Enrollment Broker Procurement Library (2018)

The following documents are related to the 2018 Request for Proposals for Enrollment Broker Services.

 Report Submission Samples

Report # Report Title
Daily  
410 Open Enrollment - Producd during the open enrollment period and through the 90 day grace period after open enrollment closes.
Weekly  
413 Open Enrollment - Producd during the open enrollment period and through the 90 day grace period after open enrollment closes.
Monthly  
102 Choice Rate Report Total Population
103 Complaint Summary Report Total Population
104 Enrollee Opt Out Report 
105 Inbound Call Action Report
106 Plan Changes by Plan
106B Plan Changes by Plan and Linkage Types - Active Members
107 Plan Changes by Region
108 Monthly Enrollments by Location
109A Enrollments by Location and Health Plan - Does not include members who will be disenrolled at the end of the reporting month
109B Enrollments by Location and Health Plan - Includes members who will be disenrolled at the end of the reporting month
110 Enrollments by Medicaid Eligibility and Health Plan
112 Special Needs Enrollee Report
115 Complaint Inventory Report
117 Enrollments by Subprogram
118 Enrollment Analysis Spreadsheet
122A Enrollment by Health Plan and Source - Does not included members who will be disenrolled at the end of the reporting month
122B Enrollment by Health Plan and Source - Includes members who will be disenrolled at the end of the reporting month
124 In/Out Transfer by Health Plan Report - Summary
124 In/Out Transfer by Health Plan Report - Listing (Excel) 
125A Enrollment by Health Plan and Region - Does not include members who will be disenrolled at the end of the reporting month
125B Enrollment by Health Plan and Region - Includes members who will be disenrolled at the end of the reporting month
127 End of Month Summary Report by Health Plan and Region
206 Call Center Statistics
207 Callback Request Summary
Quarterly  
119 Consumer Complaint Summary Report 4th Qtr 2015
120 Special Needs Report 4th Qtr 2015
126 Q Report Submission Letter 4th Qth 2015
209 Fraud and Abuse Activity Report 4th Qtr 2015
210 Security Issues Report 4th Qtr 2015
Annual  
121 Annual Summary Unsuccessful Contact Attempts Report 2014-2015
131 Annual Summary Consumer Complaints Report 2014-2015
132 Annual Summary Special Needs Report 2014-2015
133 Annual Summary of Voluntary Opt Out Report 2014-2015
134 Annual Summary Monthly Enrollment Report 2014-2015
204 Annual Security Issues Report 2014-2015
209 Annual Summary Fraud and Abuse Activity Report 2014-2015
211 Annual Summary Call Center Statistical Report 2014-2015
213 Annual YTD Choice Rate Report Nov1, 2014-Oct 31, 2015
 N/A Annual Contract Status Report 2014-2015