RFP 2016-28 SEP Electronic Verification

This contract awards Health Management Systems, Inc. a three‑year, state‑funded SaaS solution to automatically verify qualifying life events (QLEs) for Covered California’s Special Enrollment Period. The contractor must develop, host, and maintain a secure, FedRAMP‑compliant system that integrates with the CalHEERS platform, processes loss‑of‑coverage verifications (mandatory) and optionally permanent‑move verifications, and bills the State on a per‑transaction basis. The agreement includes extensive deliverables (design, test, security, training, operations) and allows the State to extend the contract up to two additional years. • Scope: Real‑time electronic verification of QLEs, CalHEERS integration, secure SaaS hosting. • Financial: Up to $4 M total for the base term, plus a possible $500 k start‑up allowance; payment per successful transaction. • Timeline: Proposal due Sept 5 2017; contract effective Oct 23 2017; base term ends Oct 22 2020 with optional extensions.