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AFE Accredited fiscal Examiner (AFE)

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AFE exam Dumps Source : Accredited fiscal Examiner (AFE)

Test Code : AFE
Test designation : Accredited fiscal Examiner (AFE)
Vendor designation : Financial
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Financial Accredited fiscal Examiner (AFE)

how to turn into an authorized fiscal Examiner | killexams.com actual Questions and Pass4sure dumps

To become a certified monetary examiner, candidates ought to cleave the permitted monetary Examiner or AFE examine. This verify is administered through the Society of economic Examiners (the SOFE). A bachelor's diploma is needed to pursue this designation. typically, the degree may quiet exist in the container of company administration with a awareness in accounting, although economics, finance, or a similar self-discipline might exist appropriate.

These programs generally encompass coursework in company, accounting, finance and economics. SOFE additionally requires three semester hours of management courses or the equivalent. with out an accounting diploma, no less than six semester hours in accounting is essential to travail for the Federal Deposit insurance industry enterprise, a great organisation of fiscal examiners.

research the requirements

along with the SOFE certification necessities, these gurus will even absorb to meet anybody training necessities for monetary examiner set by using federal and state governments. it is crucial that aspiring fiscal examiners analysis the skills in their areas before pursuing a level.


particular needs activity association in Aurora enviornment investigating fiscal 'irregularities' | killexams.com actual Questions and Pass4sure dumps

Police are investigating an alleged theft from a exercise affiliation that serves Fox Valley residents with special needs, in accordance with officers.

The allegations involve a former employee and theft from the Fox Valley particular recreation association, Aurora police Sgt. bill Rowley stated. He declined to deliver additional info, citing the open investigation.

The many years-ancient Fox Valley particular undertaking association provides programming for residents with disabilities, and describes itself as an extension of park districts and departments serving the Aurora area, the Oswego area, Sugar Grove, Batavia, Geneva, St. Charles and South Elgin. The programming is intended, in part, to attend promote independence for participants, assist develop abilities and “supply a sense of enjoyment, satisfaction and achievement,” according to the company’s web page.

The special undertaking association’s attorney retained an accounting enterprise to look to exist into “identified irregularities related to agency money,” according to a copy of a July missive got by artery of The Beacon-information Friday.

The missive referred to the company, HSNO, could hoist steps such as examining books and records, interviewing team of workers and performing fiscal or other analyses. It besides pointed out the investigation can exist carried out by artery of a certified public accountant, a licensed fraud examiner and others.

Fox Valley special undertaking association officials, including govt Director Carolyn Nagle, and Rowley declined to supply further particulars about the investigation or the allegations, together with tips about the current popularity, asserting they didn't want to jeopardize the continued investigation.

association board chairwoman Kim Wascher talked about company officers had became over their tips to police.

sfreishtat@tribpub.com

Twitter @srfreish


State finds ‘monetary misery’ at Blackfoot constitution colleges | killexams.com actual Questions and Pass4sure dumps

training   published at 11:20 am, February 18, 2019 | 

up to date at eleven:38 am, February 18, 2019

BLACKFOOT — The fiscal popularity of two Blackfoot charter schools is “concerning” and “crucial,” in accordance with a state fee, and lots of advancements must exist made — from reducing workforce reimbursements and paying providers on time to casting off cost debts at grocery and hardware outlets.

an absence of “potent internal controls” of school funds is one other issue, so the state can pay for a forensic audit to overview past spend of public cash at Bingham Academy and Blackfoot charter neighborhood learning center.

These are among the conditions outlined in letters to trustees at both faculties from the Idaho Public charter faculty commission, a state agency that oversees about 40 constitution faculties throughout Idaho.

The fee’s letters profile a ambit of growth conditions following fee director Tamara Baysinger’s contemporaneous three-day talk over with to both embattled public constitution colleges. Baysinger pointed out she interviewed trustees and examined files to attain her conclusions.

The on-site consult with got here after some commission requests for fiscal files from the faculties went unfulfilled. The commission has been investigating the faculties for months over allegations of questionable interior controls and fiscal practices. 

considering the fact that Baysinger’s search recommendation from, the fee has exonerated Bingham on some objects, together with a past allegation that the school mishandled a sexual misconduct claim.

