[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-167410-en":3,"doc-seo-167410-105":30,"detail-sidebar-cat-1-en-105":92},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":11,"category_id":12,"category_name":13,"doc_title":14,"doc_description":15,"doc_content":16,"file_id":17,"file_url":18,"file_type":19,"file_size":20,"view_count":4,"is_deleted":4,"is_public":11,"is_downloadable":11,"audit_status":11,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":15,"update_tm":28,"read_time":29},167410,687207020761,"Oliver Hayes","https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d",1,18,"Letters","AA - RFP - MA & M+ - Request for Proposals - March 7, 2024","Request for Proposals (RFP) issued by the Wisconsin Department of Employee Trust Funds on behalf of the State of Wisconsin Group Insurance Board to solicit nationwide Medicare Advantage preferred provider option (PPO) and/or regional Medicare Advantage HMO services for Medicare-eligible GHIP retirees and their eligible dependents. The RFP also solicits Medicare Plus (Supplemental/Medigap) services for eligible retirees and dependents. Proposals may be submitted for one or both RFPs (ETD0050 IYC Medicare Advantage, ETD0051 Medicare Plus), leading to one or more contracts administered by the Department with Board oversight.","Request for Proposals for Medicare-Enrolled Participants in the State of Wisconsin and Wisconsin\nPublic Employer Group Health Insurance Programs\nETD0050 IYC Medicare Advantage Plan\nETD0051 Medicare Plus Plan\nIssued by\nState of Wisconsin\nDepartment of Employee Trust Funds\nOn behalf of the Group Insurance Board\nRFP Release Date: March 7, 2024\u000f\n\u0003Table of Contents\n\u0013 TOC \\o \"1-1\" \\h \\z \\u \u0014\u0013 HYPERLINK \\l \"_Toc160700805\" \u0014Table of Contents\t\u0013 PAGEREF _Toc160700805 \\h \u00142\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc160700806\" \u0014Exhibits, Appendices, and FORMS\t\u0013 PAGEREF _Toc160700806 \\h \u00142\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc160700807\" \u00141\tGeneral Information\t\u0013 PAGEREF _Toc160700807 \\h \u00144\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc160700808\" \u00142\tPreparing and Submitting a Proposal\t\u0013 PAGEREF _Toc160700808 \\h \u001422\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc160700809\" \u00143\tProposal Selection and Award Process\t\u0013 PAGEREF _Toc160700809 \\h \u001429\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc160700810\" \u00144\tProposer Attestations/confirmations\t\u0013 PAGEREF _Toc160700810 \\h \u001435\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc160700811\" \u00145\tProgram Specifications and Requirements\t\u0013 PAGEREF _Toc160700811 \\h \u001436\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc160700812\" \u00146\tGeneral Questionnaire\t\u0013 PAGEREF _Toc160700812 \\h \u001436\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc160700813\" \u00147 \tTechnical Questionnaires\t\u0013 PAGEREF _Toc160700813 \\h \u001442\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc160700814\" \u00148\tNetwork Submission Requirements\t\u0013 PAGEREF _Toc160700814 \\h \u001472\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc160700815\" \u00149\tCost Proposal\t\u0013 PAGEREF _Toc160700815 \\h \u001474\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc160700816\" \u001410\tContract Terms and Conditions\t\u0013 PAGEREF _Toc160700816 \\h \u001477\u0015\u0015\n\u0015\u0004\nExhibits, Appendices, and FORMS\nExhibit 1 – State of Wisconsin Group Health Insurance Program – Medicare Advantage and Medicare Plus Program Agreement, including these documents:\nCertificate of Coverage (ET-2180)\nUniform Benefits Schedules of Benefits (for