Reference Number: 22041658
Request ID:18-108507
Date First Offered11/20/2017
Title:CY2018 MA-PD Plans Annual Rate Renewal - Health Alliance

Agency Reference Number:18-108507
Agency:CMS - Central Management Services
Purchasing Agency:CMS - Central Management Services
Purchasing Agency SPO:Ellen Daley; Amy Adams; Tom Sestak

Status: Closed


Description and Specifications:
In 2014, CMS began offering Medicare Advantage plans with prescription drug coverage to annuitants and survivors in these programs. In FY2015, CMS awarded a contract to Health Alliance to offer an HMO plan. This award was the result of a second RFP for HMO coverage in counties without an MA-PD HMO plan in place. CMS is seeking to renew this contract for CY2018. CMS is satisfied with the service provided by this vendor.

The contract provides for annual adjustment to the per member per month premium rates based upon verified demographics, other documented actuarial factors and projected health care cost trends. The contract allows for rate negotiations annually under the initial term and for each renewal term.

The vendor receives revenue from the federal government in order to operate the plan. In order to maximize federal revenue, the State offers these plans on a calendar year basis to retirees. The estimated value of the contract for CY2018 is approximately $4,385,646.

Key Information

Notice Type:Contract Renewal
Notice Expiration Date:12/22/2017
Professional & Artistic:No
Small Business Set-Aside:No
Does this solicitation contain a BEP or DBE requirement?:No
Does this solicitation contain a Veteran requirement?:No
Relevant Category:Employee Benefits
Length of Renewal Term:12
Contract Begin Date:01/01/2018
Contract End Date:12/31/2018
Remaining Renewal Terms:4
Contract Renewal
Cost of Initial Term:$16,500,000.00 (Total Dollar Amount of Initial Term)
Cost of this Renewal:$4,385,646.00 (Total Dollar Amount of Renewal)
Renewal Increase/Decrease:Increase. The estimated value of increase will depend upon actual enrollment in the plan.
Change in Specifications:No
Renewal Number:2 of 6

Vendor(s) Selected for Award
Vendor NameAmount of Award BEP Goal % DBE Goal %
Health Alliance Connect$4,385,646.000%0%

Notice Contact
Name: Michael Underwood
Street Address:801 S. 7th Street
Zip Code:62703
Phone: 217-558-1831
Fax Number:217-524-1660

Class Code

Class Codes:


NIGP Commodity/Service Code:953 48 Health/Hospitalization (Including Dental and Visual Insuranc...
953 80 Retirement Benefit Plan Insurance
958 56 Health Care Management Services (Including Managed Care Serv...


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