Request for Proposals (RFP) - First Nations Health …

1 Request for Proposals (RFP) Scope of Service Group Benefits Program of First Nations Health Authority RFP # 2016 RFP-32 RFP issued by First Nations Health Authority (FNHA) Issue date December 16, 2015 Amount N/A Closing date/time Proposals must be received before 16:00 hours (4:00 pm) Pacific Time on: January 08, 2016 FNHA Contact Information and Questions All enquiries related to this RFP including any requests for information, questions, and clarification, are to be directed to the following email address: FNHA will respond if time permits. Information obtained from any other source is not official and should not be relied upon. Enquiries and any responses will be recorded and may be distributed to all Proponents at the FNHA s option. Delivery of Proposals Four (2) hard copies and one (1) electronic copy (saved on a USB Flash in a Microsoft compatible format) of your proposal must be delivered by hand or courier to the closing location at: First Nations Health Authority, Attention: Contracts 540 757 West Hastings Street, Vancouver, BC.

2 V6C 3E6 proposal envelopes should be clearly marked with the name and the address of the proponent, the RFP number and the RFP project name. Proposals may not be sent by mail, facsimile or email. Short Listed Proponents For those Proponents which have not been contacted by end of business day on January 31, 2016, will serve as notice that their proposal submission was unsuccessful. Successful Proponent Notified January 25, 2016 Expected Start Date of Project: April 1, 2016 End Date of Project: 2 years Proponent s submissions A person authorized to sign on behalf of the proponent must complete and sign the Proponent Section (below), leaving the rest of this page otherwise unaltered and include the originally-signed and completed page with the First copy of the proposal . Proponent Section to be completed by proponent and included as the cover page of the Proponents Response The enclosed proposal is submitted in response to the above-referenced RFP including any addenda.

3 Through submission of this proposal we agree to all of the terms and conditions of this RFP and agree that any inconsistencies in our proposal will not be considered. We have carefully read and examined the RFP including the Administrative Section and have conducted such other investigations as were prudent and reasonable in preparing the proposal . We agree to be bound by the statements and representations made in our proposal . Signature of Authorized Representative: Legal Name of Proponent (and Doing Business As Name, if applicable): Printed Name of Authorized Representative: Address of Proponent: Title: Date: Authorized Representative email address (if available): Authorized Representative phone, fax (if available): Request for Proposals Group Benefits Program of First Nations Health Authority 2016 RFP-32 2 TABLE OF CONTENTS ..4 of Work and and Alternate Plan Financial Arrangements.

4 7 and Work Performed by ..9 Mandatory Desired 10. proposal Appendix A Overview of the Appendix B Definitions and Administration Requirements ..15 Appendix C Receipt Confirmation Appendix D Current Plan Design Appendix E Employee Benefits Handbook Union and Non-union Appendix F Rate History and Current Optional Benefit Appendix G Employee Appendix H Corporate proposal . Appendix I Quantitative proposal Appendix J Qualitative proposal Request for Proposals Group Benefits Program of First Nations Health Authority 2016 RFP-32 3 :You are invited to respond to the opportunity to submit a proposal for the administration of the group benefits program for the employees of the First Nations Health Authority ( FNHA ). There are approximately 500 employees covered under FNHA s group benefits programs. The FNHA s current provider provides third party administration services and buying power through arrangements with their preferred providers.

5 FNHA is looking to achieve economies of scale, consistency and which investigates potential to increase scope and value by consolidating their group benefit offering. FNHA is looking to gain access to the experience and expertise of the supplier, and more control over their benefit plans. Currently, the plan is part of a Trust arrangement and as such, certain plan information is limited. FNHA will consider the appropriate benefits provider based on, but not limited to, the following criteria: Competitive rates and expense charges over the contract term Services to employees, including internet and technological capabilities for information management andadministration Comprehensive administrative systems and the option for FNHA to fully outsource components Prompt, efficient, transparent, fair, consistent and accurate claims adjudication, administration and communicationwith plan sponsor and employees Capabilities to provide accurate and timely financial reporting and processing of employee claims Strong disability adjudication, prevention, rehabilitation and general management Focus on providing innovative benefit solutions Ability to match current plan design/outcomes or better, with flexibility to accommodate future plan design changesThe benefits included in this marketing are.

