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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.)

2

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.

4

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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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