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Healthcare Actuarial Services

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State & Local

Contract Overview

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This subcontract for Healthcare Actuarial Services involves providing detailed financial risk assessments and cost projections for prime contractors managing healthcare benefit projects for the Cowlitz Indian Tribe. The scope of work includes estimating annual claims costs, administrative expenses, and reserve requirements, as well as conducting financial feasibility studies for various funding models, including self-funded, fully insured, HRA, and hybrid options. Additionally, the selected provider will develop stop-loss insurance recommendations to mitigate financial risk. The project requires a Certified Actuary with FSA or ASA credentials and strict adherence to HIPAA compliance standards. The primary deliverable is a comprehensive Financial and Actuarial Feasibility Study. Interested parties must submit their responses by December 3, 2026, under NAICS code 541990.

General Info

Actuarial services for Cowlitz Indian Tribe healthcare risk assessments due December 3, 2026.

Documents

This scope was carved out of RFP26.10.003.

The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.

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RFP: Healthcare Benefits for Members

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Organization & Contact Information

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AgencyCowlitz Indian Tribe
ContactsNo contacts available
OfficeN/A
Organization / AgencyCowlitz Indian Tribe
Office AddressN/A
ContactsNo contact information available

Full Description

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Performs detailed financial risk assessments and cost projections for prime contractors on Cowlitz Indian Tribe healthcare benefit projects. Estimates annual claims costs, administrative expenses, and reserve requirements. Develops stop-loss insurance recommendations and financial feasibility studies for self-funded, fully insured, HRA, and hybrid models. Requires Certified Actuary (FSA/ASA) and HIPAA compliance. Delivers a Financial and Actuarial Feasibility Study.

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NAICS: 541611
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RFP: Healthcare Benefits for Members
Solicitation # RFP26.10.003
The Cowlitz Indian Tribe is soliciting proposals under RFP26.10.003 for a qualified healthcare consulting firm to evaluate, design, and recommend a sustainable healthcare benefits program for enrolled Tribal members residing across the United States. The objective is to ensure equitable access to healthcare services regardless of location. The selected consultant will execute a seven-phase project over an anticipated period of six to nine months, covering assessment and discovery, benefit model analysis, actuarial analysis, administrative structure assessment, nationwide access strategies, and the development of a final strategic implementation plan. Proposers must demonstrate at least five years of healthcare consulting experience, with specific expertise in tribal governments, actuarial capabilities, and Indian Health Service systems. Evaluation is based on a weighted scale: Tribal Healthcare Experience (25%), Technical Approach (25%), Healthcare Benefit Design Experience (20%), Financial and Actuarial Expertise (15%), Project Team Qualifications (10%), and Cost Proposal (5%). Strict requirements are in place regarding Tribal Data Sovereignty and HIPAA compliance, with all work products remaining the property of the Tribe. Proposals must be submitted electronically to Amanda Moyer by December 3, 2026, following a specific format that includes an executive summary, firm qualifications, and a detailed cost breakdown.
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