This Solicitation opportunity from Michigan was posted on June 25, 2025. The submission period has ended. Browse the details below for market research, or find similar active opportunities.
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HighAI Summary for Hybrid Contract Terms - State of Michigan: A hybrid contract agreement between the State of Michigan and a Contractor, effective April 1, 2026, through September 30, 2029. The document outlines duties of the contractor, notice requirements, administrative roles, performance guarantees, intellectual property rights, and software licensing terms.
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HighAI Summary for RFP 250000002305 - Schedule B Pricing: This document is the Schedule B Pricing template for RFP 250000002305. It outlines the requirements for bidders to provide a three-year pricing proposal (October 1, 2026, to September 30, 2029), including administrative fees (PCPM), claims cost averages based on Schedule M, and implementation credits. It includes membership assumptions for approximately 203,966 members and requires a modifiable format for submission.
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HighAI Summary for RFP 250000002305 - Schedule C Insurance Requirements: This document is Schedule C of RFP No. 250000002305 for Vision Insurance Administration Services. It outlines the mandatory insurance requirements for the contractor, including minimum coverage limits for Commercial General Liability, Automobile Liability, Workers' Compensation, Cyber Liability, Crime, and Professional Liability insurance. It also specifies requirements for insurer ratings, additional insured endorsements for the State of Michigan, and the process for submitting proof of insurance.
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HighAI Summary for RFP 250000002305 - Schedule F Plan Design: This document is Schedule F of RFP No. 250000002305 for Vision Insurance Administration Services. It details the specific plan design, including coverage levels, co-pays, and allowances for routine vision, computer glasses, and safety eyewear for participating and non-participating providers, as well as a comprehensive list of plan exclusions.
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HighAI Summary for RFP 250000002305 - Schedule G Section 2 Software Table: A technical software requirements table for RFP No. 250000002305. The document requires bidders to provide detailed specifications for software solutions, including user portals, claim processing systems, scalability, latency response times, mobile responsiveness, and access control/authentication.
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HighAI Summary for RFP 250000002305 - Schedule J Service Availability Report: A bidder instruction template for RFP 250000002305, specifically Schedule J. It requires bidders to report monthly service availability performance for proposed software from 2023 through 2024, with a requirement of 99.98%. It includes fields for corrective actions in the event of service failures and calculates annual averages for evaluation purposes.
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HighAI Summary for RFP 250000002305 Schedule L - Disruption Analysis: This document is Schedule L (Disruption Analysis) for RFP No. 250000002305 (2025 MCSC Vision). It provides a structured template for contractors to analyze provider and member disruption for both active and retiree populations, including a detailed provider data table with NPIs and member counts to determine in-network versus out-of-network percentages.
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HighAI Summary for RFP 250000002305 - Schedule M Claims Repricing: This document is Schedule M (Claims Repricing) for the 2025 MCSC Vision RFP No. 250000002305. It provides a detailed pricing matrix and cost/claims data for Calendar Year 2023 (CY23) and 2024, requiring bidders to enter network reimbursement rate fee schedules for specific procedure codes, including routine exams, frames, and lenses.
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HighAI Summary for RFP 250000002305 - State Vision Insurance Plan Administration Services: Request for Proposal (RFP) issued by the Michigan Department of Technology Management and Budget for State Vision Insurance Plan Administration Services. The document outlines the procurement timeline, proposal preparation instructions, required documentation (Schedules A-M), submission guidelines via SIGMA VSS, and mandatory minimum requirements for licensed TPAs or insurance companies. Proposal deadline is July 30, 2025.
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HighAI Summary for RFP 250000002305 - Vision Insurance Administration Services SOW: Statement of Work for RFP No. 250000002305 regarding the administration of the State Vision Plan for the Michigan Civil Service Commission (MCSC). The document outlines requirements for an Administrative Services Only (ASO) provider to manage benefits for approximately 204,000 members. The contract period is from April 1, 2026, through September 30, 2029, with an implementation phase starting upon award. Key requirements include TPA licensure in Michigan, financial reporting, transparency in pricing, and compliance with the Social Security Number Privacy Act.
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HighAI Summary for RFP No. 250000002305 - Schedule H GeoAccess: This document is a GeoAccess analysis schedule for the 2025 MCSC Vision RFP No. 250000002305. It requires bidders to identify their network coverage across Urban, Suburban, and Rural zip codes for Optometrists, Ophthalmologists, and Retail Locations to determine the percentage of member access.
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HighAI Summary for RFP No. 250000002305 - Schedule K Sample Invoice: This document provides sample invoice templates for the State Vision Plan under RFP No. 250000002305. It includes standardized formats for summary claims invoices across various groups, including Active State Employees, COBRA, Lasik, Safety, VDT, and several retirement systems (SERS, SPRS, MRS, and JRS), specifying required fields such as Group ID, Subgroup ID, and benefit level breakdowns.
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HighAI Summary for Schedule D - Service Level Agreement for Hybrid Purchases: This document is a Service Level Agreement (SLA) for hybrid purchases, detailing the performance requirements for Hosted Services. It defines critical metrics including an Availability Requirement of 99.98%, software response time thresholds (less than 2 seconds for 98% of transactions), and protocols for scheduled downtime and service availability reporting.
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HighAI Summary for Schedule E - Data Security Requirements for Hybrid Purchases: This document outlines the data security and privacy requirements for contractors providing hybrid hosted services. It defines key terms, establishes the role of the Contractor Security Officer, and mandates compliance with State IT Policies, Standards and Procedures (PSPs), FedRAMP authorization, FISMA, and NIST Special Publication 800-53 MOD Controls.
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HighAI Summary for Schedule I HIPAA 834 File Layouts: Technical specifications for the HIPAA 834 Benefit Enrollment and Maintenance electronic data interchange (EDI) file layout. The document defines segment lengths, identifiers, and data mapping for transaction sets, including control headers, transaction set headers, and sponsor/payer identification codes.
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DOCX, Low prioritycontract-document
LowAI Summary for Exhibit 2 to Schedule E: HIPAA Business Associate Agreement: A HIPAA Business Associate Agreement (BAA) between the State of Michigan State Vision Plan (Covered Entity) and a Contractor (Business Associate). The document outlines the legal obligations for protecting Protected Health Information (PHI) in compliance with HIPAA and the HIPAA Rules, including requirements for safeguards, breach reporting, and data retention.