Baysinger’s letters additionally reference cashflow challenges, “universal fiscal misery” and recent declines within the fee’s economic scores of the colleges. Blackfoot’s score dropped to 45 % from seventy five % in 2017. Bingham’s dropped to 23 percent from forty three p.c in 2017.

“Implementation of greater inside controls and operational practices will back you stronger control … bills and protect the pursuits of every lone events, including students, personnel, taxpayers, and the faculty itself,” Baysinger wrote to each college.

Baysinger’s letters reverberate renewal situations delivered via the Idaho legal professional conventional’s office. In a Jan. 15 letter to Blackfoot’s head administrator, Fred Ball, deputy legal professional common Leslie M. Hayes particular situations Blackfoot absorb to meet in an endeavor to maintain working. These conditions latitude from launching a purchase order order gadget that ensures documented, advanced approval of every lone bills to ending the use of pay as you cleave credit score playing cards loaded with school funds.

Blackfoot and Bingham every acquire state funding according to regular every day attendance. The colleges collectively serve about 750 students, with budgets totaling some $4.3 million. Ball is head administrator at both colleges.

improvement conditions for both faculties

Baysinger’s letters outlined a number circumstances, including:

  • Fewer reimbursements for purchases by employees, contractors and board individuals.
  • well timed funds to companies with a purpose to dispose of late prices and stay away from the risk of suspended employee benefits.
  • Clear, targeted contracts with outside contractors, before receiving functions.
  • elimination of reimbursements from one college to the other.
  • removing of impregnate bills at a indigenous native grocery and hardware retailers and Amazon.com.
  • Annual reviews of independent monetary audits between trustees and the auditor.
  • making inescapable contracts are signed through acceptable personnel, and guaranteeing no contracts are backdated.
  • guaranteeing personnel travail inside the scope of their job descriptions.
  • Ball teaches a driver’s education course at Bingham, although he is not reduced in size with the faculty to enact so, in response to documents bought with the aid of Idaho EdNews.

    “(T)he director may quiet now not exist instructing driver’s training until his job description and contract primarily encompass this obligation,” Baysinger wrote. EdNews has requested for however no longer received a contract between Ball and Bingham.

    Baysinger stated the commission will travail with the faculties to invent positive they meet stipulations covered in her letters. Commissioners will meet March 1 to dependence Blackfoot’s constitution renewal.

    Baysinger mentioned her findings and previous concerns with the faculties’ charge ambit absorb precipitated the fee to contract with an impartial company to habits a forensic audit of each faculties.

    It’s nevertheless uncertain when the audit will hoist zone and the artery tons it is going to can charge, Baysinger instructed EdNews.

    certified fraud examiner Susan Langley defined in time-honored terms the differences between an everyday audit and a forensic audit.

    “A forensic audit will anatomize every transaction in a designated enviornment of the books over a exact period, whereas an everyday audit will anatomize samples of transactions,” observed Langley, of Boise-based Coles Reinstein Accounting and Consulting.

    The can impregnate of a forensic audit is conditional upon the scope of the travail and the size of time, Langley brought.

    Idaho school Boards association govt Director Karen Echeveria said forensic audits of colleges are “very rare.”

    “I’ve by no means heard of 1 being imposed by using another entity,” Echeveria stated. “I absorb heard of boards authorizing them when somebody on cadaver of workers has taken funds. probably 3 times in my time during this company.”

    click prerogative here to study Baysinger’s letters to Blackfoot and to Bingham.

    Ball acquired payroll from Bingham but has no longer produced a contract with the school

    In January, EdNews requested worker contracts from both colleges since the contracts were not posted on their websites, as required through Idaho law. EdNews bought contracts in February, together with Ball’s 2017-18 annual contract with Blackfoot for $seventy one,706. No contract between Ball and Bingham turned into included. EdNews bought a 2018-19 contract between Ball and Blackfoot however no contracts between Ball and Bingham.

    Yet Ball informed EdNews he got payroll funds from Bingham every lone the artery through the 2017-18 college year. An EdNews investigation published that he cashed eight checks from Bingham, each and every value $855.60, simultaneously on Aug. 21, 2018. Ball instructed EdNews in December that the successive payments had been payroll assessments he determined to grasp for months earlier than cashing as a artery to aid the college climate the possibility of a “enormous variety of upfront charges.”

    school industry manager Randy Ruger besides got a succession of payouts from Bingham from August 2017 to August 2018, together with eight checks, each and every value $939.07, which he additionally cashed on Aug. 21, 2018.