the 2025 plan year)\n• \tGHIP for Members: State of Wisconsin Retirees with Medicare; Local Traditional Plan for Employees/Retirees/COBRA; Local Retirees with Medicare Including LAHP (ET-2108sb)\n• \tGHIP for Members in the Local Deductible Plan: Employees, Retirees and COBRA Continuants (ET-2158sb)\nMedicare Plus Certificate of Coverage (ET-4113)\nAppendix 1 – 834 Overview & Companion Guide\nAppendix 2 – Pharmacy Data Specifications\nAppendix 3a – Wellness Data Specifications – WebMD ONE Health Assessment Results\nAppendix 3b – Wellness Data Specifications – WebMD Biometric Data\nAppendix 3c – Wellness Data Specifications – Wellness – Coaching Outcomes\nAppendix 4 – Medical Claims Data Specifications\nAppendix 5 – Provider Data Specifications\nAppendix 6 – State Employer Group Roster (ET-1404)\nAppendix 7 – Local Employer Group Roster (ET-1407)\nAppendix 8 – Premium Rate Bid Tool (sample)\nAppendix 9 – Non-Disclosure Agreement among Vendor, the Department, and Board Actuary\nAppendix 10 – Pro Forma Contract (sample)\nAppendix 11 – Department Terms and Conditions (rev. 12.01.2023)\nAppendix 12 – Data Supplier Agreement (sample)\nAppendix 13 – Non-Disclosure Agreement (Data Out) (sample)\nAppendix 14 – Grievance Report Template (sample)\nFORM A – Proposal Checklist\nFORM B – Attestations/Confirmations\nFORM C – Subcontractor Information\nFORM D – Request for Proposal signature page\nFORM E – Vendor Information\nFORM F – Vendor References\nFORM G – Designation of Confidential and Proprietary Information\n\u000f1\tGeneral Information\nThe Wisconsin Department of Employee Trust Funds (Department) is soliciting Proposals from qualified vendors that can provide nationwide Medicare Advantage preferred provider option (PPO) and/or regional Medicare Advantage HMO services to Medicare-eligible Group Health Insurance Program (GHIP) retirees and Medicare-eligible dependents of retirees. The Department is also soliciting Proposals from qualified vendors that can provide Medicare Plus (Supplemental or Medigap) services to GHIP retirees and Medicare-eligible dependents of retirees.\nThe purpose of this Request for Proposals (RFP) is to provide interested and qualified vendors with information to enable them to prepare and s","cbCaihqh38OHglsI","https://ap.wps.com/l/cbCaihqh38OHglsI","docx",434991,79,"English","en",105,"# Exhibits, Appendices, and FORMS\n# 1 General Information\n## 2 Preparing and Submitting a Proposal\n## 3 Proposal Selection and Award Process\n## 4 Proposer Attestations/confirmations\n## 5 Program Specifications and Requirements\n## 6 General Questionnaire\n## 7 Technical Questionnaires\n## 8 Network Submission Requirements\n## 9 Cost Proposal\n## 10 Contract Terms and Conditions","[{\"question\":\"What entities issue and oversee this RFP for Wisconsin Medicare programs?\",\"answer\":\"The Wisconsin Department of Employee Trust Funds issues the RFP on behalf of the State of Wisconsin Group Insurance Board. The Department is the sole point of contact for the solicitation, while the Board provides oversight authority.\"},{\"question\":\"Which proposals can vendors submit under this document?\",\"answer\":\"Vendors may submit proposals for one or both RFPs covered in the document: ETD0050 IYC Medicare Advantage and ETD0051 Medicare Plus.\"},{\"question\":\"What services are being solicited for Medicare-eligible retirees and dependents?\",\"answer\":\"The RFP solicits Medicare Advantage PPO and/or regional Medicare Advantage HMO services for Medicare-eligible GHIP retirees and their eligible dependents, and it solicits Medicare Plus (Supplemental/Medigap) services for eligible retirees and dependents.