Dental Insurance Requirement for the OCC
ID: 2031JW24R00002Type: Presolicitation
Overview

Buyer

TREASURY, DEPARTMENT OF THEOFFICE OF THE COMPTROLLER OF THE CURRENCYCOMPTROLLER OF CURRENCY ACQSWASHINGTON, DC, 20219, USA

NAICS

Direct Health and Medical Insurance Carriers (524114)

PSC

SOCIAL- GOVERNMENT INSURANCE PROGRAMS: OTHER (G008)
Timeline
    Description

    The Department of the Treasury, specifically the Office of the Comptroller of the Currency (OCC), is seeking proposals for a comprehensive Dental Insurance Program to serve its employees, retirees, and their eligible family members. The procurement involves managing and administering two dental plan options: a Preferred Provider Organization (PPO) and a Dental Health Maintenance Organization (DHMO), with the OCC covering full premium costs for active employees and certain retirees. This initiative is crucial for ensuring quality dental care and benefits for government personnel, with a contract performance period set from April 1, 2025, to March 31, 2026. Interested contractors must submit their proposals by the extended deadline of October 21, 2024, and can direct inquiries to Matthew Quinn at Matthew.Quinn@occ.treas.gov or Joey Barden at Joey.Barden@occ.treas.gov.

    Files
    Title
    Posted
    The document outlines the solicitation for a dental insurance program for the Office of the Comptroller of the Currency (OCC) to serve its employees, retirees, and their eligible families, as well as employees of the Office of Financial Research (OFR). The contract will cover a 12-month base period with nine optional one-year extensions. The contractor will provide and administer two types of dental plans: Preferred Provider Organization (PPO) and Dental Health Maintenance Organization (DHMO). Notably, the OCC will pay premiums for active employees and certain retirees, while retirees will bear their own costs based on their selected coverage tiers. The solicitation specifies deliverables, eligibility conditions, enrollment processes, and the contractor's responsibilities, including ongoing education and support for employees. It highlights the need for compliance with federal regulations and security protocols, particularly concerning the handling of Controlled Unclassified Information (CUI). Additionally, the document emphasizes the importance of maintaining and monitoring data security, effective claims processing, and providing comprehensive program guides to facilitate a clear understanding of the insurance offerings. In summary, the solicitation aims to ensure competitive dental insurance benefits while underscoring the OCC's commitment to employee welfare and regulatory compliance.
    The document presents an amendment to a federal solicitation concerning the extension of the proposal submission deadline. Originally set for October 7, 2024, the new deadline is now October 21, 2024, at 10:00 A.M. ET. The amendment specifies the procedures for acknowledging receipt and submitting proposals, emphasizing that failure to acknowledge the amendment may lead to rejection of the offer. Additionally, it clarifies that any changes to previously submitted offers must reference the original solicitation and amendment and be received before the new deadline. The period of performance for the contract is stated to be from April 1, 2025, to March 31, 2026. The document outlines administrative modifications and states that all other terms and conditions remain unchanged. This amendment is critical for potential contractors to ensure their proposals are timely and compliant with submission requirements.
    The document serves as an amendment to the solicitation numbered 2031JW24R00002, issued by the Office of the Comptroller of the Currency (OCC) in Washington, DC. It addresses changes and updates to the original solicitation regarding dental insurance services. Key modifications include responses to industry questions, updates to pricing and historical data attachments, and the addition of a new attachment related to secure configuration baselines. The period of performance is set from April 1, 2025, to March 31, 2026. It is crucial that contractors acknowledge receipt of this amendment to avoid rejection of their offers. The announcement underscores the importance of compliance with submission protocols outlined in the solicitation documents. Overall, it emphasizes the federal procurement process's structured approach to solicitations, modifications, and the necessity for potential offerors to stay informed and respond accordingly to any amendments.
    The document pertains to the Request for Proposals (RFP) issued by the Office of the Comptroller of the Currency (OCC), focusing on various aspects of dental insurance services. Key topics include data protection standards, timeline clarifications for the transition and base periods of the contract, and specific queries regarding plan structures and pricing. The RFP outlines a transition timeline from April 1, 2025, to June 30, 2025, with insurance coverage commencing on July 1, 2025, under a 10-year contract structure. Responses clarify that contractors must directly participate without broker commissions, ensuring competitive pricing. Additionally, the RFP mandates comprehensive data separation between personal and confidential information, enhancing data protection. The OCC emphasizes voluntary participation in dental plans, with full coverage of costs for active employees and disabled retirees. Several amendments to the RFP, such as modifications to attachment documents and standard forms, are noted and reflected in updated versions of key attachments. The OCC reserves the right to control information sharing under the outlined privacy policies. Overall, the document reflects the OCC's effort to establish a comprehensive, secure, and competitive dental plan that meets the needs of its employees while remaining compliant with federal contracting principles.
