St. Lucie Public Schools SUPERINTENDENT E. Wayne Gent Purchasing Department 4204 Okeechobee Road Fort Pierce, Florida 34947 Voice – (772) 429-3980 Fax – (772) 429-3999 April 1, 2016 TO: All Prospective Proposers FROM: Kim Albritton Coordinator of Business Services RE: Insurance RFP 16-13 Medical Fully Insured & Administrative Services Only (ASO) with Stop Loss ADDENDUM 1 TO RFP 16-13 MEDICAL FULLY INSURED & ADMINISTRATIVE SERVICES ONLY (ASO) WITH STOP LOSS INSURANCE This addendum is issued as a part of the aforementioned RFP. The changes incorporated herein are an amendment to and supersede those conditions shown in the original solicitation. The Proposer shall acknowledge receipt of this addendum by signing this form and returning with their submittal. Failure to do so may subject Proposer to disqualification. Q1. Will the School Board consider a 1-week extension to the due date of proposals? Given the timing, size and complex nature of this bid, we feel that an extra week would be very helpful in ensuring you have the best possible offer from our organization on the table. A1. No, the District will not extend the due date. Q2. Will you consider a stand-alone wellness program to meet your wellness needs or is your expectation that the wellness program should be embedded in the medical? A2. We are not considering stand-alone wellness programs at this time. Q3. Can you provide details on the “profit sharing” the School District has been paid in the past (i.e. 2009, 2010, 2011, 2012, 2013, 2014 and 2015). Is the “profit sharing” contingent on the School District renewing with BCBS? A3. Plan Year 2010: 30% of Earned Premium which exceeded the sum of Incurred Claims (less claims in excess of the $250,000 pooling level), Pooled Claim Charge and Administrative Charge ($1,041,083) Plan Year 2011: 30% of Earned Premium which exceeded the sum of Incurred Claims (less claims in excess of the $250,000 pooling level), Pooled Claim Charge and Administrative Charge ($318,229) 1|Page St. Lucie Public Schools SUPERINTENDENT E. Wayne Gent Purchasing Department 4204 Okeechobee Road Fort Pierce, Florida 34947 Voice – (772) 429-3980 Fax – (772) 429-3999 Plan Year 2012: 30% of Earned Premium which exceeded the sum of Incurred Claims (less claims in excess of the $255,000 pooling level), Pooled Claim Charge and Administrative Charge ($392,204) Plan Year 2013: 30% of Earned Premium which exceeded the sum of Incurred Claims (less claims in excess of the $255,000 pooling level), Pooled Claim Charge and Administrative Charge ($1,346,441) Plan Year 2014: 30% of Earned Premium which exceeded the sum of Incurred Claims (less claims in excess of the $260,000 pooling level), Pooled Claim Charge and Administrative Charge ($1,106) Yes, it is contingent on the District renewing with Florida Blue. Q4. Could you describe the current wellness initiatives the School District has in place? A4. Current wellness initiatives include the following: - National Diabetes Prevention Program -Onsite Biometrics & Personal Health Assessment at all SLPS locations (44) -Wellness Challenges -Flu Shot/T-Dap Clinics -On-Site exercise classes -Health lectures/Lunch N' Learns -Staff Sports -On-Site Weight Watchers -Tobacco Cessation Classes -Weekly Newsletters on different wellness happenings/targeted health topics -Monthly Newsletters -Wellness Champion Program -Diabetes Management Classes Q5. Does the current carrier provide a wellness contribution and if so, what is the annual amount? A5. Yes, for 2016 Florida Blue provided a $150,000 wellness contribution. Q6. Are onsite biometrics currently offered and if so, who pays the cost? If onsite biometrics are offered, can you provide an aggregate report of the top health concerns? A6. Yes. Florida Blue pays for 20 biometrics. SLPS pays for 24 biometrics. Top concerns are prediabetes, diabetes, high blood pressure, high cholesterol, and stress related health issues. Q7. What is the current participation in health assessments and biometrics? 2|Page St. Lucie Public Schools SUPERINTENDENT E. Wayne Gent Purchasing Department 4204 Okeechobee Road Fort Pierce, Florida 34947 Voice – (772) 429-3980 Fax – (772) 429-3999 A7. 1195 (3 more health fairs left for this school year). Q8. How is the School District currently tracking incentive points? A8. SLPS works closely with Florida Blue to track incentive points. Our incentive program is robust so it allows for activity points to be automatically uploaded by Florida Blue, some must be selfreported by the participant by logging on to the Florida Blue website, and some activity points must be handed in directly to SLPS Wellness Manager who manually tracks the incentive points. Every month, the manually tracked activity gets sent to the Project Manager at Florida Blue. Q9. What is the School District’s budget for the 2017 medical plan? A9. The 16-17 budget has not been established as we are in negotiations with our unions. Q10. Can carriers provide either fully insured or ASO with stop loss or are both funding options required as part of this RFP? A10. Yes, carriers can quote either funding models or both funding models. Q11. Can you please provide the Parameters for the requested Geo reports? A11. Geo Access Standards: PCP Providers (2 in 8 miles) Pediatricians (1 in 8) OB/Gyns (2 in 12) Specialist (2 in 10) Hospitals (1 in 20) Q12. Can you please confirm if this RFP requires a Bid Bond and if so how much A12. A bid bond is not required. Q13. Is it possible to receive all of the remaining required Attachments as listed below in a Word Format? Required Response Form Attachment A – Drug Free Workplace Certification Attachment B – Jessica Lunsford Act Compliance Agreement 3|Page St. Lucie Public Schools SUPERINTENDENT E. Wayne Gent Purchasing Department 4204 Okeechobee Road Fort Pierce, Florida 34947 Voice – (772) 429-3980 Fax – (772) 429-3999 Attachment C – References Attachment D – Green Procurement – Electronic Purchase Order Process Attachment E – Insurance Requirements and Hold Harmless Agreement Attachment I – Reference Questionnaire A13. Yes, the entire RFP is now posted in Word format. Q14. The RFP states on Page 9 of 40 the following: The Proposer must use sections and tabs which are clearly identified and also must number and label all parts, pages, figures, and tables in its proposal. Can you clarify if the entire TOC needs to have consecutive page numbering or if each section (tab) can have its own numbering? A14. Either numbering system will be fine. Q15. The RFP states on Page 20 of 40 under the heading NETWORK the following: A Geo Access report is also being requested to determine the distance of providers from the employee’s home location. Can you please provide the information that you would like us to use for the completion of the Geo Access report? A15. See A11. Q16. Can you please confirm how many reference questionnaires are required to be submitted to St. Lucie by our Reference Clients as that information is not listed in the RFP? A16. Please submit three (3). **** RFP DUE DATE IS: April 13, 2016, 2016 - 3:00 P.M... ****. ___________________________________________________ _________________________________________ Name (Please Print) Company Name __________________________________________________________ ________________________ Signature (Authorized Representative of Company) Date 4|Page