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Member Communications and Enrollment Support

Active
State & Local

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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This subcontract for Member Communications and Enrollment Support involves the design and delivery of member-facing communications for prime contractors working on Washington State Health Care Authority health plan projects. The scope of work includes providing essential benefit information, such as Certificates of Coverage and Summaries of Benefits and Coverage, while managing document cobranding and utilizing member communication portals and document management systems. All deliverables, including notification letters, must comply with WAC 182-08-220 and WAC 182-30-120. The project is categorized under NAICS code 541810 and will be performed across multiple counties. Interested parties should note that the solicitation was posted on October 12, 2026, with a response deadline of January 14, 2027.

General Info

Subcontract for Washington State health plan member communications and enrollment support services.

Place of Performance

Multiple Counties, WA, USA

Set-Aside

NONE

Documents

This scope was carved out of 2025HCA5.

The full solicitation package (18 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Fully-Insured Medical Plans

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Timeline

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Organization & Contact Information

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AgencyWashington → Health Care Authority
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

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Performs design and delivery of member-facing communications for prime contractors on Washington State Health Care Authority (HCA) health plan projects. Provides benefit information including Certificates of Coverage and Summaries of Benefits and Coverage, and manages document cobranding. Utilizes member communication portals and document management systems. Complies with WAC 182-08-220 and WAC 182-30-120. Delivers CoCs, SBCs, and member notification letters.

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More opportunities from Washington → Health Care Authority

Same awarding agency

NAICS: 524114
SLED
Fully-Insured Medical Plans
Solicitation # 2025HCA5
The Washington State Health Care Authority is soliciting proposals for a professional services contract to provide a portfolio of up to three fully-insured medical plans for the Public Employees Benefits Board and School Employees Benefits Board. The contract is scheduled to run from January 1, 2029, through December 31, 2033, with an implementation period beginning no later than January 2028 and the possibility of year-to-year extensions for up to seven additional years. Eligible bidders must be licensed by the Washington State Office of the Insurance Commissioner and maintain at least 10,000 fully insured lives in their Washington book-of-business. The scope includes the design and administration of various plan types, such as HMO, PPO, EPO, or Alternative Payment Models, while adhering to strict statutory risk pool requirements and NCQA Health Outcomes Accreditation. The selection process consists of a two-phase evaluation. Phase 1 utilizes a point-based system focusing on performance standards, cost proposals based on risk-normalized rates, and the breadth of the proposed service area across Washington counties. Finalists proceed to Phase 2, which involves a consensus-based analysis of strengths, weaknesses, opportunities, and risks, incorporating written proposals on AI tools and eligibility systems, compliance with the Bree Collaborative for social determinants of health, contract redlines, and oral presentations. Awardees must comply with rigorous data security standards, including HIPAA, WaTech Category 4 confidentiality requirements, and the provision of SOC 2 Type 2 audits. Additionally, contractors must maintain comprehensive insurance coverage, including professional liability and data breach response insurance for the contract term and three years thereafter.
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POSTED

16 days ago

DEADLINE

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