Hampton Civicplus #27-10

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

The City of Hampton, Virginia, is seeking proposals for the administration of a fully-insured group Medicare Advantage and Medicare Part D prescription drug plan for its Medicare-eligible retirees and their spouses. - Government Buyer: - City of Hampton, Virginia - Consolidated Procurement Division - Senior Buyer: Alicia Brown - Current Plan and OEMs: - Current provider is Aetna (Aetna MedicareSM Plan (PPO)) - No specific OEMs mandated; Aetna is the incumbent - Products/Services Requested: - Fully-insured group Medicare Advantage program, including Medicare Part D prescription drug coverage - Plan administration services: underwriting, claims processing, customer service, enrollment, network management, compliance, reporting, wellness and disease management - Secure online access for enrollees, direct billing, and electronic enrollment support - Replication of current Aetna plan design is required - Quantities and Coverage: - Estimated 548 covered individuals (490 retirees, 58 spouses) - Unique/Notable Requirements: - Compliance with HIPAA, CMS, and all federal/state regulations - Proposals must be net of broker commissions - Ability to serve enrollees nationwide - Detailed reporting, benefit booklets, and support for transition of care - City reserves right for multiple awards and contract extensions - Period of Performance: - Initial one-year contract with up to four one-year renewal options

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 spouses of the City of Hampton, Virginia. The contract will cover the administration and underwriting of the Medicare Advantage and Part D plans. Proposals must be submitted by the specified deadline and include all required documentation as outlined in the solicitation.

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