1189 - Health and Welfare Employee Benefits Insurance Plans (Medical/RX,& Dental)

The City of Corinth (City) is requesting proposals for a licensed health insurance provider for the City’s employee benefits plans/programs. The successful Respondent shall furnish all equipment, materials, supplies, labor, permits, insurance, and licenses as necessary to provide goods/services in accordance with the instructions, specifications, terms and conditions set forth in this RFP.The City will choose the combination of insurance plans it determines to be in its best interest, which may mean that a number of contracts could be awarded. The City reserves the right to award several contracts which may result in a Respondent receiving a contract for only one (1) coverage, even if the Respondent submitted a proposal for several coverages.To obtain the following supporting documents to this Request for Proposal: Medical Claims Experience, Dental Claims Experience, Provider Disruption, and Census, please contact: Brooke Bare, Marketing Assistant, HUB International at brooke.bare@hubinternational.com

Commodity Codes

• Commodity Codes: UNSPSC 641221 Health insurance contracts: A broad range of commercial risk management contracts, in the form of policies, that protect individuals or members of a group against the risk of damage due to health related conditions and maladies UNSPSC 641222 Dental insurance contracts: A broad range of commercial risk management contracts, in the form of policies, that protect individuals or members of a group against the risk of damage due to dental related conditions and maladies

Events & Timeline

Requested Information

Note: Template files for the items below (BidTables, Questionnaires) are available in the Attachments section of this opportunity.

Public Notices

Name Type # Files Requirement Instructions Actions Acknowledment of Addenda, if applicable File Type: PDF (.pdf) Multiple Required Submittal Exception Form File Type: PDF (.pdf) 1 Required Insurance Certificate File Type: PDF (.pdf) Multiple Required Submission Form 1 (Q-78LS) Questionnaire: Excel (.xlsx) 1 Required You will need to fill out the provided Response Template for this Questionnaire. Download Submission Form 2 (Q-37DQ) Questionnaire: Excel (.xlsx) 1 Required You will need to fill out the provided Response Template for this Questionnaire. Download Submission Form 3 (Q-12NQ) Questionnaire: Excel (.xlsx) 1 Required You will need to fill out the provided Response Template for this Questionnaire. Download Submission Form 4 (Q-08DX) Questionnaire: Excel (.xlsx) 1 Required You will need to fill out the provided Response Template for this Questionnaire. Download Submission Form 5 (Q-02HV) Questionnaire: Excel (.xlsx) 1 Required You will need to fill out the provided Response Template for this Questionnaire. Download Medical Questionnaire (Q-29OZ) Questionnaire: Excel (.xlsx) 1 Required You will need to fill out the provided Response Template for this Questionnaire. Download Form 1295 Filed Electronically - Signed File Type: PDF (.pdf) 1 Required Conflict of Interest Questionnaire (CIQ Form) File Type: PDF (.pdf) 1 Required Signed Medical/RX, & Dental Attestation Form File Type: PDF (.pdf) Multiple Required Certification Form File Type: PDF (.pdf) 1 Required HB 89 File Type: PDF (.pdf) Multiple Required Vendor References File Type: PDF (.pdf) Multiple Required Vendor Litigation Disclosure File Type: PDF (.pdf) Multiple Required

Attachments

• CIQ.pdf
• 1189_-_Employee_Benefits_General_Requirements_Questionnaire__Q-15AD_
• Employee_Benefits_RFP__1189.pdf
• Texas_House_Bill_89.pdf
• Vendor_Litigation_Disclosure_Form.pdf
• Certificate_of_Interested_Parties_1295.pdf
• City_of_Corinth_Trust_Resolution_All_Signatures.pdf
• Submittal_Exception_Form.pdf
• Submission_Form_4__Q-08DX_
• HSA_Plan_Cert.pdf
• Submission_Form_3__Q-12NQ_
• CERTIFICATION_FORM.pdf
• Submission_Form_1__Q-78LS_
• Submission_Form_2__Q-37DQ_
• City_of_Corinth_Dental_Booklet.pdf
• Medical_Questionnaire__Q-29OZ_
• Submission_Form_5__Q-02HV_
• PPO_Plan_Cert.pdf
• Vendor_References.pdf