The Contractor must estimate the projected costs and state fiscal impact of including the benefit in the individual, small group, and large group markets. This project was directed by the legislature in section 145(11) of Engrossed Substitute Senate Bill 5167 (ESSB 5167).
The contractor will be responsible for assisting the Office of the Insurance Commissioner with the preparation of a report to the Legislature due by September 30, 2026.
Minimum qualifications include:
- Licensed to do business in the State of Washington or provide a commitment that it will become licensed in Washington within thirty (30) calendar days of being selected as the Apparent Successful Contractor.
- Demonstrate knowledge of, and prior experience in, the areas of work for which the proposal is being submitted. Vendor must have previously held 24 months of responsibilities substantially the same as, or very similar to, the Scope of Work in Section 1.2 of this RFP.
- Contractor must be or employ health insurance actuaries who are members of the American Academy of Actuaries and Society of Actuaries and meet the qualification standard to complete the scope of work stated in Section 1.2, Objectives and Scope of Work of this RFP.
- Credentialed health insurance actuaries shall perform or be responsible for all actuarial services under the Contract. Actuarial work must be supervised by an individual who is a member of the American Academy of Actuaries.
- Project team leadership by an individual with at least five (5) years of commercial health insurance rate development or rate review and/or research experience in evaluating health plan cost factors and rating factors.
- Experience with individual and small group health insurance business under the Affordable Care Act, as well as expertise related to major medical plan benefit design and provider contracting, preferably in Washington State.
- Ability to convey complex actuarial and technical information and significant outcomes to a lay audience.
- Ability to work on tight timelines while delivering a quality product for OIC.
Important dates:
Estimated schedule of procurement activities -
8/15/2025 Issue request for proposals
8/25/2025 by 5pm Question & answer period
9/2/2025 Issue addendum to RFP
9/19/2025 8:30-9:30am Preproposal conference
9/26/2025 by 5pm Issue final addendum to RFP
10/10/2025 by 5pm Proposals due
10/20/2025 Evaluate proposals
10/21/2025 by 5pm Announce ‘Apparent Successful Contractor’*
10/27/2025 – 10/29/2025 Hold debriefing conferences (if requested)**
10/22/2025 Begin contract negotiations
The OIC reserves the right to revise the above schedule. *Unless postponed for oral presentations, if required, see Section 4.4 of the solicitation document linked below. **If the announcement of the Successful Contractor is postponed for oral presentations, the debriefing conference times will be re-scheduled with the bidders who request it.