The U.S. Office of Personnel Management (OPM) has a requirement for a contractor for the development, enhancement, implementation, and deployment of the existing BENEFEDS Portal functionality. The BENEFEDS Portal is used for enrollment, payroll deductions, and premium reconciliation for voluntary benefit programs offered by OPM.

As the Federal government’s human resources agency, the United States Office of Personnel Management (OPM) administers insurance and retirement benefits for millions of Federal employees, retirees, temporary wildland firefighters and fire protection personnel, employees of Federally recognized Indian tribes, tribal organizations, and urban Indian organizations (tribal employer), and their eligible family members. OPM is responsible for establishing benefits and human resources policies government-wide and providing guidance to agencies, as well as for procuring and managing the contractual relationships with carriers for the various benefit programs. Offerors can find more information about OPM and the benefits we administer on https://www.opm.gov/healthcare-insurance/. As part of its mission to manage insurance benefits, OPM developed a contract for certain federal benefits enrollment and premium administration services, named BENEFEDS. The BENEFEDS contract was implemented in late 2006 primarily to perform enrollment and premium administration functions for the Federal Employees Dental and Vision Insurance Program (FEDVIP)1 . This centralized platform was designed to eliminate the need for each FEDVIP carrier to establish its own enrollment/premium administration interface with a multitude of Federal agencies and payroll offices. Since 2006, BENEFEDS functionality has evolved, and today the BENEFEDS Contractor is responsible for managing over 6 million FEDVIP enrollments, administering over 500,000 Federal Flexible Spending Account Program (FSAFEDS) allotments and almost 260,000 Federal Long Term Care Insurance Program (FLTCIP)2 participant premiums and interfacing with 13 FEDVIP carriers, the FLTCIP and FSAFEDS Contractors and more than 50 Federal payroll providers. In addition, the BENEFEDS service also provides participants the option of paying for these benefits through direct bill or automatic bank withdrawals (ABW).

The principal objectives of this contract are to provide:

• A cost effective, centralized insurance and cafeteria plan (Section 125) benefit enrollment system and customer service support center for FEDVIP, FSAFEDS and FLTCIP

• Related premium/allotment administration services

• A mechanism to completely and accurately reconcile enrollment and premium at the individual enrollee level with each FEDVIP carrier

• A mechanism to completely and accurately reconcile premium/allotments at the individual enrollee level with the FLTCIP and FSAFEDS contractors

• Superior customer service for the convenience of users

• User friendly and informative website conformed to the Section 508 standards of the Rehabilitation Act of 19733

• Education and outreach to eligible populations

• OPM requires a BENEFEDS Contractor to provide an enrollment website and customer service call center, perform payroll allotment for FSAFEDS, premium administration for FLTCIP, and enrollment and premium administration for FEDVIP.
• The BENEFEDS Contractor will be required to interface with over 50 agencies, 13 FEDVIP carriers, the FSAFEDS Contractor, and the FLTCIP Contractor. The BENEFEDS Contractor must provide a solution that is user-friendly, agile, and secure. The Contractor shall provide a solution which enables robust employee and annuitant self-service applications. The Contractor’s solution shall enable near real-time, within 1 hour, updates to accommodate business decisions requiring immediate action. Finally, the Contractor’s solution shall include a robust system architecture with the potential to host many thousands of concurrent users, and to provide surge capabilities with little or no interruption to BENEFEDS system users.

The BENEFEDS Contractor shall provide the Government with the full scope of functionality currently included in the BENEFEDS program, including, but not limited to:

• FEDVIP Vision and Dental enrollment and premium administration

• FEDVIP decision support tools

• FSAFEDS allotment administration

• FLTCIP premium administration

• Customer service/Call center services

• MyBENEFEDS website – online account information and history

• Education and outreach to eligible populations

• Reporting