Professional Liability Insurance (Including Captive Management) Strategic Planning Services

NASSAU HEALTH CARE CORPORATION
(a/k/a the NuHealth System)
REQUEST FOR PROPOSAL (RFP)
FOR
PROFESSIONAL LIABILITY INSURANCE (INCLUDING CAPTIVE MANAGEMENT)
STRATEGIC PLANNING SERVICES
REQUEST FOR PROPOSAL #: 013-2026
Introduction
Nassau Health Care Corporation ("NHCC"), also known as the NuHealth System, is a New York
State public benefit corporation created by the New York State Public Authorities Law. NHCC
operates Nassau University Medical Center, a 530-bed tertiary care teaching hospital ("NUMC")
and the A. Holly Patterson Extended Care Facility ("AHP"), a 589-bed skilled nursing facility.
Additionally, NHCC co-operates various Community Health Practices in partnership with Long
Island FQHC, Inc., a non-profit, consumer-driven organization created to help address the health
needs of the region's most vulnerable populations. NHCC maintains a strong commitment to the
education of healthcare providers. NUMC has been the primary source of medical care for millions
of Nassau County residents since 1935. With its 19-story main tower, NUMC is Nassau County's
tallest building and a familiar Long Island landmark. As the region's premier Level I trauma center,
NUMC treats many of the County's most critically injured patients and has long carried the
responsibility of being the region's "safety net" hospital. Additionally, NUMC maintains a strong
commitment to medical education. NHCC is academically affiliated with the New York College of
Osteopathic Medicine, the New York College of Podiatric Medicine, the American University of
the Caribbean School of Medicine and Hofstra University School of Medicine. AHP is recognized
nationally as a model for skilled nursing facilities. AHP offers innovative care in an environment
that treats the 'whole' person. The skilled and caring medical staff responds to the physical, social
and emotional needs of each resident. NHCC's Community Health Practices are bringing a new
kind of care to the communities that need it most. It is the goal of NHCC to see that every Long
Islander has a "medical home" - a place where people you know provide the kind of primary and
preventative care that safeguards the health of you and your family.
Proposal Requirements
Proposals must comply with all instructions outlined in this RFP. Submissions that are incomplete
or fail to meet the specified requirements may be rejected without review.
Any contract awarded as a result of this RFP will supersede all prior contracts, bids, or agreements
related to PROFESSIONAL LIABILITY INSURANCE (INCLUDING CAPTIVE
MANAGEMENT) STRATEGIC PLANNING SERVICES at NHCC.
Communication Guidelines
All written communications regarding this RFP - including email correspondence - must clearly reference
the RFP title and number in the subject line to ensure proper handling.
Contacts and Submission
Nassau Health Care Corporation
Department of Procurement (Attention: Jonathan Goldstein, Director of Procurement)
2201 Hempstead Turnpike East Meadow, NY 11554
RFPSubmissions@numc.edu
Anticipated Schedule*
o Issue RFP July 31, 2026
o Deadline for Questions August 10, 2026
o Proposals Due August 21, 2026 at 4:00 p.m.

o Interviews, if Required To Be Determined
* Dates indicated above are subject to change at the sole discretion of Nassau Health Care Corporation

SCHEDULE A
I. GENERAL INFORMATION
A. Background
Nassau Health Care Corporation ("NHCC"), also known as the NuHealth System, is a New York State
public benefit corporation established under the Public Authorities Law. NHCC operates:
* Nassau University Medical Center (NUMC): A 530-bed tertiary care teaching hospital.
* A. Holly Patterson Extended Care Facility (AHP): A 589-bed skilled nursing facility.
* Nassau County Correctional Center (NCCC): The primary jail facility for Nassau County, New
York.
* Community Health Practices (CHP): Operated in partnership with Long Island FQHC, Inc., a non-
profit, consumer-driven organization serving the region's most vulnerable populations.
NHCC is committed to delivering high-quality care, advancing medical education, and serving as the safety-
net health system for Nassau County residents.
Nassau University Medical Center (NUMC): Founded in 1935, NUMC is the County's primary source of
advanced medical care. Its 19-story tower houses the region's premier Level I Trauma Center and serves as a
hub for medical education through affiliations with the New York Institute of Technology College of
Osteopathic Medicine, the New York College of Podiatric Medicine, the American University of the
Caribbean School of Medicine, and the Donald and Barbara Zucker School of Medicine at
Hofstra/Northwell.
A. Holly Patterson Extended Care Facility (AHP): Nationally recognized as a model for skilled nursing
services, AHP provides innovative, patient-centered care that addresses residents' physical, emotional, and
social needs in a supportive, healing environment.
Nassau County Correctional Center (NCCC): Medical services for the primary jail facility for Nassau
County, New York, housing both pre-trial detainees and sentenced individuals.
