATIONS OR CONTINGENCIES in your proposal.  Failure to do so could result in cancellation of the award."]
[]
["5.0  REQUIRED DOCUMENTS FOR THE GENERAL QUESTION WORKBOOK"]
["Each Offeror must complete (as necessary) and provide the below list of Procurement Documents. Please send all of the following files in a zip file. "]
[]
["Listing of Required Attachments"]
["Data File Specifications",null,"[Your Organization's Name] G-1_File Layout ([insert]med/den/etc.)"]
["Implementation Schedule",null,"[Your Organization's Name] G-2_ Implementation schedule"]
["Employee communication materials",null,"[Your Organization's Name] G-3 Employee communication materials"]
[]
["6.0 CENSUS"]
[]
["The census data file is inot ncluded in this workbook on the census tab.  You will need to contact naima.ford@aon.com to receive."]
[]
["7.0 ENROLLMENT, PREMIUMS, AND CLAIMS HISTORY"]
[]
["Enrollment and claims are included in each line of coverage specific workbook.  No additional experience will be provided at this time.  No additional member or subscriber counts (other than what is available in the experience or census files) will be provided at this time."]

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[{"$f":"Introduction!A1","v":"Request for Medical, Carved in Rx, and On-site Clinic, and Dental Proposal (RFP) for Arlington County Government"}]
["RFP No. 21-HRD-RFP-141 General Questions"]
["General Questionnaire"]
[]
[]
["I.","","","GENERAL PLAN INFORMATION","Answer Format","Format Type","Response","Explanation"]
[null,"1.",null,"Offeror Brand Name","text","Text"]
[null,"2.",null,"Parent Co. Legal Entity Name","text","Text"]
[null,"3.",null,"Home Office Location","text","Text"]
[null,null,"a.","Address Line #1","text","Text"]
[null,null,"b.","Address Line #2","text","Text"]
[null,null,"c.","City","text","Text"]
[null,null,"d.","State","text","Text"]
[null,null,"e.","Zip","text","Text"]
[null,"4.",null,"Web Address","text","Text"]
[null,"5.",null,"Offeror is providing a Medical, Rx, On-site clinic (bundled) only quote","drop down box","Listbox,ListYesNo"]
[null,"6.",null,"Offeror is providing a Medical, Rx, On-site clinic(bundled) and Dental quote","drop down box","Listbox,ListYesNo"]
[null,"7.",null,"Offeror is providing Dental only quote","drop down box","Listbox,ListYesNo"]
[null,"8.",null,"Industry Classification  ","text","Text"]
[null,"9.",null,"Tax Status  ","drop down box","For Profit, Not for Profit, See Explanation"]
[null,"10.",null,"Public or Privately-Held  ","drop down box","Public, Privately-held, See Explanation"]
[null,"11.",null,"Mergers, acquisitions, spin-off's, significant organizational changes in past 2 years.  ","drop down box","Listbox,ListYesNo"]
[null,"12.",null,"Anticipated changes in ownership or business developments, including but not limited to mergers, stock issues, and the acquisition of new venture capital, in the next 24 months","drop down box","Yes see explanation, No, See \"Explanation\""]
[null,"13.",null,"How many Legal Entities will issue policies for this group should your organization be awarded this business?","drop down box","1, 2, 3, 4, 5, 6"]
[null,"14.",null,"Legal Entity #1 - Name","text","Text"]
[null,null,"a.","Year Established/Incorporated  ","Month Day, Year","Date"]
[null,null,"b.","NAIC Code","Number","Number"]
[null,null,"c.","Coverages to be underwritten by this entity","text","Text"]
[null,"15.",null,"Legal Entity #2 - Name","text","Text"]
[null,null,"a.","Year Established/Incorporated  ","Month Day, Year","Date"]
[null,null,"b.","NAIC Code","Number","Number"]
[null,null,"c.","Coverages to be underwritten by this entity","text","Text"]
[null,"16.",null,"Legal Entity #3 - Name","text","Text"]
[null,null,"a.","Year Established/Incorporated  ","Month Day, Year","Date"]
[null,null,"b.","NAIC Code","Number","Number"]
[null,null,"c.","Coverages to be underwritten by this entity","text","Text"]
[]
["II.","",null,"GENERAL OFFEROR FINANCIAL RATING INFORMATION","Answer Format","Format Type","Response","Explanation"]
["","1.","","Please confirm that your proposal is issued in accordance with the specifications/assumptions stated in this Request for Proposal. If there are deviations, please identify them clearly. If you need more space, please use the \"Explanation\" column and/or worksheet. Indicate the question answered.","text","Text"]
["","2.","","Provide your company's most recent rating or filing (identify date) from each of the following:"]
["","","a.","A.M. Best","drop down box","Rated, Not Rated"]
["","",null,"Rating","text","Text"]
["","",null,"Date","Month Day, Year","Date"]
["","","b.","Moody's","drop down box","Rated, Not Rated"]
["","",null,"Rating","text","Text"]
["","",null,"Date","Month Day, Year","Date"]
["","","c.","Standard & Poor's","drop down box","Rated, Not Rated"]
["","",null,"Rating","text","Text"]
["","",null,"Date","Month Day, Year","Date"]
["","","d.","Fitch","drop down box","Rated, Not Rated"]
["","",null,"Rating","text","Text"]
["","",null,"Date","Month Day, Year","Date"]
[null,"3.",null,"If the offeror is not rated, is the policyholders' surplus at least USD $50 million.","drop down box","Listbox,ListYesNo"]
