SLED Opportunity · CALIFORNIA · COUNTY OF SHASTA
AI Summary
The County of Shasta seeks information via an RFI to develop and implement a primary care employee health clinic for county employees and dependents. The RFI gathers data on services, locations, pricing, and operational models to inform future procurement.
The County of Shasta, through its Department of Support Services, Purchasing Unit, invites responses to a Request for Information (RFI) to provide Employee Health Clinic services. The purpose of this RFI is to gather information regarding development and implementation of a primary care employee health clinic for Shasta County employees and dependents.
County employee zip codes.
Occupational Health Costs
The County reserves the right to:
Minor irregularities are defined as deviations that do not materially affect the substance of a response or the fairness of the RFI process.
By submitting a response, Responders acknowledge and agree that the County shall not be held liable for any misunderstandings, misinterpretations, or lack of information related to the requirements or terms of this RFI.
The County is not responsible for any costs incurred by Respondents in the preparation, submission, or follow-up related to this RFI. All such costs are the sole responsibility of the Respondent.
Responses must be submitted electronically via the County's eProcurement Portal:
https://procurement.opengov.com/portal/shastaca.
A response may be withdrawn by written request submitted through the Portal prior to the closing date and time.
By submitting a response, the Respondent represents that the information contained in their submission will remain valid for at least ninety (90) days after the RFI closing date and acknowledges that the County will rely upon this information.
All inquiries regarding this RFI must be submitted only through the County’s eProcurement Portal. Respondents are prohibited from contacting any County officers, employees, or agents regarding this RFI, except for the designated RFI Contact.
In the event that a Request for Proposal (RFP) is issued in the future, any attempt to influence this RFI process through collusion, unauthorized communication, or other inappropriate conduct may result in immediate disqualification. Any violation of this restriction may lead to removal from consideration. (For the purpose of this provision, "officer" does not include members of the Shasta County Board of Supervisors.)
To submit inquiries:
The County, at its sole discretion, may request demonstrations and/or presentations to discuss information received in response to the RFI in order to fully understand the information provided, and will define the presentation agenda for all selected vendors to follow prior to holding demonstrations.
The County does not reimburse the cost of developing, presenting, or demonstrating a solution, and the vendor is responsible for all costs incurred.
If a Responder believes that any portion of its Response is subject to a legal exception to public disclosure, the Responder shall: (1) clearly mark the relevant portions of its proposal “Confidential”; and (2) identify the legal basis for exception from disclosure. By submitting a Response, a Responder agrees that County shall not in any way be liable or responsible for the disclosure of any Proposal or any part thereof if disclosure is pursuant to the Public Records Act or otherwise pursuant to law or legal process. By submitting a Response, the Responder agrees to save, defend, keep, hold harmless, and fully indemnify County, its elected officials, officers, employees, agents and volunteers from all damages, claims, costs, or expenses, whether in law or in equity, that may at any time arise for not disclosing any portion of a Proposal marked “Confidential” to a third party.
The Responder, by the undersigned representative, requests that the specific information, described below and identified on the page or pages of the Response in which it appears, be treated as confidential information and protected from disclosure to the public.
1. Description of specific information that is the subject of the request.
2. The legal basis for exception from disclosure.
Enter N/A if this does not apply.
Vendors interested in having their proposed solution reviewed should include the following:
If you chose Corporation, which State your business is incorporated in?
If you chose Other Entity, please clarify.
Please upload an introductory cover letter and synopsis describing your firm’s experience, qualifications, and a general approach to each item listed in the Scope of Work. Clearly organize the Response to align with description of the project and provide a general overview of the timeframe and costs associated with development and implementation of a primary care employee health clinic of the nature and scope described in this RFI.
Q (Request for Data): 1. For the purpose of heat mapping, please provide an excel file including home and/or work zip codes for all current employees, retirees, and their dependents.
A: Please see Addendum #1
Q (Clarification Questions General Information Clinic Space): 7. For the purpose of heat mapping, please provide an excel file including home and/or work zip codes for all current employees, retirees, and their dependents.
A: Please see Addendum #1
Q (Clinic location): Does the County have a designated clinic location?
A: No and we are considering all options for an onsite or offsite facility.
Q (Staffing model): Are you open to investing in a physician and nurse-led model — one shaped by lessons from executive health programs, bringing innovation, personalized care, and proven outcomes to every employee?
A: We are open to exploring all options.
Q (Model of care): Would you find value in a model of care that extends beyond the clinic — offering after-hours virtual access, integrated behavioral health, and provider specialty consults as standard, not add-ons?
A: We are open to exploring all options.
Q (Defining success): What does success look like 3–5 years from now — and how can the right clinic partner help make that vision a reality?
A: Success would be increased access to health care, improved employee health and wellness, and a reduction in lost work time. As an RFI, the County is looking for responders to propose potential solutions.
