This Solicitation opportunity from Oklahoma was posted on April 16, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.
The Oklahoma Employee Group Insurance Division (EGID) has issued a solicitation for qualified suppliers to provide Tricare supplement benefits to participants in the OEIBA Program. The solicitation, titled "Tricare RFP" with the number EV00000441, was posted on April 16, 2024, and offers a deadline for responses set for May 20, 2024. The contract is managed by the Oklahoma Office of Management and Enterprise Services, which operates within the State and Local Government Entity (SLED) sector. The procurement seeks vendors capable of delivering Tricare supplement coverage, which is essential for eligible military retirees and their families, enhancing their healthcare options through the OEIBA Program.
Interested suppliers are encouraged to review the detailed solicitation and submit their proposals by the specified deadline. The primary point of contact for inquiries is Egid, reachable via email at [email hidden]. The contract scope and size are not explicitly defined in the provided data, but the process emphasizes selecting qualified providers to support the program’s healthcare benefits. Additional information and the solicitation details can be accessed through the provided online link, ensuring vendors have the necessary resources to participate effectively in this opportunity.
HighAI Summary for Attachment A - TRICARE Supplement Suppliers Solicitation: A request for proposal issued by the Office of Management and Enterprise Services on behalf of EGID for TRICARE Supplement Suppliers. The contract covers Plan Year 2025 (January 1, 2025 – December 31, 2025) with two optional one-year renewals. The document outlines the purpose, identification of the OEIBA Program, census data, and a list of twelve required exhibits for bid submission.
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HighAI Summary for Attachment C - Agency Terms (OMES EGID): This document outlines the Agency Terms for contracts awarded by the Oklahoma Office of Management and Enterprise Services (OMES) on behalf of the Employee's Group Insurance Division (EGID). It specifies critical operational requirements for suppliers, including eligibility transmission protocols, premium accounting and remittance schedules, reporting obligations, and the mandatory notification of significant events. It also details the use of the 'WorkFlow' application for issue tracking and the consequences for reporting failures.
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HighAI Summary for Attachment D - State of Oklahoma Information Technology Terms: This document outlines the standard Information Technology Terms for the State of Oklahoma, specifically regarding the acquisition of IT and telecommunications products and services. It defines key terms such as Customer Data, Personal Data, and Intellectual Property Rights, and establishes rules for the termination of maintenance services, accessibility compliance (VPAT requirements), and media ownership.
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HighAI Summary for Carrier Eligibility Companion Guide v2024.02.29: Technical specifications document version 2024.02.29 prepared by OMES-ISD for Business Associates. It defines the business rules, selection criteria, and data record layouts for weekly incremental and quarterly active eligibility export files for Tricare members and dependents, including detailed field mappings and CSV/Excel formatting requirements.
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HighAI Summary for EV00000441 Bidder Instructions: Bidder Instructions for Solicitation EV00000441 issued by the Oklahoma OMES-EGID on 4/16/2024. The document outlines the submission process for a Request for Proposal (RFP), including key deadlines (response due 5/20/2024, questions due 5/1/2024), communication protocols via the Supplier Portal, and definitions of terms. It specifies that HIPAA terms apply and provides guidance on amendments, administrative reviews, and confidentiality.
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HighAI Summary for EV00000441 - Exhibit 3: OMES Form 076 Responding Bidder Information: A bidder information form (OMES Form 076) for Solicitation #EV00000441. The document collects general company details, contact information, and certifications regarding Israel boycott status, Oklahoma Secretary of State registration, Workers' Compensation insurance, and Disabled Veteran Business Enterprise status.
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HighAI Summary for EV00000441 Exhibit 6 - Premium Quote Submission Form: This document is Exhibit 6 of solicitation EV00000441 for the OEIBA Program PY2025. It provides the required format and instructions for bidders to submit monthly premium quotes for TRICARE Supplement plans, including options for three-tier and four-tier pricing structures. It specifies the inclusion of a $4.477 PMPM administrative cost rate and outlines the timeline for annual renewal rates for 2026 and 2027.