Community Health Practices: NHCC's community-based centers deliver comprehensive, accessible, and
preventive care to underserved communities across Long Island, ensuring every resident has access to a
trusted "medical home."
II. SERVICES SPECIFICATIONS
A) Purpose and Overview
Nassau Health Care Corporation (NHCC) is soliciting proposals from qualified firms to provide
professional liability insurance (including captive management) strategic planning services.
Respondents must have captive management experience, both on-shore and off-shore.
B) Advisory Specifications
The selected vendor will act as an independent strategic advisor, evaluating NHCC's current
medical malpractice and professional liability risk financing structure (including NHCC's current
captive management structure), and providing actionable recommendations for the future.
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* Existing Captive Diagnostic: Conduct a comprehensive review of NHCC's existing off-
shore captive insurance company, including operational efficiency, current capitalization,
and historical claims data.
* Strategic Alternatives Analysis: Evaluate alternative risk financing structures, including
restructuring the existing NHCC Cayman captive, forming a new single-parent captive on-
shore, utilizing a risk retention group (RRG), or any other viable alternative.
* Domicile Strategy: Provide a comparative analysis of on-shore versus off-shore captive
domiciles, specifically advising on how regulatory environments, capitalization
requirements, and tax implications impact NHCC
* Actuarial & Financial Feasibility: Oversee or conduct high-level actuarial modeling to
project funding requirements, stress-test adverse loss scenarios, and determine the optimal
balance of retained risk versus transferred risk.
C) Minimum Vendor Qualifications and Compliance
* Advisory Independence: The firm must act as an objective consultant. Vendors must
disclose any potential conflicts of interest, including revenue derived from broker
commissions, TPA services, or reinsurance placements.
* Mandatory Domicile Expertise: The firm must possess and document extensive advisory
and captive management experience in both on-shore and off-shore domiciles, specifically
with Cayman Islands regulatory frameworks.
* A minimum of 10 years of experience providing similar services to healthcare systems.
Respondent should also have at least 10 years of experience working with government
entities, such as agencies or public benefit corporations.
D) Deliverables
Respondent will provide an all-encompassing strategic recommendation and plan for how to
proceed with our professional liability insurance (including captive management) needs.
* Diagnostic Report and Strategic Recommendation: A formal assessment of the current
professional liability and captive structure. This report must explicitly define the roles and
responsibilities of all involved entities (including NHCC, Insurers, Third-Party
Administrators, and Actuaries) and outline the recommended relationships, interaction
protocols, and communication workflows among them.
* Financial Projections: Pro-forma modeling comparing the total cost of risk (TCOR) under
the recommended strategic alternatives over a 5-year horizon.
SCHEDULE B
I. PROPOSAL PROCESS AND REQUIREMENTS
Proposal Submission
NHCC invites qualified Proposers to submit proposals for the services described in this RFP. Proposals must
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conform to the requirements set forth herein; non-conforming proposals may be disqualified.
The RFP is available through the designated NHCC contact office and may also be downloaded via the
"Doing Business with NuHealth" link at www.numc.edu.
Submission Requirements:
* Electronic Media: One (1) electronic copy sent via email to:
o RFPSubmissions@numc.edu
Note:
* Electronic copies of the proposal must be received by NHCC no later than 4:00 p.m. on the specified
due date.
* Incomplete submissions may result in disqualification.
The selected Proposer will enter into negotiations with NHCC regarding contract terms. If agreement cannot
be reached within a reasonable time, NHCC may reject that Proposer and begin negotiations with others.
Proposals should be clear, concise, and responsive to the RFP.
I. Contents of Proposals
A. Name of the Proposer.
B. Contact person for the Proposer, including name, address, phone and fax
numbers, e-mail address and other contact information.
C. Background information regarding the Proposer, including:
1. Brief history of the Proposer's firm and a description of all services it
provides.
2. A summary description of its organizational structure (e.g., corporation,
partnership, LLC, etc.), its history (including information on the date of
its formation and the State of its formation), its management and
ownership structure (including the name and address of its officers, and
of each person, directly or indirectly holding a five (5%) percent or
greater ownership interest in the Proposer).
3. Proposer shall provide documentation satisfactory to NHCC
demonstrating that Proposer is licensed and authorized to do business in
the State of New York and, if applicable, Nassau County.
4. A description of the Proposer's existing business operations, including
number of employees by discipline.
5. Proposals must demonstrate the qualifications and experience of the
Proposer specifically related to the services contemplated by this RFP.
