SCC Announces Release of Request for Proposals for the Virginia Health Benefit Exchange Platform and Call Center

General

APR 04, 2022

RICHMOND – The State Corporation Commission (SCC) is pleased to announce its release of a Request for Proposals (RFP) for the State-Based Exchange Technology Platform (SBE Platform) and Consumer Assistance Center (CAC) on eVA, Virginia’s central procurement system. This RFP is the next step for the Health Benefit Exchange (HBE) division of the SCC to successfully transition from HealthCare.gov to a fully autonomous, Virginia-based health insurance exchange.

Vendor proposals, which should incorporate the SBE Platform and CAC, are due May 2. The SCC expects to award the contract in mid- to late-summer of 2022.

HBE’s primary purpose is to promote a transparent and competitive marketplace, promote consumer choice and education, assist individuals with access to programs, premium assistance tax credits, cost sharing reductions, support the continuity of coverage, and reduce the number of uninsured.

The Health Benefit Exchange will:

  • provide eligibility, enrollment, and tailored customer service closer to Virginia citizens;
  • more closely coordinate with other state agencies and programs to increase the likelihood that individuals maintain health care coverage; and
  • directly handle consumer complaints and address consumer issues to design and optimize the consumer shopping experience.

Open Enrollment for plan year 2023 will begin on November 1, 2022. Virginia marketplace consumers will continue to shop for health plans on HealthCare.gov until November 1, 2023. The SCC anticipates that the full transition to its own state-based platform will be completed by the fall of 2023, in time for Open Enrollment for health plans that begin coverage January 1, 2024.

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Contact: Ford Carson, 804-371-9141