The City of New Orleans is seeking proposals for a comprehensive dependent eligibility audit of its self-funded group health plan. The audit aims to verify the eligibility of all enrolled dependents for active employees, pre-65 retirees, and COBRA participants. Key requirements include a documented methodology, secure data handling, and specific deliverables such as audit reports and termination files. Vendors must have at least five years of experience in dependent eligibility audits, with public sector experience being preferred. A Disadvantaged Business Enterprise (DBE) goal of 35% has been established. Proposals are due by August 21, 2026. Submissions can be made via the supplier portal (BRASS) or in physical copy. A cone of silence is in effect from RFP release until award.
The submission deadline is August 21, 2026, at 4:00 PM CST. submission deadline: august 21, ****: 00pm
The City will require the successful firm to enroll in its direct deposit electronic payment program. the city will require that the successful firm enrolls in its direct deposit electronic payment program.
Proposals will be evaluated based on firm qualifications and experience, technical approach and methodology, data privacy and security, project team references, fee proposal, and DBE participation. the selection committee will use the following criteria to evaluate the proposals submitted by respondents: 1. firm qualifications experience. . . 2. technical approach methodology. . . 3. data privacy security. . . 4. project team references. . . 5. fee proposal. . . x dbe
Minimum vendor qualifications include at least five years of experience conducting dependent eligibility audits, prior experience with public sector or municipal employers preferred, a documented methodology for handling QMCSOs and nonstandard enrollment populations, SOC 2 Type II or equivalent security certification, HIPAA-compliant operations with an executed BAA, an in-house, US-based participant call center with multilingual support, and a secure web portal for document submission and real-time status tracking. Minimum of three client references from comparable engagements are also required. minimum vendor qualifications minimum five 5 years of experience conducting dependent eligibility audits prior experience with public sector or municipal employers preferred documented methodology for handling qmcsos and nonstandard enrollment populations soc 2 type ii or equivalent security certification hipaacompliant operations with executed baa process inhouse, usbased participant call center with multilingual support secure web portal for document submission and realtime status tracking minimum three 3 client references from comparable engagements
Breaking the cone of silence may result in disqualification of your response. Failure to comply with DBE requirements can constitute cause for termination of the contract. breaking the cone of silence, if proven, may result in a disqualification of your response. failure to comply can constitute cause for termination of the contract.
A site visit is not applicable for this RFP. site visit if applicable na
Respondents will have two business days from the date of notification by the designated purchasing official to appeal a decision of nonresponsiveness. respondent will have two 2 business days from the date of notification by the designated purchasing official to appeal the decision of nonresponsiveness.
Breaking the cone of silence may result in disqualification. Failure to submit required forms or documents, or failure to meet the submission deadline, will result in a nonresponsive proposal. Failure to comply with organizational conflict of interest requirements may lead to disqualification. breaking the cone of silence, if proven, may result in a disqualification of your response. respondent failed to submit it timely, or respondent failed to complete and submit a form or document provided and required by the city. if the sponsoring department recommends disqualifying your proposal, the designated purchasing official will notify you in writing that you are disqualified from further participation.
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