["","4.","","If your rating has changed within the past 12 months for any of the rating agencies, discuss changes. If you need more space, please use the \"Explanation\" column and/or worksheet. Indicate the question answered.","text","Text"]
[]
["III.",null,null,"Data Security"]
[null,"1.",null,"Has your organization had a data security breach?  If so, how many in the past 24 months and how many lives has it affected?  Use \"Explanation\" box.","text","Text"]
[null,"2.",null,"If your organization has had a data security breach, what corrective action has been taken to prevent it from happening again?","text","Text"]
[null,"3.",null,"How many large data security breaches (over 500 records) have you had in 2018 and 2019?","text","Text"]
[null,"4.",null,"In the event of a security breach, what services will your organization provide to the members?","text","Text"]
[null,"5.",null,"Describe your organization's fraud management operations on the \"Explanation\" worksheet. Include information on how fraudulent activities are reported back to County and the frequency.  ","text","Text"]
[null,"6.",null,"Can your organization provide evidence of insurance for Cyber Liability insurance coverage?","drop down box","Listbox,ListYesNo"]
[]
["IV.",null,null,"Data Management/Eligibility"]
[null,"1.",null,"All of your internal systems are integrated (e.g., claims payment, eligibility and customer service and if applicable, UM, CM, pharmacy, behavioral health and DM).","drop down box","Listbox,ListYesNo"]
[null,"2.",null,"The claims system maintains on-line eligibility files that are updated at least weekly.","drop down box","Listbox,ListYesNo"]
[null,"3.",null,"The claims system maintains dependent eligibility files.","drop down box","Listbox,ListYesNo"]
[null,"4.",null,"You can accept full eligibility information electronically (e.g., tape feeds, on-line access, etc.). from the County, at no cost to the County","drop down box","Listbox,ListYesNo"]
[null,"5.",null,"Please provide the County with your file layouts and specifications to administer eligibility requirements for each plan proposed. Name the file: \n[Your Organization's Name]G-1_File Layout (med/den/etc.).","drop down box","Provided, Not Provided, See Explanation"]
[null,"6.",null,"Does your company need to capture the 9-digit SSN in its eligibility system?","drop down box","Listbox,ListYesNo"]
[null,"7.",null,"Offeror must support minimum data requirements that the County issues as part of files including, but not limited to: \nEmployee Demographic Information\nCoverage Type\nCoverage Start and End Date\nPlan Type\nAccount Numbers\nDependent Information","drop down box","Listbox,ListYesNo"]
[null,"8.",null,"Please confirm your organization agrees to interface with all claims files (e.g., sending data to and/or receiving data from) FSA/HSA administrator AT NO CHARGE to the County.","Drop down box","Confirmed, Not Confirmed, See Explanation"]
[null,"9.",null,"Offeror must provide access to an online employer portal that provides real time access to review and update eligibility.","drop down box","Listbox,ListYesNo"]
[null,"10.",null,"Offeror must add coverage for members who have joined the plan within 24 hours of receipt of eligibility data.","drop down box","Listbox,ListYesNo"]
[null,"11.",null,"Offeror must update member information (e.g., address changes) within 24 hours of receipt of eligibility data.","drop down box","Listbox,ListYesNo"]
[null,"12.",null,"Offeror must supply error reports within 24 hours after the file has been uploaded to their system to ensure County has sufficient time to review the report before next scheduled file run, which is typically by the following week.","drop down box","Listbox,ListYesNo"]
[null,"13.",null,"Offeror must allow interface files to process unless the file errors are above a 10% error threshold. If file errors are below the 10% threshold, then Offeror must process file. If interface files have more than a 10% error rate then Contract must contact assigned County Benefits Team member for  instructions. ","drop down box","Listbox,ListYesNo"]
[null,"14.",null,"Offeror must not send the County file errors for manual updates unless there is mutual agreement to a manual audit once or twice per year to reset Offeror’s database. ","drop down box","Listbox,ListYesNo"]
[null,"15.",null,"Offerors must provide the proper resources and support during an implementation process including, but not limited to, management, analysts, and Offeror’s IT department in order to resolve any issues that may arise. ","drop down box","Listbox,ListYesNo"]
[null,"16.",null,"In the event of a change in current Offeror and/or structure, once the testing of County file is complete and approved, the Offeror will move the file into production no later than 30 days prior to the first day of the plan year.","drop down box","Listbox,ListYesNo"]
[]
["V.","","","Financial Accounting Reports","Answer Format","Format Type","Response","Explanation"]
[null,"1.","","Is there a monthly check register provided?","drop down box","Listbox,ListYesNo"]
