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CA26-0143 • 2025

Proposed Contract with Mercer Health & Benefits, LLC to Contract No. CW99577

Proposed Contract with Mercer Health & Benefits, LLC to Contract No. CW99577

Healthcare
Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor
at the request of the Mayor
Last action
2025-04-29
Official status
Deemed Approved
Effective date
Not listed

Plain English Breakdown

The official source material does not provide specific details on compliance requirements or funding allocation beyond confirming that Mercer Health & Benefits, LLC is current with its taxes and that funds are available within the budget.

Proposed Contract with Mercer Health & Benefits, LLC

The bill proposes to extend an existing contract between the District of Columbia and Mercer Health & Benefits, LLC for actuarial services and healthcare program development.

What This Bill Does

  • Extends an existing contract (CW99577) with Mercer Health & Benefits, LLC for another year from May 18, 2025 to May 17, 2026.
  • Sets the maximum amount that can be spent on this extension at $3,880,500.
  • Includes services such as actuarial work and technical assistance related to healthcare programs like Medicaid Managed Care Program.

Who It Names or Affects

  • The District of Columbia government
  • Mercer Health & Benefits, LLC

Terms To Know

Actuarial services
Services that use statistics and financial theory to assess risk in insurance, finance, and other industries.
Not-to-exceed amount
The maximum amount of money that can be spent on a contract or project.

Limits and Unknowns

  • The exact services provided by Mercer Health & Benefits, LLC are detailed in the full contract and may not be fully described here.
  • There is no specific mention of how this contract affects individuals outside of the District government and Mercer Health & Benefits, LLC.

Bill History

  1. 2025-04-29 Council of the District of Columbia LIMS

    Retained by the Council with comments from the Committee on Health

  2. 2025-04-28 Council of the District of Columbia LIMS

    CA26-0143 Introduced by Chairman Mendelson at Office of the Secretary

Official Summary Text

Proposed Contract with Mercer Health & Benefits, LLC to Contract No. CW99577

Current Bill Text

Read the full stored bill text
MURIELBOWSERMAYOR
April28,2025
The Honorable PhilMendelson
Chairman
Councilof theDistrictof Columbia
John A. Wilson Building
1350 PennsylvaniaAvenue, NW, Suite504
Washington,DC 20004
Dear Chairman Mendelson:
Pursuanttosection451oftheDistrictofColumbiaHomeRuleAct(D.C.OfficialCode§ 1-204.51)andsection202oftheProcurementPracticesReformActof2010(D.C.OfficialCode§2-352.02),enclosedforconsiderationandapprovalbytheCounciloftheDistrictofColumbiais
proposedModificationNo.M0008toContractNo.CW99577withMercerHealth& Benefits,LLC(“Mercer”)toexerciseoptionyearthreeinthenot-to-exceedamountof$3,880,500.TheperiodofperformanceisfromMay18,2025,throughMay17,2026.
Undertheproposedmodification,Mercerwillcontinuetoprovideactuarialservices,technicalassistance,consultation,andhealthcareprogramdevelopmentanddesignservicesfortheMedicaidManagedCareProgram,ChildandAdolescentSupplementalSecurityIncomeProgram,DualSpecialNeedsPlans,ProgramofAll-InclusiveCarefortheElderly,andManagedLongTerm
ServicesandSupportswhendeliveredthroughcapitatedmanagedcareorganizations.
My administrationisavailabletodiscussanyquestionsyoumayhaveregardingtheproposedcontractmodification.Inordertofacilitatearesponsetoanyquestionsyoumayhave,pleasehaveyourstaffcontactMareScott,ChiefOperatingOfficer,OfficeofContractingandProcurement,at
(202)724-8759.
Tlook forwardtotheCouncil’sfavorableconsiderationof thiscontractmodification.
MurfelBowWger
1

GOVERNMENT OF THE DISTRICT OF COLUMBIA
Office of Contracting and Procurement

Pursuant to section 202(c-3) of the Procurement Practices Reform Act of 2010, as amended, D.C.
Official Code § 2-352.02(c-3), the following contract summary is provided:

COUNCIL CONTRACT SUMMARY
(Option Year Contract)

(A) Contract Number: CW99577

Proposed Contractor: Mercer Health & Benefits, LLC

Contract Amount (Option Period Three): Not-to-exceed (“NTE”) amount of $3,880,500

Term of Contract: May 18, 2025, through May 17, 2026

Type of Contract: Firm Price with Cost Reimbursable Travel
Component

(B) Identifying number of the underlying contract, including the identifiers assigned to the
underlying contract by the Council for the base period and any subsequent option periods:

Base Period Amount: NTE $4,646,550
(May 18, 2022, through May 17, 2023)
(Council Approval CA24-0596)

Option Period One Amount: NTE $3,944,100
(May 18, 2023, through May 17, 2024)
(Council Approval CA25-0122)

Option Period Two Amount: NTE $3,757,800
(May 18, 2024, through May 17, 2025)
(Council Approval CA25-0677)

Option Period Three Amount: NTE $3,880,500
(May 18, 2025, through May 17, 2026)

Option Period Four Amount: NTE $4,044,300
(May 18,2026, through May 17, 2027)

(C) A statement that the Citywide Clean Hands database indicates that the proposed contractor is
current with its District taxes. If the Citywide Clean Hands Database indicates that the
proposed contractor is not current with its District taxes, either: (1) a certification that the
contractor has worked out and is current with a payment schedule approved by the District;
or (2) a certification that the contractor will be current with its District taxes after the District
recovers any outstanding debt as provided under D.C. Official Code § 2-353.01(b)

On April 15, 2025, the Citywide Clean Hands database certified that Mercer Health & Benefits,
LCC is current with its District taxes.

