This Solicitation opportunity from Texas was posted on May 23, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.
Hays County is seeking proposals from qualified insurance providers to establish comprehensive employee health, dental, and employee assistance plans, with the goal of implementing these benefits starting January 1, 2025. The county aims to offer a robust benefits package that includes medical, pharmacy, dental, and wellness or assistance services, emphasizing the importance of plan design, network options, and value-added services to ensure competitive and stable long-term financial performance. The open enrollment period is scheduled to begin on October 1, 2024, providing prospective vendors an opportunity to tailor their proposals accordingly. The county is particularly interested in partnering with insurers capable of delivering a comprehensive benefits solution that aligns with their financial and employee well-being objectives, although the contract does not cover banking for Health Savings Accounts.
The solicitation, titled RFP 2024-P11, was posted on May 23, 2024, with a response deadline of June 17, 2024. The contract size is estimated to range between five and twenty million dollars, reflecting the scope and scale of the benefits program. Interested vendors can contact Stephanie Hunt via email or phone for further details, and additional information about the solicitation is available through the Texas SmartBuy portal. The county’s focus remains on selecting a partner capable of providing a competitive, comprehensive, and sustainable employee benefits package to support its workforce needs.
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HighAI Summary for Attachment J - Dental PPO and DHMO Disruption Information: A data report detailing Dental PPO disruption for the County of Hays, covering the period from 4/1/2021 to 3/31/2024. The document lists top providers by paid amount, including NPIs, specialties, and utilization metrics (claim and procedure counts) to analyze network access and potential disruption.
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PDF, High priority: read this firstamendment
HighAI Summary for GA-912772AL Amendment No. 6 - County of Hays: Amendment No. 6 to Group Policy No. GA-912772AL between UnitedHealthcare Insurance Company and the County of Hays, effective January 1, 2024. The document replaces the 'Schedule of Benefits' and outlines Specific and Aggregate Excess Loss Insurance terms, including a $200,000 specific deductible per person and a $1,000,000 maximum aggregate benefit.
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PDF, High priority: read this firstspecifications
HighAI Summary for Hays County PY 2024 Retiree Medical and Dental Premiums: This document outlines the Plan Year 2024 medical and dental premium rates for Hays County retirees. It provides detailed cost breakdowns for United Healthcare Choice Plus (Plan 1), Choice (Plan 2), and High Deductible Health Plan w/ HSA (Plan 3), categorized by retiree service years and coverage tiers. It also includes Dental PPO and Texas DHMO rates and specifies a $30 monthly Tobacco User Fee.
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PDF, High priority: read this firstamendment
HighAI Summary for Hays County & United Healthcare 2024 Medical Renewal Amendment: Financial Renewal and Terms Amendment effective January 1, 2024, between Hays County and United HealthCare Services, Inc. This document updates the Administrative Services Agreement for the 2024 plan year, specifically addressing the Prescription Drug List (PDL), medical fees, wellness allowances ($35,000), and payment integrity services. It includes a detailed fee schedule and updated language regarding pharmacy benefit services.
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PDF, High priority: read this firstspecifications
HighAI Summary for RFP 2024-P11 Attachment G - Hays County Structure: Attachment G for RFP 2024-P11 regarding Employee Group Health, Dental, and Employee Assistance Plans. The document provides a detailed structural table of plan options for the County of Hays, including effective dates, contract numbers, product codes, and specific plan names for Active, CAD, COBRA, Retirees, and Surviving Spouses groups.
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XLSX, High priority: read this firstspecifications
HighAI Summary for RFP 2024-P11 Attachment L - Rx Usage for Disruption and Pricing: This document is Attachment L for RFP 2024-P11 (Employee Group Health, Dental, and Employee Assistance Plans). It contains detailed prescription drug usage data for the period of April 2023 through March 2024, including drug names, National Drug Codes (NDC), pricing, and claim details used for disruption analysis and pricing.
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PDF, High priority: read this firstrfp
HighAI Summary for RFP 2024-P11 Employee Group Health, Dental, and Employee Assistance Plans: Request for Proposal (RFP 2024-P11) issued by the Hays County Purchasing Office on May 23, 2024, for Employee Group Health, Dental, and Employee Assistance Plans. The solicitation seeks a three-year initial contract term (August 2024-August 2027) with two optional two-year renewals. Proposals are due by June 17, 2024, at 10:00 a.m. CT. The document includes a submittal checklist, specifications, evaluation criteria, and various certification forms.
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XLSX, High priority: read this firstrfp
HighAI Summary for RFP 2024-P11 Employee Group Health & Dental Plan - Attachment A: Attachment A for RFP 2024-P11 regarding Employee Group Health & Dental Plan. This document contains the mandatory response forms, including a signature page, a detailed checklist of 24 proposal specifications (agree/disagree), and a section for exceptions to the RFP. It serves as a critical submission requirement for vendors to be deemed responsive.