[null,"2.",null,"If so, does the check register include refunds or is there another report provided?","drop down box","Listbox,ListYesNo"]
[null,"3.",null,"What other reports are provided to assist with monthly payment reconciliations?","text","Text"]
[]
["VI.","",null,"Account Management"]
[{"$nulls":4},"Answer Format","Format Type","Response","Explanation"]
[{"$nulls":3},"A designated account manager must be assigned to County for its plan. This account representative will have the responsibility and authority to manage the entire range of services discussed in this RFP and must be able to respond immediately to changes in plan design, changes in claims processing procedures, or general administrative problems identified by County or County's third party consultant.  "]
[null,"1.",null,"Offeror agrees to assign and designate specific individuals to form an account management team -- to be lead by the Account Executive --  to handle the County's account and address technical, utilization, customer service, claims, eligibility, and service issues.","drop down box","Listbox,ListYesNo"]
[null,"2.",null,"Please confirm that Offeror shall effectively manage program implementation and resolve any issues identified with implementation in a timeframe mutually agreed upon by the County and the Account Executive.","drop down box","Listbox,ListYesNo"]
[null,"3.",null,"The account manager assigned to the County will participate in monthly meetings with the County's Benefits team","drop down box","Listbox,ListYesNo"]
[null,"4.",null,"Your organization agrees to measure the County's satisfaction with the account manager on an annual basis.","drop down box","Listbox,ListYesNo"]
[null,"5.",null,"The County reserves the right to decline the designated Account Manager.","drop down box","Listbox,ListYesNo"]
[null,"6.",null,"Please complete the tab \"Account Management\" which details the team your organization is proposing for the County, including a management level resource with oversight and accountability for the County and an executive sponsor for the County. For each account team member, include years of experience servicing similar types of organizations.","drop down box","Listbox,ListYesNo"]
[null,"7.",null,"The account executive or account manager will participate on the County's implementation team.","drop down box","Listbox,ListYesNo"]
[null,"8.",null,"What percent of the Account Executive's time will be dedicated to the County during the implementation?","text","text"]
[null,"9.",null,"What percent of the Account Executive's time will be dedicated to the County on an ongoing basis?","text","text"]
[null,"10.",null,"Confirm your agreement that The County may request a new account manager at any time, and interview the selected candidate and provide final approval.","drop down box","Listbox,ListYesNo"]
[null,"11.",null,"Prepare a detailed schedule and time frame to implement this program by the effective date.  Please indicate the implementation responsibilities of your organization and the County.  Name the file: [Your Organization's Name]\nG-2_Implementation Schedule.","drop down box","Provided, Not Provided, See Explanation"]
[null,"12.",null,"How often will the offeror conduct onsite or virtual group meetings to discuss plan utilization and statistics, data analytics across the plan and its programs; identified cost saving measures or plan enhancements? (annually, semi-annually, quarterly)","text","text"]
[null,"13.",null,"Offeror will provide educational materials in a variety of formats (e.g., print, webinar, video) for open enrollment and other needs","drop down box","Listbox,ListYesNo"]
[null,"14.",null,"Plan documents and summaries will be produced in an electronic format for no additional charge","drop down box","Listbox,ListYesNo"]
[null,"15.",null,"Please provide a sample copy of your employee communication and education materials.  Name the file: \n[Your Organization's Name]G-3_Employee communication materials.","drop down box","Provided, Not Provided, See Explanation"]
[{"$nulls":3},"Account Management - Pharmacy","Answer Format","Format Type","Response","Explanation"]
[null,"16.",null,"You will provide an experienced pharmacy specific team member to assist with quarterly business reviews of network adequacy, service levels, plan performance and strategic trend analysis.  At the County's request, this person will provide ad hoc financial reports. The financial analyst shall also focus on methods to manage costs, interpret trends in the plans and marketplace. ","drop down box","Listbox,ListYesNo"]
[null,"17.",null,"You will provide a designated, experienced clinical manager/licensed pharmacist to support pharmacy program policy, plan design and clinical management programs.","drop down box","Listbox,ListYesNo"]
[null,null,""]
["VII.","","","LEGAL/CONTRACTUAL CONSIDERATIONS","Answer Format","Format Type","Response","Explanation"]
[null,"","","We understand that terminology and general contract provisions may vary from Offeror to Offeror.  We will permit such alternative language provided they are reviewed and approved by the County."]
