LACERS Health Benefits Administration Division
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Alex Rabrenovich, Division Manager
Mimi Lin, Assistant Division Manager
Anthony Torres, Section Manager
James Aceron, Health Contracts Administrator
Pat Badger-Alston, Health Member Services
Dan Goto, RFP Administrator
Theresa Stamus, Sr. Asst. City Attorney
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LACERS Health and Welfare Program
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Health Plans
Health Benefits
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Membership
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17,000 + retired members
27,000 + active members
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Implementation of Strategic Initiatives
Long-term sustainability of our health benefits program
Manage the rise in premium costs
Increase participation in disease management/wellness programs
Communicate useful information to our members
Partner with carriers to achieve desirable results
Develop transparency in carrier rate calculations
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City of LA 2012 projected $400 million general fund shortfall
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Retiree pension reform
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Changes for employee retirement contributions
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LACERS Health care cost trends
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Premiums expected to exceed $100 million by
2012
Health care reform
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Impact on future costs and program benefits
Medicare Sustainability
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Impact on future costs and plan offerings
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Health Care Reform
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Patient Protection and Affordability Care Act of 2010
(PPACA); and
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Health Care and Education Reconciliation Act of
2010 (HCERA).
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Reliable
Responsive
Available
Engaged
Creative
Motivated
Positive
Flexible
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Board of Administration
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7 Members – Five year terms
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4 appointed by Mayor
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2 elected by active members
1 elected by retired members
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General Manager, Tom Moutes
Assistant General Managers, Li Hsi and Lita Payne
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Medical and Dental Subsidies
Medical can be applied to:
 dependents, surviving spouse, domestic partner
Dental available to retiree only
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Medical Premium Reimbursement Program (MPRP)
LACERS Medicare Requirement
Medicare Part B Reimbursement
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LACERS may carve-out the Strategic Planning component of its Scope of Services and award a separate three-year contract.
Proposers may submit separate bids as outlined in Section III (Scope of Services) of RFP for:
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All services except Strategic Planning
Strategic Planning Only (carve-out bid)
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All services including Strategic Planning
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Medical Carriers
Anthem Blue Cross HMO, PPO, and LPPO
Kaiser Permanente HMO and Kaiser Senior Advantage
SCAN
UnitedHealthcare of CA, NV, and AZ
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Dental Carriers
MetLife PPO
SafeGuard HMO
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Vision Carrier
Vision Service Plan (included for all plans except Kaiser)
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Over 18,138 covered lives
Approximately 13,043 retirees
Approximately 5,095 dependents
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Under age 65
Approximately 6,490
65 + with Medicare Part B
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Approximately 1,132
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65 + with Medicare Parts A and B
Approximately 10,516
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Anthem Blue Cross- 5,556
Kaiser Permanente- 11,187
SCAN- 349
UnitedHealthcare- 1046
MetLife- 13,749
SafeGuard- 4,573
Vision Service Plan- 6,951
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2010 2011 2012
Maximum Monthly
Health Subsidy $1123.00 $1190.00
$1190.00
Percent Increase 0.27% 5.97% 0.00%
Aggregate Medical
Premium Increase 4.5% 6.2% 0.2%
10 year average premium increase = 7.6 %
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Services
Consultation and Advisory Services
Health Plan Bid Renewal Process
Strategic Planning
Program Evaluation and Development
Legislation and Regulatory Analysis
Communications
Special Projects
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General Responsibilities and Conditions
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RFP TimeLine
Release RFP
Bidder’s Conference
Proposal Deadline
Finalist Interviews
Selection of Consultant
Contract Negotiations
Contract Effective Date
October 26, 2011
November 16, 2011
December 5, 2011
December 2011-January 2012
January 2012
January 2012
March 15, 2012
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Qualifications
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City of L.A. Standard Provisions
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Proposal Requirements
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Questionnaire
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Fee Structure
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Two Proposals
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Fixed Fee – maximum cost per category of service
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Monthly Retainer – monthly cost to perform any of the listed services during a three-year contract
 Includes direct and indirect costs
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Dan Goto - RFP Administrator
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Phone – (213) 473-7209
FAX – (231) 473-7222
E-Mail – daniel.goto@lacity.org
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As RFP Administrator, I am responsible for:
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The Administrative Process associated with the
RFP
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All Communications related to the RFP
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Proposing firms are prohibited from communicating with LACERS Board members and staff concerning this RFP except with the designated RFP administrator and at meetings scheduled by the RFP administrator.
Violation of this policy will result in automatic disqualification of the firm involved.
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Deadline for Questions and Answers – Today,
November 16, 2011 at 3:00 P.M.
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Questions pertaining to the RFP must be submitted in writing and may be mailed, e-mailed or faxed to the administrator.
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All questions and addenda that arise from this
RFP will be posted on the LACERS Website. It is the responsibility of the proposer to monitor the website for any updates to the RFP’s questions and addenda.
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Deadline for Submission –
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December 5, 2011at 3:00 P.M.
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No Exceptions. Late responses will not be considered.
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Proposal Is Complete
Well organized and easy to read
LACERS may deem a proposer non-responsive if the proposer fails to provide all required documents and copies.
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If the proposer submits alternatives and/or substitutions to the terms and conditions,
LACERS reserves the right to determine if the alternatives/substitutions are acceptable.
