Group Medicare Advantage Plan

The purpose of this Request for Proposal is to solicit sealed proposals to establish a contract or contracts through competitive negotiation for the provision of a fully insured Medicare Advantage (“MA”) plan for medical and vision benefits for eligible retirees and retiree dependents of Fairfax County Public Schools. The MA plan will be administered in conjunction with a self-insured Employer Group Waiver Plan (“EGWP”) with Wrap prescription drug program currently administered by SilverScript. This plan will take effect January 1, 2028.

Fairfax County Public Schools (“FCPS”) is a separate employing agency from Fairfax County Government. This RFP is soliciting services for only FCPS retirees and covered dependents who are eligible for Medicare.

FCPS intends to select a fully insured passive, preferred provider organization (“PPO”)/open access MA plan for medical and vision services to deliver health benefits to FCPS Medicare-eligible retirees and covered dependents.

FCPS will only consider proposals for the plan listed in Paragraph 1.3 above. Proposals to provide only part of the services described in the RFP will be rejected as non-responsive.

Proposed plans must meet all Centers for Medicare and Medicaid Services requirements.

FCPS intends to award a single contract to one vendor but reserves the option to award more than one contract.

Qualified offerors are encouraged to submit proposals for the administration, management, and provision of all related services for a fully insured Medicare Advantage plan for FCPS Medicare-eligible retirees and their covered dependents.

The services to be provided and the tasks to be performed by the Contractor(s) shall include, but will not be limited to, the following:

• Member Services
• Account Management
• Implementation
• Medical Provider Network Management
• Claims Administration
• Reporting and Data
• Care Transitions
• Clinical/Medical management
• Provider/Member Advocacy
• Compliance

Refer to Appendix H Technical Proposal Medical Plan Administration for the detailed description of the tasks to be performed.

Offerors must submit the Technical Proposal in a separate file in **Euna Procurement** (formerly known as Bonfire). **THE TECHNICAL PROPOSAL SHALL NOT CONTAIN PRICING INFORMATION.**

The Offeror must submit a cost proposal in a separate file in Euna Procurement (formerly known as Bonfire) fully supported by cost and pricing data adequate to establish the reasonableness of the proposed fee.

To obtain access to Attachments 1 through 3, prospective Offerors must complete the Non-Disclosure Agreement (NDA) attached to this RFP (Appendix D) and submit the NDA with a legally authorized signature to Adrien Walker at awalker@fcps.edu.

This term of this contract will begin on January 1, 2028, or date of award, whichever is later, and terminate on December 31, 2032, unless terminated earlier in the manner provided in the contract or renewed as set forth below. [...] Automatic contract renewals are prohibited. [...] FCPS reserves the right to renew the contract for three (3) additional one-year periods.

Offerors shall ensure that a representative who can bind the firm is available for both the finalist interviews and negotiations.