Request for Application (RFA) »

Application Timelines

1. Request for Applications (RFA) Issue Date:

07/21/2025

2. Deadline for submission of questions:

07/28/2025

2a. From the issue date of this RFA until successful Applicants are selected and announced, Applicants may communicate only with the Director of Customer Experience for questions, information and clarification surrounding this RFA. All inquiries should be directed to: RFA Inquiry

3. Responses to questions posted in the RFA area of: YHI Website by:

08/04/2025

4. Closing date for receipt of application:

08/15/2025

5. Target date for selection notification:

08/29/2025

6. Target award date:

09/05/2025

Information to Prepare for the Application

1. Business History, Population Served, References and Previous Work
2. Proposed Subcontractor Information

Applicant Information

1. Name of entity / organization

2. Entity mailing address

3. Entity street address (if different than mailing address)

3b. City

3c. State

3d. Zip

4. Company Federal ID Number (or SSN, if an individual rather than a company)

5. Name and title of person responsible for signing the agreement

6. Name and title of person acting as the point of contact for the company (if different than the person signing the agreement

7. Contact person direct telephone number

8. Contact person email address

9. Please provide three (3) references – please include their name, title, phone number and email address

PART 1: ORGANIZATION CHARACTERISTICS

1. For organizations, which category best describes you?

*If Other

Please Describe

2. For organizations, how many employees does your organization employ?

PART 2: YOUR POPULATION

Please describe the general population you serve – examples to provide are:

• Geographic region(s): (e.g., Elmore County”)
• Target population(s): (e.g. Homeless, Low Income, etc.)
• Specific needs of your population(s): (e.g., Language or Literacy Barriers)
• Agencies / Organizations You Collaborate With
• Number of Families You Serve Annually
• Number of For-Profit Businesses You Serve Annually (if applicable)
• Number of Non-Profit Businesses You Serve Annually (if applicable)
• Other Targets

Please Describe

Please indicate the likelihood of your target population to enroll in the Idaho Health Insurance Exchange (either via phone or website):

If you perceive your population will need assistance to enroll, please describe what barriers they face to self-enrolling (e.g., lacking computer or internet access, language barriers, literacy difficulties, etc.):

Please indicate the percentage of your target population that fits within the below characteristics (if known):

Receives publicly subsidized medical coverage

Is Uninsured

Is Underinsured

Is insured through individually purchased private insurance

Is self-employed and covered by health insurance

Receives federally subsidized medical coverage (e.g., Medicare, Medicaid, etc.)

Obtains health coverage through an association

Is insured through employer (small group market)

Is insured through employer (large group market)

PART 3: CURRENT AND POTENTIAL CAPACITY TO PROVIDE ASSISTANCE

1. Please indicate the Education and / or Outreach services you currently offer (select all that apply):

In Person

Phone

Describe Education and / or Outreach Services:

2. Please indicate the number of staff trained and currently conducting Outreach and / or Education:

Total # of Employees

Total Staff Hours per week

3. Please indicate the services you currently offer (if applicable) in providing enrollment assistance for subsidized medical coverage (select all that apply):

In Person

Phone

Online

4a. Please indicate the number of staff trained and currently conducting Outreach and / or Education:

Total # of Trained Staff

4b. Trained Staff (Select All That Apply):

In Person

Phone

Online

5. Please indicate the services you currently offer (if applicable) in other enrollment assistance (e.g., applying for non-subsidized coverage or other benefits, please specify below in the box).

In Person

Phone

Online

6. Please indicate your organization’s CURRENT hours of service (indicate all that apply).

In Person

Phone

Online

7. Please indicate your POTENTIAL FUTURE hours of service that you could dedicate to providing enrollment assistance

8. Please indicate what resources you currently have in place (and available for Exchange purposes), and what you would need to provide enrollment assistance

PART 4: INTEGRATING AGENT AND BROKER REFERRALS AND RELATIONSHIPS INTO ACTIVITY PLAN

As part of YHI’s goal to offer the best service to Idahoans, Enrollment Entities are encouraged to develop professional relationships with a variety of agents and brokers in the state in order to refer clients to agents who can legally recommend plans. Developing these relationships will also allow agents to use Enrollment Entity services to help underserved populations and those who do not qualify for Tax Credits identify support services if they cannot afford insurance.
Describe your organization’s plan to integrate agent and broker referrals and relationships into your activities.

Describe your organization’s plan to integrate agent and broker referrals and relationships into your activities

PART 5: EXPERIENCE AND QUALIFICATIONS

YHI is seeking consultants who have certain experience and qualifications. Applicants should describe the following, when applicable:

Knowledge of Idaho health insurance individual market

Familiarity with the Affordable Care Act regulations and policy guidelines as they relate to insurance exchanges

Previous experience in Idaho or other state(s) functioning as an assister for health insurance exchanges

Previous experience working with public insurance programs (e.g., Medicaid, Medicare)

Previous experience working with under-served or vulnerable populations

Proficiency, verbal and written, in languages other than English (please name each language and level of fluency)

Number of years in business and average number of employees in the past year

Any other state or federal grants awarded to the organization

Does your organization conduct FBI fingerprint background check on staff that would serve in an Enrollment Counselor role? If not, does your organization conduct any other background checks; please explain.

Discussion of why you believe your organization is uniquely suited to serve Idahoans and should be selected as an Enrollment Entity by YHI.

TO COMPLETE YOUR APPLICATION, PLEASE CLICK ON “SUBMIT FOR CONSIDERATION”: