Medicare Supplement and Part D Pharmacy Insurance

The contract establishes a fully insured arrangement for Volusia County and its participating agencies to provide Medicare Supplement Plans and Medicare Part D Employer Group Waiver Plans (EGWP) for eligible Medicare retirees and their spouses. Effective January 1, 2027, the contractor will administer these County-sponsored health benefits, maintaining separate eligibility records and reporting distinct participation by agency. While Medicare-eligible retirees and dependents under 65 may remain on the self-funded plan, those 65 and older must enroll exclusively in the County's Medicare plans. Administration responsibilities, including eligibility, enrollment, and billing, lie with the County's Third Party Administrator (currently WEX). This contract spans an initial five-year term with a possible five-year renewal, and contract performance is designated within Volusia County, Florida, with all deliveries or services provided FOB Destination. Proposals are evaluated based on firm and employee qualifications, project methodology, functional performance, and total cost, emphasizing best value rather than lowest price alone. The contractor must meet rigorous requirements including supervision of personnel, use of E-Verify for all hires, compliance with a drug-free workplace policy, and carry specified insurance policies such as professional liability, cyber insurance, and general liability naming the County as additional insured. Contractual obligations include adherence to all applicable federal, state, and local regulations, with inspection and acceptance occurring at the Volusia County destination. Payment terms specify invoice submission to the County Project Manager and payment within 45 days, subject to annual legislative appropriations. The County requires transparency and compliance through certifications affirming no disqualification based on federal or state exclusions and scrutinized company listings. Submission of electronic proposals must occur via the County’s eProcurement Portal by May 11, 2026. While pricing details are referenced in exhibits not provided here, a current cost benchmark indicates approximately $971 per enrollee per month as a baseline measure.