Addendum No. 1 to Packet No. 20-12 Health Care Consultant



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Addendum No. 1 to Packet No. 20-12 Health Care Consultant The following clarifications, modifications and/or revisions to the above project shall be considered a part of the original specifications: 1. Tab III A. 9. We acknowledge that any submission related to the RFP do become a matter of public record. As such, if asked and we are unwilling to provide a financial statement of our company, would this disqualify us from being considered? Also, if asked and we do provide a financial statement, in what format would you request the information be given and what specific information would be requested? Submitting a financial statement will not be a requirement of this RFP. Please disregard Tab III A. 9. 2. Does the County currently retain an agent/consultant? If yes, who and how many years have they been retained by the County? Yes, Aon/Hewitt Consulting, Inc. who has been the County s health care consultant since 2007. 3. You mention assistance with other non-health care vendors such as life insurance and flexible benefit provider. Please list your current providers for: vision, dental, life, STD and FSA. Vision VSP Dental Delta Dental Life Mutual of Omaha STD Mutual of Omaha FSA Infinisource 4. Can you please tell me who the current Consultant is for Ingham County? The current consultant is Aon/Hewitt Consulting, Inc. 5. Is the County/Coalition pleased with the level of consulting services they are receiving currently? If yes, what areas are you the most pleased with? If no, what areas are you looking for improvement from a new consulting firm? 6. Is the County/Coalition looking to partner with a firm based on a fee agreement arrangement or standard commissions from the existing lines of coverage? Are you

looking for one fee that includes all resources or would you like to see pricing broke out for additional resources? We are not sure if we will be using a commission agreement or a fee for service. For this RFP, we are requesting a total fee for all the services noted in the RFP along with an additional hourly rate for any additional services which may arise. 7. Is the County/Coalition including Life and Disability within this RFP or Medical/Prescription only? We are only requesting service with Medical and Prescription coverage. If at some point in the future, we are looking to make a change to other benefits, we may be requesting the service of the chosen consultant. 8. Please provide further explanation on what is meant by Question 13 in section 3.2 which states to assist in the development/implementation/reporting of Medicare requirements, including the Retiree Drug Subsidy programs under Part D. We would like the consultant to be the account manager for our RDS program. 9. Does the County of Ingham anticipate holding finalist meetings? Please see Section 7.1 Proposal Evaluation on page 16. 10. What portion of the proposals will be read aloud at the public forum on March 13? Name of proposer, local status, signature form completed, and compensation and cost information will be read aloud. An e-mail with this information may be sent to interested parties, if so requested. 11. Please provide details on how the proposals will be scored. Please see Section 7.2 Evaluation Methodology on page 16 and Section 7.4 Basis for Award on page 17. 12. How many individuals from each entity are represented by the Coalition? 13. Is there a "sub-committee" that reviews and monitors the employee benefits? If so, how many members from each entity are represented on this committee?

14. Does the Coalition require that the Health Benefits Consultant be located in Michigan? No, however the County prefers a firm located in Ingham County. The Contractor is required to attend monthly County/Coalition meetings. 15. For how many years does the Coalition anticipate the contract, with the Health Benefits Consultant, to continue? The County is interested in establishing a long-term relationship with the awarded Health Care Consultant. 16. Of the 1,600 employees and retirees, please provide the counts split by active employees, OBRAs, non-medicare retirees and Medicare retirees. 17. Besides Physician's Health Plan (PHP) and Humana, what vendors currently provide coverage for the Coalition's dental, prescription drug, EAP, life, vision, STD and LTD plans? Dental Delta Dental Life Mutual of Omaha Vision VSP STD Mutual of Omaha FSA Infinisource 18. Please provide the funding structure for all programs, including PHP and Humana (e.g., fully-insured or self-funded). 19. When was the last time the Coalition competitively bid each of the above programs? Dental 2004 Pharmacy 2009 Vision 2006 LTD 2007 Workers Comp - 2011 20. Does each entity have the same benefit options available for its participants? If not, please describe the differences.

21. If the Coalition is self-funded, does the Coalition pool experience between the members? 22. Under "Specific Requirements", for item number 3, how many request for proposals do you anticipate to conduct in the first year of the contract? How many does the Coalition anticipate conducting over the next 3 years? 23. For item number 10, please describe the expectations of the Health Benefits Consultant with respect to auditing vendors. Do you anticipate the Consultant to conduct the audits, or review the work of another entity? 24. When was the last audit completed of PHP? When does the Coalition anticipate the next audit to occur? 25. Are there currently other entities that have expressed interest in joining the Coalition? 26. Please describe any wellness and/or disease management programs the Coalition currently has in place, including service providers. 27. Is the Coalition's current medical plan "grandfathered" under the Affordable Care Act? 28. What firm provides the Coalition's current consulting services?

The County s current consultant is Aon/Hewitt Consulting, Inc. 29. How long has the current consultant been in place? The County has retained the services of Aon/Hewitt since 2007. 30. What are the current annual fees paid to the current consultant? 31. What is the Coalition's annual budget for consulting services in the future? Please acknowledge your receipt and understanding of the aforementioned Addendum by signing below and returning it with the submittal of your proposal. Signature Date Print Name Title Company Name Phone #/Fax #