Awarded vendors
- NFP Health Service Administrators, LLC
Description
The contract awards a multi‑year services agreement to deliver end‑to‑end enrollment processing, eligibility management, and financial‑management (billing, payment, and commission) functions for the Covered California Small Business (CCSB) marketplace. The vendor will provide a cloud‑based SaaS platform supporting daily EDI (834, 820, 999/TA1) file exchanges, API integrations (including Salesforce CRM), COBRA administration, data conversion for thousands of employers and employees, and a reporting data‑warehouse with secure access. The solution must meet California’s MARS‑E v2 and NIST 800‑53 security standards and support per‑member‑per‑month pricing.
• Scope includes enrollment services (eligibility, daily XML/EDI transmission, API for third‑party quoting, COBRA handling) and financial management (billing, commission calculations, payment processing).
• Contract term runs from 1 Feb 2020 to 31 Mar 2024, with no explicit renewal language.
• Awarded to NFP Health Service Administrators, LLC after a full open‑competition process; the agency is Covered California.