Services currently being sought by the California Health Benefit Exchange

HBEX26: Request for Proposals for Verbal Telephone Interpretation Services

Covered California seeks the services of a vendor who will perform verbal telephone interpretation services (in culturally and linguistically appropriate manners for the minimum thirteen (13) Medi-Cal threshold languages. The vendor shall collaborate with all Covered California core business areas to ensure Covered California will provide prompt and clearly understood and accurate interpretation services that align with Covered California’s goal of providing first class customer service.

RFQ 2012-09 - Application Tracking Database

The California Health Benefit Exchange (Covered California) seeks to implement a commercial, off the shelf Software as a Service X (SaaS) VTracking System including, but not limited to online job application entry, comprehensive applicant tracking functionality, electronic (e-mail) applicant communication features and robust reporting capabilities.

HBEX23 - Marketing Recruitment Support

The purpose of this Request for Proposal (RFP) is to provide Covered California with marketing recruitment services that will secure a marketing team for Covered California.

HBEX17 - General Agents

Covered California is seeking to contract with qualified Health Insurance General Agents who are interested in providing General Agent services to Covered California’s Small Business Health Options Program (SHOP).

HBEX16 - Supplemental Vision Benefits Solicitation (“Vision Plan Solicitation”)

Any health issuer licensed to offer, market and sell vision plans in the individual or small group markets interested in offering supplemental vision services must respond to this Vision Plan solicitation. A complete response to this solicitation is due by March 1, 2013 at 12:00 PST. Addenda may be released as needed.

Details & Downloads:

Bidders' Library:

March 29, 2013 NOTICE to Supplemental Benefit Bidders:

Covered California is pleased to announce the extension of the Supplemental Dental Benefit Plan and Supplemental Vision Benefit Plan proposal deadline.

Supplemental solicitation material can be submitted through May 1st, 2013. All components of the supplemental dental and vision solicitation responses must be submitted to Covered California by May 1 in order to be considered for supplemental benefits.

Supplemental Dental and Supplemental Vision Bidders who have already submitted their proposals to Covered California may send any additional or modified documents to the Exchange by the May 1 deadline. Otherwise, if no changes are submitted, the original documents received by the Exchange will be considered for evaluation.

Note: This notice applies only to carrier offerings for Supplemental Dental and Supplemental Vision Benefits.

March 18, 2013 NOTICE to Supplemental Dental & Vision Plan Bidders:

Covered California is pleased to announce the release of the revised Supplemental Dental and Vision Benefit Plan Designs. Bidders are expected to submit bids for the plans listed as well as adhere to the copayment amount limits for procedure categories where noted, though Covered California is not mandating exact copay amounts for individual procedures within each procedure category.

All components of the dental solicitation response must be submitted to Covered California by April 2 in order to be considered.

HBEX15 - Supplemental Dental and Pediatric Dental Essential Health Benefit Solicitation (“Dental Plan Solicitation”)

Any health issuer licensed to offer, market and sell dental plans in the individual or small group markets interested in offering stand-alone dental services must respond to this Dental Plan solicitation. A complete response to this solicitation is due by March 1, 2013 at 12:00 PST. Addenda may be released as needed. Bidders may bid to offer the Pediatric Dental Essential Health Benefit Plan or the Supplemental Dental Benefit Plan or both.

Details & Downloads:

July 23, 2013 - Pediatric Dental EHB Model Contract Webinar

Only those comments made in the provided template will be accepted. All comments are due to the Exchange at 5:00pm PST on June 28th. Send all comments to QHP@covered.ca.gov.

Bidders' Library:

March 29, 2013 NOTICE to Supplemental Benefit Bidders:

Covered California is pleased to announce the extension of the Supplemental Dental Benefit Plan and Supplemental Vision Benefit Plan proposal deadline.

Supplemental solicitation material can be submitted through May 1st, 2013. All components of the supplemental dental and vision solicitation responses must be submitted to Covered California by May 1 in order to be considered for supplemental benefits.

Supplemental Dental and Supplemental Vision Bidders who have already submitted their proposals to Covered California may send any additional or modified documents to the Exchange by the May 1 deadline. Otherwise, if no changes are submitted, the original documents received by the Exchange will be considered for evaluation.

If bidders responding to the Supplemental Dental Solicitation have already submitted all required Standalone Pediatric Dental EHB solicitation components by the mandatory Standalone Pediatric Dental EHB deadline, they are not required to resend duplicate documents for the purpose of the Supplemental solicitation. If bidders wish to amend these documents only for the purpose of the Supplemental Benefit solicitation, they may do so by the May 1 Supplemental Benefit deadline.

Note: This notice applies only to carrier offerings for Supplemental Dental and Supplemental Vision Benefits.

March 15, 2013 NOTICE to Pediatric Standalone Dental Plan Bidders:

Covered California is pleased to announce the release of the revised Standalone Dental Standard Benefit Plan Designs. The DHMO and Dental PPO Low plans have been adjusted to meet the actuarial value requirement of 70% in accordance with final federal rules issued February 20, 2013. If submitting bids for the DHMO plans, standalone dental plan bidders are expected to adhere to the average copayment amounts for each procedure category where noted, though Covered California is not mandating exact copay amounts for individual procedures within each procedure category.

Product filings and rate filings can be submitted to regulators through April 2. All components of the dental solicitation response, including Attachment 5 Product Filings and Attachment 8 Proposed Premiums – Pediatric Dental EHB, must be submitted to Covered California by April 2 in order to be considered. Standalone dental plan bidders are encouraged to submit responses prior to April 2 as the review of responses received is already underway.

In January 2013, bids from health issuers proposing to sell Qualified Health Plans through the Exchange will be due to the Exchange. This QHP solicitation is the FINAL release of the information that the Exchange will be requesting from QHP bidders in order for the Exchange to make the final selections of which QHPs will be offered to the public in which geographic areas in California.

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