    The document details a solicitation for dental insurance services for employees and retirees of the Office of the Comptroller of the Currency (OCC) and the Office of Financial Research (OFR). It outlines the requirements for a contractor to administer two dental plans (PPO and DHMO) over a base year and up to nine optional years, including premium structures and billing procedures. The OCC fully funds premiums for active employees while retirees bear the costs based on their selected coverage tiers. Furthermore, the contractor is responsible for enrollment and communication processes, including on-site health events and educational seminars. The specification emphasizes the need for compliance with federal regulations on data security and privacy, requiring services to be performed within the U.S. and protecting personally identifiable information (PII). The key deliverables include a detailed dental program guide, enrollment summaries, and regular claims processing reports. A strong focus is placed on the contractor's ability to provide a secure online system for claims management, member outreach, and effective customer support. This solicitation represents the OCC’s commitment to offering comprehensive employee benefits while ensuring regulatory adherence and quality service delivery.
    The document outlines a Price Proposal Spreadsheet for a federal project related to health insurance benefits transitioning from 2025 through 2035. It specifies phases such as the Transition Period, Base Period, and multiple Option Periods, detailing various health plan rates, including PPO and DHMO options for active employees and non-disabled retirees. Each section includes a breakdown of costs associated with different tiers (composite, 2-tier, and 3-tier) of coverage but leaves many price fields blank for prospective bidders to complete. The overarching purpose is to guide the proposal submissions for health care benefits while ensuring a structured approach to pricing through yearly price caps for each option period. The document aims to establish competitive pricing while meeting regulatory compliance for government contracting. By clearly laying out expectations for the firms, it enhances transparency in the procurement process pertaining to healthcare services for government employees. Ultimately, it serves as a framework for bidders to propose their rates over a comprehensive ten-year period, ensuring clarity and alignment with federal standards in public sector health benefits.
    The government file presents a comprehensive price proposal for a health benefit plan covering the period from April 1, 2025, through March 31, 2035, including various option periods. It outlines a structured pricing model segmented into transition, base, and multiple option periods. Each segment delineates pricing categories for Preferred Provider Organization (PPO) and Dental Health Maintenance Organization (DHMO) plans across composite, two-tier, and three-tier rates for active employees and retirees, with estimates for monthly and annual premiums left unfilled. Each option period specifies employee and retiree demographics, with corresponding pricing and an embedded price cap not yet determined. Estimates reflect a consistent cost baseline of $0 for initial years, projecting premium changes attributed to a 2% cap on previous costs as demonstrated in later calculations. Ultimately, the document's purpose focuses on establishing a transparent pricing framework for health plans over a decade, ensuring stakeholders can assess financial commitments associated with employee health benefits. The structured data facilitates government entities in managing budgets related to employee and retiree health coverage effectively.
    The document outlines the current dental plan designs for both PPO and DHMO options, detailing benefits, reimbursement levels, and exclusions for various dental services. Under the PPO plan, services are categorized into four classes: Class I (Diagnostic and Preventive Care), covered at 100% in-network; Class II (Basic and Restorative Care), at 80% in-network after a deductible; Class III (Major Care), at 60% in-network; and Class IV (Orthodontia), at 60% coverage. Important plan features include annual maximums, deductibles, and specific reimbursement policies for certain procedures, including limitations on services for missing teeth. The DHMO plan eliminates annual maximums and deductibles but requires copayments ranging from $0 to $2,100 depending on the service. Coverage also emphasizes coordination of specialty care through dentists. The document specifies coverage exceptions and outlines policy limitations, ensuring clear communication of what services are not covered. Overall, the document serves as a comprehensive guide for understanding the dental benefits available, compliance with applicable regulations, and the financial responsibilities they impose on enrollees. This information is relevant in the context of government RFPs and grants, as it provides essential details for agencies assessing health plans and dental care services for eligibility under funding requirements.
    The document outlines an Enhanced Plan Design for dental insurance, specifically detailing the benefits and reimbursement levels associated with both PPO and DHMO options. It presents a structured benefits summary categorized into classes including Class I (Diagnostic and Preventive), Class II (Basic Restorative and Periodontics), Class III (Major Restorative), and Class IV (Orthodontics). The in-network and out-of-network reimbursement rates, calendar year maximums, and deductibles are defined, showcasing comprehensive coverage for various dental procedures. This enhanced plan allows for up to $3,000 in annual benefits for Classes I, II, and III, with an orthodontic lifetime maximum of $2,500 for both children and adults. Specific procedure codes for covered services are delineated, along with necessary limitations and exclusions that guide patient eligibility and treatment coverage. Overall, the document serves as a guidelines manual for dental benefits, making it relevant within the context of state and federal initiatives to provide comprehensive healthcare options. By ensuring appropriate planning and authorization for dental procedures, the plan aims to balance access to necessary dental care with financial management of costs incurred by both patients and their insurers.