[null,"1.","","The contract will be issued in Virginia","drop down box","Listbox,ListYesNo"]
[null,null,"a.","July 1, 2021 will be the contract effective date.","drop down box","Listbox,ListYesNo"]
[null,null,"b.","July 1 is the anniversary date.","drop down box","Listbox,ListYesNo"]
[null,null,"c.","July 1 to June 30 is the plan year","drop down box","Listbox,ListYesNo"]
[null,"2.",null,"Offeror agrees to provide SSAE 16 reports to Client annually, as performed, or as requested by Client auditors?","drop down box","Listbox,ListYesNo"]
[null,"3.","","There will be no restrictions or benefit limitations for pre-existing conditions applied to any employees or their dependents under the plan.","drop down box","Listbox,ListYesNo"]
[null,"4.","","Health plan must unconditionally agree to provide coverage to all present participants (employees and eligible dependents) enrolled on the program effective date.","drop down box","Listbox,ListYesNo"]
[null,"5.","","Employees who are not actively at work due to disability, FMLA, military leave, or other approved leave of absence on the program effective date will be covered. ","drop down box","Listbox,ListYesNo"]
[null,"6.","","The Offeror must agree to transfer to the County, within 30 days of notice of termination, all required data and records necessary to administer the plans subject to state and federal confidentiality considerations.  The transfer may be made electronically, in a file format to be determined based on the mutual agreement between the County and the provider of services.","drop down box","Listbox,ListYesNo"]
[null,"7.","","The County will neither recognize the appointment of any agent, general agent or broker by a respondent to these bid specifications nor authorize any payment or remuneration of any kind by a health plan to a party not approved in writing by the County.","drop down box","Listbox,ListYesNo"]
[null,"8.","","If requested, the health plan agrees to assume claim fiduciary responsibilities including appeals and defense of \"utilization review\" decisions.","drop down box","Listbox,ListYesNo"]
[null,"9.","","Offeror agrees to prepare and file all legal documents necessary to implement and maintain the plan, including policies, amendments, contracts, required state filings, and development of booklet/certificate formats.","drop down box","Listbox,ListYesNo"]
[null,"10.","","Offeror agrees to monitor federal and state legislation affecting the delivery of medical benefits under the plan and to report to Client on those issues in a timely fashion prior to the effective date of any mandated plan changes.","drop down box","Listbox,ListYesNo"]
[null,"11.","","Offeror agrees to the Hold Harmless language set forth in the worksheet, \"Hold Harmless\". ","drop down box","Listbox,ListYesNo"]
[null,"12.","","Effective for claims filed on or after 7/1/2021, Offeror certifies that it will comply with the Department of Labor's final claims procedure regulations, including:"]
[null,null,"a.","The notice requirements for improper and incomplete claims","drop down box","Listbox,ListYesNo"]
[null,null,"b.","The appropriate timeframes for adjudicating urgent, pre-service and post-service claims","drop down box","Listbox,ListYesNo"]
[null,null,"c.","The appropriate timeframes for notice of appeal decisions.","drop down box","Listbox,ListYesNo"]
[null,"",""]
["VIII.",null,null,"Renewal and Runout","Answer Format","Format Type","Response","Explanation"]
[null,"1.",null,"You agree to provide a renewal proposal at least 240 calendar days prior to the July 1 anniversary date.","drop down box","Listbox,ListYesNo"]
[{"$nulls":3},"For the funding arrangement requested in this RFP, please indicate your willingness to comply with the following renewal requirements and services:"]
[null,"2.",null,"For self-insured coverages requested, notification of renewal fees (to be accompanied by a breakdown of all administrative expense components and complete underwriting projection) will be made available by November 1 ","drop down box","Listbox,ListYesNo"]
[null,"3.",null,"Offeror will provide routine underwriting- and actuarial-related contract services.","drop down box","Listbox,ListYesNo"]
[null,"4.",null,"The Offeror will provide a complete description of the methodology inherent in the renewal work up and any changes in the fees/rates.","drop down box","Listbox,ListYesNo"]
[null,"5.",null,"The Offeror will provide a definition of all terms and an itemization of all assumptions used including projected claims, trend factors and the formula involved, plus a complete explanation of the logic inherent in the final renewal rate/fee package.","drop down box","Listbox,ListYesNo"]
[null,"6.",null,"The Offeror will provide estimated or actual identification of expenses, including the change in IBNR, pool charges (if appropriate), claim administration expenses, other expenses (such as, number of transactions/EOBs), and a detailed allocation of your administrative cost projections.","drop down box","Listbox,ListYesNo"]
