ACKNOWLEDGMENT OF RECEIPT
Description: GROUP MEDICAL BENEFITS
RFP #: 2900-5 Addendum #1
Date: September 15, 2009
This addendum includes the following information:
A. The following companies attended the mandatory pre-proposal meeting held on September 9, 2009.
Proposals will only be accepted from the companies that attended this meeting. Those companies are:
Zenith Administrators, VSP, Delta Health Systems, Blue Cross/Blue Shield, Aetna, Cigna, United
Healthcare, MMSI, Humana, Gilsbar, and Ameriben/IEC.
B. For these eleven companies only, below are the items discussed at the meeting:
1. Chris Mandel, Purchasing Buyer for MCCCD, reviewed items in most of the sections of the RFP
that required the attention of those that will be submitting a proposal.
2. Dianne Johns explained that although the current plan design does not have an HSA/high
deductible component, this may be an option in the next couple years so the carrier will need to
have the ability to administer that type of plan design.
The medical administrator will also need the ability to administer the Flexible Spending
3. Questions from the participants were as follows:
Q - Is the network access fee part of the claim??
A - No, it is currently priced separately.
Q - Is wellness and pharmaceutical part of this RFP??
A - Pharmaceutical is not but wellness is. Wellness activities entail HRA's, mobile
mammography & PSA testing, flu shots, and occasional education sessions by request. Wellness
activities can be priced individually. There are currently no wellness credits.
Q - Will the vendor be reimbursing MCCCD for enrollment forms??
A - No, MCCCD has their own enrollment forms and we hope to be online within a couple
Q - Will we need to be able to merge data with other vendors??
A - Yes, including behavioral health and pharmaceutical. In addition, there will need to be
coordination of deductibles, maximum year limits etc with the behavioral health component due
to the mental health parity law.
Q - Who determines eligibility??
A - MCCCD determines employee and dependent eligibility; however, we do ask the medical
administrator to track and verify FT student status approximately two times a year.
Q - Does your SPD need to be mailed to employees??
A - No, SPD's are on the MCCCD website and do not need to be printed or mailed. The SPD is
created by MCCCD, our benefit consultant and our current TPA.
Q - Does the vendor pay for postage??
A - No, MCCCD should be billed separately for postage and this should not be built into the
administrative fees. As we keep implementing more online applications, we hope to reduce the
postage long term. MCCCD communicates as much as possible via the Web. We will not pay
for postage or materials due to errors made by the medical vendor. SEE ITEM D BELOW.
Q - What is the frequency of eligibility downloads??
A – Bi-weekly and the medical vendor will be performing eligibility downloads to the behavioral
health vendor and the pharmaceutical vendor.
Q - Do you want all benefits on 1 card??
A - One card is preferable but two cards are okay.
It was also discussed that Paragraph 3.25 has been included in the RFP due to the possibility of
the onset of national health care and any responses to that clause can be addressed in response to
Paragraph 4.3 of the RFP.
C. Additional questions received/changes to the RFP are as follows:
1. Delete Paragraph 4.2.7.D. We will not be printing and mailing the SPD's, they are on
the MCCCD website.
2. On Page 53, the last sentence reads “This includes, but is not limited to, travel expenses,
any out-of-pocket costs, meetings, secretarial, printing, delivery, rent, phone calls, postage,
overnight mail service, accounting, fuel charges, office supplies, copy services, etc.”. Delete
the word postage from this sentence. Postage will be reimbursed.
3. Q: The RFP included a questionnaire that we need to respond to and provide with our
proposal. Many of the questions pertain to the PPO network. Our company is not a network
nor do we own one. We partner with many different regional and national PPO networks.
A: As a TPA, if you are proposing to use someone else’s network, it is your responsibility
to obtain approval from that company to use their network. You should have that approval in
writing and it should be submitted with your proposal along with your cost for leasing the
network. You should respond to the PPO network questions based on that agreement. You
should not just reference responses from the company (who will also be submitting their own
proposal) that you are leasing the network from that you want to use. Your company needs
to respond to the questions in your own RFP proposal response. Your company will need to
sign the lease agreement with whatever company you propose to use to provide the network,
and MCCCD will not be involved in negotiating with the company you propose to lease the
network from. This is your responsibility and proof of an agreement should be submitted
with your proposal.
D. Proposal Due Date.
THE PROPOSAL DUE DATE REMAINS THE SAME.
Please fill in the requested information below as acknowledgment that you have received this
addendum as noted above. Please include a signed copy of this Addendum Acknowledgment
with your original proposal when it is submitted.
Name of Firm:
Fax # : ( ) Tel. #:( )