The County of Orange has awarded a contract to Cigna HealthCare of California for the provision of Health Maintenance Organization (HMO) services. The contract has a term of three years, effective January 1, 2024, and may be renewed for two additional consecutive one-year terms. The contract includes performance guarantees, compensation, and insurance provisions. Cigna will provide account management services, including ID card processing, automated eligibility processing, and claim processing. The contract also includes penalties for failure to meet performance commitments. The County will pay premiums based on the number of subscribers and associated rates, and Cigna will provide wellness credits and onsite staff support. Key points to consider when evaluating this contract include the scope of work, performance guarantees, and compensation structure.