This Solicitation opportunity from Kansas was posted on May 24, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.
The Kansas Department of Administration has issued a solicitation for the SEHBP Medicare Supplemental contract, aimed at providing additional health benefits to state employees enrolled in Medicare. The project is expected to have a contract value ranging from five million to fifteen million dollars. The solicitation was posted on May 24, 2024, with a response deadline of June 26, 2024. The contract falls under the NAICS code 541611, which pertains to Administrative Management and General Management Consulting Services, indicating a focus on specialized health benefit management services. The primary point of contact for this solicitation is Bonnie Edwards, a government official, who can be reached via email or phone for further inquiries. This initiative is part of the state's broader effort to enhance health benefit offerings for eligible employees, ensuring comprehensive Medicare support through a structured contractual arrangement. Interested vendors can access additional details and submit responses through the provided online portal.
HighAI Summary for 17300-EVT0009757 SEHBP Medicare Supplemental: Request for Proposal (RFP) issued by the Kansas Department of Administration for the State Employee Health Benefit Plan (SEHBP) Medicare Supplemental. The solicitation (Event ID 17300-EVT0009757, Version 4) specifies a submission deadline of June 26, 2024. Key requirements include official invitation to the event, a current Kansas Tax Clearance Certificate, and guidelines for the Bidder Preference Program.
PDF
PDF, High priority: read this firstamendment
HighAI Summary for EVT0009757 - Amendment One: SEHBP Medicare Supplemental: Amendment One for Event EVT0009757, issued June 15, 2024, by the Kansas Department of Administration for the SEHBP Medicare Supplemental procurement. This document provides formal answers to 20 vendor questions regarding retiree medical subsidies, census data, claims data availability, and submission instructions. It clarifies that the closing date is June 26, 2024, at 2:00pm CST, and that the preferred delivery method is email.
DOCX
DOCX, High priority: read this firstspecifications
HighAI Summary for Exhibit 2A - Cost Proposal: This document is a cost proposal template (Exhibit 2A) for Medicare Supplement Plans (Plans C, G, and N) for the SEHP. It requires vendors to provide composite group fully-insured premium rates for 2025, 2026, and 2027, including options for 'Select' narrow networks and additional plan alternatives. It includes rate quote tables and a signature block for vendor acknowledgment.
XLSX
XLSX, High priority: read this firstspecifications
HighAI Summary for Exhibit 2B - Rate Illustration: A rate illustration template (Exhibit 2B) used for pricing proposals. It includes fields for monthly and annual premiums, claims, pooling levels, PMPM rates, and administrative charges across various plan types (Plan C, Plan G, Plan N).
DOCX
DOCX, High priority: read this firstspecifications
HighAI Summary for Exhibit 3 - Confidential Information: This document is an exhibit to an RFP requiring vendors to provide confidential business information, including SSAE reports, audited financial statements, insurance declaration pages, and disclosures regarding legal issues or organizational changes. It outlines the requirements for protecting such information under the Kansas Open Records Act.
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XLSX, High priority: read this firstspecifications
HighAI Summary for Exhibit 4 - Census as of March 1, 2024: A census data exhibit dated March 1, 2024, detailing Medicare member demographics. The document contains a member list with attributes including department type, account type, member type, state, county of residence, age, postal code, medical and pharmacy plan codes, gender, and benefit program codes.
XLSX
XLSX, High priority: read this firstspecifications
HighAI Summary for Exhibit 6 - Medicare Supplement Claims Data File Layout: This document provides the detailed technical data file layout for Medicare Supplement Claims. It specifies the business names, data types (e.g., Char, Numeric), field lengths, and source identifiers for claim-level and member-level data, including provider and patient information, billing amounts, and diagnostic codes.
XLSX
XLSX, High priority: read this firstspecifications
HighAI Summary for Exhibit 7 - MAP Carrier File Layout: Technical data specification detailing the file layout for MAP Carrier enrollments for the State of Kansas. It defines the record structures for Header, Detail, and Trailer records, including field lengths, start/end positions, data types, and valid value codes for benefit programs and coverage levels.
XLSX
XLSX, High priority: read this firstspecifications
HighAI Summary for Exhibit 8 - Performance Guarantee STD Reporting Format (State of Kansas): This document is a reporting template for the State of Kansas's State Employee Health Plan (SEHP) for 2025. It outlines specific performance guarantees and reporting requirements for account management, including response times for calls and emails, participant inquiry resolution, and liquidated damages for non-compliance.
DOCX
DOCX, High priority: read this firstcontract-document
HighAI Summary for Kansas State Employee Health Plan Medicare Supplement Insurance Contract: A contract template between the Kansas State Employees Health Care Commission (HCC) and a Contractor to provide Medicare Supplement Insurance for the Kansas State Employee Health Plan for the years 2025, 2026, and 2027. The document outlines the term of the contract, payment terms, overpayment recovery, record retention, and the precedential order of contract documents.
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XLSX, High priority: read this firstspecifications
HighAI Summary for Medicare Member Enrollment Census - June 2024: A census data file of Medicare member enrollments as of June 2024. The document contains detailed member demographics, including department type, account type, member type, geographic location (state/county/postal code), gender, age, and specific plan descriptions (Medicare Supplemental and Medicare Advantage).
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PDF, High priority: read this firstrfp
HighAI Summary for RFX0002388 - SEHBP Medicare Supplemental: Request for Proposal (RFP) issued by the Kansas Department of Administration, State Employee Health Benefit Plan for SEHBP Medicare Supplemental services. The contract period is from January 1, 2025, through December 31, 2027. The solicitation was posted on May 24, 2024, with a closing date of June 26, 2024. The document includes a signature sheet, tax clearance instructions, immigration reform certifications, and state policies regarding sexual harassment.
XLSX
XLSX, Low priorityother
LowAI Summary for Exhibit 5A - Senior Plan Aggregated Claims Summary 2022: An aggregated claims summary report for a Senior Plan covering the period from 01/01/2022 through 12/31/2022, provided by Blue Cross and Blue Shield of Kansas. The document includes a data table showing billed, allowed, and paid amounts across different lines of business (Inpatient, Outpatient, Pharmacy, Professional) and the SQL query used to generate the report.
XLSX
XLSX, Low priorityother
LowAI Summary for Exhibit 5B - Senior Plan Aggregated Claims Summary 2023: An aggregated claims summary report for a Senior Plan for the period of 01/01/2023 through 12/31/2023, provided by Blue Cross and Blue Shield of Kansas. The document includes a data table showing billed, allowed, and paid amounts across Inpatient, Outpatient, and Professional lines of business, as well as the SQL query used to generate the report.
XLSX
XLSX, Low priorityother
LowAI Summary for Monthly Med Sup Enrollment for 2023: A data spreadsheet containing monthly Medicare Supplement enrollment figures for the year 2023, broken down by plan type (Senior Plan C, C Select, G, G Select, and N) with associated contract and member counts.
XLSX
XLSX, Low priorityq-and-a
LowAI Summary for Question Submission Format: A template provided for vendors to submit questions regarding the RFP, including columns for question number, RFP section, the question itself, page reference, and a space for the agency response.
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Solicitation
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