REQUEST FOR INFORMATION
FOR THE STATE OF WISCONSIN
Department of Employee Trust Funds (ETF)

Third Party Administration of Wellness and Disease Management Programs
for the State of Wisconsin Group Health Insurance Board
ETG0005


The purpose of this Request for Proposal (RFP) is to provide interested parties with information to enable them to prepare and submit a proposal for the third party administration of the wellness and disease management programs offered as part of the State of Wisconsin health insurance program. This includes the Group Health Insurance Program (GHIP) for state employees, and the Wisconsin Public Employer (WPE) program for local government employees. The Wisconsin Department of Employee Trust Funds (ETF) intends to use the results of this solicitation to award a Contract for such services.

The Contract will be administered and managed by ETF, with oversight by the Group Insurance Board (the “Board”). This RFP document and the awarded Proposer’s (Contractor’s) Proposal response shall be incorporated into the Contract.

The Contract term for providing the third party administration of wellness and disease management programs will commence on the Contract start date and shall extend through December 31, 2018. 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, 2022, subject to the satisfactory negotiation of terms, including pricing.

This RFP details the procedures the proposer must follow to submit a Proposal for the administrative services for wellness and disease management programs offered in conjunction with the State of Wisconsin Group Health Insurance Program offered by the State of Wisconsin Group Insurance Board, and the minimum requirements that the proposer must meet to be eligible for consideration.
This procurement is authorized under Chapter 40 of the Wisconsin State Statutes. All decisions and actions under this RFP are solely under the authority of the State of Wisconsin Group Insurance 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 Tuesday, May 31, 2016 at 2:00 p.m. CDT. Late submissions will not be considered. Questions may be submitted as indicated in the RFP via email to ETFSMBProcurement@etf.wi.gov.

RFP# RFP Title
ETG0005 Third Party Administration of Wellness and Disease Management Programs

Revision History

7/26/2019 ETG005 The StayWell Company, LLC Contract Amendment #3 January 1, 2018 through December 31, 2020
9/6/2018 ETG005 The Stay Well Company, LLC Contract Amendment #2 January 1, 2018 through December 31, 2019
3/12/2018 ETG005 The Stay Well Company, LLC Contract Amendment #1 January 1, 2018 through December 31, 2018
8/16/2016
ETG0005 The StayWell Company, LLC Contract August 16, 2016 through December 31, 2018
7/12/2016
Bid Abstract
7/12/2016 Notice of Intent to Award
5/27/2016 StayWell Redacted Proposal

05/19/2016

Addendum No.2 release date

05/17/2016

Addendum No.1 release date

04/25/2016

Request for Proposal release date

Request for Proposal Documents

Reference Materials

Document or Website
Well Wisconsin Website
Information about the GHIP/WPE programs
It’s Your Choice Open Enrollment Material
Benefit Consultant November 10, 2015 Report to the Board
Office of Strategic Health Policy February 9, 2016 Memo to the Board
Wisconsin Administrative Code: Chapter ETF 11 Appeals
WI State Statutes Ch. 40
ETF Grievance and Appeals Process