All proposers are to document their alternative or substitution in the cover letter with justification.
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There will be two levels of review.
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#1 The administrative review determines the responsiveness to proposal requirements and mandatory document submissions.
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All proposers must pass the administrative review to go to the next level of review.
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#2 The review of proposal plan, costs and qualifications.
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Submission of a response to this RFP/RFQ/RFI
(“RFP”) shall constitute acknowledgment and acceptance of the standard terms and conditions.
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A proposer may withdraw its response, in writing, prior to the final due date and time. After withdrawing a previously submitted proposal, the proposer may submit another proposal at any time prior to the specified submission deadline.
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LACERS reserves the right to withdraw this RFP or reject all proposals at any time without prior notice and retains the right to reject any and all proposals.
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LACERS reserves the right to verify the information in the response. If a firm knowingly and willfully submits false information or other data, the City reserves the right to reject that response. If a contract was awarded as a result of false statements or other data submitted in response to this RFP, LACERS reserves the right to terminate that contract.
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A firm will not be recommended for a contract award, regardless of the merits of the response submitted, if it has a history of contract noncompliance with LACERS or any other entity or poor past or current performance with LACERS or any other entity.
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LACERS may make investigations as necessary to determine the ability of the proposer to provide required services and comply with the requirements of the RFP.
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All responses to this RFP are subject to public disclosure pursuant to the California Public Records
Act
The Act provides generally that all records relating to a public agency’s business are open to public inspection and copying, unless specifically exempted under one of several exemptions set forth in the
Act.
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Any proposed contract awards brought before the
Board of Administration will appear on a publicly posted agenda for a public meeting of said Board.
If the proposer considers any portion of the proposal is exempt from public disclosure under the
Act, such protion may be marked
“CONFIDENTIAL.”
LACERS will consider denying public disclosure of any portions so designated.
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The submittal of a response with portions marked “CONFIDENTIAL” shall constitute a request for LACERS to consider the material confidential.
LACERS is not liable for any claim for damages if
LACERS determines that the material is not exempt from disclosure, notwithstanding the request to consider the material confidential, and will be disclosed under the laws described above.
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Any proposer awarded a contract pursuant to this RFP must agree that:
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All information provided by LACERS regarding its members and beneficiaries shall remain confidential and private.
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DEMONSTRATION OF COMPLIANCE
REQUIRED WITH PROPOSAL
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Proposers must complete this warranty/affidavit (Attachment 3) which includes a statement of non-collusion and identifies persons authorized to bind the firm in contracts.
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Non-Discrimination, Equal Employment
Practices and Affirmative Action Certification
The proposer must sign and submit with their proposal a Nondiscrimination, Equal Employment
Practices and Affirmative Action Certification
Declaration, Composition of Total Workforce Report
(Attachment 4), or a signed version of proposer’s own affirmative action plan which meets all the requirements of the City’s Affirmative Action Plan. If the proposer elects to submit its own plan, it must be submitted to the Office of Contract Compliance (213)
847-2631 for approval.
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Each proposer is required to read the Los
Angeles Municipal Lobbying Ordinance (Los
Angeles Municipal Code § 48.02) found on the web at: http://ethics.lacity.org/pdf/laws/law_mlo.pdf
. If proposers qualify as a lobbying entity please complete and return the Bidder Certification
CEC Form 50 (Attachment 5) with your proposal.
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Proposers may not make campaign contributions to and/or engage in in fundraising for certain elected officials or candidates for elected City office from the time they submit the response until either the contract is approved or, for successful bidders, 12 months after the contract is signed.
Bidders are required to complete and submit CEC
Form 55.
City Ethics Commission at (213) 978-1960 or ethics.lacity.org
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LACERS strongly encourages all bid respondents to make an effort to include members of Minority
Business Enterprise (MBE), Women Business
Enterprise (WBE), Other Business Enterprise (OBE),
Small Business Enterprise (SBE), Emerging Business
Enterprise (EBE), and Disabled Veterans-Business
Enterprise (DVBE) groups in any subcontracting work to be performed if awarded the contract.
Bidders must submit with their proposal the
MBE/WBE/ OBE Subcontractor Information Form
(Attachment 7).
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COMPLIANCE REQUIREMENTS IF AWARDED
A CONTRACT
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If awarded a contract, the City of Los Angeles requires its contractors to adhere to the
Standard Provisions for City Contracts (Rev.
03/09). A copy of the Standard Provisions for
City Contracts (Rev. 03/09) is found on the web at: http://www.lacers.org/aboutlacers/request-forproposals/index.html
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If awarded a contract, the respondent will furnish the City evidence of insurance coverage with minimum limits prescribed by LACERS.
Proof of insurance must be submitted in accordance with requirements of the City
Administrative Office Insurance and Bonds
Section prior to contract execution. For more information, visit the City Risk Manager’s website at: http://www.cao.lacity.org/risk/
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All contractors of the City of Los Angeles are required to register their business with the
City of Los Angeles Office of Finance and are subject to Los Angeles City Business Tax. For information, visit the Office of Finance website at: http://www.lacity.org/finance/
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Questions and Answers
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Please submit any questions in writing.
Questions and Answers will be posted on the
LACERS website.
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LACERS Web Site – http://www.lacers.org/AboutLACERS/RFPs/2012112
4Healthandwelfareconsultant/index.ht.
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