[null,"7.",null,"Offeror will perform annual IBNR calculation and report IBNR estimates by July 31 to the County.","drop down box","Listbox,ListYesNo"]
[null,"8.",null,"Confirm that in the event of termination, the Offeror will be responsible for administration of all claims incurred but not paid prior to termination date.  These claims will be processed for at least one year and no administrative fees will be charged during this period. ","drop down box","Listbox,ListYesNo"]
[]
["IX.","","","Compliance, HIPAA","Answer Format","Format Type","Response","Explanation"]
[null,"1.","","The Offeror agrees to comply with the Department of Labor's final claims procedure regulations, including the appropriate timeframes for adjudicating claims and notice of appeal decisions.","drop down box","Listbox,ListYesNo"]
[null,"2.","","You maintain a dedicated individual or staff responsible for resolving HIPAA issues.","drop down box","Listbox,ListYesNo"]
[null,"3.","","Offeror certifies that it will comply with the interim final rules on nondiscrimination in the group health market, including:"]
[null,null,"a.","Coverage for self-inflicted injuries for persons who suffer from medical conditions (such as depression)","drop down box","Listbox,ListYesNo"]
[null,null,"b.","Coverage for persons who are hospital-confined or not actively at work when coverage would otherwise take effect.","drop down box","Listbox,ListYesNo"]
[null,null,"","Offeror certifies that it reports to the national Healthcare Integrity and Protection Databank (HIPDB) as required and, as may be necessary, submits inquiries to the HIPDB to determine whether any final adverse legal actions have been taken against its member providers.","drop down box","Listbox,ListYesNo"]
[null,"4.",null,"Offeror certifies that, if it conducts Standard Transactions, it is in full compliance with HIPAA's administrative simplification standards relating to electronic data interchange (EDI).","drop down box","Listbox,ListYesNo"]
[null,"5.","","Offeror will not require that enrollment and eligibility information electronically transmitted by Client to Offeror comply with EDI.","drop down box","Listbox,ListYesNo"]
[null,"6.","","Offeror certifies that it is in full compliance with HIPAA's regulations protecting the privacy of individually identifiable health information.","drop down box","Listbox,ListYesNo"]
[null,"","","Compliance, Privacy and Confidentiality","Answer Format","Format Type","Response","Explanation"]
[null,"7.",null,"The vendor agrees to make internal practices, books, and records relating to the use and disclosure of PHI received from, or created or received by organization  available to the Secretary of the Department of Health and Human Services for purposes of the Secretary of the Department of Health and Human Services determining organization’s compliance with the privacy rules.","drop down box","Listbox,ListYesNo"]
[null,"8.",null,"The Offeror adopts and implements written confidentiality policies and procedures in accordance with applicable law to ensure the confidentiality of member information used for any purpose.","drop down box","Listbox,ListYesNo"]
[null,"9.","","The Offeror will not use or further disclose protected health information (PHI) other than as permitted or required by the Business Associate Agreement or as required by law.","drop down box","Listbox,ListYesNo"]
["","10.","","The Offeror agrees to use appropriate safeguards to prevent the unauthorized use or disclosure of the PHI.  Offeror agrees to report to the plan sponsor any unauthorized use or disclosure of the PHI.","drop down box","Listbox,ListYesNo"]
[null,"11.","","The Offeror agrees to mitigate, to the extent practicable, any harmful effect that is known to Offeror of a use or disclosure of PHI by Offeror in violation of the requirements of the federal privacy rule.","drop down box","Listbox,ListYesNo"]
[null,"12.",null,"The Offeror agrees to ensure that any agent, including a subcontractor, to whom it provides PHI received from, or created or received by the Offeror agrees to the same restrictions and conditions that apply to Offeror with respect to such information.","drop down box","Listbox,ListYesNo"]
[null,"13.","","The Offeror agrees to provide access to PHI in a \"designated record set\" in order to meet the requirements under 45 CFR §164.524.","drop down box","Listbox,ListYesNo"]
[null,"14.","","The Offeror agrees to make any amendment(s) to PHI in a \"designated record set\" pursuant to 45 CFR §164.526.","drop down box","Listbox,ListYesNo"]
[null,"15.","","The Offeror agrees to document such disclosures of PHI and information related to such disclosures as would be required to respond to a request by an individual for an accounting of disclosures of PHI in accordance with 45 CFR §164.528.","drop down box","Listbox,ListYesNo"]
