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Grand Prairie Independent School District
Medical Plan Employee Benefits RFP #16‐15
Proposal Deadline: April 12, 2017, 10:00 AM
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Table of Contents
1. General Conditions Page 3
2. Current Conditions Page 5
3. General Carrier Requirements Page 6
4. Requested Benefit Plan Designs Page 7
5. Questionnaire Page 8
6. Insurance Company Contact Info Page 9
7. Evaluation Criteria Page 10
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General Conditions
Grand Prairie ISD is requesting proposals for the following insurance contracts:
Fully Insured Employee and Dependent Medical Insurance
The plan effective date will be 9/1/17 and quoted rates must be firm for that date. Proposals
will be accepted until 10:00 AM April 12, 2017.
Proposals will be received by Grand Prairie ISD Purchasing department at:
Grand Prairie ISD
2602 S. Belt Line Road
Grand Prairie, TX 75053
All Proposals must be plainly marked on the outside of the sealed envelope as follows:
Medical Employee Benefits RFP #16‐15
1. Please provide two (2) copies of your response along with an electronic copy of your
response – the electronic copy needs to be in the form of a flash drive.
2. The District reserves the right to reject any or all proposals and to accept any proposal
deemed to be in the best interest of GPISD and to waive any formalities in the proposal
process. The District is not required to select the proposal with the lowest cost, but
shall take into consideration other relevant factors such as the ability to service the
contract, past experience, financial stability, terms offered and other criteria. The
District reserves the right to select any proposal deemed advantageous to the District
at their sole discretion. The District reserves the right to waive or alter or negotiate any
terms contained in this RFP if in the view of the District it is in their interest to do so.
3. The term of the contract shall be for not less than 12 months, subject to early
termination as provided by law and the terms of the contract. In addition, unless
otherwise specified in the proposal, the award of this proposal shall include a the
option of the District and contingent upon agreement by both parties to any change in
costs or benefits, to renew and extend this contract on a year to year basis as may be
permitted by applicable law and board policy; provided that the maximum term of the
contract and all renewals thereof shall not be more than three years before this
contract must again be offered for request for proposals.
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4. Grand Prairie ISD does not guarantee or warrant the final enrollment for any insurance
product.
5. Companies must propose all of the requested benefit plans on a fully insured basis.
6. Alamo Insurance Group has been engaged by GPISD to assist in marketing their medical
coverage. As such, Alamo Insurance Group has worked with the District to develop this
RFP in accordance with the Districts goals and objectives. Alamo Insurance Group will
assist the District in evaluating all proposals.
7. GPISD reserves the right to return to the top candidates to request a best and final
proposal based on one or more components of the original proposal. GPISD reserves
right to negotiate certain terms and conditions with the top candidates.
8. Contact by proposers or their representatives to any GPISD board member of staff
involved in the RFP process is strictly prohibited and could result in disqualification of
the proposal.
9. Alamo Insurance Group will be compensated by GPISD on a fee for service basis only.
Please delete any commissions from you proposed rates including any bonus
arrangements. Proposals with commissions or bonuses paid to any agent/broker will
not be considered. Responses from agents/brokers are not requested at this time.
10. Questions may be addressed to: Sherry Ellis, Purchasing Director at rfp@gpisd.org – All
questions (in writing only) are due by March 30, 2017 by 10:00 a.m. CST – no questions
will be answered after that date.
11. This document is being provided in a Word format. All answers to questions should be
included within this document. Reference documents may be attached and noted.
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Current Conditions
1. Grand Prairie ISD currently offers the following Medical plans on a fully insured basis
through Blue Cross Blue Shield of Texas:
High Plan
Mid Plan
Low Plan
HDHP (HSA Plan)
Hospital Indemnity Plan
2. A census with current enrollment in the current plans is attached.
3. Claims experience for all current plans is attached.
4. Current Benefit Plan Summaries are attached.
5. Eligible employees must work a minimum of 20 hours per week.
6. The District contribution to the medical plan is $350 per eligible employee regardless of
which plan the employee elects. All dependent cost is borne by the employee.
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General Carrier Requirements
1. All companies must be licensed in the state of Texas.
2. All insurance companies must have an AM Best rating of A‐ or better. Please provide the
Best's rating for each company quoted.
3. All rates must be guaranteed for a minimum of 12 months from the effective date.
4. Renewal rates must be provided no later than 120 days before the anniversary date
each year or in response to an RFP.
