Voluntary, Fully-Insured Vision Insurance Plan

The State of Tennessee is seeking a single vendor to provide a fully‑insured, voluntary vision‑insurance program for its employees, retirees, and dependents. The contractor must administer claims processing, run a toll‑free call center, manage a statewide provider network, deliver online member portals and mobile access, handle enrollment data (834 format), and meet extensive reporting, security, and compliance requirements. Implementation activities run March 2027‑December 2027, with benefits beginning January 1 2028 and continuing through December 31 2032. The contract includes strict performance guarantees and liquidated‑damage penalties for missed milestones. • Core services: claims processing, call‑center operation, member communications, provider‑network maintenance, enrollment file processing, and state reporting. • Technical requirements: NIST‑800‑53 security controls, SOC 2/HITRUST certification, encrypted data (FIPS‑validated), and integration with the State’s Edison ERP (834 interface). • Evaluation: Technical score (max 30 pts) + cost score (max 40 pts) = 100 pts; award to highest‑scoring responsive bidder.