[null,"16.","","The Offeror agrees to (i) implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic PHI that it creates, receives, maintains, or transmits, (ii) report to the plan sponsor any security incident (within the meaning of 45 CFR § 164.304) of which Offeror becomes aware, and (iii) ensure that any Offeror employee or agent, including any subcontractor to whom it provides PHI received from, or created or received by the Offeror agrees to implement reasonable and appropriate safeguards to protect such PHI.","drop down box","Listbox,ListYesNo"]
[null,"17.",null,"County staff have access to vendor sponsored Secure E Mail system to communicate employee issues","drop down box","Listbox,ListYesNo"]
[null,"18.",null,"County have access to PHI upon request.","drop down box","Listbox,ListYesNo"]
[{"$nulls":3},"Administrator and Member User Security","Answer Format","Format Type","Response","Explanation"]
[null,"19.",null,"Is there the ability to set roles and assign security levels to a role within your portal/website for employers?  (i.e. can your application support varying levels of access for employer benefits administrators?)","drop down box","Listbox,ListYesNo"]
[null,"20.","","What is your standard user ID and password policy?  Can you force password resets? If so, how often?","text","text"]
[null,"21.","","Upon contract termination, how long is historical data stored and how would County access archived historical data?","text","text"]
[null,"22.","","Upon contract termination, for how long would a member be able to access his/her claims information on the member website?","text","text"]
[null,"23.","","Describe your process in place for identifying member fraudulent activities, specifically what is the member identification process for providers?  How do providers confirm that the member is actually the person who possesses the ID card?","text","text"]
[null,"",""]
[null,"",""]
[null,"",""]
[null,"",""]
[null,"",""]
[null,"",""]
[null,"",""]
[null,"",""]
[null,"",""]
[null,"",""]
[null,"",""]
[null,"",""]
[null,"",""]
[null,"",""]
[null,"",""]

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[{"$f":"Introduction!A1","v":"Request for Medical, Carved in Rx, and On-site Clinic, and Dental Proposal (RFP) for Arlington County Government"}]
["RFP No. 21-HRD-RFP-141  General Questions"]
["Explanation"]
[]
["This worksheet should be used to provide additional explanations for any questions for which a \"See Explanation\" response "]
["was given.  Explanations must be numbered to correspond to the question to which they pertain and they must be brief."]
[]
[]
["Section/ Question #","Explanation"]

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[null,{"$f":"Questionnaire!A1","v":"Request for Medical, Carved in Rx, and On-site Clinic, and Dental Proposal (RFP) for Arlington County Government"}]
[null,"RFP No. 21-HRD-RFP-141  General Questions"]
[null,"Account Management / Team Breakdown"]
[]
[null,"Proposer Name"]
[]
[null,"Proposed Account Team for the County - Roles","Response","Explanation"]
[null,"Please confirm the line of coverage(s) your organization is quoting","[Insert Response]"]
["1.","Executive Sponsor"]
["a","Name","[Insert Response]"]
["b","Title","[Insert Response]"]
["c","Length of Service","[Insert Response]"]
["2.","Strategic Account Executive"]
["a.","Name","[Insert Response]"]
["b.","Total Number of Clients under Management","[Insert Response]"]
["c.","Total Number of Lives under Management","[Insert Response]"]
["d.","Length of Service","[Insert Response]"]
["e.","Years Servicing Similar Sized Clients","[Insert Response]"]
["f.","Total Number of Similar Sized Clients","[Insert Response]"]
["g.","Participation on Implementation Team","[Insert Response]"]
["h.","What percent of the Account Executive's time will be dedicated to the County during implementation","[Insert Response]"]
["i.","What percent of the Account Executive's time will be dedicated to the County on an ongoing basis","[Insert Response]"]
["3.","Day to Day Account Manager"]
["a.","Name","[Insert Response]"]
["b.","Total Number of Clients under Management","[Insert Response]"]
["c.","Total Number of Lives under Management","[Insert Response]"]
["d.","Length of Service","[Insert Response]"]
["e.","Years Servicing Similar Sized Clients","[Insert Response]"]
["f.","Total Number of Similar Sized Clients","[Insert Response]"]
["g.","Participation on Implementation Team","[Insert Response]"]
["4.","Eligibility Contact"]
["a.","Name","[Insert Response]"]
["b.","Total Number of Clients under Management","[Insert Response]"]
["c.","Total Number of Lives under Management","[Insert Response]"]
["d.","Length of Service","[Insert Response]"]
["e.","Years Servicing Similar Sized Clients","[Insert Response]"]
["f.","Total Number of Similar Sized Clients","[Insert Response]"]
["g.","Participation on Implementation Team","[Insert Response]"]
["5.","Billing/Claims Reconciliation Contact"]
["a.","Name","[Insert Response]"]
["b.","Total Number of Clients under Management","[Insert Response]"]
["c.","Total Number of Lives under Management","[Insert Response]"]
["d.","Length of Service","[Insert Response]"]
["e.","Years Servicing Similar Sized Clients","[Insert Response]"]
