INS Health Actuarial Consultant

* Amendment 2, resulting in Round 3, has been issued to update the Scope of Work to add major types of filings, additional types of filings, usage information, and meeting and email information. Additionally, this amendment is issued to update the Solicitation Closing Date to 03/13/26 and the Inquiry End Date to 03/09/26.*Amendment 1, resulting in Round 2, has been issued to update the Solicitation Closing Date to 03/06/26 and the Inquiry End Date to 02/26/26.The purpose of this RFP is to solicit Proposals for one Contractor to serve as the Agency’s Health Actuarial Consultant.The Ohio Revised Code (R.C.) Chapter 39 requires that all health insurance product Premium Rates be filed by insurance companies, reviewed by actuarial review staff, and, in most cases, approved by the Ohio Department of Insurance. The Ohio Department of Insurance’s Office of Product Regulation and Actuarial Services reviews health insurance product Premium Rates in accordance with actuarial soundness, applicable laws, statutes, and rules. Premium Rate Filings require the review by a qualified health actuary. Due to increased filing workload and a compressed timeframe, the Agency is seeking a Health Actuarial Consultant to review Premium Rate Filings and to complete all Work set forth in the scope of work. The Contractor must not use subcontractors for this Contract.
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Management advisory services
Inquiries Inquiry 82742 | Can you please clarify what is meant by “integration management” as part of the work plan? Is that referring to the integration of Contractor with the Department? | Answer: Integration management refers to the overall coordination and management of all elements of the Work. | Answered: 2/24/2026 Inquiry 82746 | May we propose different hourly rates by labor category (Lead Actuary, Project Manager, Analyst)? | Answer: As detailed in SRC0000034100 Part 5 Cost Proposal.xls, each Offeror must quote an hourly rate for the credentialed actuaries, referred to as the Hourly rate for Health Actuarial Consultant staff. Each Offeror may also quote additional staff rates if desired. | Answered: 2/24/2026 Inquiry 82750 | Is there a current Contractor providing the services described in Part 1– Scope of Work of the RFP? If so, please provide the following information: How long have they been providing these services? What are the fees associated with these services for the past three years? | Answer: There is a current contract for these services. The contract number is CSP906620 and it has been effective since 04/01/2020. Additional contract information can be found on the public contract site (https://ohiobuys.ohio.gov/page.aspx/en/ctr/contract_browse_public) by searching by the contract number. The current pricing is listed in the current contract document on the public site. | Answered: 2/24/2026 Inquiry 82800 | (Cost Proposal Form, Value Added Services’ tab) The Excel worksheet that includes the Value-Added components includes a single cell for the cost of each value-added deliverable. However, the cost associated with a deliverable may differ based on the specific requirements for the Department. Could we input a range instead of a single amount in this field? | Answer: Yes. For the Value Added Services tab, a proposed rate may be listed as a range. An Offeror may also list more than one cost rate for a proposed service. | Answered: 2/25/2026 Inquiry 82804 | (Cost Proposal Form, ‘Cost Proposal’ tab) There is one cell (C10) to input the hourly rate for health actuarial consultant staff. Can we add more rows to include our own categories of actuarial personnel? Or should we enter a blended rate? | Answer: As detailed in SRC0000034100 Part 5 Cost Proposal.xls, each Offeror must quote an hourly rate for the credentialed actuaries, referred to as the Hourly rate for Health Actuarial Consultant staff. Each Offeror may also quote additional staff rates if desired. | Answered: 2/25/2026 Inquiry 82809 | (RFP Section 4.A.) Kindly confirm if the Technical Proposal can be on the Offeror’s letterhead. | Answer: Proposals must be submitted in the format described in Section 4 – Requirements for Proposals. There is not a requirement to utilize Offeror’s letterhead. | Answered: 2/25/2026 Inquiry 82813 | (RFP Section 4.A.) Kindly confirm if the Technical Proposal can be submitted in PDF format. | Answer: Per RFP Section 4(A), the Offeror’s technical proposal must be submitted in Microsoft Word format if possible. Certain forms may be submitted as PDFs. | Answered: 2/25/2026 Inquiry 82962 | For Section i., Staffing Plan and Time Commitment, is it possible for the Project Manager and Lead Actuary roles to be held by the same individual, as long as there are other actuaries and staff on the team? | Answer: Yes, the Project Manager and Lead Actuary can be the same person. | Answered: 2/26/2026 Inquiry 82965 | In Section b. Scope of Work Response, should Offerors insert their responses after each item/section in the Scope of Work, or at the end after the full Scope of Work? | Answer: Per Section 4(A), each Proposal must respond to every request for information in this RFP. The Offeror’s responses should be formatted consistently throughout the Offeror’s Proposal and readily distinguishable from the original RFP. The Contractor may choose to respond after each item/section or consolidate its responses at the end of the Scope of Work. | Answered: 2/26/2026 Inquiry 82969 | In regards to Section o in the RFP and the last tab of the Cost Proposal, could you kindly differentiate between Offeror Best Practices and Innovative/Value-Added Services? If the Offeror will already utilize its best practices in executing the scope, how should the pricing of Best Practices be determined? | Answer: The Additional Innovation or Value-Added Services and Offeror Best Practices sections are described in Section 4(B)(1)(n) and 4(B)(1)(o). Both sections are intended to allow the Offeror to propose services, tools, methodologies, etc. that are not already defined in Part 1 – Scope of Work. | Answered: 2/26/2026 Inquiry 83039 | If Department staff members have been performing the services described in Part 1 – Scope of Work, how many FTEs have been involved? | Answer: There is an existing Contractor for these services. | Answered: 2/26/2026 Inquiry 83043 | Please provide the Department’s current budget or budget range for the services described in Part 1 – Scope of Work. | Answer: Budget information is not available for this solicitation. | Answered: 2/26/2026 Inquiry 83047 | Are the weekly virtual meetings fixed‑length (e.g., 30–60 minutes) and may certain sessions be as‑needed during low‑volume periods? | Answer: Weekly meetings will typically be one hour. Based on volume, meetings may be shorter. The Agency would agree to as-needed meetings during low-volume periods and will establish that schedule with the Contractor. | Answered: 2/26/2026 Inquiry 83079 | Please clarify if the Department plans to review the Contractor’s objection questions before they are posted to SERFF. | Answer: The Agency will initially review the Contractor’s objection questions to ensure that the Agency and the Contractor are aligned on the depth of the review that is needed. After the Contractor understands the Agency’s processes and review approach, less review of the objections will be needed. | Answered: 3/2/2026 Inquiry 83083 | How will filings be allocated among the Contractor and internal staff (e.g., queue assignment rules, prioritization, surge protocols)? | Answer: Filings will be assigned by Type of Insurance (TOI). There will be no overlap of review between the Contractor and the Agency. | Answered: 3/2/2026