Health Plan Administration for Medical, Pharmacy, Dental, Vision, COBRA, Flexible Spending Accounts, and Stop Loss

Solicitation No. R-14-004-MF
Status: Selection Approved and Awarded
Awarded: 9/26/14
Due Date: 2:00 PM Monday, 5/5/14

Awarded Firm: United Health Care Express Scripts

The San Antonio Water System (SAWS) is seeking proposals from qualified vendors to provide the services as listed in the table below.  SAWS will implement these programs for a January 1, 2015 effective date. Respondents should assume open enrollment begins in October, 2014. The contract(s) with the selected consultant(s) shall be effective from January 1, 2015 through December 31, 2019 with options to renew for three additional one-year periods; however, implementation services may begin as early as August 1, 2014. 

 

Service / Benefit Description

Current Vendor

Self-funded Medical (EPO and two PPO plans)

Blue Cross Blue Shield

Self-funded Prescription Drug

CVS Caremark

Self-funded Dental

MetLife

Stop Loss

Blue Cross Blue Shield

Fully-insured Vision

United Healthcare Vision

COBRA, FSA

PayFlex

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Downloads

Full RFP Proposal
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2013 MetLife Dental Booklet
Apr. 8, 2014
2014 OE Guide HMO v9 24
Apr. 8, 2014
2014 OE Guide PPO Choice v9 24
Apr. 8, 2014
2014 OE Guide PPO Economy v9 24
Apr. 8, 2014
2014 Vision Summary
Apr. 8, 2014
Active and Retiree Census
Apr. 8, 2014
Dental Claims Experience
Apr. 8, 2014
Health Plan Administration RFP Questionnaire
Apr. 8, 2014
Large Claims Experience
Apr. 8, 2014
Medical Rx Claims Experience
Apr. 8, 2014
Performance Guarantees
Apr. 8, 2014
Repricing Data
Apr. 8, 2014
SAWS Hospital and Physician Disruption
Apr. 8, 2014
SAWS Rx Disruption
Apr. 8, 2014
Addendum 1
Apr. 21, 2014
Add-1_Rx 2013 Claims Detail
Apr. 21, 2014
Addendum 2
Apr. 29, 2014
Add-2_SAWS NDC 11 CY2013
Apr. 29, 2014
Add-3_mutual non-disclosure agreement_042814.pdf
Apr. 30, 2014
Addendum 3
Apr. 30, 2014
MetLife Dental Booklet
Apr. 9, 2014
Add-1_SAWS Health Plan Administration RFP Questionnaire - 042114
Apr. 21, 2014
Add-1_Enrollment_Disenrollment_Report
Apr. 21, 2014
Add-1_SAWS Census with Medicare Indicator
Apr. 21, 2014
Add-1_Vision Claims Reporting
Apr. 21, 2014
Add-1_2014 SAWS Caremark Prescription Drug Benefits Summary
Apr. 21, 2014
Add-1_SAWS Dental Disruption
Apr. 21, 2014