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Awarded contract·Covered California·California

RFP 2015-15 Vision Plan

Won by Vision Service Plan +1 more$20MAwarded 2/24/2016Multiple Award
Contract source

Awarded vendors

  • Vision Service Plan
  • EyeMed Vision Care

Description

This contract awards the California Health Benefit Exchange’s Vision Plan (RFP 2015‑15) to two vision‑care carriers to provide statewide vision‑benefit coverage through the Covered California marketplace. The contractors must maintain a toll‑free customer‑service center, bill enrollees, report quarterly enrollment and premium data, pay a mandatory 5 % commission to the Exchange, and satisfy sustainability and ACA compliance requirements. The contract runs for one calendar year with a possible one‑year extension. • Scope includes offering vision plans, handling enrollment, premium collection, and quarterly reporting. • Vendors must administer a statutory enrollee survey in Q4 2016 and submit results by January 31 2017. • Fixed fees: $1,000 application fee (non‑refundable) and $10,000 implementation fee if selected.

Attached files

Key dates

Bids closed
12/9/2015
Intent to award
2/24/2016
Awarded
2/24/2016
Contract modified
12/9/2015
Starts
1/15/2016
Ends
12/31/2016Renews
Duration
1 year

Last updated

Details

Award type
Multiple Award
Procurement
Full and Open Competition
Industry
Healthcare and Medical Services
NAICS
524291
Solicitation №
RFP 2015-15

Contract value

$20,000,000

No explicit contract ceiling appears in the documents. Estimating based on typical vision‑plan premiums (~$200 per enrollee per year) and assuming Covered California enrolls roughly 100,000 vision‑plan participants, total premium revenue would be about $20 million. The contractor would retain the premium less a 5 % commission ($1 million) to the Exchange, plus the $10 k implementation fee and $1 k application fee. Thus the contract’s economic magnitude is on the order of $20 million in annual premium volume, with net contractor revenue around $19 million. This ballpark aligns with similar state‑wide health‑exchange contracts.

AI estimate from the award documents

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