Benefits Enrollment and Premium Administration Services for BENEFEDS Program

The BENEFEDS Performance Work Statement (PWS) outlines the requirements for administering federal benefits enrollment and premium administration services for the Office of Personnel Management (OPM). Established in 2006, the BENEFEDS system centralizes enrollment for the Federal Employees Dental and Vision Insurance Program (FEDVIP), Federal Flexible Spending Account Program (FSAFEDS), and Federal Long Term Care Insurance Program (FLTCIP), managing millions of enrollments and interfacing with multiple benefit carriers and payroll providers. The document emphasizes the need for compliance with federal laws and regulations, necessitating a knowledgeable contractor to ensure eligibility and premium accuracy. Key objectives include providing a cost-effective enrollment system, superior customer service, and educational outreach for eligible beneficiaries. The contractor must handle payroll processes, validate enrollments and ensure secure, user-friendly online services. Additionally, performance requirements mandate compliance with cybersecurity measures and a user-oriented website. The document further highlights the decentralized nature of federal benefit administration, outlining the roles of various agencies and the complexities involved in maintaining accurate records and supporting user needs during open enrollment periods. Ultimately, this PWS seeks to enhance the efficiency and accessibility of federal benefits for employees and retirees while aligning with established federal standards.

The U.S. Office of Personnel Management (OPM) issued a Sources Sought Notice (#57092) seeking industry insights for the BENEFEDS Enrollment and Premium Administration Services. This notice is not a solicitation for proposals but aims to gather information to potentially set aside procurement for small businesses. The BENEFEDS portal manages enrollment and payment processing for voluntary benefit programs, including the Federal Employees Dental and Vision Insurance Program (FEDVIP), the Federal Flexible Spending Account Program (FSAFEDS), and the Federal Long Term Care Insurance Program (FLTCIP). Key services required include premium administration, enrollment management, customer service, systems administration, and program management. Respondents must demonstrate expertise in managing complex insurance program requirements while ensuring compliance with federal regulations. Responses are requested in a structured format that highlights company qualifications, relevant experiences, and capabilities to support over two million customers. The deadline for submissions is set for March 4, 2025. This effort emphasizes OPM's commitment to enhancing its benefits administration and ensuring efficient service delivery for federal employees and retirees.