    The document presents enrollment data for Delta Dental of California's programs from January 2015 through September 2024. It categorizes enrollments into several types, including PPO for active employees, disabled retirees, survivors, and DHMO plans, along with monthly covered lives and premiums. The analysis reveals trends in total covered lives, showing fluctuations in enrollments and premium amounts over the specified period. The data indicates a peak total enrollment of 10,898 in February 2017, with a gradual decline and fluctuation over the years. It also details the monthly premiums for both PPO and DHMO plans, displaying a general decrease in premiums after 2019. This file serves as a comprehensive overview of dental insurance enrollment trends and financial metrics, which could prove useful for state and local entities considering similar RFPs or grant applications aimed at healthcare coverage.
    The document provides a comprehensive overview of dental insurance enrollment data from Delta Dental of California, spanning from January 2015 to December 2023. It details monthly statistics on various enrollment types, including PPO and DHMO plans, for active employees, retirees, and survivors. Key data points include total sponsors, covered lives, and premium amounts, with specific attention given to the fluctuation of enrollment numbers over the years, illustrating trends in dental insurance coverage. The report also summarizes claims processed under DHMO and PPO plans, providing insights into the financial aspects of the insurance offering. This data serves to inform government entities involved in RFPs and grants by presenting a clear picture of enrollment patterns and financial implications associated with dental insurance plans. As such, the document aids in assessing the health insurance landscape, potentially guiding funding decisions and program implementations. By identifying trends in enrollment and claims, the report enhances understanding of dental care accessibility and associated costs, crucial for both state and federal policy evaluations.
    The document outlines the terms of a Fully-Insured Participating Funding Arrangement, where the Office of the Comptroller of the Currency (OCC) pays the Contractor's premiums, while the Contractor manages covered claims and expenses. At the end of each policy year, an annual settlement will assess whether the account resulted in a surplus (margin) or shortfall (deficit). If the claims and expenses are lower than the paid premiums, the surplus will be held in a Premium Stabilization Reserve (PSR), which accrues interest and can be utilized to reduce future premium costs or offset deficits. Conversely, deficits, if incurred, are carried forward and can only be recovered through future margins. Regular reporting of claims experience allows for informed management and reduction of unexpected outcomes at the year-end settlement. This arrangement serves to balance the financial responsibilities between the OCC and the Contractor, ensuring fiscal accountability and risk management within federal funding frameworks.
    This document outlines a Non-Disclosure Agreement (NDA) for individuals granted conditional access to sensitive but unclassified information related to U.S. Government contracts. The primary purpose is to ensure the protection of such information from unauthorized use or disclosure, highlighting the trust placed in the individual by the government. Key provisions include obligations to protect sensitive information, restrictions on disclosure, and conditions for publication based on information accessed under the contract. It mandates that any notes taken must remain secure or subject to review for sensitive information before release. The document emphasizes that violations may lead to cancellation of access, civil action for damages, and potential criminal charges. The NDA aligns with existing government legal frameworks, maintaining its validity throughout the contract period and beyond, until explicitly released. This agreement is crucial for safeguarding national interests and supporting federal programs, tying into larger government protocols on information disclosure under various statutes. Overall, it establishes a clear legal framework for managing sensitive information to mitigate risks associated with unauthorized access or dissemination.
    The document outlines a format for submitting questions regarding a Request for Quotation (RFQ). Companies are instructed to fill in specific highlighted columns: their name, the section of the RFQ their question pertains to (including section, paragraph, and page number), and the question itself. No alterations to the document's structure are permitted, ensuring consistency in submissions. The purpose is to facilitate clear communication and address any uncertainties potential offerors may have about the RFQ. This structured approach aims to streamline the review process and ensure all relevant inquiries are collected and addressed systematically, reflecting a common practice in federal and state RFP processes to enhance bidder engagement and transparency in contract bidding.
