Public Service Health Care Plan - Administrative Services Only

Trade Agreement: Canadian Free Trade Agreement (CFTA)
Tendering Procedures: All interested suppliers may submit a bid
Competitive Procurement Strategy: N/A - P&A/LOI Only
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

GSIN:  L004CV 
Organization Name:  Public Works and Government Services Canada - Services and Technology Acquisition Management Sector (STAMS) on behalf of Treasury Board of Canada Secretariat (TBS).  
Contract Duration:  The PSHCP ASO Contract Period will be defined following further internal and industry consultations. It is anticipated that Canada will issue a single contract for a period of eight years, with options to extend by one additional option period of two years plus two additional option periods of one year each, for a total of 12 consecutive years. 
Solicitation Method:  Letter of Interest (LOI) 
Applicable Trade Agreements: Canadian Free Trade Agreement
Comprehensive Land Claims 
Agreement Applies:  No

Number of Contracts:  N/A 

NATURE OF THIS LETTER OF INTEREST

This is not a bid solicitation. This Letter of Interest (LOI) will not result in the award of any contract. Potential suppliers of any goods or services described in this LOI should not reserve stock or facilities, nor allocate resources, as a result of any information contained in this LOI. This LOI will not result in the creation of any source list. Therefore, whether or not a potential supplier responds to this LOI will not preclude that supplier from participating in any future procurements. Also, the procurement of any goods and services described in this LOI will not necessarily follow this LOI. This LOI is simply intended to solicit feedback from industry with respect to the subject matter described in this LOI.

REQUIREMENT DETAILS

SUBJECT - 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) as further described in this LOI. 

LOI PURPOSE - The purpose of this LOI is to: 
a) inform industry of TBS’s requirement for PSHCP ASO services; 
b) seek feedback on industry best practices relating to claims processing administrative services; 
c) share Canada’s proposed procurement approach; and 
d)   invite industry to provide feedback and/or recommendations to Canada prior to finalizing the procurement approach and the Request for Proposals (RFP).
POTENTIAL REQUIREMENT - 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, Communiqués, and Bulletins. 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/index.php?lang=eng&ref=/pol/doc-eng.aspx?id=13663 

PSHCP GENERAL INFORMATION - 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. It is the largest employer-sponsored health care plan in Canada. As of December 31, 2017, the PSHCP had over 669,000 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.

Respondents are requested to provide LOI responses to the Contracting Authority identified below in accordance with the instructions set out in the LOI. 

The PSHCP ASO work is currently being performed by Sun Life Assurance Company of Canada.  

Contemplated Industry Engagement Approach:   Canada does not contemplate holding industry one-on-one meetings as part of this LOI process. 

Based on the results of this LOI process, Canada contemplates updating its requirements and publishing an initial Request for Information (RFI#1) for industry review and written feedback followed by subsequent one-on-one industry meetings. The one-on-one meetings will provide RFI#1 respondents an opportunity to meet with Canada’s procurement team on an individual one-on-one basis to clarify their respective written responses.     

Following the RFI#1 process, Canada contemplates publishing a second Request for Information (RFI#2) which will include a draft RFP. Canada does not contemplate holding one-on-one meetings with industry as part of the RFI#2 process.

Please see the LOI document for additional details.

Security Requirement: There are no security requirements associated with this LOI. Canada contemplates that security requirements will be indicated in any final Request for Proposal (please see the attached LOI for details). 
  
PWGSC CONTRACTING AUTHORITY:  
Name: Michael Randall
Public Works and Government Services Canada
Health Services Projects Division, Acquisitions Branch
Services and Technology Acquisition Management Sector
Les Terrasses de la Chaudière, 10 Wellington Street, 5th Floor
Gatineau, Quebec, Canada
K1A 0S5
Phone Number: 613-558-1053
Email Address: michael.randall@tpsgc-pwgsc.gc.ca

Inquiries

All inquiries and other communications regarding this LOI requirement and associated industry engagement activities must be submitted exclusively the Contracting Authority named above. LOI RESPONDENTS ARE ADVISED THAT "BUYANDSELL.GC.CA" IS NOT RESPONSIBLE FOR THE DISTRIBUTION OF LOI DOCUMENTS. The Crown retains the right to negotiate with any supplier on any procurement. Documents may be submitted in either official language.

This PWGSC office provides procurement services in both official languages. 

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.