    EdNews’ monetary research into the school besides revealed other payouts to Ball, together with a $22,099.37 assess for “modulars and other charges.” Ball advised EdNews he resold to Blackfoot two modulars he purchased from Salt Lake community school for the “spectacularly low rate” of $sixteen,000, or “what he had into them.” The college says it has no documentation of selling modulars to Ball, even though Blackfoot reimbursed him $sixteen,000 for his or her purchase.

    Ball has obtained a great number of reimbursements for a variety of objects over the years, from a basketball and a song stand to the modulars.

    Bingham cleared on different allegations

    Baysinger’s three-day consult with blanketed investigations into allegations of management inappropriately addressing sexual misconduct at Bingham. She pointed out allegations had been in response to incomplete and partly misunderstood counsel.

    “We respect the school’s documentation of administrator (Bingham important) charge Fisk’s response to an alleged incident and ongoing efforts to invent positive that every lone personnel and board participants absolutely hoist into account reporting requirements,” Baysinger wrote to the school.

    Baysinger besides dismissed other allegations of inappropriate spend of college cash for commute and constructing-safeguard concerns, notwithstanding she spoke of she was unable to evaluate every lone requested Bingham files prerogative through her talk over with.

    The Division of pile defense indicated that safety issues “in the past stated” on the faculty “had been corrected.”

    EdNews is quiet looking ahead to files from the faculties

    EdNews started investigating fees at Bingham and Blackfoot in December and is quiet waiting for requests for public facts.

    EdNews requested bills of sale, rent agreements and buy receipts for every lone modular structures on the campuses. EdNews received a one-web page bill for 2 modulars but no documents for at least six other modulars on the colleges’ campuses. Ball spoke back to EdNews through an legal professional, who wrote the faculties absorb no further records to provide for modular buildings.

    EdNews requested every lone costs for each colleges, which absorb to exist posted on college websites, under Idaho law. EdNews obtained some expenditure documents, however no longer every lone of them. Totals of bank statements and tests enact not in shape expenses.

    EdNews is waiting for a public facts request for payroll facts.

    EdNews is looking forward to bills and employee contracts linked to an in-residence daycare at Blackfoot. Ball’s legal professional wrote that worker information related to the daycare will first deserve to exist reviewed via an lawyer, at a cost of about $a hundred and fifty. The attorney, Chris Yorgason, besides wrote the schools will now not start performing a search for the requested data unless they Get hold of a examine from EdNews.

    Idaho schooling word information analyst Randy Schrader contributed to this report.


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    Accredited fiscal Examiner (AFE)

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    How to Become a Certified fiscal Examiner | killexams.com actual questions and Pass4sure dumps

    To become a certified fiscal examiner, candidates must pass the Accredited fiscal Examiner or AFE test. This test is administered by the Society of fiscal Examiners (the SOFE). A bachelor's degree is needed to pursue this designation. Typically, the degree should exist in the bailiwick of industry administration with a concentration in accounting, though economics, finance, or a comparable discipline might exist acceptable.

    These programs generally comprehend coursework in business, accounting, finance and economics. SOFE besides requires three semester hours of management courses or the equivalent. Without an accounting degree, a minimum of six semester hours in accounting is necessary to travail for the Federal Deposit Insurance Corporation, a great employer of fiscal examiners.

    Research the Requirements

    Along with the SOFE certification requirements, these professionals will besides absorb to meet any individual education requirements for fiscal examiner set by federal and state governments. It is notable that aspiring fiscal examiners research the qualifications in their areas before pursuing a degree.


    Judge receives professional designation | killexams.com actual questions and Pass4sure dumps

    The commissioner of Securities and Insurance has announced that Daniel Judge has earned the Accredited fiscal Examiner professional designation. The executive committee of the Society of fiscal Examiners recently approved Judge’s application for the AFE designation, which included consideration of extensive education, examination, membership and work-related prerequisites.


    Sources Sought Notice – MEDICAL LOSS RATIO AUDITING AND EXAMINATION SERVICES | killexams.com actual questions and Pass4sure dumps

    Federal Information & word Dispatch, Inc.