5. The selected company will be responsible for all claims incurred on or after 9/1/17. It is
imperative that any exclusion, limitation or other deviation be clearly outlined and
discussed.
6. If proposed contracts are to replace existing contracts of the same type, the new
contract must assume the current policy benefit structure and provide a "no loss/no
gain" assumption of risk, and give credit for all annual deductibles and out of pocket
amounts
7. All companies must provide a single point of contact for inquiries and problem
resolution to the plan participants, District HR staff and their agent.
8. Sample contracts must be provided for all plans quoted.
9. All companies must have the ability to receive electronic eligibility feeds from the
Districts selected Benefits Enrollment System.
10. All companies must mail ID cards and policy information directly to the participant’s
home.
11. All companies must provide detailed claims experience upon request to both the District
and their consultant not less than monthly.
12. All companies must provide three (3) references of Texas Public Entities to include:
Group Name
Contact Person
Phone Number
Address
Number of eligible employees
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Requested Benefit Plan Designs
1. Please provide benefits matching the current plan designs as closely as possible. In
addition the District is interested in your best thinking with regard to plan design,
networks, ACO’s or other strategies that will contain cost long term. Please provide
alternate proposals that meet these criteria.
2. Please provided a fully insured option for all plan designs proposed.
3. Please provide a Hospital Indemnity Benefit (HIB) plan matching the in force plan for
those employees not electing a comprehensive minimum value health plan. The rate for
the HIB plan should be the District contribution amount of $350.
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Questionnaire
1. Will you accept eligibility via electronic file feeds?
2. What standard claim reports will be provided, and at what frequency will they be
provided to the District and their consultant? Please provide samples.
3. What is the pooling point in your renewal underwriting process?
4. What is the current trend used in underwriting for medical and pharmacy?
5. What PPO network are you proposing?
6. Is this your broadest network or a “high performance” network?
7. What is the premium differential for using your “high performance” network”
8. What claims management processes are unique to your company, and how will they
contain cost for the District?
9. Please provide a geo access report for all employees based on the employee zip codes
provided in the census.
10. Please provide documentation with regard to network savings and discounts.
11. Please describe in detail any wellness program you offer to the District at no additional
cost.
12. Please provide a detailed description of assistance that can be provided to the District
for the purpose of implementing wellness initiatives.
13. Currently BCBS provides a full time on site wellness coordinator to work with the
District.
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Insurance Company Contact Information
1. Insurance Company Name:
2. Contact Person:
3. Contact Person Telephone Number:
4. Contact Person E‐Mail Address:
5. Contact Person Mailing Address:
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Evaluation Criteria
Purchase price 60% Quality of enrollment service & customer access 05% Reporting style, access, accuracy and ad‐hoc capability 05% Web‐based Access 05% Past relationship with District 05% Long term cost to the District 05% Physician discounts and availability 10% Subjective analysis of the whole 05%
Total 100%
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Non-Collusion Statement
This is to certify that the undersigned bidder has neither directly nor indirectly, entered
into any agreement, participated in any collusion or otherwise taken any action in
restraint of free competitive bidding in connection with this proposal.
It is agreed by the undersigned bidder that the signed delivery of this bid/proposal
represents the bidder’s acceptance of the terms and conditions of this invitation to
bid/offer a proposal including all specifications and special provisions.
Note: Signature of the authorized representative MUST be of an individual who legally
may enter his/her organization into a formal contract with the Grand Prairie
Independent School District.
FIRM’S NAME:
NAMEOF AUTHORIZED INDIVIDUAL (printed or typed):
AUTHORIZED SIGNATURE: DATE:
POSITION WITH COMPANY:
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Felony Conviction Notification
State of Texas Legislative Senate Bill No. 1, Section 44.034, Notification of Criminal History,
Subsection (a), states “a person or business entity that enters into a contract with a school
district must give advance notice to the district if the person or an owner or operator of the
business entity has been convicted of a felony. The notice must include a general description of
the conduct resulting in the conviction of a felony.” Subsection (b) states “a school district may terminate a contract with a person or business entity
if the district determines that the person or business entity failed to give notice as required by
Subsection (a) or misrepresented the conduct resulting in the conviction. The district must
compensate the person or business entity for services performed before the termination
contract.” This Notice Is Not Required of a Publicly Held Corporation
(I) (We), the undersigned agent for the firm named below, certify that the information concerning notification of felony convictions has been reviewed by me and the following information furnished is true to the best of my knowledge.
