Student Health Plan Enrollment Administrative Services
| Agency: | Iowa State University |
|---|---|
| State: | Iowa |
| Type of Government: | State & Local |
| NAICS Category: |
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| Posted Date: | Jan 4, 2024 |
| Due Date: | Jan 8, 2024 |
| Solicitation No: | RFQ-1000891 |
| Bid Source: | Please Login to View Page |
| Contact information: | Please Login to View Page |
| Bid Documents: | Please Login to View Page |
Bid Information
|
Contact Information
|
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RFQ-1000891
Student Health Plan Enrollment Administrative Services
Issue Date: 12/4/2023
Questions Deadline: 12/14/2023 10:00 AM (CT)
Response Deadline: 1/8/2024 10:00 AM (CT)
Contact Information
Contact: Stacy Sassman
Address: Procurement Services
1340 Administrative Services Building
2221 Wanda Daley Drive
Ames 50011-1004
Phone: (515) 294-9390
Email: ssassman@iastate.edu
Page 1 of 25 pages
Deadline: 1/8/2024 10:00 AM (CT)
RFQ-1000891
Event Information
Number:
RFQ-1000891
Title:
Student Health Plan Enrollment Administrative Services
Type:
Request for Proposal (Public)
Issue Date:
12/4/2023
Question Deadline: 12/14/2023 10:00 AM (CT)
Response Deadline: 1/8/2024 10:00 AM (CT)
Notes:
Iowa State University of Science and Technology (ISU) is soliciting information from
qualified contractors to provide the goods and/or services described herein.
Contractors should read all materials carefully and note the due date.
Contractors must submit all questions in the "Questions" tab related to this bid
opportunity.
Bid responses will ONLY be accepted online via ISUBid. Please allow adequate
time to review and submit your response prior to the deadline.
Bid Attachments
ISU Instructions.pdf
Download
Review the instructions for important information. REVISED APRIL 2022
ISU General Terms & Conditions.pdf
Download
Review the general terms and conditions carefully and any exceptions should be listed in the "Attributes" section.
REVISED APRIL 2022
Insurance Language - Professional Services & Software Dev (On Campus) 09-
2021.pdf
Download
Insurance Requirements - Professional Services & Software Dev (On Campus) 09-2021.pdf
Bid Attributes
1 Evaluation Criteria
The evaluation of this RFP/RFQ may be based upon, but not limited to:
Quality of services provided including service model, enrollment process, waiver process, and
communications
Ability to meet University's IT requirements and integrations
Quality of customer and student support offered
Contractors experience providing like services, especially with similar higher education institutions
Ease of use of enrollment software and process
Implementation support and timeline
Total cost to the University
Knowledge, experience and support of designated account staff
Demonstrated ability to provide quality services as evidenced by references
Read and understood
(Required: Check if applicable)
Page 2 of 25 pages
Deadline: 1/8/2024 10:00 AM (CT)
RFQ-1000891
2 Term of the Contract
The initial term of the contract will begin upon the effective date of the awarded contract through December 31,
2026. The contract may be renewed for five additional one-year periods upon mutual written consent.
Companies may present pricing incentives for renewals that are longer than one-year in the Line Items tab.
3 Company Presentations
The University reserves the right to request an on-site or virtual presentation of the proposed services and system
offered in response to this RFP. No date has been set for presentations.
4 Background
In early 2022 University Human Resources (UHR) conducted a review of the Student & Scholar Health Insurance
Program (SSHIP). The intent of the review was to evaluate the following and offer recommendations for change or
enhancement where appropriate:
Does the SSHIP offering maintain a broad enough range of benefits to support the university student
demographic?
Is the plan appropriately priced based on the plan specific utilization and expense loads and in comparison,
to plans available in the open market?
Do marketing materials and university communications promote an understanding of the benefits within the
plan and the processes involved with waiving and enrolling in the plan.
Do the services provided at Thielen Student Health Center complement SSHIP adequately?