(D) A statement that the proposed contract is within the appropriated budget authority for the
agency for the fiscal year and is consistent with the financial plan and budget adopted in
accordance with D.C. Official Code §§ 47-392.01 and 47-392.02:

The Department of Health Care Finance Agency Fiscal Officer certified that funding in the amount
of $3,880,500 is available to support the contract.

* * * Government of the District of Columbia
Office of the Chief Financial Officer
Office of Tax and Revenue
Date of Notice: April 15, 2025
MERCER HEAL TH & BENEFITS LLC
400 WEST MARKET STREET
LOUISVILLE KY 40202
1101 4th Street, SW
Washington, DC 20024
Notice Number: L00l3973693
FEIN: **-***5463
Case ID: 18565413
CERTIFICATE OF CLEAN HANDS
As reported in the Clean Hands system, the above referenced individual/entity has no outstanding
liability with the District of Columbia Office of Tax and Revenue or the Department of Employment
Services. As of the date above, the individual/entity has complied with DC Code§ 47-2862, therefore
this Certificate of Clean Hands is issued.
TITLE 47. TAXATION, LICENSING, PERMITS, ASSESSMENTS, AND FEES
CHAPTER 28 GENERAL LICENSE
SUBCHAPTER IL CLEAN HANDS BEFORE RECEIVING A LICENSE OR PERMIT
D.C. CODE§ 47-2862 (2006)
§ 47-2862 PROHIBITION AGAINST ISSUANCE OF LICENSE OR PERMIT
Authorized By Melinda Jenkins
Branch Chief, Collection and Enforcement Administration
To validate this certificate, please visit MyTax.DC.gov. On the MyTax DC homepage, click the
"Validate a Certificate of Clean Hands" hyperlink under the Clean Hands section.
1101 4th Street SW, Suite W270, Washington, DC 20024/Phone: (202) 724-5045/MyTax.DC.gov
GOVERNMENT OF THE DISTRICTOF COLUMBIA
Departmentof HealthCareFinance
xk
mzOfficeoftheChiefFinancialOfficer —
MEMORANDUM
TO: NancyK.HapemanChiefProcurementOfficerOfficeofContractingandProcurement
THRU: —_DeliciaV.Moore yey DeAssociateChiefHARICaINDMAREBesosues oeHumanSupportServicesCluster
ERO esi DarrinAShaffertxcaiserietiiosate”AgencyFiscalOfficerDepartmentofHealthCareFinance
DATE: March18,2025
SUBJECT:— CertificationofFundingforMercerHealthBenefits,LLC-ActuarialServices.

TheOfficeoftheChiefFinancialOfficerherebycertifiesthatthesumof$3,880,550.00isincludedintheDistrict's,LocalBudgetandFinancialPlanforFiscalYear2025tofundthecostsassociatedwiththeDepartmentofHealthCareFinance's(DHCF)contractwithMercerHealthBenefits,LLCforactuarialservices.ThiscertificationsupportstheMercerHealthBenefits,LLCcontractduringtheperiodfromMay18,2025,throughMay17,2026.Thefundallocationisasfollows:
Vendor:MercerHealthBenefits,LLC DHCF Contract#:CW99577
FiscalYear2025Funding:05/18/2025~09/30/2025
Agency| Fund| Account| Program| CostCenter| Project| Award| Amount

To _| 1010001| 7132001| 100187 70160 Blank| Blank 791,757.38
To | 4025002| 7132001| 100187 70160 | 2008812001984| 647,801.49
FY25ContractTotal: 1,439,558.87
FiscalYear2026Funding:10/01/2025~05/17/2026
Agency| Fund| Account| Program| CostCenter| Project| Award| Amount

To | 1010001| 7132001| 100187 70160 Blank| Blank| 1,342,545.12
HTo | 4025002| 7132001| 100187 70160 200881| 2001984| 1,098,446.01
FY26ContractTotal: 2,440,991.13
UponapprovaloftheDistrict'sLocalBudgetandFinancialPlanbytheCouncilandtheMayorandcompletionofthethirty-dayCongressionallayover,fundswillbesufficienttopayforfeesandcostsassociatedwiththecontract.Thereisnofiscalimpactassociatedwiththecontract.
Shouldyouhaveanyquestions,pleasecontactmeat(202)442-9079.
‘4414%St,N.W.,Suite960N,Washington,D.C.,20001(202)442-5988FAX(202)478-1373
AMENDMENT OF SOLICITATION / MODIFICATION OF CONTRACT 1. Contract Number Page of Pages
CW99577 1 2
2. Amendment/Modification Number 3. Effective Date 4. Requisition/Purchase Request No. 5. Solicitation Caption

