Reference Number: 22040831
Request ID:17-103297
Date First Offered04/27/2017
Title:Renewal FY18 HMO Aetna/Health Alliance

Agency Reference Number:17-103297
Agency:CMS - Central Management Services
Purchasing Agency:CMS - Central Management Services
Purchasing Agency SPO:Ellen Daley; Arthur Moore; Amy Adams; Tom Sestak

Status: Closed


Description and Specifications:
CMS provides managed care coverage to State Employees Group Insurance Program, Local Government Health Plan, the Teachers Retirement Insurance Program, and the College Insurance program. In FY 2013, CMS awarded two managed care contracts for Health Alliance HMO and Coventry HMO. CMS is seeking to renew the managed care contracts for the Health Alliance HMO and Aetna HMO(formerly Coventry HMO)for FY2018 to reflect the annual negotiated per member rates. CMS is satisfied with the services provided by these vendors.

The contracts provide 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 contracts allow for rate negotiations annually under the renewal term.

Key Information

Notice Type:Contract Renewal
Notice Expiration Date:06/20/2017
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:07/01/2017
Contract End Date:06/30/2018
Remaining Renewal Terms:3
Contract Renewal
Cost of Initial Term:$6,940,518,000.00 (Total Dollar Amount of Initial Term)
Cost of this Renewal:$723,440,405.00 (Total Dollar Amount of Renewal)
Renewal Increase/Decrease:increase
Change in Specifications:No
Renewal Number:2 of 5

Vendor(s) Selected for Award
Vendor NameAmount of Award BEP Goal % DBE Goal %
Health Alliance Medical Plans$656,156,084.000%0%
Aetna Health$67,284,320.000%0%

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

Class Code

Class Codes:


NIGP Commodity/Service Code:958 56 Health Care Management Services (Including Managed Care Serv...


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