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LowAI Summary for Attachment B - Hays County Census (April 2024): A census data list for Hays County dated April 2024, containing personal identifiable information (PII) such as names, addresses, dates of birth, and insurance subscriber/recipient status for employees and their dependents.
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PDF, Low priorityspecifications
LowAI Summary for Attachment D.3 - Large Loss Claim Payments CY 2021-March 2024: A detailed report of large loss claim payments for Calendar Year 2021. The document contains a filtered list of medical and managed pharmacy benefit payments exceeding $50,000 under an Administrative Services Only (ASO) funding arrangement, including claimant details, policy numbers, and payment amounts.
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XLSX, Low prioritysupporting-documents
LowAI Summary for Attachment I - Additional Supporting Claims and Enrollment Information: An Excel-based report containing historical membership and payment data for policy number 000912772. It includes monthly breakdowns of enrollment (active and retired status) and benefit payments (medical, pharmacy, and dental) from April 2021 through March 2024.
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LowAI Summary for County of Hays 2024 Dental Renewal: Renewal document issued on September 22, 2023, for the County of Hays dental insurance effective January 1, 2024. It details plan benefits, premiums, and ASO fees for a Passive PPO plan provided by United Healthcare Services, Inc. and a DHMO plan provided by National Pacific Dental, Inc., including specific coverage percentages, deductibles, and annual maximums.
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LowAI Summary for County of Hays - Aggregate Stop-Loss Reports (2021-2022): Financial reports from UnitedHealthcare for the County of Hays regarding Aggregate Stop-Loss (ASL) liability estimates. The document includes monthly liability calculations, claims expenses, and member counts for policy years 2021 and 2022.
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LowAI Summary for County of Hays - Provider Utilization Report for Disruption: A Provider Utilization Report for the County of Hays (Policy 912772) covering process dates from 4/1/2023 to 3/31/2024. The document contains detailed medical provider data, including NPI numbers, TINs, and utilization metrics (claims, claimants, and eligible amounts) intended specifically for disruption analysis.
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LowAI Summary for Hays County EAP and Work-Life Utilization Report (Oct-Dec 2022): Utilization report for Hays County's Employee Assistance Program (EAP) and Work-Life services for the period of October 1, 2022, to December 31, 2022. The document provides an executive summary of case counts, utilization percentages compared to benchmarks, and detailed demographic breakdowns by age, gender, and client type. It includes specific data on clinical issues, counseling modalities, and web usage.
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LowAI Summary for Hays County SBCs 2022-2024 - UnitedHealthcare Choice Plus Plan 1: Summary of Benefits and Coverage (SBC) for the UnitedHealthcare Choice Plus Plan 1 for Hays County (2022-2024). The document outlines cost-sharing details, including deductibles, out-of-pocket limits, and copayments for network and out-of-network medical services and prescription drugs.
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PDF, Low priorityinvoice
LowAI Summary for Invoice 956805911733 - County of Hays: Invoice dated March 14, 2024, for the County of Hays, covering the period from January 1, 2021, to March 31, 2024. The total amount due is $285,585.03, with a due date of April 1, 2024. The document details charges for various health and dental plans (ASO, DHMO, PPO) across active employees, retirees, COBRA, and CAD categories.
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LowAI Summary for Invoice 956805911733 - County of Hays: An invoice dated March 14, 2024, from UHS Premium Billing to the County of Hays for health and dental insurance coverage. The total amount due is $285,585.03, covering the period from January 1, 2021, to March 31, 2024. The document includes a detailed breakdown of charges based on employee counts for various ASO and Dental plans.
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LowAI Summary for PY 2024 Funded Insurance Rates: This document outlines the 2024 medical, dental, and vision funding rates for Hays County. It provides detailed premium breakdowns for various United Healthcare plans, including Choice Plus, Open Access Plus, and High Deductible plans, specifying total monthly premiums, county contributions, and employee payment amounts.
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Hays County (County) is seeking proposals from qualified companies to provide Employee Health, Dental and Employee Assistance Plans. The County is looking for a comprehensive package to include Medical, Pharmacy, Dental, and Employee Wellness/Assistance Plan. The County is fully committed to implementing the chosen plans effective January 1, 2025, with open enrollment starting October 1, 2024. It is our intent to evaluate any combination of plan designs, networks, and services, as well as value added services, and is looking to partner with insurance companies who can help us to achieve competitive long term and stable financial success whilst offering a very robust benefits package. This does not include banking for the Health Savings Account.
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