Are the students and university administration pleased with the services provided by their plan administration
partners
From this review the following recommendations were made regarding enrollment and the waiver process:
As it pertains specifically to the Wellmark enrollment website, while the process is streamlined, we find that students
are often confused by the terminology and functionality of insurance carrier-based websites. It was recommended
that we contract with a third-party eligibility administrator who specializes in SSHIP to automate and administer the
enrollment process.
Further, the waiver submission process is manual and cited by ISU staff as a priority for improvement. Waiver
applications are reviewed by an ISU staff member, notice of waiver approval or denial is emailed to the student in
approximately two weeks.
Page 3 of 25 pages
Deadline: 1/8/2024 10:00 AM (CT)
RFQ-1000891
5 Requested Services
UHR is requesting proposals from companies to provide enrollment administrative services including
communications and waiver support for our SSHIP program. The selected vendor would provide an enrollment
portal for both mandatory and voluntary SSHIP members. The vendor would assist with all communications
regarding open enrollment and other periods where students could/would enroll in SSHIP. We are also expecting
this vendor to support all aspects of the SSHIP waiver process as well as supporting enrollment of Visiting Scholars.
This vendor should be able to support a hard waiver process if the University ever elects to move in this direction.
Other specific services we are interested in:
Assist ISU and Wellmark with a solution for emergency medical evacuation, medically advisable repatriation,
and repatriation of remains.
Support Visiting Scholars on a month-to-month basis to accommodate their being on campus outside the
standard semester Institution. Visiting Scholars will have the flexibility to enroll and pay on a monthly basis.
Administer / manage a waiver program for students who have a mandatory insurance requirement (e.g.,
international, and medical students). Vendor will monitor, maintain, and audit the insurance waiver process.
The waiver process will allow students to submit their personal insurance for review and possible exemption if
their policy meets predetermined guidelines.
Accept enrollment lists for individual enrollment
Provide as needed support to students including, but not limited to fielding student insurance inquiries year
round; providing insured students and their dependents with proof of insurance coverage; ensure students
understand plan and benefits by providing student orientation and educational efforts
If requested, participate in / attend outreach events (e.g., student orientations, etc.) to explain and promote
the plan. Contractor will help market the plan to students and will provide orientation videos for the students.
Provide and maintain a website for domestic students and international students. The student websites will
allow students to obtain information about the policy, enroll in the plan, find a physician, among other things.
The websites must provide enrollment links for dental and other plan options.
6 Company Information and Background
7 Company Overview
Provide a brief company profile including date of incorporation, business composition (proprietorship,
partnership or incorporation), the state under which your business is organized, and any other
pertinent information that can be used to evaluate the proposal.
(Required: Maximum 1000 characters allowed)
8 Provide a brief description of your core business.
(Required: Maximum 1000 characters allowed)
9 What is the total number of employees at your firm and the total number of employees engaged in
Student Health Plan enrollment administration?
(Required: Maximum 1000 characters allowed)
Page 4 of 25 pages
Deadline: 1/8/2024 10:00 AM (CT)
RFQ-1000891
1 Briefly describe your history and experience supporting Student Health Plan enrollment administration
0 on behalf of clients.
(Required: Maximum 4000 characters allowed)
1 How many Student Health Plan enrollment administration clients do you have?
1
(Required: Maximum 1000 characters allowed)
1 How many eligible lives are managed within your Student Health Plan enrollment administration
2 practice?
(Required: Maximum 1000 characters allowed)
1 What is your average length of client relationships across your Student Health Plan enrollment
3 administration business?
(Required: Maximum 1000 characters allowed)
1 Customer Service and Support
4
1 Do you provide your own call center or is this function outsourced? If outsourced, to whom?
5
(Required: Maximum 1000 characters allowed)
1 If you provide an in-house call center, what tasks do your call center representatives perform?
6
(Required: Maximum 4000 characters allowed)
Page 5 of 25 pages
Deadline: 1/8/2024 10:00 AM (CT)
RFQ-1000891
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