This Solicitation opportunity from Florida was posted on August 21, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.
The City of Jacksonville Beach in Florida is seeking proposals for fully insured group medical and prescription insurance coverage, considering both individual and consortium options. The solicitation, identified as number 08-2324, was posted on August 21, 2024, with a deadline for responses set for October 15, 2024. The city is open to evaluating various arrangements, including pools or consortiums, to meet its healthcare coverage needs. The contract is expected to be valued between five million and fifteen million dollars, reflecting the scope of the city's health insurance requirements. This procurement is managed under the NAICS code 524114, which pertains to insurance agencies and brokerages, and is organized by the Florida Department of State, specifically the City of Jacksonville Beach. Interested parties can find additional details and submit proposals through the city's official bidding portal.
HighAI Summary for RFP 08-2324: Fully Insured Group Medical & Prescription Insurance: Request for Proposals (RFP 08-2324) issued by the City of Jacksonville Beach for Fully Insured Group Medical & Prescription Insurance. The solicitation requires a sealed original proposal, six hard copies, and one electronic copy by September 18, 2024. The package includes specific proposal response forms, benefit match-up and provider comparison spreadsheets, and requires proposers to be rated at least B+ by A.M. Best.
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XLSX, High priority: read this firstspecifications
HighAI Summary for RFP 08-2324 Item 1 - Historical Plan, Rate and Contribution Information 2019-2024: A detailed historical data sheet covering group health insurance plans from 2019 to 2024. It includes specific plan details for Florida Blue (HMO/PPO), including deductibles, coinsurance, out-of-pocket maximums, and copayments for office and preventive services.
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XLSX, High priority: read this firstspecifications
HighAI Summary for RFP 08-2324 Item 3 - City of Jacksonville Beach High Cost Claims: A High Cost Claims Summary report for the City of Jacksonville Beach (Group B5838). The document provides a detailed breakdown of high-cost medical claims exceeding a $50,000 threshold, comparing the current paid period (08/2023 to 07/2024) against the prior paid period (08/2022 to 07/2023). It includes data on inpatient, outpatient, professional, and pharmacy costs, including diagnosis descriptions and total paid/billed amounts.
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XLSX, High priority: read this firstspecifications
HighAI Summary for RFP 08-2324 Item 3 - City of Jacksonville Beach Monitoring Report: Utilization and enrollment monitoring data for the City of Jacksonville Beach for the period August 2023 through July 2024. The document includes detailed financial metrics such as premiums, capitation, and fee-for-service claims, as well as member enrollment breakdowns by coverage tier (e.g., Employee Only, Family).
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XLSX, High priority: read this firstspecifications
HighAI Summary for RFP 08-2324 Item 3 - City of Jacksonville Beach Monitoring Report: This document contains detailed utilization and enrollment monitoring data for the City of Jacksonville Beach for the period from August 2022 to July 2023. It includes financial metrics such as premiums, capitation, and fee-for-service claims, as well as member enrollment breakdowns by coverage type (e.g., Employee Only, Family). The data is presented as part of RFP 08-2324 Item 3.
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XLSX, High priority: read this firstspecifications
HighAI Summary for RFP 08-2324 Item 4 - Benefits Match-Up: This document is a benefit match-up matrix for RFP 08-2324, used to compare current health insurance plan details (Florida Blue BlueCare and BlueOptions) against proposed plans. It contains detailed technical specifications including deductibles, coinsurance, out-of-pocket maximums, and specific copayments for various medical services.
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XLSX, High priority: read this firstspecifications
HighAI Summary for RFP 08-2324 Item 5 - Most Utilized Provider Comparison Match-up: This document is a provider network match-up worksheet (Item 5) for the City of Jacksonville Beach (Group B5838) for the period 08/2023 to 07/2024. It lists highly utilized healthcare providers, including hospitals and pharmacies, and requires bidders to indicate whether these providers are in their HMO or PPO networks.