Check the appropriate box and sign the form.
My firm is a publicly held corporation; therefore, this reporting requirement is not
applicable.
AUTHORIZED SIGNATURE:___________________________________________
My firm is not owned nor operated by anyone who has been convicted of a felony.
AUTHORIZED SIGNATURE:___________________________________________
My firm is owned or operated by the following individual(s) who has/have been
convicted of a felony.
Name of Felony: _______________________________________________________
Details of Conviction(s):
AUTHORIZED SIGNATURE:___________________________________________
DATE:_____________________
Revised 11/30/2015Form provided by Texas Ethics Commission www.ethics.state.tx.us
FORM CIQ
OFFICE USE ONLYThis questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session.
This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor whohas a business relationship as defined by Section 176.001(1-a) with a local governmental entity and thevendor meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the local governmental entity not laterthan the 7th business day after the date the vendor becomes aware of facts that require the statement to befiled. See Section 176.006(a-1), Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. Anoffense under this section is a misdemeanor.
CONFLICT OF INTEREST QUESTIONNAIREFor vendor doing business with local governmental entity
Date Received
A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income,other than investment income, from the vendor?
Yes No
B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the directionof the local government officer or a family member of the officer AND the taxable income is not received from thelocal governmental entity?
Yes No
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Check this box if the vendor has given the local government officer or a family member of the officer one or more giftsas described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1).
Signature of vendor doing business with the governmental entity Date
Name of vendor who has a business relationship with local governmental entity.1
Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated
completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which
you became aware that the originally filed questionnaire was incomplete or inaccurate.)
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3 Name of local government officer about whom the information is being disclosed.
Name of Officer
Describe each employment or other business relationship with the local government officer, or a family member of theofficer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer.Complete subparts A and B for each employment or business relationship described. Attach additional pages to this FormCIQ as necessary.
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5Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation orother business entity with respect to which the local government officer serves as an officer or director, or holds an
ownership interest of one percent or more.
Revised 11/30/2015Form provided by Texas Ethics Commission www.ethics.state.tx.us
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
A complete copy of Chapter 176 of the Local Government Code may be found at http://www.statutes.legis.state.tx.us/Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form.
Local Government Code § 176.001(1-a): "Business relationship" means a connection between two or more partiesbased on commercial activity of one of the parties. The term does not include a connection based on:
(A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or anagency of a federal, state, or local governmental entity;(B) a transaction conducted at a price and subject to terms available to the public; or(C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency andthat is subject to regular examination by, and reporting to, that agency.
Local Government Code § 176.003(a)(2)(A) and (B):(a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if:
***(2) the vendor:
(A) has an employment or other business relationship with the local government officer or afamily member of the officer that results in the officer or family member receiving taxableincome, other than investment income, that exceeds $2,500 during the 12-month periodpreceding the date that the officer becomes aware that
(i) a contract between the local governmental entity and vendor has been executed;or(ii) the local governmental entity is considering entering into a contract with thevendor;
(B) has given to the local government officer or a family member of the officer one or more giftsthat have an aggregate value of more than $100 in the 12-month period preceding the date theofficer becomes aware that:
(i) a contract between the local governmental entity and vendor has been executed; or(ii) the local governmental entity is considering entering into a contract with the vendor.
Local Government Code § 176.006(a) and (a-1)(a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationshipwith a local governmental entity and:
(1) has an employment or other business relationship with a local government officer of that localgovernmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A);(2) has given a local government officer of that local governmental entity, or a family member of theofficer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding anygift described by Section 176.003(a-1); or(3) has a family relationship with a local government officer of that local governmental entity.
(a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administratornot later than the seventh business day after the later of:
(1) the date that the vendor:(A) begins discussions or negotiations to enter into a contract with the local governmentalentity; or(B) submits to the local governmental entity an application, response to a request for proposalsor bids, correspondence, or another writing related to a potential contract with the localgovernmental entity; or
(2) the date the vendor becomes aware:(A) of an employment or other business relationship with a local government officer, or afamily member of the officer, described by Subsection (a);(B) that the vendor has given one or more gifts described by Subsection (a); or(C) of a family relationship with a local government officer.