Q (High-risk population): Are there high-risk or high-cost populations identified?
A: None have been identified at this time.
Q (Clarification Questions-General Information-Demographics): 4. How many (#) spouses and (#) dependents will be eligible to use the onsite health center?
A: There are 1535 Enrolled Employees. The combined total including employees, spouses and dependents is estimated to be 2834 enrollees.
Q (Occupational Health): 10. For Workers Compensation (Injury Care), please provide 1-2 years of summary work injury and illness claims data to include: Total number of cases Total cost of cases Number and cost of medical only claims Number and cost of medical & indemnity claims Lost Time Days Restricted Duty Days Injury Type/Diagnosis Job Type Time of Injury/Shift Note: If the requested claims data is not readily accessible, please complete the Workers Compensation Information table below to the best of your ability based on the most recent 12 months of healthcare utilization and expenses. Number of Claims Cost of Claims - Incurred Cost of Claims -Paid Lost Time Days Restricted Duty Days Average Medical Visits Per Case #/% of Cases Requiring Physical Therapy Average Physical Therapy Visits Per Case Medical Only Claims Medical + Indemnity Claims Totals Diagnosis (Injury /Illness Type) * Department/Job Type* Time of Injury/Shift* Most Frequent Injury/Illnesses %/# Cases Departments/ Job Types %/# of Cases Time of Injury/ Shift %/# Cases 1. 2. 3. 4. 5.
A: Total number of cases: 155 claims total. Total cost of cases: Medical $552,710.10, Indemnity $607,097.20, Expenses $189,537.66 Number and cost of medical only claims: 123 claims total. Total paid: Medical $209,831.14, Indemnity $0, Expenses $91,290.04 Number and cost of indemnity claims: 32 claims total. Total paid: Medical $342,878.96, Indemnity $607,097.20, Expenses $98,247.62 Lost Time Days: 3,011 Restricted Duty Days: We currently do not track this information. Time of Injury/Shift: We currently do not track this information. Average Medical Visits Per Case: We currently do not track this information. #/% of Cases Requiring Physical Therapy: We currently do not track this information. Average Physical Therapy Visits Per Case: We currently do not track this information. Most Frequent Injury/Illnesses (# of claims) (These are injury types at case make-up, don’t capture all injury diagnosis once the claim develops and we get additional medical information) 1. Strain: 34 2. Sprain: 21 3. Contusion: 19 4. Cumulative injuries: 9 5. Laceration: 8 Most Frequent Job Types (# of claims) 1. Correctional Officer: 19 2. Juvenile Detention Officer: 18 3. Deputy Sheriff: 11 4. Social Worker: 9 5. Road Maintenance Worker: 7
Q (Occupational Health): 9. Please provide the estimated annual volumes of occupational health (non-injury) services by service type. We have provided the form below for your use. Service Estimated Annual Volume Average Cost (Off site only) Notes Drug and Alcohol Screening Urine Drug Screen (Non-Regulated) Urine Drug Screen (Regulated) Hair Follicle Test Breath Alcohol Test Breath Alcohol Test (Regulated) Physical Examinations Preplacement Annual/Periodic (Employer) DOT (New/Recertifications) Police Officer Fire Fighter Return to Work/Fitness for Duty Other (Specify) Other (Specify) Screening and Testing Audiogram Pulmonary Function Testing Respirator Fit Testing OSHA Respiratory Clearance Questionnaire TB Skin Test Other (Specify) Other (Specify) Vaccination, Titers and Lab Vaccination/Titer- (Specify) Other (Specify) Other (Specify) Ancillary Services Preemployment Occupational Employee Testing (POET) Other (Specify) Other (Specify)
A: Please see Addendum #2
Q (After Hours Care): Would there be a requirement for after hours care or the ability to reach a provider after hours?
A: We are not anticipating this need.
Q (Clarification Questions General Information Wellness ): 8. The RFI does not specifically identify if a wellness program is included in the scope of services. If the County wishes to have the employee health clinic vendor provide the wellness program, please answer the following questions: • Please provide the number of members who completed a biometric screening in the past year. • Will biometric screenings be completed in the health center, at mass screening events at select worksites, or a combination of both? • If mass screening events, please indicate how many occur per year. • Is County interested in a wellness portal / cultural engagement platform with challenges, activities, etc. to augment the wellness program? • Is the County is interested in wellness incentive management as part of the wellness program? • Is County interested in health coaching as a part of the wellness program?
A: We currently do not have a wellness program that offers biometric screening. We are open to exploring all options.
Q (Clarification Questions General Information Demographics): 6. Are there language or cultural considerations that need to be contemplated in the program design/staffing?
A: There are no specific language or cultural considerations of note. Our employee population is largely English speaking.
