Public Service Health Care Plan Administrative Services Only Requirement

Trade Agreement: NONE
Tendering Procedures: All interested suppliers may submit a bid
Competitive Procurement Strategy: Best Overall  Proposal
Comprehensive Land Claim Agreement: No
Nature of Requirements: 

NOTICE OF PROPOSED PROCUREMENT (NPP)
For Public Service Health Care Plan (PSHCP) Administrative Services Only (ASO) Requirement

SOLICITATION METHOD: Request for Proposal (RFP)

REQUIREMENT
On behalf of its client the Treasury Board of Canada Secretariat (TBS), Public Works and Government Services Canada (PWGSC) has a requirement for a third party contractor to provide administrative services only (ASO) claims processing and other related services for the Public Service Health Care Plan (PSHCP). 

CONTRACT DURATION
It is anticipated that Canada will issue a single contract for a period of 8 years plus a 20-month estimated start-up period, with options to extend by four additional option periods of one year each, for a total of 13.7 consecutive years.

REQUIREMENT DETAILS
The PSHCP is an optional private health care plan sponsored by the Government of Canada for the benefit of its employees, pensioners, and their eligible dependents (see membership information below). The PSHCP is operated on a self-insured basis. The contemplated contractor will be responsible for the adjudication and payment of eligible claims in accordance with the PSHCP Plan Directive, Communiqués, and Bulletins and for providing services as specified in any resulting contract. "The terms and conditions governing the benefits of the PSHCP are set out in the PSHCP Plan Directive and the Summary Of PSHCP Plan Changes Not Included In The Plan Directive. The current PSHCP Plan Directive (dated April 1, 2006) is available from the National Joint Council Web site at: http://www.njc-cnm.gc.ca/directive/d9/v9/en. 

The PSHCP provides supplementary health care protection, including emergency benefits while traveling and emergency travel assistance services, as well as hospital benefits (I, II and III levels) for members and their eligible dependents who are covered under a provincial/territorial health insurance plan.

The PSHCP provides reimbursement for a range of health-related goods and services that are not provided through private insurance plans, provincial or territorial insured health coverage or other publicly funded programs. As of December 31, 2017, the PSHCP had over 670,000 members (of which over 324,000 are retired members) and covers approximately 1.5 million Canadians with a total annual expenditures of approximately $1.22B. It is the largest employer-sponsored health care plan in Canada.

Membership in the PSHCP includes employees, the dependents of members of the Canadian Forces and the Royal Canadian Mounted Police, Members of Parliament, Senators, the Governor General, Lieutenant Governors, Federal Judges, employees of a number of designated separate employers.
Membership is available to pensioners receiving pensions under a number of federal pension statutes, including the Public Service Superannuation Act (PSSA), the Canadian Forces Superannuation Act (CFSA), the Defence Services Pension Continuation Act (DSPCA), the RCMP Superannuation Act (RCMPSA), the RCMP Pension Continuation Act (RCMPPCA), the Judges Act (JA), the Members of Parliament Retiring Allowances Act (MPRAA), the Governor General's Act (GGA), the Diplomatic Service (Special) Superannuation Act (DS(S)SA), the Lieutenant Governors Superannuation Act (LGSA) and the Special Retirement Arrangements Act (SRAA).

Membership is also offered to a number of Canadian Forces Veterans or their survivors who would not otherwise be eligible for PSHCP coverage.

The PSHCP offers services in both official languages.

SECURITY REQUIREMENT
There are security requirements associated with this requirement. For additional information, consult Part 6 - Security, Financial and Other Requirements, and Part 7 Resulting Contract Clauses.

INQUIRIES AND SUBMISSIONS:
Suppliers may submit their submission at any time after the posting date of the RFP up to the closing date. Inquiries regarding this RFP are to be submitted to the contracting authority listed below:

Name: Soun You
Public Works and Government Services Canada 
Major Projects Procurement Directorate
Email address: TPSGC.PADGARSSFPSAS-APPBPSHCPASO.PWGSC@tpsgc-pwgsc.gc.ca

The Crown retains the right to negotiate with suppliers on any procurement.

Documents may be submitted in either official language of Canada.
Delivery Date: Above-mentioned

The Crown retains the right to negotiate with suppliers on any procurement.

Documents may be submitted in either official language of Canada.