Nebraska Department of Insurance

Nebraska Department of Insurance

Request for Proposals

In March 2010, the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 were signed into law. The two laws are collectively referred to as the Affordable Care Act ("ACA"). The ACA provides grant funding to assist states in planning, development, and implementation of parts of the ACA.

Section2794 of ACA requires full evaluation of the premium rate increases proposed by health insurance carriers. To support this legislative mandate, the U.S. Department of Health and Human Services awarded $46 million to forty-five states and the District of Columbia to enhance current state processes for reviewing health insurance premium increases. The Nebraska Department of Insurance Department (NDOI), on behalf of the State of Nebraska, was awarded $1 million in Cycle I grant funds on August 16, 2010, to improve the review of proposed health insurance premium increases, take action against insurers seeking unreasonable rate increases, and ensure that consumers receive value for their premium dollars.

The NDOI seeks to contract with a vendor under a Request for Proposal wholly funded by these federal funds to provide actuarial consulting services for detailed review of rate filings. The funds will also be used to develop rate review procedure manuals and make information technology enhancements to the system to ensure a more robust review process is in place. Additionally, the funds will be used to increase consumer transparency and education regarding health rates and acquire information technology resources that will assist in decision making regarding rates by using medical trends, ratios and projections.

Letter of Intent to Contract

Final Evaluation

RFP 10-001Z1, Actuarial Consulting Services
The State of Nebraska, Department of Insurance, is issuing this Request for Proposal, RFP Number 10-001Z1 for the purpose of selecting a qualified contractor to provide actuarial consulting services related to the health insurance rate review process.

Addendum 1

Addendum 2

Addendum 3

Addendum 4

Criteria for Evaluation

List of Respondents

Standard Protest/Grievance Procedure