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HighAI Summary for Exhibit 10: Premium Discrepancy Report: A reporting template for the OEIBA Program used by suppliers to document monthly premium discrepancies. The document specifies submission requirements, including a 60-day deadline after premium remittance and electronic delivery to the EGID General Ledger Unit via secure email.
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HighAI Summary for Exhibit 12 - IT Security Certification: A security certification accreditation assessment from the State of Oklahoma – OMES Cyber Command. This document is a mandatory questionnaire for IT-related suppliers to identify and manage risk and obtain an Authority to Operate (ATO). It includes sections for demographics, service-specific security details, and organizational governance.
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HighAI Summary for Exhibit 1 - Instructions for Bid Packet Attachments: Instructional guide providing guidance to suppliers on how and where to attach response documents within the supplier portal for a bid packet submission.
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HighAI Summary for Exhibit 7 - TRICARE Supplement Plan Design (Plan Year 2025): A plan design template for the 2025 plan year requiring suppliers to complete a cost-sharing grid for TRICARE supplement types, including Standard, Extra, Prime, and Reserve/Select. It specifies payment responsibilities between TRICARE, the Supplement, and the Participant for various inpatient, outpatient, and prescription services.
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HighAI Summary for Exhibit 8 - Minimum Required Reporting List (OEIBA Program): This document outlines the minimum required reporting obligations for the OEIBA Program. It specifies the reporting frequency, due dates, submission formats, and designated recipients for operational reports, grievance reports, HIPAA incident reports, premium discrepancy reports, and advertising approval requests. Failure to provide the required data is noted as a potential breach of contract.
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HighAI Summary for Exhibit 9 - Operational Reports (OEIBA Program): This document defines the operational reporting requirements for the OEIBA Program. It includes templates and submission schedules for Monthly Member Services Telephone Assistance (9a), Quarterly Grievance Reports (9b), and Quarterly HIPAA Incident Reports (9c), including specific performance standards for call answer times and abandonment rates.
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LowAI Summary for Attachment B - State of Oklahoma General Terms: This document outlines the general terms and conditions for contracts awarded by the State of Oklahoma through the Office of Management and Enterprise Services (OMES). It defines the scope of contract renewals, the order of precedence for contract documents, procedures for modifications and amendments, and key definitions for acquisitions and bids.
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LowAI Summary for Exhibit 11 - Advertising Approval Request Form: An administrative form and set of guidelines from the Oklahoma Office of Management and Enterprise Services (OMES) Employees Group Insurance Division (EGID). It outlines the requirements and process for suppliers to obtain prior approval for advertising and promotional materials targeting OEIBA Program members, including submission timelines, content restrictions, and a request form.
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LowAI Summary for OEIBB Commercial Carrier Policy (OEIBB-007): This document is the Oklahoma Employees Insurance and Benefits Board (OEIBB) Commercial Carrier Policy (Policy Number: OEIBB-007), approved on 11/16/2023. It establishes guidelines for contracting commercial health, dental, vision, and TRICARE Supplement plans. Key sections include the board's role in negotiations, the formula for determining 'excessive pricing' based on National Health Expenditure (NHE) and loss ratios, and the structure for calculating and collecting administrative fees on a per member per month (PMPM) basis.
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LowAI Summary for OMES Form 004 Non-Collusion Certification: A standard certification form (OMES Form 004) required for competitive bids and contracts exceeding $25,000 with the State of Oklahoma. The document requires the supplier to certify there has been no collusion, no bribery of state officials, and compliance with state laws regarding the employment of former state employees and boycotts of Israeli goods.
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Employee Group Insurance Division (EGID) is seeking qualified Tricare supplement suppliers to offer Tricare supplement benefits to eligible OEIBA Program participants.
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