SCHOOL BOARD OF MARION COUNTY FLORIDA, "AN EQUAL OPPORTUNITY SCHOOL DISTRICT"
Request for Proposal Tabulation Posted: June 9, 2015 Request for Proposal #3543RC
Request for Proposal Title: Group Medical Insurance Date & Time Due: May 14, 2015 @ 2:00 PM Board Date: July 28, 2015
Request for Proposal # 3543RC
Selection Criteria 28 20 27 20 29 15 28 18 30 20 AVG: 28.4 18.6 12 10 13 10 14 8 15 10 15 13 AVG: 13.8 10.2 14 10 13 10 14 5 15 8 15 12 AVG: 14.2 9 9 8 10 10 9 3 10 8 8 10 AVG: 9.2 7.8 9 8 10 10 8 6 9 8 10 10 AVG: 9.2 8.4 9 8 10 5 9 8 10 8 10 10 AVG: 9.6 7.8 5 5 5 5 5 5 5 5 5 5 AVG: 5 5 5 0 5 3 5 0 5 0 5 0 AVG: 5 0.6 SUBTOTAL 100 94.4 67.4 45 30 50 45 45 35 48 42 50 40 AVG: 47.6 38.4 TOTAL 150 142 105.8 1 2
Stability - Financial stability of the Proposer, A.M. Best ratings (if applicable), the number of years in business, etc.
5
References – The input received from references contacted and the relevant experience such references display.
5 10
Reporting and Data Services – Monthly and annual reports of paid claims, quality of experience reports, developing adhoc reports, extent and quality of reports on wellness/disease management, etc. The frequency of reporting and the inclusion of all sample reporting that would be standard for the District. The reporting able to be provided by the online enrollment system. Any additional
costs for reporting will be taken into consideration.
10
Wellness Program and Disease Management Services. This includes such items as breadth of wellness and disease management program and predictive
modeling capabilities, health risk assessment and self-help tools, health coaching, Internet website, attendance at wellness meetings/events. Experience in developing and administering programs, including use of incentives and other methods to encourage participation. In addition, the
position of the full-time, dedicated and local wellness coordinator will be considered.
10
Cost - Although cost will be a major consideration in evaluating proposals, it will not be the only consideration. Cost will include (but not be limited to) disclosure of rates/premiums, retention and claims cost, pooling, provider discounts, cost
guarantees.
30
Coverage - The amounts and breadth of both medical and prescription coverage and extent of out-of-pocket expenses for members, such as: deductibles, co-payments, coinsurance, restrictions or exclusions.
15
Provider and Network Services – The number and types of providers. For medical benefits, the hospitals and number of physicians under contract and the
number of contracted physicians who will accept new patients, and the match-up between current top providers and the network providers proposed. For
pharmacies, the extensiveness of the pharmacy network.
15
Interviews - For those chosen to be interviewed by the District (if interviews are conducted), the quality of the interview and the information provided about the proposal and expectations for service to the District.
50
FINAL RANKING
Scoring Items
Group Medical Insurance
Points UnitedHealthcare Insurance Company
Blue Cross and Blue Shield of
Florida, Inc.
Service/Customer Service and Administration Services - This includes such items as the online enrollment system, enrollment assistance, service responsiveness, communication with District staff on program administration,
quality of billings, Internet website, attendance at District meetings/events, willingness to engage in at-risk performance guarantees, practices dealing with complaints, grievances and satisfaction, etc. Customer service items include IT assistance, practices dealing with complaints, grievances and satisfaction,
SCHOOL BOARD OF MARION COUNTY FLORIDA, "AN EQUAL OPPORTUNITY SCHOOL DISTRICT "
Request for Proposal Tabulation Posted: June 9, 2015 Request for Proposal #3543RC
Request for Proposal Title: Group Medical Insurance Date & Time Due: May 14, 2015 @ 2:00 PM Board Date: July 28, 2015
Request for Proposal # 3543RC
Selection Criteria 25 25 25 28 26 28 30 25 30 30 AVG: 27.2 27.2 24 20 25 22 24 15 20 18 25 23 AVG: 23.6 19.6 18 18 20 20 19 17 20 17 18 15 AVG: 19 17.4 9 8 10 8 10 8 9 8 10 10 AVG: 9.6 8.4 5 5 5 5 5 5 5 5 5 5 AVG: 5 5 5 5 5 5 5 4 4 4 5 5 AVG: 4.8 4.6 5 5 5 3 5 5 5 4 5 5 AVG: 5 4.4 SUBTOTAL 100 94.2 86.6 45 25 45 46 45 40 48 40 45 40 AVG: 45.6 38.2 TOTAL 150 139.8 124.8 1 2 5
Stability - Financial stability of the Proposer, A.M. Best ratings (if applicable), the number of years in business, etc.
5
References – The input received from references contacted and the relevant experience such references display.
5
Coverage - The amounts and breadth of both medical and prescription coverage and extent of out-of-pocket expenses for members, such as: deductibles, co-payments, coinsurance, restrictions or exclusions.
25
Provider and Network Services – The number and types of providers. For medical benefits, the hospitals and number of physicians under contract and the number of contracted physicians who will accept new patients, and the
match-up between current top providers and the network providers proposed. For pharmacies, the extensiveness of the pharmacy network.
20
Service/Customer Service and Administration Services - This includes such items as enrollment assistance, service responsiveness, communication with District staff on program administration, quality of billings, Internet website, attendance at District meetings/events, willingness
to engage in at-risk performance guarantees, practices dealing with complaints, grievances and satisfaction, etc. Customer service items include IT assistance, practices dealing with complaints, grievances and
satisfaction, etc.
10
Reporting and Data Services – The types of reporting available for the District. Any additional costs for reporting will be taken into consideration.
FINAL RANKING
Group Medical Insurance
(Medicare Advantage Plan)
Scoring Items Points Blue Cross and
Blue Shield of Florida, Inc.
Cost - Although cost will be a major consideration in evaluating proposals, it will not be the only consideration.
Interviews - For those chosen to be interviewed by the District (if interviews are conducted), the quality of the interview and the information provided about the proposal and expectations for service to the District.
50 30
UnitedHealthcare Insurance Company
