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COMMERCE BUSINESS DAILY ISSUE OF APRIL 12,2000 PSA#2577Department of the Treasury, Office of Thrift Supervision (OTS),
Procurement and Administrative Services, 1700 G Street, N.W., 3rd
Floor, Washington, DC, 20552 Q -- LONG-TERM CARE PROGRAM SOL RFP-TOT-00-C00012 DUE 051100 POC
Douglas Mason, Sr. Contract Specialist, Phone (202) 906-7624, Fax (202)
906-5648, Email douglas.mason@ots.treas.gov WEB: Visit this URL for the
latest information about this,
http://www.eps.gov/cgi-bin/WebObjects/EPS?ACode=P&ProjID=RFP-TOT-0
0-C00012&LocID=1767. E-MAIL: Douglas Mason,
douglas.mason@ots.treas.gov. The Office of Thrift Supervision (OTS), a
bureau of the U. S. Department of the Treasury, regulates and
supervises the nation_s thrift industry. It is seeking the services of
a contractor to establish a long-term care program for its 1300
employees. The contractor should be an insurance carrier (not broker)
or other long-term care provider with experience in proving long-term
care to the public/private sector. This is a Combined
Synopsis/Solicitation for commercial items prepared in accordance with
the format of FAR 12.6, as supplemented with additional information
included in this notice. This announcement constitutes the ONLY
solicitation. This Request for Proposals (RFP)TOT-00-C00012
incorporates provisions and clauses in effect through Federal
Acquisition Circular 97-15. The associated SIC is 8059 and the business
size standard is $5M. The OTS_s long-term care program requirements
are: Eligibility = employees, spouses, parents of employee,
parents-in-law of employees, and future retirees. The employee does not
have to enroll for family members to be eligible. Age Limitation --
Enrollee must be under age 80 when first enrolled. Enrollees are
covered beyond age 79 as long as they are enrolled prior to age 80.
Nursing Home Benefits -- Coverage for skilled nursing care,
intermediate care, or a custodial care while in an approved nursing
home up to 100% of the daily maximum benefit. Home Health Care Benefit
-- Coverage for Home Health care up to 50% of the daily maximum
benefit. Adult Day Care -- Coverage for Adult Day Care up to 50% of the
daily maximum benefit. Respite Care -- Coverage for temporary overnight
stays in a nursing home or Respite Care Facility up to 100% of the
daily maximum benefit. Limited to 14 days per calendar year.
Eligibility for Benefits -- Enrollee is eligible for benefits if
either: (1) he/she needs continued assistance in performing two or more
of six Activities of Daily Living (ADL_s): Dressing, Feeding,
Toileting, Transferring, Continence, Taking Medication or (2) needs
continued supervision because they suffer from cognitive impairment.
Cognitive impairment means the deterioration of intellectual capacity
as a result of Alzheimer disease or similar forms of senility or
irreversible dementia. Prior confinement in any facility is not a
requirement for benefits. Waiting Period -- The plan will not provide
benefits until enrollees have satisfied a waiting period. The waiting
period is defined as the number of days a person is confined in a
nursing care facility or the number of home care visits or adult day
care provided before benefits are payable. Waiting Period Option 1 30
days; Waiting Period Option 2 90 days. Daily and Lifetime Benefit
Maximums: Daily Maximum Lifetime Maximum -- Option 1 $ 50 -- $100,000;
Option 2 $100 -- $200,000; Option 3 $150 -- $300,000. Pre-Existing
Condition Limitations -- None Guaranteed Issue -- Initially all
eligible employees and spouses can enroll without medical underwriting.
Parents and parents-in-law will be required to fill out health
questionnaires and will be medically underwritten. Newly hired
employees may enroll without medical underwriting if they do so within
30 days of employment. Employees who do not enroll when first eligible
will be subject to medical underwriting if they wish to enroll in the
future. Waiver of Premium -- Premiums are waived after the first 90
days of confinement in a long-term care facility. Premium payments are
waived until a patient is no longer confined in a facility. [Waiver of
premium waiting period should coincide with benefit waiting period.]
Return of Premium -- If premium payments are discontinued, a portion of
premiums paid will be refunded based on the number of years the
coverage was in force and less any benefits paid. Years in Force
Portion Refunded -- Less than 5 years 0%; 5-9 25%; 10-14 50%; 15-19
75%; 20 or more 100%. Conversion Privilege -- Upon leaving OTS, current
enrollees will have the option of continuing coverage by paying
premiums directly to the insurance company. Inflation Protection --
Daily Benefit Maximums will automatically increase by $5 each year for
the next 20 years, up to a maximum increase of $100. In addition,
enrollees may elect an increased daily maximum once every two years.
However, the premium for the increased amount will be based on their
age at the time for the increase. OTS will negotiate rates with the
successful provider through an agreement that will have a base year and
four one year option periods. The rates will be paid by employees to
participate in the program. Therefore, the only costs awarded under the
agreement will cover the annual administrative fee for administering
the program. Interested offerors should provide as a part of their
proposal written technical material that reflects their experience in
providing similar long-term care programs to the public/private
sectors; past performance information -- including clients names and
telephone numbers of contacts; and rates based on the above program
requirements for the base and each option year of the agreement. Award
will be based on a best-value basis concerning technical experience,
past performance, and plan rates. Offerors should also submit with
their proposal, in accordance with FAR 52.212-3, a signed Offeror
Representations and Certifications -- Commercial Items. The
certification, and the other FAR clauses/provisions cited herein, can
be found at www.arnet.gov/far, Part 52. The other applicable FAR
provisions are 52.212-1, Instructions to Offerors -- Commercial;
52.212-2, Evaluation -- Commercial Items; 52.212-4, Contract Terms and
Conditions -- Commercial Items and 52.212-5, Contract Terms and
Conditions Required to Implement Statutes or Executive Orders --
Commercial Items. Proposals are due at the following address by 3:00PM,
local time, May 11, 2000 -- Office of Thrift Supervision, Procurement
Management, 1700 G Street, NW, Attn: Douglas Mason, Washington, DC
20552. Electronic or faxed proposals will not be accepted. Any
amendments to this synopsis/solicitation will be posted to this
web-site prior to the RFPs closing date. There will be no other Posted
04/10/00 (D-SN443159). (0101) Loren Data Corp. http://www.ld.com (SYN# 0083 20000412\Q-0005.SOL)
Q - Medical Services Index Page
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