Request For Proposals (RFP) |
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Section I: | Introduction (amended 3-29-11) |
Section II: | Procurement Protocol and Process |
Section III: | Administrative Proposal Requirements |
Section IV: | Technical Proposal Requirements / Word Format (amended 3-29-11) |
Section V: | Cost Proposal Requirements |
Section VI: | Evaluation and Selection Criteria |
Section VII: | Draft Contract (amended 3-29-11) |
Section VIII: | Glossary of Terms |
Appendix |
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Appendix.A: | Standard Clauses for New York State Contracts |
Appendix.B: | Standard Clauses for All Department Contracts |
Appendix.C: | Third Party Connection Agreement / Word Format |
Exhibit II |
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Exhibit II.A: | Covered Lives by Enrollee Group |
Exhibit II.B: | Enrollee Counts by Zipcode (amended 3-29-11) |
Exhibit II.C: | Summary of Benefit Eligibility by Employee Group (amended 3-29-11) |
Exhibit II.D: | Summary of Covered Benefits by Employee Group (amended 3-29-11) |
Exhibit II.E: | Monthly Paid Claims Data Report |
Exhibit II.F: | Distribution of Employees by Agency |
Exhibit II.G: | Detailed Record Layout-2010 (Page 1) |
Exhibit II.G.1: | Detailed Record Layout-2010 (Page 2) |
Exhibit II.H: | NYS Police Respirator Insert Dispenser Instructions |
Exhibit II.I: | Quarterly Performance Guarantee's Report (added 3-29-11) |
Exhibit III |
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Exhibit III.A: | |
Exhibit III.A.1: | Participating Provider Claims – Occupational / Excel Format |
Exhibit III.B: | Indemnity Utilization / Excel Format |
Exhibit III.C: | Dresswear Upgrade Utilization Summary / Excel Format |
Exhibit III.C.1: | Occupational Upgrade Utilization Summary / Excel Format |
Exhibit III.D: | Historical Expense Data 2007-2010 |
Exhibit III.E. | Indemnity Reimbursement Schedule |
Exhibit III.F: | Medical Exception Program Utilization 2008-2010 |
Exhibit III.G: | Listing of Plan Contact Lenses |
Exhibit III.H: | Laser Vision Correction Surgery 2008-2010 / Excel Format |
Exhibit IV |
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Exhibit IV.A: | Participating Provider and Laser Vision Correction Surgery Fee Schedule (amended 3-29-11) |
Exhibit IV.B |
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