6. Each proposal must include Proposer's financial information. This
information is needed to ensure that each Proposer will be capable of
performing its obligations under any agreement entered into between
the Proposer and NHCC. Demonstration of the applicant's financial
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soundness shall be established by submitting the following information:
a. A copy of the Proposer's most recent annual audited financial
statement and annual audited financial statements for the
previous two years.
b. Copies of the Proposer's subsequent quarterly financial reports.
c. Detailed information of any changes in the mode of conducting
the Proposer's business, including bankruptcy proceedings or
filings, and mergers or acquisitions within the past three (3)
years. List of any bankruptcy proceedings in the past ten (10)
years initiated by or against the Proposer or any affiliate or
related company.
7. At least three business references (including names of individuals,
their titles, organizations, mailing addresses, telephone and fax
numbers, and e-mail addresses).
8. A Proposer that is a licensed health care provider or other licensed entity
must include information concerning any material negative findings,
sanctions imposed or pending regulatory or legal proceedings.
9. Proposals must include the following:
a. List of any and all criminal convictions within the last ten (10)
years rendered against the Proposer, any officer or director
thereof, or any affiliate or related company.
b. List of any and all civil penalties, judgments, consent decrees,
violations, Statements of Deficiency or other sanctions within
the last ten (10) years rendered against the applicant, any officer
or director thereof, or any affiliate or related company.
c. List of any and all current investigations, indictments or pending
litigation by any Federal, State or local jurisdiction initiated
against the applicant, any officer or director thereof, or any
affiliate or related company.
d. List of any and all actions occurring with the last ten (10) years
which have resulted in revocation or suspension of any permit
or authority to do business in any Federal, State, or local
jurisdiction, by the applicant, any officer or director thereof, or
any affiliate or related company.
e. List of any and all actions occurring in the past ten (10) years
that have resulted in the barring from public proposal submission
of the applicant, any officer or director thereof, or any affiliate
or related company.
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D. Qualifications of Proposer to carry out this project or to provide these
services, including a list of comparable projects and identification of
individuals (including their names, titles, organizations, mailing addresses,
telephone, fax numbers, and e-mail addresses) who may be contacted with
respect to each comparable project.
1. Provide adequate information demonstrating experience on projects of
similar scope and magnitude. Project start/completion dates and
owner/client reference must be included.
2. List all projects Proposer has completed (or are in progress) for the past
eighteen (18) months. Give a brief description of each project, including
owner, size of facility, type of work performed, and size of project and
completion date.
3. List the five (5) similar projects Proposer's firm has completed (or are
in progress). Give a brief description of each project; include the size
of the facility, owner and owner contact to be used for reference
purposes. Also include project start and completion (proposed) date.
E. The qualifications and experience of Proposer's staff and management for
the project, including any proposed sub-contractors.
1. List the professional and support positions and number of personnel in
each position. Provide resumes for all key staff and subcontractors
(resumes must be no longer than two pages per individual).
2. Provide an organizational chart that includes all personnel who will be
committed to this project. Provide specific information as to their
experience on projects similar to this one. For the project manager
identified as part of the project team, provide the name and contact
information of three clients with whom that person has worked on a
similar project.
3. List any professional sub-consultants that you intend to propose to
provide services not available directly from your firm. Provide specific
information documenting their work on similar projects.
F. Scope of proposed services, including work plan and methodology.
G. Fee and cost proposal that shall clearly identify and specify all elements of
cost that would become charges to NHCC, in whatever form. Provide
information on your billing practices, including reimbursable cost
categories.
H. List your general liability and professional liability insurance coverage.
I. Any contingencies or conditions on the proposal.
J. Information required in Appendix I to this RFP.
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K. Conflict of Interest
1. Please disclose:
a. Any material financial relationship that any employee of your firm
has with any entity that may create a conflict of interest or the appearance of a
conflict of interest in acting as contractor on behalf of NHCC.
b. Any family relationship that any employee of your firm has with any
corporation, individual or other entity that may create a conflict of interest or the
appearance of a conflict of interest in acting as contractor to NHCC.
c. Any other matter that your firm believes may create a conflict of
interest or the appearance of a conflict of interest in acting as contractor on behalf
of NHCC.
2. Please describe any procedures your firm either has, or would adopt, to
assure NHCC that a conflict of interest would not exist for your firm in the future.
II. Confidential Information
The New York State "Freedom of Information Law," Public Officers Law Article
6, permits access to government records and may permit public access to proposals
submitted in response to this RFP. To protect any portion of responses that
constitutes technical, financial or other data whose public disclosure would cause
substantial injury to a Proposer's competitive position, or would constitute
disclosure of a trade secret, a Proposer must designate any sections of its proposal
that meet those criteria. NHCC assumes no responsibility for disclosure of
unmarked data for any purpose. NHCC will review such designations in making its
determination whether disclosure is required, which determination shall be binding
on the Proposer.
