Transcript Terminating Employment with the City

Health and Welfare Consultant
RFP Bidders’ Conference
November 16, 2011
LACERS Health Benefits Administration Division
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Alex Rabrenovich, Division Manager
Mimi Lin, Assistant Division Manager
Anthony Torres, Section Manager
James Aceron, Health Contracts Administrator
Pat Badger-Alston, Health Member Services
Dan Goto, RFP Administrator
Theresa Stamus, Sr. Asst. City Attorney
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Background
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LACERS Health and Welfare Program
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Health Plans
Health Benefits
Membership
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17,000 + retired members
27,000 + active members
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LACERS Health Goals
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Implementation of Strategic Initiatives
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Long-term sustainability of our health benefits program
Manage the rise in premium costs
Increase participation in disease management/wellness
programs
Communicate useful information to our members
Partner with carriers to achieve desirable results
Develop transparency in carrier rate calculations
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Current Environment
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City of LA 2012 projected $400 million general
fund shortfall
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Retiree pension reform
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Changes for employee retirement contributions
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Current Environment
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LACERS Health care cost trends
 Premiums expected to exceed $100 million by
2012
Health care reform
 Impact on future costs and program benefits
Medicare Sustainability
 Impact on future costs and plan offerings
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Current Environment
Health Care Reform
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Patient Protection and Affordability Care Act of 2010
(PPACA); and
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Health Care and Education Reconciliation Act of
2010 (HCERA).
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Consultant Traits
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Reliable
Responsive
Available
Engaged
Creative
Motivated
Positive
Flexible
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LACERS
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Board of Administration
 7 Members – Five year terms
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4 appointed by Mayor
2 elected by active members
1 elected by retired members
General Manager, Tom Moutes
Assistant General Managers, Li Hsi and Lita Payne
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LACERS Benefits
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Medical and Dental Subsidies
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Medical can be applied to:
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dependents, surviving spouse, domestic partner
Dental available to retiree only
Medical Premium Reimbursement Program (MPRP)
LACERS Medicare Requirement
Medicare Part B Reimbursement
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RFP Component: Carve-Out
LACERS may carve-out the Strategic Planning
component of its Scope of Services and award
a separate three-year contract.
Proposers may submit separate bids as outlined
in Section III (Scope of Services) of RFP for:
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All services except Strategic Planning
Strategic Planning Only (carve-out bid)
All services including Strategic Planning
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LACERS 2012 Health Plans
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Medical Carriers
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Dental Carriers
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Anthem Blue Cross HMO, PPO, and LPPO
Kaiser Permanente HMO and Kaiser Senior Advantage
SCAN
UnitedHealthcare of CA, NV, and AZ
MetLife PPO
SafeGuard HMO
Vision Carrier
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Vision Service Plan (included for all plans except Kaiser)
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Health Plan Enrollment Stats
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Over 18,138 covered lives
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Under age 65
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Approximately 6,490
65 + with Medicare Part B
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Approximately 13,043 retirees
Approximately 5,095 dependents
Approximately 1,132
65 + with Medicare Parts A and B
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Approximately 10,516
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Health Plan Enrollment Stats
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Anthem Blue Cross- 5,556
Kaiser Permanente- 11,187
SCAN- 349
UnitedHealthcare- 1046
MetLife- 13,749
SafeGuard- 4,573
Vision Service Plan- 6,951
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Health Care Cost History
2010
Maximum Monthly
Health Subsidy
Percent Increase
Aggregate Medical
Premium Increase
2011
2012
$1123.00
$1190.00
$1190.00
0.27%
5.97%
0.00%
4.5%
6.2%
0.2%
10 year average premium increase = 7.6 %
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RFP Overview
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Services
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Consultation and Advisory Services
Health Plan Bid Renewal Process
Strategic Planning
Program Evaluation and Development
Legislation and Regulatory Analysis
Communications
Special Projects
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RFP Overview
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General Responsibilities and Conditions
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RFP TimeLine
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Release RFP
Bidder’s Conference
Proposal Deadline
Finalist Interviews
Selection of Consultant
Contract Negotiations
Contract Effective Date
October 26, 2011
November 16, 2011
December 5, 2011
December 2011-January 2012
January 2012
January 2012
March 15, 2012
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RFP Overview
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Qualifications
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City of L.A. Standard Provisions
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Proposal Requirements
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Questionnaire
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RFP Overview
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Fee Structure
 Two Proposals
 Fixed Fee – maximum cost per category of
service
 Monthly Retainer – monthly cost to perform
any of the listed services during a three-year
contract
 Includes direct and indirect costs
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Contract Guidelines
General Conditions
and
Compliance Documents
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RFP Administration
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Dan Goto - RFP Administrator
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Phone – (213) 473-7209
FAX – (231) 473-7222
E-Mail – [email protected]
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RFP Administrator
As RFP Administrator, I am responsible for:
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The Administrative Process associated with the
RFP
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All Communications related to the RFP
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Marketing Cessation Policy
Proposing firms are prohibited from
communicating with LACERS Board members
and staff concerning this RFP except with the
designated RFP administrator and at meetings
scheduled by the RFP administrator.