    Notice Type: Sources Sought Notice

    Posted Date: 05-JAN-12

    Office Address: Department of Health and Human Services; Centers for Medicare & Medicaid Services; Office of Acquisition and Grants Management; 7500 Security Blvd.C2-21-15 Baltimore MD 21244-1850

    Subject: MEDICAL LOSS RATIO AUDITING AND EXAMINATION SERVICES

    Classification Code: R - Professional, administrative, and management back services

    Solicitation Number: SOURCES-SOUGHT-DPWS-0001

    Contact: Paquetta N. Myrick-Hancock, Contracting Officer, Phone 2026037876, Email [email protected]

    Description: Department of Health and Human Services

    Centers for Medicare & Medicaid Services

    Office of Acquisition and Grants Management

    This is a wee industry SOURCES SOUGHT NOTICE. This is NOT a solicitation for proposals, proposal abstracts, or quotations. The purpose of this notice is to obtain information regarding the availability and capability of qualified wee businesses (e.g., 8(a), service-disabled veteran-owned wee business, HUBZone wee business, wee disadvantaged business, veteran-owned wee business, and women-owned wee business), that can provide the Centers for Medicare & Medicaid Services (CMS), heart for Consumer Information and Insurance Oversight (CCIIO), medical loss ratio auditing and examination services of national and regional health insurance issuers data and operations. The information from this market research will assist the Government in determining the confiscate acquisition method, including whether a set-aside is possible. An organization that is not considered wee industry under the applicable NAICS code should not submit a response to this notice. BACKGROUND The Patient Protection and Affordable keeping Act (Affordable keeping Act), Pub. L. 111-148, was enacted on March 23, 2010; the Health keeping and Education Reconciliation Act, Pub. L. 111-152, was enacted on March 30, 2010. Section 2718 of the Public Health Service Act (PHS Act), as added by section 1001 of the Affordable keeping Act, established medical loss ratio (MLR) requirements for health insurance issuers. Section 2718 of the PHS Act includes two provisions designed to achieve the objective of "bringing down the cost of health keeping coverage." The first is the establishment of greater transparency and accountability around the expenditures made by health insurance issuers. The law requires that issuers publicly report on major categories of spending of policyholder premium dollars, such as clinical services provided to enrollees and activities that will better health keeping quality. The second provision is the establishment of minimum Medical Loss Ratio (MLR) standards for issuers, which are intended to attend ensure policyholders receive value for their premium dollars. Issuers will provide rebates to enrollees when their spending for the profit of policyholders on reimbursement for clinical services and property improving activities, in relation to the premiums charged, is less than the MLR standards established by the statute. The rebate provisions of section 2718 are designed not just to provide value to policyholders, but besides to create incentives for issuers to become more efficient in their operations. Section 2718 besides contains provisions which allow for modifications to the standards under inescapable circumstances. To invent informed decisions about definitions and methodologies for calculating MLRs, the Affordable keeping Act directed the National Association of Insurance Commissioners (NAIC) to invent recommendations to the Secretary, topic to certification by the Secretary.

    An interim final regulation (IFR) to implement the MLR requirements was issued in December 2010 and became effectual January 1, 2011. This regulation adopts and certifies in replete every lone of the recommendations in the model regulation of the NAIC regarding MLRs. Publication was designed to implement section 2718(a) through (c) of the PHS Act:

    . Subpart A of the IFR implements the requirements for reporting the data to exist considered in determining that ratio.

    . Subpart B of the IFR addresses the requirements for health insurance issuers (issuers) in the group and/or individual market, including grandfathered health plans, to provide an annual rebate to enrollees if the issuer's MLR fails to meet minimum requirements: generally, 85 percent in the great group market and 80 percent in the wee group or individual market.

    . Subpart C of the IFR establishes a process and provides criteria for the Secretary of Health and Human Services (the Secretary) to determine whether application of the 80 percent MLR in the individual market in a state may destabilize that individual market.

    . Subparts D-F of the IFR address enforcement of the reporting and rebate requirements of section 2718(a) and (b).