["f.","Total Number of Similar Sized Clients","[Insert Response]"]
["g.","Participation on Implementation Team","[Insert Response]"]
["6.","Customer Service Specialist"]
["a.","Name","[Insert Response]"]
["b.","Total Number of Clients under Management","[Insert Response]"]
["c.","Total Number of Lives under Management","[Insert Response]"]
["d.","Length of Service","[Insert Response]"]
["e.","Years Servicing Similar Sized Clients","[Insert Response]"]
["f.","Total Number of Similar Sized Clients","[Insert Response]"]
["g.","Participation on Implementation Team","[Insert Response]"]
["7.","Implementation Manager"]
["a.","Name","[Insert Response]"]
["b.","Total Number of Clients under Management","[Insert Response]"]
["c.","Total Number of Lives under Management","[Insert Response]"]
["d.","Length of Service","[Insert Response]"]
["e.","Years Servicing Similar Sized Clients","[Insert Response]"]
[null,"For Medical/Rx/Clinic Proposers"]
["1.","Medical Director"]
["a.","Name","[Insert Response]"]
["b.","Title","[Insert Response]"]
["c.","Length of Service","[Insert Response]"]
["d.","Years Servicing Similar Sized Clients","[Insert Response]"]
["e.","Total Number of Similar Sized Clients ","[Insert Response]"]
["f.","Will the County have access to the Medical Director, as needed throughout the contract period","[Insert Response]"]
["2.","Pharmacy Specialist"]
["a.","Name","[Insert Response]"]
["b.","Total Number of Clients under Management","[Insert Response]"]
["c.","Total Number of Lives under Management","[Insert Response]"]
["d.","Length of Service","[Insert Response]"]
["e.","Years Servicing Similar Sized Clients","[Insert Response]"]
["f.","Total Number of Similar Sized Clients","[Insert Response]"]
["g.","Participation on Implementation Team","[Insert Response]"]
["3.","Education Specialist"]
["a.","Name","[Insert Response]"]
["b.","Total Number of Clients under Management","[Insert Response]"]
["c.","Total Number of Lives under Management","[Insert Response]"]
["d.","Length of Service","[Insert Response]"]
["e.","Years Servicing Similar Sized Clients","[Insert Response]"]
["f.","Total Number of Similar Sized Clients","[Insert Response]"]
["g.","Participation on Implementation Team","[Insert Response]"]
["4.","Wellness Specialist"]
["a.","Name","[Insert Response]"]
["b.","Total Number of Clients under Management","[Insert Response]"]
["c.","Total Number of Lives under Management","[Insert Response]"]
["d.","Length of Service","[Insert Response]"]
["e.","Years Servicing Similar Sized Clients","[Insert Response]"]
["f.","Total Number of Similar Sized Clients","[Insert Response]"]
["g.","Participation on Implementation Team","[Insert Response]"]
["5.","Clinical/Behavioral Health Specialist"]
["a.","Name","[Insert Response]"]
["b.","Total Number of Clients under Management","[Insert Response]"]
["c.","Total Number of Lives under Management","[Insert Response]"]
["d.","Length of Service","[Insert Response]"]
["e.","Years Servicing Similar Sized Clients","[Insert Response]"]
["f.","Total Number of Similar Sized Clients","[Insert Response]"]
["g.","Participation on Implementation Team","[Insert Response]"]
["6.","Clinical/Medical Specialist"]
["a.","Name","[Insert Response]"]
["b.","Total Number of Clients under Management","[Insert Response]"]
["c.","Total Number of Lives under Management","[Insert Response]"]
["d.","Length of Service","[Insert Response]"]
["e.","Years Servicing Similar Sized Clients","[Insert Response]"]
["f.","Total Number of Similar Sized Clients","[Insert Response]"]
["g.","Participation on Implementation Team","[Insert Response]"]
[null,"Dental Proposers"]
["1.","Medical Director or Equivalent"]
["a.","Name","[Insert Response]"]
["b.","Title","[Insert Response]"]
["c.","Length of Service","[Insert Response]"]
["d.","Years Servicing Similar Sized Clients","[Insert Response]"]
["e.","Total Number of Similar Sized Clients ","[Insert Response]"]
["f.","Will the County have access to the Medical Director, as needed throughout the contract period","[Insert Response]"]

{"sheet":"Census","index":4,"n_rows":5,"n_cols":1,"rows_kept":5,"merged":[[0,0,0,12],[1,0,1,12],[4,0,4,9]]}
["Request for Medical, Carved in Rx, and On-site Clinic, and Dental Proposal (RFP) for Arlington County Government"]
["RFP No. 21-HRD-RFP-141 General Questions"]
["Active & Retiree Census Instructions"]
[]
["To obtain ACG's current Census, you will need to request from Naima Ford at naima.ford@aon.com "]

{"sheet":"Mandatory Requirements","index":5,"n_rows":24,"n_cols":8,"rows_kept":24,"merged":[[4,0,4,7]]}
[{"$f":"Introduction!A1","v":"Request for Medical, Carved in Rx, and On-site Clinic, and Dental Proposal (RFP) for Arlington County Government"}]
["RFP No. 21-HRD-RFP-141 General Questions"]
["Mandatory Requirements"]
[]
["The following requirements are mandatory. If the County concludes after its initial review of a submitted proposal that the Mandatory Requirements are not met, the proposal will be considered non-responsive and will not be evaluated further."]
