The City of Frederick

Buyer is soliciting proposals for a fully insured, group, passive national Medicare Advantage with Prescription Drug (MAPD) PPO plan for eligible Medicare retirees. The plan should mirror the current benefit design within CMS guidelines, accounting for Inflation Reduction Act requirements. The contract will cover approximately 285 retirees and spouses currently enrolled in the Cigna True Choice MAPD plan. Buyer requires the inclusion of Retiree First services for administration and retiree advocacy.

• 6/9/2025 - Issue Date
• 6/30/2025 - Questions Deadline
• 7/9/2025 - Proposal Due Date
• 1/1/2026 - Effective Date

• Licensed in Maryland to sell/write proposed insurance
• Minimum three years experience providing similar insurance
• Good standing with Maryland Department of Insurance
• Licensed and regulated by Maryland Department of Insurance

• Provide fully insured group Medicare Advantage with Prescription Drug coverage
• Administer plan matching current benefit design within CMS guidelines
• Maintain national passive PPO network with equal in/out-of-network benefits
• Provide comprehensive member services including toll-free customer support
• Process claims efficiently and accurately
• Provide detailed data reporting and analytics
• Manage member enrollment and eligibility maintenance
• Implement revenue maximization strategies
• Provide medical management programs and clinical services
• Partner with Retiree First for advocacy services
• Develop effective member communications and education
• Support annual enrollment with meetings and benefit fairs
• Implement wellness and disease management programs
• Deliver retiree provider advocacy and claims assistance
• Maintain electronic eligibility file exchanges
• Achieve high CMS star ratings
• Implement IRA-compliant plan designs
• Provide network access meeting accessibility standards
• Deliver detailed implementation schedule and transition support
• Offer performance guarantees for service levels