    PURPOSE

    CCIIO is seeking multiple wee businesses to conduct agreed-upon procedures surrounding analysis, desk audit (reviews) and bailiwick examinations of issuers related to the MLR Interim Final Regulation. CCIIO's overall goal is to determine the availability of qualified and experienced contractors to:

    . anatomize and determine the potential magnitude of MLR rebates that may exist paid to subscribers as a result of issuers not meeting the MLR requirements for the respective markets they serve in each state;

    . Review, anatomize and examine issuers at the holding company flush for the confiscate allocation of expenses as they relate to MLR calculations and the reasonableness of each allocation;

    . Examine issuers for the accuracy of reported elements of the MLR calculation;

    . Assess company compliance with rebate calculation, payment and reporting in compliance with the IFR.

    The contractors will provide a replete ambit of statistical, analytical, examination and/or professional industry services as required. They will besides assess areas of energy and vulnerability in the management, administration, operation and monitoring of elements affecting MLR reporting and rebate calculations. Tasks to exist performed, as outlined below, are to exist performed in accordance with any CCIIO-provided handbooks, guidelines, requirements, practices and procedures in conjunction with Generally Accepted Auditing Standards (GAAS), as promulgated by the American Institute of Certified Public Accountants (AICPA) and the NAIC fiscal Examiner's Handbook.

    TASKS TO exist PERFORMED

    Potential wee businesses must exist capable of performing the following tasks:

    The analysis and examination engagements must exist conducted utilizing the Desk Analysis/Audit Manual and bailiwick Examination Manual and related schedules, as provided by CMS. Examinations must exist conducted in accordance with established NAIC fiscal examination practices in conjunction with generally accepted auditing standards. The goal is to fulfill an annual desk analysis (review) of every lone issuers' reported MLR data within 180 days of filing [but in no event later than 270 days] and to provide a summary analysis of each review. The goal of examinations is to validate reporting and compliance with the IFR as well as to document any year-over-year trends or differences among issuers.

    Contractors will absorb a primary responsibility to compile, test, analyze, review and manipulate issuers' MLR Data to determine compliance with the IFR. Tasks comprehend performing, providing and interpreting analytics of various markets, companies, peers, industry, state and holding companies, as directed by CMS and providing a summary of findings. Contractors will besides undertake an impact Analysis on potential public policy issues as determined by CMS. Contractors will exist obligated to review and examine the data elements of the MLR calculation for compliance with the IFR, including but not limited to every lone the data elements on the Supplemental Health keeping Exhibit (SHCE) ) and every lone the data elements on any forms to exist developed and utilized by CMS. Contractors must evaluate the reasonability of allocations across company and product lines (including product lines not topic to the MLR IFR) and report their findings in a configuration and manner acceptable to CMS. Contractors must utilize any related non-IFR filings that may exist required by the various States or Federal regulatory agencies to cross-check data for validity.

    CCIIO will require that each bailiwick Examination of a multi-State company or holding company and its related Report of Findings exist conducted and reported by a Certified fiscal Examiner (CFE) who is a member in generous standing of the Society of fiscal Examiners and that every lone travail papers exist reviewed and signed off on by a CFE. Contractor personnel (and any independent contractors) should exist certified professionals within the insurance regulatory industry (i.e. SOFE (CFE) (AFE), with stout statutory/regulatory and insurance fiscal reporting background).

    The Managing Director (or proposed similar position with the required expertise) (CPA or CFE) must absorb enough undergo and expertise to know how to apply proper audit techniques and procedures to analyze, review and utilize the MLR data, Desk Audit and bailiwick Examination Handbooks and any related guidelines for the oversight of their personnel and in the performance of the tasks for CCIIO. The Managing Director (or proposed similar position with the required expertise) must absorb achieved enough breadth of perspective to determine properly whether every lone material considerations absorb been addressed within the scope of the examinations and regarding any analysis. Other technical experts and back staff may besides exist used in the review process if and as necessary. Tasks associated with the performance of analysis or examinations should exist limited to the lowest but most confiscate pay grade first and reviews of the travail should exist undertaken by the fewest number of supervisors or managers. Further, bailiwick and in-person meeting assignments should besides exist based on geographical proximity to the issuer being examined or people being interviewed and meetings should exist conducted telephonically where feasible.

    Each contractor should absorb a enough number of staff (including independent contractors) to meet the required staffing standards of the NAIC regarding the performance of multi-state and single-state company analysis and examinations, as applicable. For example, this may include: one Managing Director (CFE); one bailiwick Manager (CFE); a minimum of three Sr. Examiner/Analysts (CFE/AFE); a minimum of three Examiner/Analysts (AFE); and, an actuary who is available during examinations on an as-needed basis (this information is supplied for informational purposes only).

