8 Attachment A Regional Bid Designation – Attachment B Network Access – Attachment C Repricing Layout – Attachment D Repricing Service Category – – Attachment E Repricing - Providers – Attachment F Repricing Contract Types – – Attachment G Contract Improvements – Attachment H Market Pricing – Attachment I ASO Fees – Attachment J Capitation – Attachment K Self Insured Projection – Attachment L Actuarial Certification – 1 The purpose of this Request for Proposal (RFP) is to provide interested and qualified health benefits plan administrative Vendors with information to prepare and submit competitive Proposals to provide third party administrative services for the State of Wisconsin Group Health Insurance Program (GHIP) and the Wisconsin Public Employer (WPE) program for local government employees, managed by the Wisconsin Department of Employee Trust Funds (Department). This RFP details the procedures the Proposer must follow to submit a Proposal. The Contract will be administered and managed by the Department, with oversight by the State of Wisconsin Group Insurance Board (the This RFP document and the awarded “Board”). Proposer’s (Contractor’s) Proposal response shall be incorporated into the Contract by reference. The Department administers retirement, health, life, long-term disability, income continuation, and long-term care insurance programs for over 570,000 State and local government employees and annuitants. Health Insurance Program The GHIP/WPE programs, primarily fully-insured health plans administered by the Department and 18 contracted health plans, are for the employees of 58 State agencies, the State of Wisconsin Legislature, the University of Wisconsin (UW) System, the University of Wisconsin
8 Attachment A – Regional Bid Designation Attachment B – Network Access Attachment C – Repricing Layout Attachment D – Repricing – Service Category Attachment E – Repricing - Providers Attachment F – Repricing – Contract Types Attachment G – Contract Improvements Attachment H – Market Pricing Attachment I – ASO Fees Attachment J – Capitation Attachment K – Self Insured Projection Attachment L – Actuarial Certification 1 The purpose of this Request for Proposal (RFP) is to provide interested and qualified health benefits plan administrative Vendors with information to prepare and submit competitive Proposals to provide third party administrative services for the State of Wisconsin Group Health Insurance Program (GHIP) and the Wisconsin Public Employer (WPE) program for local government employees, managed by the Wisconsin Department of Employee Trust Funds (Department). This RFP details the procedures the Proposer must follow to submit a Proposal. The Contract will be administered and managed by the Department, with oversight by the State of Wisconsin Group Insurance Board (the “Board”). This RFP document and the awarded Proposer’s (Contractor’s) Proposal response shall be incorporated into the Contract by reference. The Department administers retirement, health, life, long-term disability, income continuation, and long-term care insurance programs for over 570,000 State and local government employees and annuitants. Health Insurance Program The GHIP/WPE programs, primarily fully-insured health plans administered by the Department and 18 contracted health plans, are for the employees of 58 State agencies, the State of Wisconsin Legislature, the University of Wisconsin (UW) System, the University of Wisconsin
RFP_ETG0003.docx