Hampton Civicplus #27-10/AB

City of Hampton Solicits Fully-Insured Group Medicare Advantage and Part D Plan Administration

The City of Hampton, Virginia, is seeking proposals for the underwriting and administration of a fully-insured group Medicare Advantage program, including a Medicare Part D prescription drug plan, for its Medicare-eligible retirees and their spouses. - Government Buyer: - City of Hampton, Consolidated Procurement Division - Senior Buyer: Alicia Brown - OEMs and Vendors: - Aetna referenced as the current or comparable plan provider - Open to all qualified insurance carriers and administrators experienced in group Medicare Advantage and Part D - Products/Services Requested: - Fully-insured group Medicare Advantage plan with Medicare Part D prescription drug coverage - Coverage for approximately 548 individuals (490 retirees, 58 spouses) - Services include: - Enrollment support and electronic enrollment capability - HIPAA compliance and data sharing with CMS - Benefit booklets and detailed reporting - Wellness and disease management programs - Annual renewal underwriting analysis - Customer service and secure internet access for enrollees - Ability to bill both the City and retirees directly - Unique/Notable Requirements: - Plan design must be comparable to the current Aetna Medicare Advantage PPO plan - Comprehensive responses required on plan features, pricing, transition of care, network access, and administration - Compliance with all CMS and HIPAA standards - Detailed implementation planning and premium projections - Separate accounts for City and retiree billing

Description

The City of Hampton is seeking proposals from qualified offerors to establish a contract to underwrite and administer a fully-insured group Medicare Advantage program, including a Medicare Part D plan. This program is intended for Medicare-eligible retirees and Medicare-eligible spouses of the City of Hampton, Virginia. The solicitation requires sealed proposals and is subject to competitive negotiation provisions under Virginia Code 2.2-4302.2. The contract will cover insurance services related to the Medicare Advantage program.

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