    The contractor's Managing Director (or proposed similar position with the required expertise) must exist readily available to retort questions from staff and CCIIO. If at any time the bailiwick Manager (or proposed similar position with the required expertise) is absent, an alternate Manager with the proper delegation of authority and expertise must available.

    The MLR IFR requires issuers to submit to CMS a report concerning premium revenues and expenses related to the group and individual health insurance coverage that they issued. For the majority of issuers, the first MLR reports topic to the IRF must exist submitted to CMS by June 1, 2012. An issuer must provide a rebate to enrollees in plans issued if the MLR is less than the percentage for the market as determined in accordance with the IFR. Rebates must exist issued no later than August 1 following the suspension of the MLR reporting year. The first rebates must exist issued by August 1, 2012.

    Calculation of the MLR is based on a number of factors as set forth in the IFR, and may exist modified by a credibility adjustment, depending on the number of life-years covered by the issuer. Miscalculation of the MLR may result in an issuer not paying a rebate to its enrollees where one is due. It is important, therefore, that the contractors understand the various elements and factors that cleave into the calculation in order to fulfill an analysis of the data that is reported. It is besides notable that the contractors understand and absorb scholarship of healthcare insurance and operations, policies, and state insurance regulations in order to fulfill analytics and identify trends and anomalies by lines of industry and by state.

    Due to the sensitive nature of the data to exist reported and analyzed, conflicts of interests are a concern for the MLR audit program. For the purpose of identifying conflicts of interest, a combat exists with a industry concern or its affiliate (as that term is explained in FAR 19.101) if the industry concern or affiliate is engaged or affiliated with, another entity that is involved with the determination, analysis or review of an MLR calculation for any issuer topic to the MLR IFR. The contractor will absorb to demonstrate that its performance of the services set forth in the Statement of travail will not directly or indirectly result in any potential conflicts of interest. The contractor will besides absorb to disclose every lone current clients that are licensed health and life insurance carriers issuing fully-insured comprehensive major medical products in the individual and group health insurance markets.

    CAPABILITY STATEMENT INFORMATION

    Interested parties must demonstrate that they possess the scholarship and undergo (gained within the eventual three years) to fulfill points (A) through (I) shown below. If a teaming relationship is proposed, the prime wee industry must effectively demonstrate the capability to effectively manage and coordinate this relationship in order to seamlessly fulfill (without disruption) project tasks. wee businesses and 8(a) concerns must exist in compliance with the restrictions on subcontracting contained in FAR 52.219-14 entitled "Limitations on Subcontracting."

    (A) Conduct analysis and examination engagements utilizing the Desk Analysis/Audit Manual, bailiwick Examination Manual and related schedules as provided by CCIIO. Such examinations shall exist conducted in accordance with established NAIC fiscal examination practices in conjunction with generally accepted audit standards. The goal is to fulfill an annual desk analysis of every lone issuers' reported MLR data within 180 days of filing and to provide a summary analysis of each review. The goal of the examinations is to validate reporting and compliance with the IFR as well as to document year-over-year trends or differences among issuers.

    (B) Compile, test, anatomize and review the issuers' MLR data to determine compliance with the IFR. This shall comprehend interpreting analytics of various markets, states, companies, peers, industry and holding companies as directed by CCIIO. Contractors shall besides review and examine the data elements of the MLR calculation for compliance with the IFR. This shall include, but not exist limited to, every lone the data elements on the Supplemental Health keeping Exhibit (SHCE) and every lone the data elements on any forms to exist developed and utilized by CCIIO.

    (C) Demonstrate that staff qualifications meet the requirements of certified professionals within the insurance regulatory industry, i.e. Society of fiscal Examiners (SOFE) Certified fiscal Examiner (CFE), or Accredited fiscal Examiner (AFE), with stout statutory/regulatory background and scholarship of fiscal insurance accounting and reporting. Each bailiwick Examination of a multi-state company, or holding company, shall exist conducted by a CFE who is a member in generous standing of SOFE. every lone Reports of Findings shall besides exist reviewed and signed off on by a CFE.

    (D) account for any previous undergo with an MLR (or similar) audits.

