REQUEST FOR PROPOSAL
STATE OF WISCONSIN
DEPARTMENT OF EMPLOYEE TRUST FUNDS
Administrative Services for the State of Wisconsin
Pharmacy Benefit Program
ETG0013


This Request for Proposal (RFP) is issued by the Wisconsin Department of Employee Trust Funds (ETF) on behalf of the State of Wisconsin Group Insurance Board (Board). The purpose of this RFP is to provide interested and qualified vendors with information to enable them to prepare and submit competitive proposals to administer pharmacy benefits as the Pharmacy Benefit Manager (PBM) for the State of Wisconsin Group Health Insurance Program (GHIP) and the Wisconsin Public Employer (WPE) program for local government employees, managed by ETF. ETF administers retirement, health, life, disability, and long-term care insurance programs for over 570,000 State and local government employees and annuitants.

ETF intends to use the results of this RFP solicitation to award a contract for Administrative Services for the State of Wisconsin Pharmacy Benefit Program. The contract will be administered and managed by ETF, with oversight by the Board.

The contract term will commence on January 1, 2018, and shall extend through December 31, 2020. The Board retains the option, by mutual agreement of the Board and the successful proposer, to renew the contract for two (2) additional two (2)-year periods extending the contract through December 31, 2024, subject to the satisfactory negotiation of terms, including pricing.

This RFP details the procedures proposers must follow to submit a proposal for Administrative Services for the State of Wisconsin Pharmacy Benefit Program for ETF, and the minimum requirements that proposers must meet to be eligible for consideration. There are several different submission requirements proposers must follow in order to submit a proposal. Proposers must submit forms to the Board’s actuary, Segal Consulting (Segal), and ETF in order to receive data files to complete proposals. Proposers must submit their written proposal (and other documents) to ETF, while the cost proposal (and other documents) must be submitted to Segal. Please review the specific requirements in Sections 2 and 8 in the RFP for further details and instructions.

This solicitation is authorized under Chapter 40 of the Wisconsin State Statutes. All decisions and actions under this RFP are solely under the authority of the Board. Procurement statutes and rules that govern other State agencies may not be applicable.

Any news releases or release of broadcast e-mails pertaining to this RFP, resulting contract, or to the acceptance, rejection, or evaluation, or review of proposals shall not be made without the prior written approval of the State of Wisconsin or ETF.

The deadline for receipt of proposals for this RFP is Wednesday, January 25, 2017 at 2:00 p.m. CST. Late submissions will not be considered. Questions may be submitted as indicated in the RFP via email to ETFSMBProcurement@etf.wi.gov.

 

 

Contract Documents

Amendment #2
Amendment #1 (including RFP Exhibit 1--State of Wisconsin Pharmacy Benefit Agreement dated June 1, 2018

Contract ETG0013

Exhibit 1 - State of Wisconsin Pharmacy Benefit Program Agreement - Revised July 11, 2017

Exhibit 4 - Department Terms and Conditions dated April 27, 2017
Appendix 2 - Data Specifications - Pharmacy dated June 20, 2017
Exhibit A - Contract Clarifications and Changes

 

Revision History

November 12, 2018 Amendment #2
June 13, 2018 Amendment #1

July 19, 2017

Navitus Contract signed

May 25, 2017

Notice of Intent to Award and Bid Abstract released

January 17, 2017

Addendum No. 3 released

January 4, 2017

Addendum No. 2 released

December 12, 2016

Addendum No. 1 released

November 18, 2016

ETG0013 Administrative Services for the State of Wisconsin Pharmacy Benefit Program RFP released

 

RFP# RFP TITLE
ETG0013 Administrative Services for the State of Wisconsin Pharmacy Benefit Program

All modifications and other information associated with this RFP will be posted on this web site. As such, interested vendors are encouraged to check this web site for updates frequently. No other notification regarding modifications will be provided.

 

Request for Proposal Documents
ETG0013 Notice of Intent to Award and Bid Abstract
RFP ETG0013 Addendum No. 3 - 01/17/2017

RFP ETG0013 Addendum No. 2 - 01/04/2017

RFP ETG0013 Addendum No. 1 - 12/12/2016

RFP ETG0013 - Administrative Services for the State of Wisconsin Pharmacy Benefit Program

 

EXHIBITS

APPENDICES

FORMS

SECTION 8 ATTACHMENTS

 


Reference Materials

Document Web Address

Employee Trust Funds Website

http://etf.wi.gov

Information about the GHIP/WPE programs

http://etf.wi.gov/publications/et8902.pdf

Comparison of Pharmacy Benefits for Active Employees

http://etf.wi.gov/members/IYC2017/et-2107phae.asp

Comparison of Pharmacy Benefits for Retirees Without Medicare

http://etf.wi.gov/members/IYC2017/et-2107pha.asp

Comparison of Pharmacy Benefits for Retirees With Medicare

http://etf.wi.gov/members/IYC2017/et-2107phrm.asp

It’s Your Choice Open Enrollment Material

http://etf.wi.gov/members/IYC2017/IYC_home.asp

Benefit Consultant November 10, 2015 Report to the Board (Second Report)

http://etf.wi.gov/boards/agenda-items-2015/gib1117/item3ar.pdf

Office of Strategic Health Policy February 9, 2016 Memo to the Board for Implementation of Benefit Consultant Recommendations

http://etf.wi.gov/boards/agenda-items-2016/gib0217/item5c.pdf

Wisconsin Administrative Code: Chapter ETF 11 Appeals

http://docs.legis.wisconsin.gov/code/admin_code/etf/11

Wisconsin State Statutes Chapter 40

http://www.legis.state.wi.us/statutes/Stat0040.pdf

ETF Insurance Complaint Information

http://etf.wi.gov/publications/et2405.pdf