1. RFP PROCESS TO BE COMPLETED BY DTMB CENTRAL PROCUREMENT HMO SERVICES. THE OFFICE OF RETIREMENT SERVICES (ORS) ADMINISTERS THE MICHIGAN PUBLIC SCHOOL EMPLOYEES' RETIREMENT SYSTEM'S (MPSERS) PLANS, WHICH PROVIDE POST-EMPLOYMENT HEALTH COVERAGE TO NON-MEDICARE ELIGIBLE AND MEDICARE ELIGIBLE MEMBERS, INCLUDING RETIREES, BENEFICIARIES AND THEIR DEPENDENTS ENROLLED IN THE HEALTH PLANS. HEALTH COVERAGE IS PROVIDED TO RETIRED EMPLOYEES OF LOCAL SCHOOL DISTRICTS, INTERMEDIATE SCHOOL DISTRICTS, TAX-SUPPORTED COMMUNITY OR JUNIOR COLLEGES, AND CERTAIN UNIVERSITIES. FINANCING FOR MPSERS IS PROVIDED THROUGH PUBLIC SCHOOL EMPLOYER CONTRIBUTIONS AND CONTRACT HOLDER PREMIUMS. ORS CURRENTLY MANAGES HEALTH COVERAGE FOR APPROXIMATELY 234,700 MEMBERS IN THE MPSERS HEALTH PLANS. THIS INCLUDES APPROXIMATELY 199,200 MEMBERS IN THE SELF-FUNDED PLAN AND APPROXIMATELY 35,500 PARTICIPANTS IN THE HMOS. APPROXIMATELY 15% OF THE MEMBERS IN THE SELF-FUNDED PLAN ARE NOT MEDICARE ELIGIBLE AND 85% ARE MEDICARE ELIGIBLE. APPROXIMATELY 21% PERCENT OF HMO MEMBERS ARE NOT MEDICARE ELIGIBLE AND APPROXIMATELY 79% ARE MEDICARE ELIGIBLE. MPSERS IS A GOVERNMENTAL ENTITY AND THEREFORE NOT SUBJECT TO THE FEDERAL EMPLOYEE RETIREE INCOME SECURITY ACT (ERISA). MPSERS OBLIGATIONS ARE STATUTORY, AND THE CONTRACTOR'S OBLIGATIONS WILL BE PURSUANT TO THIS CONTRACT. ALL WORDS CAPITALIZED IN THIS DOCUMENT INDICATE A DEFINED WORD. PLEASE REFER TO SCHEDULE D FOR ALL DEFINITIONS. SCOPE THIS IS AN RFP TO SOLICIT PROPOSALS FROM CONTRACTORS FOR HMO HEALTH COVERAGE (MEDICAL AND PRESCRIPTION DRUG SERVICES) FOR THE MEDICARE-ELIGIBLE MEMBERS AND NON-MEDICARE ELIGIBLE MEMBERS, INCLUDING RETIREES, BENEFICIARIES, COBRA PARTICIPANTS, AND DEPENDENTS, OF THE MICHIGAN PUBLIC SCHOOL EMPLOYEES' RETIREMENT SYSTEM (MPSERS), ADMINISTERED BY THE MICHIGAN OFFICE OF RETIREMENT SERVICES (ORS). ALL CURRENT HMO OFFERINGS ARE FULLY INSURED. BIDDER PROPOSALS SHOULD REFLECT FULLY-INSURED OFFERINGS ONLY. THE CONTRACTOR MUST BE ABLE TO PROVIDE AND ADMINISTER BOTH A NON-MEDICARE AND A MEDICARE PRODUCT INCLUSIVE OF PHARMACY COVERAGE TO ELIGIBLE MEMBERS WHO ELECTED ENROLLMENT IN AN HMO AND PURSUANT TO THE REQUIREMENTS LISTED HEREIN. 2. CLAIMS PROCESSING SERVICES

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