This Request for Proposal (“RFP”) is issued by the Department of Administrative Services (DAS), acting through the Division of Risk and Benefits, for a contract for the administration of medical benefits; The State of New Hampshire (“State”) self-funds and administers its Employee and Retiree Health Benefit Plan (HBP) for approximately 27,300 covered lives as summarized in the chart below. The covered population consists of active employees/dependents located throughout New Hampshire and the surrounding New England states. Included in the active enrollment is a “Special Group” of approximately 510 subscribers and their dependents from other organizations that have been either legislatively or traditionally offered coverage under the State's HBP. In addition, the State provides medical benefits to non-Medicare retirees/dependents located throughout the country. The State seeks to partner with its third-party medical plan administrator (TPA) to enhance the quality and cost-effectiveness of health care purchased by the State through a comprehensive, value-based approach to purchasing, contract management and payment. The partnership shall involve collaboration between the State and its TPA in all aspects of purchasing, provider contracting and activating members with the ultimate goal of changing the way healthcare is delivered to all members of the State's plan in support of total population health.