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PDF, High priority: read this firstspecifications
HighAI Summary for RFP 08-2324 Plan 120 Summary of Benefits and Coverage: A Summary of Benefits and Coverage (SBC) document for health plan 'Plan 120' provided by Florida Blue. It details cost-sharing responsibilities, including a $2,500 individual deductible and out-of-pocket limit, network provider coverage, and specific payment terms for medical events such as primary care, emergency services, and prescription drugs.
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PDF, High priority: read this firstrfp
HighAI Summary for RFP 08-2324 Proposal Forms - Group Medical Insurance: Proposal forms for the City of Jacksonville Beach, Florida, regarding Fully Insured Group Medical and Prescription Insurance. The document includes templates for proposers to provide cost information for In-Network Only and PPO medical plans, as well as detailed retention cost tables for administrative fees, taxes, and profit for the 2024 plan year.
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PDF, Low priorityother
LowAI Summary for Florida Blue BlueCare 47 Summary of Benefits and Coverage: A Summary of Benefits and Coverage (SBC) document for the Florida Blue BlueCare 47 HMO plan. It outlines cost-sharing responsibilities, including deductibles ($1,500 individual/$4,500 family), out-of-pocket limits, and copayments for primary care, specialists, diagnostic tests, and prescription drugs.
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PDF, Low prioritycontract-document
LowAI Summary for Florida Blue & City of Jacksonville Beach ProShare Agreement: An Accounting and Retention Agreement (Proshare) between Florida Blue (Blue Cross and Blue Shield of Florida, Inc. and Health Options, Inc.) and the City of Jacksonville Beach. The agreement establishes a health maintenance organization (HMO) and Point-of-Service insurance program for employees, effective from January 1, 2024, to December 31, 2025. It outlines terms for premium payments, settlement accounting for the return of excess premiums, termination, and rate modifications.
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PDF, Low priorityspecifications
LowAI Summary for Florida Blue Plan 67 Summary of Benefits and Coverage: A Summary of Benefits and Coverage (SBC) document for Florida Blue HMO Plan 67. It outlines cost-sharing details including deductibles ($1,000 individual/$3,000 family), out-of-pocket limits, and specific copayments for primary care, specialists, diagnostic tests, and prescription drugs.
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PDF, Low priorityspecifications
LowAI Summary for Plan 05771 Summary of Benefits and Coverage: A Summary of Benefits and Coverage (SBC) document for a PPO health plan (Plan 05771) provided by Florida Blue. It outlines cost-sharing details including deductibles, out-of-pocket limits, copayments for primary and specialist visits, and prescription drug coverage for both in-network and out-of-network providers.
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XLSX, Low priorityother
LowAI Summary for RFP 08-2324 Item 6 - Census Data Notice: This document is a placeholder notice instructing interested parties to send a secure email to receive the actual census data excel file for the City of Jacksonville Beach regarding RFP 08-2324 Item 6.
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PDF, Low priorityspecifications
LowAI Summary for RFP 08-2324 Plan 121 Summary of Benefits and Coverage: A Summary of Benefits and Coverage (SBC) document for health plan 'Plan 121' provided by Florida Blue. It outlines cost-sharing details, including a $5,000 individual/family deductible and out-of-pocket limit, coverage for preventive care, and a schedule of costs for common medical events such as primary care, specialist visits, diagnostic tests, and emergency services.
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Timeline
1 update
PhaseClosed
Posted
Solicitation
Notice updated
Response deadline changed from Mar 27, 2024 to Oct 15, 2024. The notice title changed. NAICS code changed from 423420 to 524114. The notice description changed. The point of contact changed.
Response Deadline
Deadline has passed
Submission Closed
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The City of Jacksonville Beach (the City) is requesting information for the following coverages/services as further described in this Request for Proposals (RFP):Section I: Fully Insured Group Medical and Prescription InsurancePlease note that the City will be evaluating and considering fully insured options. Consortiums and/or pools will be considered.PROFILE OF THE CITY OF JACKSONVILLE BEACHThe City of Jacksonville Beach is located in North Florida in Duval County.
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