Q (Clarification Questions General Information Demographics): 5. Regarding the employee unions, are there any special considerations or requirements that we should be aware of as we develop the strategic program design for the County?
A: This is not intended to be a replacement for existing negotiated health benefits and County Personnel would manage any necessary meet and confer obligations with the unions which may include presentations by any future vendors who may be selected.
Q (Reimbursement): Would this be under a fee per service, billing private insurance individually, or a monthly membership all inclusive contract?
A: We are open to proposals as to how this service would be offered and paid for. We envision this to be a supplemental benefit offered by the County with a goal that there would be no to minimal cost to the employees for their participation.
Q (Occupational Health): For occupational health services, please provide estimated annual volumes. This helps us determine the level of staffing needed to support the County’s occupational health needs. Pre-employment physicals: Return to work examinations: Urine Drug Screens: Breath Alcohol Testing: Work Related Injury Initial Treatment: Work Related Injury Follow Up Treatment: Other (please specify):
A: Please see Addendum #2
Q (Scope): What is the desired length of contract?
A: At this time there are no determined contract terms. This is a Request for Information and does not guarantee a contract or Request for Proposal.
Q (Scope): What is your annual budget for the desired program?
A: This has not yet been determined.
Q (Scope): Is there a target go‑live date for clinic operations, or an expected timeframe following contract award for implementation and service commencement?
A: This has not yet been determined.
Q (Request for Data): 3. In order to determine staffing, equipment, space and ROI for occupational health services, please provide the following: • Annual estimated volumes of Occupational Health visits by service type, referenced in Question 9 below. • Workers Compensation (Injury Care) information, referenced in Question 10 below.
A: Please see Addendum #2 for Occupational Health services, and please see Question #10 for Workers Compensation services.
Q (Request for Data): 2. In order to prepare a projected ROI, please provide the following information: • Average hourly wage for County employees • Last two years total annual medical and Rx spend and total eligibility for each year for all plans. If available, please provide the last 2 years of medical and pharmacy annual summary plan reviews from the carriers. If this is not available, we will use book of business and national averages for the ROI illustration.
A: Average hourly wage for County employees is $35.42/HR. The medical and RX spend is unavailable. Please use book of business and national averages for ROI.
Q (Data Request): Does the County want to see a prospective ROI as part of the RFI response? If so, please provide 12 – 36 months of medical and pharmaceutical paid claims data. Include any high-cost claimant adjustments. For the same time period, please provide medical plan subscribers & membership by month.
A: There are 1535 Enrolled Employees. The combined total including employees, spouses and dependents is estimated to be 2834 enrollees. The medical and RX cost data is unavailable. Please use book of business or national averages for ROI.
Q (Zoom): Are video/audio communications acceptable for visits? Such as Teams or Zoom.
A: We are open to exploring all options.
Q (Top 5 Common Claims): 2. What are the Top 5 most common claims?
A: 1. Strain: 34 2. Sprain: 21 3. Contusion: 19 4. Cumulative injuries: 9 5. Laceration: 8
Q (Health Risk Assessments): 1. Is the County currently providing Health Risk Assessments? If so, what vendor is performing these?
A: Not at this time.
Q (Wait Time for Acute Care): Do you have an expectation/requirement for wait times for acute care? Assuming always as little as possible, but do you have any specific requirement? What, if any, is your expectation or requirement for wait times for appointments?
A: There is no current expectation for wait times.
Q (Occupational Health Services): 3. What vendor is currently performing Occ Health service?
A: Prestige Urgent Care and Enloe Medical Center
Q (Benefits Consultant): 4. Is the County working with a benefits consultant? If so, please provide the name of the consultant.
A: Not at this time.
Q (Insurance Plan Detail): Does the current insurance plan have a deductible? If so, how much is the annual deductible. How much is the copay for each visit? What is the annual out of pocket on current plan. Do you anticipate increase to any of these?
A: $1,000 per individual / $2,000 per family for Preferred Providers; $2,500 per individual / $5,000 per family for Non-Preferred Providers $3,000 per individual / $6,000 per family for Preferred Providers; None per individual / None per family for Non-Preferred Providers. This plan has a separate Out of Pocket Maximum for Prescription Drugs of $2,000 per individual / $4,000 per family / $1,000 Home Delivery. Primary Care Visit $10/visit; deductible does not apply Specialist 35/visit; deductible does not apply We do not anticipate an increase at this time.
Q (Services): How are primary care and occupational health services currently being delivered today?
A: Primary care services for County employees are accessed through providers available within the County-sponsored health plans. Occupational health services are currently referred to Prestige Urgent Care and Enloe Medical Center.
SLED stands for State, Local, and Education. These are solicitations issued by state governments, counties, cities, school districts, utilities, and higher education institutions — as opposed to federal agencies.
SamSearch Platform
AI-powered intelligence for the right opportunities, the right leads, and the right time.