RFP 2019-33 Actuarial Services

Covered California issued a competitive RFP (2019‑33) to obtain actuarial services for health and dental plans supporting Qualified Health Plans (QHPs). The work includes premium‑rate construction, risk‑adjustment modeling, demographic enrollment analysis, ACA rating factor calculations, and related reporting. The contract was awarded to Milliman for a three‑year base period with a ceiling of $1.5 M, and may be extended up to two additional years. Evaluation was based on a 70 % technical and 30 % cost split, with optional socioeconomic preference points. • Scope: actuarial analysis, premium modeling, risk‑adjustment, plan‑design evaluation for health & dental QHPs. • Budget: maximum $1.5 M total (≈ $500 k per year). • Term: 1 July 2020 – 30 June 2023, with up‑to‑two‑year extensions possible. • Awarded Vendor: Milliman, a national actuarial consulting firm.