 Violation of this policy will result in automatic
disqualification of the firm involved.
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RFP Questions and Answers
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Deadline for Questions and Answers – Today,
November 16, 2011 at 3:00 P.M.
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Questions pertaining to the RFP must be
submitted in writing and may be mailed,
e-mailed or faxed to the administrator.
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RFP Questions and Answers
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All questions and addenda that arise from this
RFP will be posted on the LACERS Website. It
is the responsibility of the proposer to monitor
the website for any updates to the RFP’s
questions and addenda.
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RFP Submittal
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Deadline for Submission –
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December 5, 2011at 3:00 P.M.
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No Exceptions. Late responses will not be considered.
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RFP Submittal
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Proposal Is Complete
Well organized and easy to read
LACERS may deem a proposer non-responsive
if the proposer fails to provide all required
documents and copies.
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RFP Submittal
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If the proposer submits alternatives and/or
substitutions to the terms and conditions,
LACERS reserves the right to determine if the
alternatives/substitutions are acceptable.
All proposers are to document their alternative
or substitution in the cover letter with
justification.
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RFP Submittal
There will be two levels of review.
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#1 The administrative review determines the
responsiveness to proposal requirements and
mandatory document submissions.
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All proposers must pass the administrative review to
go to the next level of review.
#2 The review of proposal plan, costs and
qualifications.
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Acceptance of Terms & Conditions
Submission of a response to this RFP/RFQ/RFI
(“RFP”) shall constitute acknowledgment and
acceptance of the standard terms and
conditions.
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Right to Withdraw
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A proposer may withdraw its response, in writing,
prior to the final due date and time. After withdrawing
a previously submitted proposal, the proposer may
submit another proposal at any time prior to the
specified submission deadline.
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LACERS reserves the right to withdraw this RFP or
reject all proposals at any time without prior notice
and retains the right to reject any and all proposals.
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Verification of Information
LACERS reserves the right to verify the
information in the response. If a firm knowingly
and willfully submits false information or other
data, the City reserves the right to reject that
response. If a contract was awarded as a result
of false statements or other data submitted in
response to this RFP, LACERS reserves the
right to terminate that contract.
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Contractor History of
Responsibility
A firm will not be recommended for a contract
award, regardless of the merits of the response
submitted, if it has a history of contract
noncompliance with LACERS or any other
entity or poor past or current performance
with LACERS or any other entity.
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Proposer Qualifications
LACERS may make investigations as necessary
to determine the ability of the proposer to
provide required services and comply with the
requirements of the RFP.
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Public Records Act
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All responses to this RFP are subject to public
disclosure pursuant to the California Public Records
Act
The Act provides generally that all records relating
to a public agency’s business are open to public
inspection and copying, unless specifically exempted
under one of several exemptions set forth in the
Act.
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Public Records Act
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Any proposed contract awards brought before the
Board of Administration will appear on a publicly
posted agenda for a public meeting of said Board.
If the proposer considers any portion of the
proposal is exempt from public disclosure under the
Act, such protion may be marked
“CONFIDENTIAL.”
