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Bid Solicitation: BD-20-1039-EHS01-EHS01-47214
Header Information
Bid Number:
BD-20-1039-EHS01-EHS01-47214
Description:
20CBEHSTPLRFR: RFR FOR TPL Health Insurance, Claims Recovery, Premium Assistance Health Insurance In
Bid Opening Date:
02/24/2020 04:00:00 PM
Purchaser:
Lucy Colon (EOHHS)
Organization:
Executive Office of Health and Human Services
Department:
EHS01 - EHS
Location:
EHS01 - ONE ASHBURTON
Fiscal Year:
20
Type Code:
NS - Non-Statewide Solicitation
Allow Electronic Quote:
Yes
Alternate Id:
20CBEHSTPLRFR
Required Date:
Available Date :
01/09/2020 12:00:00 AM
Info Contact:
Bid Type:
OPEN
Informal Bid Flag:
No
Purchase Method:
Open Market
Pre Bid Conference:
Bulletin Desc:
The Executive Office of Health and Human Services (EOHHS) is issuing a Request for Responses (RFR) to solicit proposals from qualified vendors to perform third party liability (TPL) health insurance investigations and to provide claims recovery services.
Ship-to Address:
Lisa Wong
One Ashburton Place, 11th Fl.
Boston, MA 02108
US
Email: Lisa.D.Wong@mass.gov
Phone: (617)573-1683
Bill-to Address:
Arlinda Cardoso
Accounts Payable Unit
600 Washington Street, 7th Fl.
Boston, MA 02111
US
Email: EHSAccounting@mass.gov
Phone: (617)210-5073
FAX: (617)210-5468
Print Format:
File Attachments:
Responses to Questions
Amendment 1 to the RFR
Amended and Restated EOHHS-Required Bidder Certifications
WTO NOTICE Third Party Liability RFR
Request for Responses for Third Party Health Insurance Investigations, Claims Recovery and Premium Assistance Health Insurance Investigations Modules
RFR Attachment A- Statistics
RFR Attachment B- Model Contract
Attachment B Appendix B Appendix A-Service Level Agreement for Module 1
Attachment B, Appendix B- Service Level Agreements for Module 2
Attachment B, Appendix C- Acknowledgement Regarding Confidentiality of Protected Information
Attachment B, Appendix D- Third Party Agreements
RFR Attachment C- Cost Response
Commonwealth of Massachusetts Standard Contract Form
Commonwealth of Massachusetts Standard Contract form Instructions
Commonwealth Terms and Conditions
Contractor Authorized Signatory Listing
Supplier Diversity Program (SDP) Plan commitment-SDP Plan Form #1
Massachusetts Substitute W-9 Form
Authorization for Electronic Funds Payment
Prompt Payment Discount Form
EOHHS- Required Bidder Certifications
Form Attachments:
Required Quote Attachments
SBPP (Small Business Purchasing Program) Eligible?:
NO
See SBPP requirements and exceptions at www.mass.gov/sbpp :
Amendments:
Amendment #
Amendment Date
Amendment Note
1
01/15/2020 12:35:15 PM
Added 16 documents to this Bid. Attachment File Changes: Header 1. File 'Request for Responses for Third Party Health Insurance Investigations, Claims Recovery and Premium Assistance Health Insurance Investigations Modules': File 'Request for Responses for Third Party Health Insurance Investigations, Claims Recovery and Premium Assistance Health Insurance Investigations Modules' added . 2. File 'RFR Attachment A- Statistics': File 'RFR Attachment A- Statistics' added . 3. File 'RFR Attachment B- Model Contract': File 'RFR Attachment B- Model Contract' added . 4. File 'Attachment B Appendix B Appendix A-Service Level Agreement for Module 1': File 'Attachment B Appendix B Appendix A-Service Level Agreement for Module 1' added . 5. File 'Attachment B, Appendix B- Service Level Agreements for Module 2': File 'Attachment B, Appendix B- Service Level Agreements for Module 2' added . 6. File 'Attachment B, Appendix C- Acknowledgement Regarding Confidentiality of Protected Information': File 'Attachment B, Appendix C- Acknowledgement Regarding Confidentiality of Protected Information' added . 7. File 'Attachment B, Appendix D- Third Party Agreements': File 'Attachment B, Appendix D- Third Party Agreements' added . 8. File 'RFR Attachment C- Cost Response': File 'RFR Attachment C- Cost Response' added . 9. File 'Commonwealth of Massachusetts Standard Contract Form ': File 'Commonwealth of Massachusetts Standard Contract Form ' added . 10. File 'Commonwealth of Massachusetts Standard Contract form Instructions': File 'Commonwealth of Massachusetts Standard Contract form Instructions' added . 11. File 'Commonwealth Terms and Conditions': File 'Commonwealth Terms and Conditions' added . 12. File 'Contractor Authorized Signatory Listing': File 'Contractor Authorized Signatory Listing' added . 13. File 'Supplier Diversity Program (SDP) Plan commitment-SDP Plan Form #1': File 'Supplier Diversity Program (SDP) Plan commitment-SDP Plan Form #1' added . 14. File 'Massachusetts Substitute W-9 Form': File 'Massachusetts Substitute W-9 Form' added . 15. File 'Authorization for Electronic Funds Payment': File 'Authorization for Electronic Funds Payment' added . 16. File 'Prompt Payment Discount Form': File 'Prompt Payment Discount Form' added . 17. File 'EOHHS- Required Bidder Certifications': File 'EOHHS- Required Bidder Certifications' added . Enrollment Date Changes:
2
02/10/2020 04:58:50 PM
Posting the Following new documents:(1) Responses to Questions; (2) Amendment 1 to the RFR and (3) Amended and Restated EOHHS- Required Bidder Certification. Attachment File Changes: Header 1. File 'Responses to Questions': File 'Responses to Questions' added . 2. File 'Amendment 1 to the RFR': File 'Amendment 1 to the RFR' added . 3. File 'Amended and Restated EOHHS-Required Bidder Certifications': File 'Amended and Restated EOHHS-Required Bidder Certifications' added . Enrollment Date Changes:
Item Information
Item # 1: ( 84-13 - 16 )
The Executive Office of Health and Human Service (EOHHS) is issuing a Request for Responses (RFR) to solicit Proposals form qualified vendors to perform third party liability (TPL) health investigations and to provide claims recovery services.
U N S P S C Code:
84-13-16
Life and health and accident insurance
Qty
Unit Cost
UOM
Total Discount Amt.
Total Cost
1.0
EA - Each
Manufacturer:
Brand:
Model:
Make:
Packaging:
Item # 2: ( 80-16 - 17 )
The Executive Office of Health and Human Service (EOHHS) is issuing a Request for Responses (RFR) to solicit Proposals form qualified vendors to perform third party liability (TPL) health investigations and to provide claims recovery services.
U N S P S C Code:
80-16-17
Asset recovery service
Qty
Unit Cost
UOM
Total Discount Amt.
Total Cost
1.0
EA - Each
Manufacturer:
Brand:
Model:
Make:
Packaging:
MASS_MASS_AWS_PROD_BUYSPEED_2_bso
Quote #
Description
Date Last Modified
Status