RFP 2017-03 Vision Plan

The Covered California Vision Plan contract awards two vision‑benefit providers the responsibility for delivering vision coverage to exchange members across the state. The contractors must maintain a statewide network of optometrists and ophthalmologists, operate a dedicated toll‑free customer‑service center, process vision claims, and provide quarterly enrollment and premium reporting. The agreement includes a $1,000 non‑refundable application fee, a $10,000 implementation fee, and a 5 % commission on annual premiums paid to Covered California. The initial performance period runs from October 1 2017 to December 31 2019, with a discretionary two‑year extension possible. • Awarded to Vision Service Plan (California) and EyeMed Vision Care (Missouri). • Scope covers network management, benefit plan design, claims processing, customer service, data reporting, and compliance with California insurance regulations. • Financial terms include application/implementation fees and a commission‑based revenue model rather than a fixed‑price.