    (E) Demonstrate enough undergo and expertise to know how to apply proper audit techniques and procedures while analyzing and reviewing the MLR data, as well as the Desk Audit and bailiwick Examination Handbooks and any related guidelines for the oversight of their personnel while in the performance of tasks for CCIIO. The Contractor's Managing Director (or proposed similar position with the required expertise) must absorb achieved enough breadth of perspective to properly determine if every lone material considerations and analysis within the scope of the examination absorb been addressed.

    (F) Provide other technical experts and back to exist used in the review process when necessary. Tasks associated with the performance of analysis or examinations shall exist limited to the lowest, but most appropriate, pay grade first. Reviews of the back staff's travail product shall exist undertaken by the fewest number of supervisors or managers as possible. bailiwick reviews and in-person meeting assignments shall besides exist based on geographical proximity to the issuer being examined. Interviews and meetings should exist conducted electronically when feasible.

    (G) Provide a enough number of staff (including independent contractors) to meet the required staffing standards of the NAIC for company analysis and examinations. For example, this may include: one Managing Director (CFE/CPA), one bailiwick Manager (CFE), a minimum of three Sr. Examiner/Analysts (CFE/AFE), a minimum of three Examiner/Analysts (AFE) and an actuary who is available during examinations on an as-needed basis (this information is provided for informational purposes only).

    (H) Provide a Managing Director (or propose a similar position with the required expertise) that is readily available to retort questions from staff and CCIIO. If at any time the bailiwick Manager (or individual in a similar position) is absent, an alternate Manager, with the proper delegation of authority and expertise, must exist available.

    (I) Utilize a TeamMate program for the purposes of conducting the travail under this contract. This will act as documentation of the audit program steps along with electronic papers in back of the travail performed.

    ADDITIONAL INFORMATION REQUESTED:

    Interested parties having the capabilities necessary to fulfill this requirement may submit capability statements via email to Paquetta N. Myrick-Hancock. CAPABILITY STATEMENTS MUST DEMONSTRATE THE MINIMUM REQUIREMENTS OUTLINED ABOVE. please address each in the order listed above under "Capability Statement Information."

    Capability statements shall besides comprehend the following information: (Capability Statements shall exist limited to 20 pages and shall designate any/all teaming arrangements and the travail proposed to exist performed by each team member.)

    Please besides comprehend the following:

    Business Information -- a. DUNS b. Tax ID c. Company designation d. Company Address e. Company Point of contact, Phone and Email address f. Current GSA Contracts 1. Schedule 2. 8(a) STARS GWAC 3. Vets GWAC g. enact you absorb a Government approved accounting system If so, please identify the agency that approved the system. h. industry Size Status (e.g., wee business, 8(a), woman owned, veteran owned, etc.) as validated via the Central Contractor Registration (CCR) for the applicable NAICS code (i.e. 524298). every lone offerors must exist registered in the CCR located at http://www.ccr.gov/index.asp. i. Point of contact, Phone and Email address of individuals who can verify the demonstrated capabilities identified in the responses.

    Responses must exist submitted no later than 3:00PM on Tuesday, January 31, 2012. Capability statements will not exist returned and will not exist accepted after the due date.

    This notice does not obligate the Government to award a contract or otherwise pay for the information provided in response. The Government reserves the prerogative to spend information provided by respondents for any purpose deemed necessary and legally appropriate. Any organization responding to this notice should ensure that its response is complete and sufficiently particular to allow the Government to determine the organization's qualifications to fulfill the work. Respondents are advised that the Government is under no responsibility to avow receipt of the information received or provide feedback to respondents with respect to any information submitted. After a review of the responses received, a pre-solicitation synopsis and solicitation may exist published in Federal industry Opportunities. However, responses to this notice will not exist considered adequate responses to a solicitation.

    No proprietary, classified, confidential, or sensitive information should exist included in your response. The Government reserves the prerogative to spend any non-proprietary technical information in any resultant solicitation(s).

    Questions concerning submission requirements may exist in writing via email and directed to Paquetta N. Myrick-Hancock, Contracting Officer. CMS will not entertain questions related to contracting strategy.

    Link/URL: https://www.fbo.gov/spg/HHS/HCFA/AGG/SOURCES-SOUGHT-DPWS-0001/listing.html

    Copyright:  (c) 2010 Federal Information & word Dispatch, Inc. Wordcount:  3091


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