[]
[]
["I.",null,null,"MANDATORY REQUIREMENTS","Answer Format","Format Type","Response","Explanation"]
[null,"1.",null,"The Offeror may not take exceptions to mandatory provisions of the draft Contract Terms and Conditions that are attached to this solicitation. Mandatory provisions are marked with an asterisk in the proposal requirements.","drop down","Agree, Disagree, See Explanation"]
[null,"2.",null,"Offeror has twenty (20) years of experience, from the date of RFP issuance, administering self-insured medical and prescription drug plan services and/or administering self-insured dental plan services. ","drop down","Yes, No, See Explanation"]
[null,null,"a.","State the date that offeror began administering proposed services","text","date"]
[null,"3.",null,"Offerors responding to Medical Plan Services must provide all requested services (medical, vision, prescription drug, onsite clinic services) in conjunction with one another for the offer to be accepted. A Medical Plan Services offer that omits any one component will not be considered.  Dental Plan Services may be offered as a stand-alone service. ","drop down","Provided, Not Provided, See Explanation"]
[null,null,"a.","Medical Plan Services Offerors: Confirm all requested services included Yes or No","drop down","Yes, No"]
[null,"4.",null,"As of the date of the RFP issuance, Medical Plan Services offeror is able provide a medical, vision and prescription drug services (i.e. plan coverage) for participants residing in the continental United States, Alaska, Hawaii, Puerto Rico, and US Virgin Islands.  Dental Plan Services Offeror is able to provide dental plan coverage to participants residing in the continental United States, Alaska, Hawaii, Puerto Rico and the US Virgin Islands.","drop down","Agree, Disagree, See Explanation"]
[null,null,"a.","Medical Plan Services Offerors: Confirm  Yes or No","drop down","Yes, No"]
[null,null,"b.","Dental Plan Services Offerors:  Confirm Yes or No","drop down","Yes, No"]
[null,"5.",null,"As of the date of the RFP issuance, offeror has a network of providers throughout the continental United States, Alaska and Hawaii.","drop down","Agree, Disagree, See Explanation"]
[null,null,"a.","Medical Plan Services Offerors: Confirm  Yes or No","drop down","Yes, No"]
[null,null,"b.","Dental Plan Services Offerors:  Confirm Yes or No","drop down","Yes, No"]
[null,"6.",null,"As of the date of the RFP issuance, offeror has at least 500,000 covered lives across its benefit management book of business for the services proposed.","drop down","Yes, No"]
[null,null,"a.","State the number of lives covered across the offeror’s unique medical plans. ","text","number"]
[null,null,"b.","State the number of lives covered across the offeror’s unique dental plans. ","text","number"]
[null,"7.",null,"Offeror shall confirm that any resulting contract from the RFP shall be a direct contract between Arlington County Government and the Offeror absent of any broker/agent and/or commissions. "]
[null,null,"a.","Confirm your agreement.","drop down","Confirmed, Do Not Confirm"]

{"sheet":"Hold Harmless","index":6,"n_rows":8,"n_cols":1,"rows_kept":8}
[{"$f":"Introduction!A1","v":"Request for Medical, Carved in Rx, and On-site Clinic, and Dental Proposal (RFP) for Arlington County Government"}]
["RFP No. 21-HRD-RFP-141 General Questions"]
["Hold Harmless"]
[]
["You agree to the following Hold Harmless language:"]
[]
["Hold Harmless"]
["By submitting a response to this RFP, you agree to indemnify and hold harmless Aon, its directors, officers, employees and agents against any and all liability, loss, damage or expense (including reasonable attorney’s fees and costs) which may arise or result from your fraudulent or willful misconduct or from your responses to and participation in this RFP solicitation."]