The purpose of this solicitation is to obtain premium accounting and reconciliation support to perform accounting and reconciling of premium payments and associated advance premium tax credits, and establishing proper controls and fraud prevention that will be associated with the implementation of Covered California.
HBEX20 - Business Process Management Support
The purpose of this solicitation is to obtain the services of consultants to provide Covered California with business process management support that will align Covered California's business processes with the wants and needs of our enrollees.
HBEX19 - Request for Offer for Health Care Training variety of audiences; focus group testing of program materials; written translations of program materials and readability of materials
The purpose of this Request for Offer (RFO) is to obtain the services of a contractor who can work with Covered California to scope, develop, and deliver a comprehensive training program that leverages multiple sources of content into cohesive training packages for use throughout the needs of Covered California.
HBEX18 - Tribal Community Mobilization Program
Covered California is seeking proposals from qualified vendors to provide consultant services to inform and develop Covered California’s policies as they relate to American Indian and Alaska Native communities. A complete response to this solicitation is due March 13, 2013 by 4PM PST. Addenda may be released as needed.
HBEX17 - General Agents
Covered California is seeking to contract with qualified Health Insurance General Agents who are interested in providing General Agent services to Covered California’s Small Business Health Options Program (SHOP).
HBEX16 - Supplemental Vision Benefits Solicitation (“Vision Plan Solicitation”)
Any health issuer licensed to offer, market and sell vision plans in the individual or small group markets interested in offering supplemental vision services must respond to this Vision Plan solicitation. A complete response to this solicitation is due by March 1, 2013 at 12:00 PST. Addenda may be released as needed.
HBEX15 - Supplemental Dental and Pediatric Dental Essential Health Benefit Solicitation (“Dental Plan Solicitation”)
Any health issuer licensed to offer, market and sell dental plans in the individual or small group markets interested in offering stand-alone dental services must respond to this Dental Plan solicitation. A complete response to this solicitation is due by March 1, 2013 at 12:00 PST. Addenda may be released as needed. Bidders may bid to offer the Pediatric Dental Essential Health Benefit Plan or the Supplemental Dental Benefit Plan or both.
HBEX13 - Request for Proposals for Outside Legal Counsel
The Exchange is seeking proposals from qualified vendors to provide legal counsel to assist with Affordable Care Act implementation, including interpretation and anticipation of federal guidance.
HBEX12 - Request for Offer - County Based Service Center
The California Health Benefit Exchange is releasing a Request for Offer (RFO) to counties that already expressed interest in providing Service Center functions for the Exchange. At the August 23, 2012 Board Meeting, the Exchange issued a “Term Sheet for County Participation,” which identified all key terms for the Exchange’s Service Center needs. By September 2012, counties were required to express their interest in providing Service Center functions. Only counties who have already expressed interest are eligible to respond to this RFO.
HBEX11 - Administration of the Small Business Health Options Program (SHOP) Solicitation
The Exchange is seeking proposals from qualified Vendors to provide for the Administration of the Small Business Health Options Program (SHOP).The Exchange seeks to contract with a Vendor for the following sales and operational services: Sales Support and Fulfillment, Agent and General Agent Management, Eligibility and Enrollment, Financial Management, Customer Service, and Information Technology Services. The Vendor is expected to support the business functions of the Exchange for SHOP in order to begin enrollment in health insurance coverage by the start of initial open enrollment in October 2013.
HBEX10 - Solicitation Support Consultant Services: Qualified Health Plan Management
The Exchange is seeking proposals from qualified Vendors to provide support services for the Qualified Health Plan (QHP) solicitation. The ideal Vendor will develop, in consultation with the Exchange, an approach to evaluation of QHP bids that is organized, systematic, effective, and thorough and that will support selection of QHPs which will drive the Exchange’s vision of health care delivery system reform and affordability for California consumers in 2013.
Qualified Health Plans Solicitation
In January 2013, bids from health issuers proposing to sell Qualified Health Plans through the Exchange will be due to the Exchange. This QHP solicitation is the FINAL release of the information that the Exchange will be requesting from QHP bidders in order for the Exchange to make the final selections of which QHPs will be offered to the public in which geographic areas in California. Bidder responses are due January 23, 2013 by 5:00 PM PST. The Standardized Benefit Plan design will be posted upon finalization.