\"}]","AA - RFP - MA & M+ - Request for Proposals - March 7, 2024 | DOCX",1788213291,28,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":14,"keywords":34,"description":15,"schema_data":35,"social_meta":87,"head_meta":89,"extra_data":91,"updated_unix":28},"aa-rfp-ma-m-request-for-proposals-march-7-2024","",{"@graph":36,"@context":86},[37,54,69],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,51],{"item":41,"name":42,"@type":43,"position":11},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":47},"https://docshare.wps.com/template/","Template",2,{"item":49,"name":13,"@type":43,"position":50},"https://docshare.wps.com/template/letters/",3,{"item":52,"name":14,"@type":43,"position":53},"https://docshare.wps.com/template/aa-rfp-ma-m-request-for-proposals-march-7-2024/167410/",4,{"url":52,"name":14,"@type":55,"author":56,"headline":14,"publisher":58,"fileFormat":61,"inLanguage":23,"description":15,"dateModified":62,"datePublished":63,"encodingFormat":61,"isAccessibleForFree":64,"interactionStatistic":65},"DigitalDocument",{"name":9,"@type":57},"Person",{"url":41,"name":59,"@type":60},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-09-02","2026-08-31",true,{"@type":66,"interactionType":67,"userInteractionCount":47},"InteractionCounter",{"@type":68},"ViewAction",{"@type":70,"mainEntity":71},"FAQPage",[72,78,82],{"name":73,"@type":74,"acceptedAnswer":75},"What entities issue and oversee this RFP for Wisconsin Medicare programs?","Question",{"text":76,"@type":77},"The Wisconsin Department of Employee Trust Funds issues the RFP on behalf of the State of Wisconsin Group Insurance Board. The Department is the sole point of contact for the solicitation, while the Board provides oversight authority.","Answer",{"name":79,"@type":74,"acceptedAnswer":80},"Which proposals can vendors submit under this document?",{"text":81,"@type":77},"Vendors may submit proposals for one or both RFPs covered in the document: ETD0050 IYC Medicare Advantage and ETD0051 Medicare Plus.",{"name":83,"@type":74,"acceptedAnswer":84},"What services are being solicited for Medicare-eligible retirees and dependents?",{"text":85,"@type":77},"The RFP solicits Medicare Advantage PPO and/or regional Medicare Advantage HMO services for Medicare-eligible GHIP retirees and their eligible dependents, and it solicits Medicare Plus (Supplemental/Medigap) services for eligible retirees and dependents.","https://schema.org",{"og:url":52,"og:type":88,"og:title":14,"og:site_name":59,"og:description":15},"article",{"robots":90,"canonical":52},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":93},[94,99,104,109,114,119,124,127,132],{"id":95,"doc_module":11,"doc_module_name":46,"category_name":96,"show_sort_weight":97,"slug":98},11,"Presentations",90,"presentations",{"id":100,"doc_module":11,"doc_module_name":46,"category_name":101,"show_sort_weight":102,"slug":103},12,"Resumes",80,"resumes",{"id":105,"doc_module":11,"doc_module_name":46,"category_name":106,"show_sort_weight":107,"slug":108},14,"Invoices",70,"invoices",{"id":110,"doc_module":11,"doc_module_name":46,"category_name":111,"show_sort_weight":112,"slug":113},15,"Posters",60,"posters",{"id":115,"doc_module":11,"doc_module_name":46,"category_name":116,"show_sort_weight":117,"slug":118},16,"Social Media",50,"social-media",{"id":120,"doc_module":11,"doc_module_name":46,"category_name":121,"show_sort_weight":122,"slug":123},17,"Forms",40,"forms",{"id":12,"doc_module":11,"doc_module_name":46,"category_name":13,"show_sort_weight":125,"slug":126},30,"letters",{"id":128,"doc_module":11,"doc_module_name":46,"category_name":129,"show_sort_weight":130,"slug":131},21,"Paper Templates",5,"papers-templates",{"id":133,"doc_module":11,"doc_module_name":46,"category_name":134,"show_sort_weight":4,"slug":135},158,"General","general-158"]