Department of Employee Trust Funds

Administrative Services for the State of Wisconsin Employees
and Participating Local Government Employees for Health Insurance

To Whom It May Concern:

This Request for Information (RFI) is issued by the Department of Employee Trust Funds (ETF) for Administrative Services.

The state is interested in understanding the feasibility of self-funding the existing insured Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs). In order to better understand the financial and operational considerations related to such a decision, the state is issuing this RFI to the marketplace to better understand the interest and ability of marketplace vendors to provide administrative service only (ASO) services. This RFI includes services related to medical services only, as prescription drugs are currently carved out, and would not be included in this analysis.

Information is due May 15, 2013. Amendments, questions and answers will be posted on and will not be mailed.

All communications and RFI responses should be directed to:
Nichole Ramsey
Deloitte Consulting LLP

Revision History

5/13/13 Questions and Answers Set 3
5/1/13 County Zip Codes for GEO Access
5/1/13 Questions and Answers Set 2
4/23/13 Questions and Answers Set 1
4/2/13 Added Exhibit 1, Exhibit 2 and Exhibit 2a under Reference Materials to be submitted to Deloitte Consulting
4/1/13 Issue Request for Information


Request for Information

RFI Main Document with Census Data


Reference Materials

"Guidelines" or the Terms and Conditions for Comprehensive Medical Plan Participation in the State of Wisconsin Group Health Benefit Program and Uniform Benefits for the 2013 Benefit Year Contract.
Exhibit 1: Network Access/GEO Access
Exhibit 2: Re-pricing Exercise
Exhibit 2a: Network Access/Narrow Network Only