    The document presents a comprehensive list of locations and ZIP codes associated with duty stations for the pay period of September 2024 across various cities in the United States, primarily focusing on Massachusetts, New York, New Jersey, and Pennsylvania, among others. Each entry includes a city, state, and ZIP code, highlighting the geographical spread of federal and state/local Request for Proposals (RFPs) and grants. The purpose of this compilation appears to facilitate administrative and operational planning within government agencies, particularly in relation to funding allocations and resource distribution associated with federal grants and RFPs. By cataloging these locations, the document serves as a reference for stakeholders involved in public sector initiatives and grant management. The detailed listing suggests a structured approach to categorizing potential areas for project implementation, with a significant concentration in metropolitan regions such as Boston, New York City, and Philadelphia. The format emphasizes thoroughness and utility for government officials and organizations seeking to navigate and respond to local funding opportunities or collaborative projects in these regions.
    The document outlines the process for developing secure configuration baselines within the organization, emphasizing their necessity for ensuring security compliance. It clarifies that secure configuration baselines, in line with control CM-6 of the Master Security Control Catalog, formally document the most restrictive configuration settings derived from nationally approved sources. Each system benefits from universal baselines, such as those for Windows Server or IIS, rather than individual baselines. The document details the steps for creating a new secure configuration baseline, beginning with initiating its development and identifying candidates for a Secure Configuration Baseline Owner. It discusses the importance of benchmarks as foundational documents, although if none is available, the team must outline essential security controls based on existing documentation. Approval of the baseline necessitates a structured review process involving multiple stakeholders, followed by its rendering into a single PDF file for digital signing. The final approved version is archived in eDocs, ensuring compliance with electronic recordkeeping requirements. This comprehensive approach reflects the organization’s commitment to cybersecurity standards, essential for managing risks effectively within government operations and compliance frameworks.
    The document outlines solicitation 2031JW24R00002 issued by the Office of the Comptroller of the Currency for a government contract under the Defense Priorities and Allocations System. It primarily seeks bids for supplies or services defined within a specified period of performance, from April 1, 2025, to March 31, 2026. This request for proposal (RFP) indicates a negotiated contract format, and it emphasizes compliance with associated regulations and instructions for offer submissions. Key components include the requirement for offers to be submitted in a sealed format to a designated address, the acknowledgment of receipt of amendments by the offeror, and the stipulation of a discount for prompt payment options. The document contains a detailed table of contents, enumerating sections that include the solicitation form, representations and certifications, contract clauses, and requirements for delivery and performance. Overall, the file highlights procedural steps, essential dates, contact information for inquiries, and conditions for award acceptance, ensuring clarity and transparency throughout the bidding process. This RFP is integral to federal contracting operations, establishing guidelines for potential contractors and aiming to secure reliable services for government functions.
    The document pertains to a Request for Proposal (RFP) issued by the Office of the Comptroller of the Currency (OCC) for a contractor to provide and manage a Dental Insurance Program for its employees, retirees, and their eligible family members. The RFP outlines the requirements for the contractor, including underwriting and administering two dental plan options: a Preferred Provider Organization (PPO) and a Dental Health Maintenance Organization (DHMO). Key points include the contractor’s responsibilities for program benefits, eligibility criteria for enrollees, and specific deliverables. The OCC will cover the full premium costs for active employees and certain retirees, while non-disabled retirees will bear the costs based on selected coverage tiers. A transition period from April 1, 2025, to June 30, 2025, is allocated for employee enrollment before services commence on July 1, 2025. The document highlights performance expectations, including claims processing, maintaining enrollment systems, and compliance with security, privacy, and accessibility standards. The contractor must provide detailed reports and maintain proper oversight for service delivery. This RFP emphasizes the OCC’s commitment to delivering quality dental insurance while ensuring the wellbeing of its employees and retirees through effective program management.
    The document outlines an amendment to a federal solicitation, specifically Solicitation No. 2031JW24R00002, issued by the Acquisitions Management at the Office of the Comptroller of the Currency. The primary purpose of this amendment is to extend the deadline for offerors to submit questions regarding the solicitation from September 16, 2024, at 4:00 PM ET, to September 23, 2024, at 10:00 AM ET. Additionally, it clarifies the process for acknowledging the amendment—either through copies of the offer or via separate communication—and stresses the importance of timely acknowledgment to avoid rejection of the offers. The period of performance for the impending contract is noted to be from April 1, 2025, to March 31, 2026. The amendment ensures that all terms and conditions of the original solicitation remain unchanged unless specified otherwise. This document serves to clarify procedural modifications in response to previous inquiries from potential offerors, reflecting ongoing communication in the procurement process.
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