6 Group life (basic and optional), accident & serious illness (basic and optional), critical illness (basic and optional), long term disability, short term disability, extended Health , dental, and early intervention/disability management services. FNHA retains the right to negotiate with the intent to sign contracts with one or more proponents to obtain the best mix of benefits. This is at the sole discretion of FNHA. The current annual premium for the benefits included in this opportunity is estimated as follows. Please note the below excludes any premium for optional benefits and the extended Health premium includes the employee and family assistance plan as we do not know the premium for the benefit (however that benefit is not part of this RFP). Benefit Estimated Current Annual Premium Basic Life $149,800 Dependent Life $8,100 Basic Accident & Serious Illness (ASI) $48,000 Basic Critical Illness $88,500 Long Term Disability $389,100 Short Term Disability $104,100 Extended Health $733,000 Dental $465,700 Total $1,986,300 Request for Proposals Group Benefits Program of First Nations Health Authority 2016 RFP-32 4 :The BC First Nations Health Authority (FNHA) is the First province-wide Health authority of its kind in Canada.

7 FNHA aims to reform the way Health care is delivered to BC First Nations and help improve Health and wellbeing. This new Health Authority has takenover the administration of federal Health programs and services previously delivered by Health Canada's First Nations Inuit Health Branch Pacific Region. FNHA has a broad mandate to work with the province and First Nations to improve Health services and address service gaps through new partnerships, closer collaboration, and Health systems innovation There are two bargaining units at the FNHA, The Professional Institute of the Public Service of Canada (PIPSC) and The Public Service Alliance of Canada (PSAC). The PIPSC collective bargaining agreement includes the following employee groups: Computer Systems Group, Dentistry, Economist and Social Science, Medicine, Nutrition and Dietetics, Occupational and Physical Therapy, Pharmacy, Psychology, Social Working and Nursing.

8 The PSAC covers all other union positions including administration services, program administrators, data processing, clerical and regulatory, engineering and scientific support In the fall of 2013, there was a large increase of employees through the transition of approximately 225 Health Canada (HC) employees to FNHA. FNHA s benefit plan is currently fully insured and provided through a Trust arrangement. Additional information about FNHA and the RFP process can be found in the following appendices: Appendix A - Overview of the FNHA Appendix B - Definitions and Administration Requirements Appendix C - Receipt Confirmation of Work and DeliverablesPotential Scope The benefits included in this opportunity are: group life (basic and optional), accident and serious illness (basic and optional), critical illness (basic and optional), long term disability, short term disability, extended Health , dental, and early intervention and early intervention/disability management services.

9 FNHA is, however, open to engaging separate providers for different benefits, depending on the solution that best meets FNHA s needs. The current plan design has been provided for all applicable policies and classes in Appendix D. Implementation Plan Provide details of sample implementation plan given an April 1, 2016 effective date. Include details for electronic administration and screen shots. Optional Information Proponents are free to include in their proposal any additional information relevant to this marketing. This information should be included in separate appendices. Request for Proposals Group Benefits Program of First Nations Health Authority 2016 RFP-32 5 & Alternate Plan InformationCurrent Plan Structure The following is the current plan structure: Class Description # of employees (at Nov 1) Class Description # of employees (at Nov 1) Class 1 Status Permanent Full-Time 113 Class 1-NS Non-Status Permanent Full-Time 112 Class 3 Status Term over six months 13 Class 3-NS Non-Status Term over six months 40 Class 5 Status Term over three months 0 Class 5-NS Non-Status Term over three months 3 Class 8 Status Health Canada Transfer (Union Employees) 18 Class 8-NS Non-Status Health Canada Transfer (Union Employees) 92 Class 10 Status Permanent Full Time Health Canada Provision (Union Employees) 18 Class 10-NS Non-Status Permanent Full Time Health Canada Provision (Union Employees) 48 Class 11 Status Term over six months Health Canada Provision (Union Employees) 7 Class 11-NS Non-Status Term over six months Health Canada Provision (Union Employees)

10 23 The current third party administrator requires separate classes to distinguish between employees with First Nations and those without First Nations Status as the taxation of disability benefits differs between the two groups. Please confirm whether this would also be required in your administration system or whether there is another manner by which this can be managed. FNHA would prefer their potential plan to be First -payor for all employees regardless of whether the employee has Status or not and is eligible for benefit coverage under the NIHB plan or not. There is a desire to consolidate some of the current classes and simplify the structure as proposed below. Proposed Class/Division Structure Please note the current class structure does not indicate whether an employee is in PSAC or PIPSC, in the proponents proposed class/division structure FNHA would require the reporting of employees claim experience to be reported separately based on the Union in addition to the below (the two union plan designs are the same with the exception of cost sharing).