LACERS will consider denying public disclosure of
any portions so designated.
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Public Records Act
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The submittal of a response with portions
marked “CONFIDENTIAL” shall constitute a request
for LACERS to consider the material confidential.
LACERS is not liable for any claim for damages if
LACERS determines that the material is not exempt
from disclosure, notwithstanding the request to
consider the material confidential, and will be
disclosed under the laws described above.
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Confidentiality & Non-Disclosure
of Member Information
Any proposer awarded a contract pursuant
to this RFP must agree that:
 All information provided by LACERS regarding
its members and beneficiaries shall remain
confidential and private.
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Contract Guidelines
DEMONSTRATION OF COMPLIANCE
REQUIRED WITH PROPOSAL
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RFP Warranty
Proposers must complete this
warranty/affidavit (Attachment 3) which
includes a statement of non-collusion and
identifies persons authorized to bind the firm in
contracts.
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Non-Discrimination, Equal Employment
Practices and Affirmative Action Certification
The proposer must sign and submit with their
proposal a Nondiscrimination, Equal Employment
Practices and Affirmative Action Certification
Declaration, Composition of Total Workforce Report
(Attachment 4), or a signed version of proposer’s own
affirmative action plan which meets all the
requirements of the City’s Affirmative Action Plan. If
the proposer elects to submit its own plan, it must be
submitted to the Office of Contract Compliance (213)
847-2631 for approval.
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Municipal Lobbying Ordinance
Each proposer is required to read the Los
Angeles Municipal Lobbying Ordinance (Los
Angeles Municipal Code § 48.02) found on the
web at:
http://ethics.lacity.org/pdf/laws/law_mlo.pdf. If
proposers qualify as a lobbying entity please
complete and return the Bidder Certification
CEC Form 50 (Attachment 5) with your
proposal.
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Campaign Contributions and
Campaign-Related Activities
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Proposers may not make campaign contributions to
and/or engage in in fundraising for certain elected
officials or candidates for elected City office from the
time they submit the response until either the
contract is approved or, for successful bidders, 12
months after the contract is signed.
Bidders are required to complete and submit CEC
Form 55.
City Ethics Commission at (213) 978-1960
or ethics.lacity.org.
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Business Inclusion Program
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LACERS strongly encourages all bid respondents to
make an effort to include members of Minority
Business Enterprise (MBE), Women Business
Enterprise (WBE), Other Business Enterprise (OBE),
Small Business Enterprise (SBE), Emerging Business
Enterprise (EBE), and Disabled Veterans-Business
Enterprise (DVBE) groups in any subcontracting work
to be performed if awarded the contract.
Bidders must submit with their proposal the
MBE/WBE/ OBE Subcontractor Information Form
(Attachment 7).
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Contract Guidelines
COMPLIANCE REQUIREMENTS IF AWARDED
A CONTRACT
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Standard Provisions for City
Contracts (Rev. 03/09)
If awarded a contract, the City of Los Angeles
requires its contractors to adhere to the
Standard Provisions for City Contracts (Rev.
03/09). A copy of the Standard Provisions for
City Contracts (Rev. 03/09) is found on the
web at:
http://www.lacers.org/aboutlacers/request-forproposals/index.html
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Bonding, Insurance and
Indemnification
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If awarded a contract, the respondent will
furnish the City evidence of insurance coverage
with minimum limits prescribed by LACERS.
Proof of insurance must be submitted in
accordance with requirements of the City
Administrative Office Insurance and Bonds
Section prior to contract execution. For more
information, visit the City Risk Manager’s
website at: http://www.cao.lacity.org/risk/
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Los Angeles Business Tax
Registration
All contractors of the City of Los Angeles are
required to register their business with the
City of Los Angeles Office of Finance and are
subject to Los Angeles City Business Tax. For
information, visit the Office of Finance website
at: http://www.lacity.org/finance/
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Questions
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Questions and Answers
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Please submit any questions in writing.
Questions and Answers will be posted on the
LACERS website.
LACERS Web Site –
http://www.lacers.org/AboutLACERS/RFPs/2012112
4Healthandwelfareconsultant/index.ht.
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