M0008

May 18, 2025

Actuarial Consulting
Services
6. Issued by: Code 7. Administered by (If other than line 6)

Office of Contracting and Procurement
441 4th Street NW, Suite 330S
Washington, DC 20001
Department of Health Care Finance
441 4th Street, N.W. Suite 900S
Washington, DC 20001
Lisa Truitt, Contract Administrator (CA)
8. Name and Address of Contractor (No. street, city, county,
state and zip code)

Christina Wolfe, CPCM, CFCM
Principal, Director of Federal Contracts
Mercer Health & Benefits LLC.
1116 Avenue of the Americas
New York, NY 10036
dana.dickerson@mercer.com

9A. Amendment of Solicitation No.

9B. Dated (See Item 11)

X
10A. Modification of Contract/Order No.

CW99577

Code

Facility

10B. Dated (See Item 13)
7/11/2022
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended. is not extended.
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:
(a) By completing Items 8 and 15, and returning __________ copies of the amendment: (b) By acknowledging receipt of this amendment on each copy of the offer
submitted; or (c) BY separate letter or fax which includes a reference to the solicitation and amendment number. FAILURE OF YOUR ACKNOWLEDGMENT TO
BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION
OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such may be made by letter or fax, provided each letter or
telegram makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
12. Accounting and Appropriation Data (If Required)
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACT/ORDERS,
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14
A. This change order is issued pursuant to (Specify Authority): 27 DCMR, Chapter 36, Contract Modifications
The changes set forth in Item 14 are made in the contract/order no. in item 10A. X
B. The above numbered contract/order is modified to reflect the administrative changes (such as changes in paying office, appropriation data
etc.) set forth in item 14, pursuant to the authority of 27 DCMR, Chapter 36, Section 3601.2.
C. This supplemental agreement is entered into pursuant to authority of:

D. Other (Specify type of modification and authority)

E. IMPORTANT: Contractor is not is required to sign this document.

14. Description of Amendment/Modification (Organized by UCF Section headings, including solicitation/contract subject matter where feasible.)

Contract No. CW99577 is hereby modified to incorporate the following:

1. Pursuant to Section F.2 of the contract, the District hereby exercises Option Period Three for the period
of performance from May 18, 2025, through May 17, 2026, in the amount not-to-exceed $3,880,550.00.

2. Attachment A – Price Schedule for Option Period Three.

All Other Terms and Conditions remain unchanged
Except as provided herein, all terms and conditions of the document is referenced in Item 9A or 10A remain unchanged and in f ull force and effect.
15A. Name and Title of Signer (Type or print) 16A. Name of Contracting Officer

Tracy Williams
15B. Name of Contractor

(Signature of person authorized to sign)
15C. Date Signed 16B. District of Columbia

(Signature of Contracting Officer)
16C. Date Signed

ATTACHMENT A: PRICE SCHEDULE

B.3.4 OPTION PERIOD THREE: MAY 18, 2025, THROUGH MAY 17, 2026

CLIN Task Total
3001
Development, Risk-Adjustment, and
Certification of Actuarially Sound
Capitation Rates - Full Risk Managed Care
Organizations (MCOs)
$1,336,300.00
3002 Update of Risk-Adjusted Actuarially
Sound Rates - Full Risk MCOs $226,300.00
3003
Development, Assessment of Risk Corridor
and Certification of Actuarially Sound
Capitation Rates - Child and Adolescent
Supplemental Security Income Program
(CASSIP)
$340,500.00
3004
Capitation Rate Development and
Certification - Dual Special Needs Plan
(DSNP) or Organization
$223,500.00
3005
Capitation Rate Development and
Certification - Program of All-Inclusive
Care for the Elderly (PACE)
$86,600.00
3006
Technical Assistance – New and Existing
Healthcare Program Development, Design
and Analyses
$161,600.00
3007
Consultation – New and Existing
Healthcare Program Development, Design
and Analyses
$448,500.00
3008 Enrollee Encounter Data Validation $195,300.00
3009 Quarterly Analyses – Managed Care and
CASSIP Performance Reports $443,700.00
3010 Fiscal Year Budget Analyses $55,400.00
3011
Performance-Based Incentive Program
Design, Monitoring, Analyses, and
Technical Assistance – Full Risk MCOs
$161,400.00
3012
Value-Based Program Development,
Monitoring, Analyses, and Technical
Assistance – Full Risk MCOs and CASSIP
$161,400.00
3013
Capitation (Rate Development and
Certification -Program of All-inclusive
Care for the Elderly (PACE)
$25,000.00
CLIN Task Not-to-Exceed Cost
3014 Travel (Cost Reimbursable Component) $15,000.00
Grand Total for B.3.4 NTE $3,880,500.00