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VENDOR PROFILE
Company Name:
Company Address:
Website Address:
E-Mail Address:
To send bid documents:______________________________________________________________________________
Telephone Numbers:
To check on orders:
Fax Number:
Contact for this proposal:
Name:
Address:
City, State, Zip:
Phone: Fax:
E-Mail:
Authorized Signature:_______________________________________________________________________________
Remit to Address (if different than above):
Company Name:____________________________________________________________________________________________
Address:
City, State, Zip:
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Suspension or Debarment Certificate
Non-Federal entities are prohibited from contracting with or making sub-awards
under covered transactions to parties that are suspended or debarred or whose
principals are suspended or debarred. Covered transactions include procurement
for goods or services equal to or in excess of $100,000.00. Contractors receiving
individual awards for
$100,000.00 or more and all sub-recipients must certify that the organization and
its principals are not suspended or debarred.
By submitting this offer and signing this certificate, the proposer:
• Certifies the owner/operator has not been convicted of a felony
except as indicated on a separate attachment to this offer, in
accordance with Sec.
44.034 Texas Education Code, and
• Certifies that no suspension or disbarment is in place, which
would preclude receiving a federally funded contract under the
Federal OMB, A-102, Common Rule (Sec. 36)
Vendor Name
Authorized Company Official’s Name
Authorized Company Official’s Signature
Email Address
Date
**Vendor: By signing this form, your company is stating that you have not been
debarred from doing business with an entity that is entitled to federal funding**
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GRAND PRAIRIE INDEPENDENT SCHOOL DISTRICT
RESIDENCE CERTIFICATION
In accordance with Article 601g. as adopted by the 1985 Texas Legislature, the following will apply. The pertinent portion of the Act has been extracted and is as follows:
Article 601g. State of Political Contracts for Construction, Supplies, Services, Bids by Nonresident, Section (a) in this Act:
(1) “Government agency of the state” means: an incorporated city or town, a county, a public school district, a special-purpose district or authority, or a district, county, or justice of the peace court;
(2) “Non-resident bidder” means a bidder whose principal place of business is not in this state, but excludes a contractor whose ultimate parent company or majority owner has its principal place of business in this state.
(3) “Texas residential bidder” means a bidder whose principal place of business is in this state, and includes a contractor whose ultimate parent company or majority owner has its principal place of business in this state.
(B) The state or governmental agency of the state may not award a contract for general construction, improvements, services, or public works projects or purchase of supplies, material, or equipment to a nonresident bidder unless the non-residents bid is lower that the lowest bid submitted by a responsible Texas resident bidder by the same amount that a Texas resident bidder would be required to underbid the nonresident bidder to obtain a comparable contract in the state in which the non resident’s principal place of business is located.
I certify that as defined in Article 601g. that:
COMPANY NAME:
Yes, I am a Texas Resident Bidder.
No, I am a Residence Bidder.
SIGNATURE
PRINTED NAME
DATE: ______________________
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HISTORICALLY UNDERUTILIZED BUSINESS (HUB)
CERTIFICATION
Bidding companies that have been certified by the Texas Building and Procurement Commission
(TBPC) as Historically Underutilized Business (HUB) entities are encouraged to indicate their HUB
status when responding to this Bid Invitation. The electronic catalogs will indicate HUB certification
for vendors that properly indicate and document their HUB certification on this form.
I certify that my company has been certified by the Texas
Building and Procurement Commission as a Historically
Underutilized Business (HUB), and I have attached a copy of our
HUB Certification to this form. (Required documentation for recognition
as a HUB).
My company has NOT been certified by the Texas Building and
Procurement Commission as a Historically Underutilized Business (HUB).
SIGNATURE OF AUTHORIZED REPRESENTATIVE
NAME ( PLEASE PRINT )
TITLE
DATE
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innovate, educate, graduate
2602 S. Belt Line Rd.
Grand Prairie, Texas 75052
972.264.6141
www.gpisd.org
DISTRICT PURCHASE ORDER
REQUIREMENTS
Vendor:
Items and/or services are to be delivered Grand Prairie Independent
School District ONLY when a district approved purchase order has
been faxed, e-mailed or called into your company.
Under no circumstances, should items and/or services be provided to
the district without a properly drawn district purchase order.
If your company provides any item and/or service without a properly
drawn district purchase order, you are NOT GUARANTEED
PAYMENT and the item and/or service you provided could be
constituted as a donation to the district.
Please inform any staff member that handles the Grand Prairie
Independent School District account of these procedures.
You MUST sign this document as acknowledgement that you
understand this policy in order for your vendor to be placed on our
approved vendor listing or to remain an approved vendor.
____________________________________________
Company Name
____________________________________________
Signature
____________________________________________
Printed Name
____________________________________________
Date
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