RFP 2015-18 2017 Qualified Health Plan (QHP) Issuer Model Contract and Standardization of Evidence of Coverage (EOC)

This contract awards Kelch Associates the responsibility for finalizing California’s 2017 Qualified Health Plan (QHP) Issuer Model Contracts for both the Individual and Small‑Business markets and for producing a single standardized Evidence of Coverage (EOC) document. The work includes stakeholder coordination, comment integration, compliance verification with ACA and state regulations, and delivery of draft and final contracts within a six‑month window. The maximum contract value is capped at $150,000 on a time‑and‑materials basis. • Scope: Draft, revise, and finalize two QHP issuer model contracts and create a standardized EOC format. • Timeline: Performance period Jan 18 2016 – Jun 30 2016, with key drafts due February 2016 and final delivery March 2016. • Budget: Fixed ceiling of $150,000; cost evaluated relative to lowest responsive bid. • Vendor: Kelch Associates, a private consultancy located in Elk Grove, CA. • Agency: California Health Benefit Exchange (Covered California), the state entity overseeing the health‑insurance exchange.