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  5. ›RFP 2021-09 Vision Plan

Awarded contract·Covered California·California

RFP 2021-09 Vision Plan

Won by EyeMed Vision Care, LLC +2 more$100MAwarded 11/2/2021Multiple Award
Contract source

Awarded vendors

  • EyeMed Vision Care, LLC
  • MetLife
  • VSP

Description

Covered California’s Vision Plan contract seeks licensed vision‑insurance carriers to offer vision benefits to exchange enrollees via a web link on CoveredCalifornia.com. Selected carriers will manage enrollment, report quarterly enrollment and premium data, and remit a 5 % commission on premiums to the agency. The contract term is three years (Jan 1 2022 – Dec 31 2024) with an optional two‑year extension, and includes a $1,000 non‑refundable application fee and a $10,000 implementation fee payable upon award. Vendors must be licensed in California, maintain a call‑center/claims capability in the state, and comply with all regulatory and reporting requirements. The solicitation was open to competition, and three vendors (EyeMed Vision Care, MetLife, VSP) were intent‑to‑award. • Primary deliverable: Provide vision‑insurance plans via a website link, collect premiums, and remit a 5 % commission. • Financial terms: $1,000 application fee, $10,000 implementation fee, and quarterly commission payments based on premiums. • Qualification: California licensing, regulatory approval, and in‑state operational presence required.

Attached files

Key dates

Bids closed
10/18/2021
Intent to award
11/2/2021
Awarded
11/2/2021
Starts
1/1/2022
Ends
12/31/2024Renews
Duration
3 years

Last updated

Details

Award type
Multiple Award
Procurement
Full and Open Competition
Industry
Insurance
NAICS
524113
Solicitation №
RFP 2021-09

Contract value

$100,000,000

No explicit contract value is disclosed. Estimating based on Covered California enrollment (≈ 600,000 members) with an assumed 30 % opting for vision coverage (~180,000 members) and an average annual vision premium of $200 yields annual premiums of $36 million. The vendor retains ~95 % of premiums ($34.2 million) and pays a 5 % commission ($1.8 million) to the agency. Over the three‑year base term, total vendor revenue would be roughly $102 million, plus a $10,000 implementation fee. Therefore a reasonable ballpark for the contract’s overall value is about $100 million.

AI estimate from the award documents

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