Retiree Medical Plan Change RFP

The University is launching a request for proposal (RFP) to explore a different approach to our current medical programs for retirees and their dependents who are eligible for Medicare. The RFP is the process the University uses to find the best solution by comparing proposals from vendors.. The goal is to launch a new exchange program model January 1, 2026 in order to provide our retirees with expanded choice and expert navigation assistance.

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Tentative Timeline

Mid-August, 2024: RFP Issued 

September–December 2024: RFP responses reviewed & vendor selected

January–December 2025: Education and preparation

January 1, 2026: New insurance effective date

Why make this change?

The University is committed to giving retirees access to the best options for coverage to meet their healthcare needs and one-on-one assistance from Medicare experts. In order to do that, we are launching a competitive search process to find a solution that offers the best personalized plan options and value for University retirees.

What is an exchange model?

Under an exchange model, the University provides eligibility information to the selected vendor, which provides benefit plan advisors to help retirees shop for and enroll in health insurance, including Medicare Advantage and supplement plans (known as Medigap).

In responding to the RFP, vendors are confirming these advisors are state licensed, salaried and unbiased, and senior sensitivity trained. They are also certified to help retirees navigate the complexities of how private insurance and Medicare work together.

What does this mean for retirees?

Expanded Choice

Transitioning to an exchange model allows for a wider variety of plan choices. Under this model, retirees and their spouse are able to select different plans, so you can choose the best overall value for your family’s health needs and budget. 

Personalized, Trusted Guidance

This model provides specialized advisors with Medicare certification who are unbiased and earn a salary that is not commission-based. They can meet with you one-on-one to help you evaluate and select the best plan for each individual. Beyond initial plan selection, the navigators provide lifetime advocacy, helping you with claims questions through the entire span of your coverage.

Financial Savings

Joining a broader community of retirees in an exchange model increases carrier competition to push down premium costs for similar coverage.