SPRINGFIELD - Health Alliance Medical Plans asked a judge to reverse health plan contracts which were employees of the State and pensioners scrambling around 17 June Date deadline.
The Urbana insurer has sued the day Friday in Sangamon County Circuit Court against the State and several of its departments and officials involved in the selection of new plans of managed care - including the Department of health and Services to the family and its Director Julie Hamos and the Department of Central Management Services and its Director James Sledge.
The combination of the names also several bidders insurance - Blue Cross and Blue Shield of Illinois, Humana, PersonalCare and HealthLink.
Health Alliance asked the Court to:
-Declare that the tendering process was conducted unfairly and illegally.
-To force Hamos to reverse the price of new contracts which went to the Blue Cross and Blue Shield, HealthLink and PersonalCare.
-Enter a judgment declaring the denial of the protests of the Alliance of the health of the new contract awards were wrong and contrary to law and order Chief Matt Brown supply State (also named in the suit) to confirm the events.
-Prohibit Hamos expansion and continuous self-insurance for State employees and retirees on the wishes of a legislative body, the Commission on the forecast of Government and accountability, which voted 8-3 on May 25 of "not to give notice and consent" to this action.
Continuation of the health of the Alliance argues that the company been subjected to unfair treatment in the tendering process. For example, he says, the Department of health and Family Services said he asked Health Alliance HMO additional proposals application "best and final offers" and then not asked.
The prosecution also argues the State on the bids for insurance, Mercer consulting firm, had a business relationship with at least two of the vendors of insurance, and Health Alliance received a lower score on Open Access Plan submissions due to errors in notation.
Continuation of Health Alliance also contends that the State violated its own requirement that bidders have networks provider in place before January 1, and the award of contracts to Blue Cross HMO and Blue Shield "was based on the false assumption that the bidder would be develop a network of provider-based r.".
The State contracts with Blue Cross HMO for 38 counties.
Health Alliance more claims that it was the only sensitive bidder has an HMO plan accepted by providers of almost 79 000 civil servants of the State.
The Health Alliance Medical Plans officials were not available to comment on the prosecution.
Mike Claffey, spokesman for the Department of health services and Services to the family, said that the Agency remains confident, it follows the code of the State "the T" procurement and which has been verified by the Executive Ethics Commission.
"We would also note that the plaintiff in the legal action was an opportunity to oppose the request for proposals (call for proposals) in the process, and preferred to not.". Now, after having lost the award after the refusal of their protest, they are turned to the courts. »
What it means for the employees of the State, with less than two weeks left to register for new health plans?
"We will continue the process of contracting with the winning bidders," said Claffey.
Members of the Group State health plan are advised to continue the registration process and do not forget the date limit of 17 June, said.
"We absolutely trust in the process of procurement and contracts with these providers and their ability to provide quality health care at a price that will save money from the State during this budget period difficult," said Claffey.
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