Medicare Advantage Plan

Metro Nashville Public Schools is seeking strategic partners for its Medicare Advantage Plan through solicitation MNPS000061 to enhance healthcare services and foster a competitive market. The procurement involves providing Medicare Advantage PPO and HMO plans, including Part D prescription drug coverage, for a retiree population totaling 3,499 members. The solicitation process includes detailed requirements for pricing options, such as aligning with current plan designs or removing specific medical deductibles, and is supported by extensive data on claims utilization, provider networks, and formulary disruption. The resulting agreement is governed by the laws of the State of Tennessee and requires strict adherence to HIPAA, FERPA, and COPPA regulations to protect sensitive health and student information. Key contractual obligations include mandatory criminal background checks for personnel, comprehensive cyber and privacy insurance, and a commitment to non-discrimination. Payments are processed via ACH based on purchase orders, with all deliverables subject to inspection and acceptance at the destination. The contract also includes standard provisions for termination, indemnification, and a one-year warranty on goods and services.