Healthcare Benefits Administration

The Corporation for National and Community Service (CNCS) currently has a requirement for Healthcare Benefits Administration for approximately 2,200 AmeriCorps NCCC Traditional and FEMA Corps members annually throughout their service. A Request for Proposal (RFP) shall be solicited using full and open competition procedures. One Firm Fixed-Price (FFP) contract will be awarded for this requirement. The proposed period of performance will be one base year (September 28, 2016 - September 27, 2017) plus four one-year options. The NAICS code associated with this requirement is 524292 - Third Party Administration of Insurance and Pension Funds. This action will be solicited utilizing the best value - trade-off process (FAR Part 15). All terms, conditions, evaluation procedures, and instructions to offerors will be specified in an upcoming Request for Proposal (RFP) that will be posted on this website (www.fbo.gov) no earlier than February 16, 2016 after the posting of this presolicitation synopsis. All interested parties must be registered in the System Award Management (www.sam.gov), prior to submission of proposals. It is the responsibility of the interested parties to independently review the referenced web link (www.fbo.gov) frequently for updates to any and all documents. Potential offerors will be responsible for downloading their copy of the RFP and amendments, if any. STATEMENT OF NEED (Note: A formal Statement of Work will be provided with the RFP) The Government requires Healthcare Benefits Administration for approximately 2,200 AmeriCorps NCCC Traditional and FEMA Corps members annually throughout their service. Services and tasks include but are not limited to: - The staffing, supervision, supplies, services, materials, equipment, facility, information systems, and other infrastructure required to manage the benefits administration to AmeriCorps NCCC Traditional and FEMA Corps members; - Excellent project management and quality controls; - Excellent customer service with qualified, experienced staff in the healthcare field and with the Affordable Care Act (to include an understanding of the workings of the federal and state-based Health Insurance Marketplaces and other health care options available to members); - A Preferred Provider Organization (PPO) or similarly effective network arrangement throughout the United States and United States Territories; - Access to a pharmacy network throughout the United States and United States Territories (with access to an optional mail-order prescription service for maintenance/non-critical medications); - FISMA Compliance and ability to obtain from CNCS, an Authority to Operate (ATO) before production use/'go live' date of the system; - Compliance with the Health Insurance Portability and Accountability Act (HIPPA); - Compliance with all CNCS Personnel Security Policies - specifically, a Public Trust Minimum Background Investigation (MBI) is required for privileged access users (e.g., network administrators, system administrators, database administrators, etc.) and all individuals who have access to member Personally Identifiable Information (PII) such as claims analysts and customer service representatives; - Quality administrative services through a cost competitive strategy which may include: -Multiple Preferred Provider Organizations (PPOs) or Networks; -Wrap Service Nets; -Negotiation of Claims (for claims over a certain threshold amount); -Coordination of medical and pharmacy benefits. - All other requirements as outlined in this Statement of Work.