Q -- MARKET SURVEY FOR TRICARE RETIREE DENTAL PROGRAM

Notice Date

June 21, 2001

Contracting Office

Department of Defense (CMP), Tricare Management Activity, 16401 E. Centretech Parkway, Aurora, CO 80011-9043

ZIP Code

80011-9043

Solicitation Number

N/A

Response Due

July 21, 2001

Point of Contact

Cindy Dahlstrom, Contracting Officer, 303-676-3516

E-Mail Address

click here to contact the contracting officer by e-mail (Cynthia.Dahlstrom@tma.osd.mil)

Description

MARKET SURVEY -- The DoD is planning for the reprocurement of the TRDP contract. The purpose of this contract is to provide a voluntary, enrollee-funded, group indemnity insurance plan for retired members of the uniformed services and certain family members in the 50 United States, the District of Columbia, American Samoa, Guam, Northern Mariana Islands, Puerto Rico, U.S. Virgin Islands, and Canada. Services include underwriting, marketing, eligibility verification and enrollment, premium collection, provider credentialing, claim adjudication and payment, customer services, and processing of appeals and grievances. This is a Market Survey in accordance with Federal Acquisition Regulation Part 10. This is not a Request for Proposal (RFP). DoD does not intend to award a contract on the basis of the survey responses or pay for costs associated with response submissions. Interested parties may submit a response to Ms. Debbie Melton by e-mail at Debbie.Melton@tma.osd.mil; by mail to TRICARE Management Activity/CMA, 16401 E. Centretech Parkway, Aurora, CO 80011-9066; or by facsimile to 303-676-3987. Responses are due no later than 30 days from June 21, 2001. Please answer all the questions presented in this survey and provide a rationale for your comments. To aid in the Government's review of responses received, please indicate the specific issue you are addressing by utilizing the respective number in the specific market survey question of this document for each of your comment. Information received in response to this market survey will be considered confidential and will not be disclosed to anyone other than the personnel working on this project. Point of Contact: Cindy Dahlstrom, Contracting Officer, 303-676-3516. CONTENT: The intent of this survey is for the TRICARE Management Activity to comply with Federal Acquisition Regulation (FAR) Part 12, Acquisition of Commercial Items, for a commercial line of business or to comply with FAR part 15, Contracting by Negotiation, for source selection. Please respond to the following questions about your commercial line of business. You must answer all of the questions in order to submit the survey. 1.Do you provide dental health coverage on a national basis? YES NO 2.a. Is this type of dental insurance contract of interest to your company? YES NO 2b. If yes, would such dental coverage be considered a standard commercial product? YES NO 3.Does your company have the capability to offer indemnity coverage for dental services rendered in foreign countries? YES NO 4.Do you routinely process claims and correspondence and provide customer service to a member base of over 500,000 individuals? YES NO 5.Do you administer a benefit plan with over 200 dental procedures available to each plan member? YES NO 6.Do you administer multiple types of enrollment and premium levels based on residence of member and number of enrolled family members? YES NO 7.Do you have the capability to interface electronically with third parties for exchange of enrollment and premium rate information and receipt of premium payments? YES NO 8.Do you directly bill plan members for dental premium payments? YES NO 9.Do you have a comprehensive, auditable end-of-line quality assurance program for claims adjudication and payment? YES NO 10.Do you have a quality control program for responses to written and telephonic inquiries? YES NO 11.Do you provide written material to plan members documenting and explaining plan benefits, limitations, exclusions, and procedures and policies relevant to obtaining benefits under the plan? YES NO 12.Do you produce recurring management reports to provide clients with information about benefit utilization and cost and claims and inquiry workload and processing timeliness? YES NO 13.Do you have an established system to appeal adverse benefit determinations and a program for handling formal grievances related to provider and member service? YES NO 14.a. Do you have multiple means for directly enrolling prospective members? YES NO 14.b. If so, what are these? 15.Do you engage in marketing and solicitation activities for your business? YES NO First Name: Last Name: Organization: Address: Address 2: City, State, Zip: Phone: ( ) E-mail Address: Comments:

Web Link

Tricare Military Health System (http://tricare.osd.mil/contracting/tmamenu.cfm)

Record

Loren Data Corp. 20010625/QSOL013.HTM (W-172 SN50P756)