III. Anti-discrimination and MWBE Participation
It is the policy of NHCC to comply with all federal, state and local laws, policies,
orders, rules and regulations which prohibit unlawful discrimination because of
race, creed, color, national origin, sex, sexual orientation, age, disability, or marital
status, and to take affirmative action in working with contracting parties to ensure
that Minority and Women-owned Business Enterprises (MWBEs), Minority Group
Members and women share in the economic opportunities generated by NHCC's
participation in projects or initiatives, and/or use of NHCC funds. NHCC's anti-
discrimination or other policies that promote equal opportunities shall apply to this
initiative and MWBEs are encouraged to submit proposals.
Pursuant to New York State Executive Law Article 15-A, NHCC recognizes its
obligations under the law to promote opportunities for maximum feasible
participation of certified minority-and women-owned business enterprises
(M/WBEs) and the employment of minority group members and women in the
performance of NHCC contracts.
The selected contractor shall be required to use good faith efforts to achieve the
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participation of certified MWBE's as specified in this RFP or Bid, and if no
participation goal is explicitly specified, participation amounting to 20% of the total
value of the fees received by the contractor shall be the goal. As part of their
proposal, respondents are required to include a completed MWBE Utilization Plan
(the "Plan") using the form attached in Appendix I as part of their proposal. The
Plan shall list each MWBE the respondent intends to utilize to perform the contract,
a description of the scope of work to be performed by each MWBE, and the
estimated or, if known, actual dollar amounts to be paid to each MWBE.
Respondents should endeavor to utilize MWBEs as subcontractors, subconsultants,
suppliers, and/or enter into joint venture or teaming agreements with M/WBEs in
order to comply with the MWBE utilization goals. In the event that a respondent is
a certified MWBE the respondent should list itself in the Plan as performing 100%
of the contract work and is not required to subcontract with other MWBE firms.
IV. Procurement Law Requirements
State Finance Law 139-j and 139-k (collectively, the "Procurement
Requirements") apply to this RFP. The Procurement Requirements (1) govern
permissible communications between potential respondents and NHCC with
respect to this RFP during the procurement process; and (2) establish sanctions for
knowing and willful violations of the provisions of the Procurement Requirements,
including disqualification from eligibility for an award of any contract pursuant to
this solicitation.
Compliance with the Procurement Requirements requires that (a) all
communications regarding this RFP, from the issuance of this RFP through final
award and approval of any resulting contract (the "Restricted Period"), be
conducted only with the contact person(s) listed; (b) the completion by respondents
of the Disclosure of Prior Non-Responsibility Determinations and the Affirmation
of Understanding of and Agreement pursuant to State Finance Law, copies of which
are attached to this RFP as attachments to Appendix I, and (c) periodic updating of
such forms during the terms of any contract resulting from this RFP. Respondents
must submit both of these forms, properly completed, as part of their proposals.
The Procurement Requirements also require NHCC employees to obtain and report
certain information when contacted by prospective bidders during the Restricted
Period, make a determination of the responsibility of bidders and make all such
information publicly available in accordance with applicable law. If a prospective
bidder is found to have knowingly and willfully violated the State Finance Law
provisions, that prospective bidder and its subsidiaries, related or successor entities
will be determined to be a non- responsible bidder and will not be awarded any
contract issued pursuant to this RFP.
More information about State Finance Law Sections 139-j and 139-k can be found
at http://www.ogs.ny.gov/aboutOgs/regulations/defaultSFL_139j-k.asp.
All potential Respondents are solely responsible for full compliance with the
Procurement Requirements.
V. Selection Criteria
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A. The committee will utilize the following 100-point scoring grid to assess and
compare each submitted proposal.
Evaluation Category Criteria Details Maximum Points
Firm Experience and Qualifications Demonstrated history advising 45
large corporations, including public
healthcare systems and government
entities. Documented experience in
evaluating and managing both on-
shore and off-shore captives,
specifically in Cayman Islands
domiciles.
Project Approach and Methodology Quality, depth, and feasibility of the 25
vendor's proposed action plan.
Cost and Fee Proposal Points are awarded for keeping 25
costs to a minimum.
NYS Diversity & Compliance Awarded for good-faith strategy to 5
Goals meet NHCC's utilization goals for
Minority and Women-Owned
Business Enterprises and Service-
Disabled Veteran Owned
Businesses
Total Possible Score 100
VI. Terms and Conditions
A. This RFP constitutes an invitation to make proposals to NHCC.
Accordingly, this RFP does not commit NHCC to award a contract, or to
procure, or to contract for services or supplies. Notwithstanding any other
provisions of this RFP, NHCC reserves the right to award this contract to
the vendor(s) that best meet the requirements of the RFP, and not
necessarily to the lowest proposer. NHCC reserves the right to accept or
reject any or all proposals received as a result of this request; to negotiate
with all qualified sources; or to cancel in part or in its entirety this RFP if
it is in the interests of NHCC to so do. NHCC reserves and, in its sole
discretion, may exercise any or all of the following rights and options with
respect to this RFP, any proposals and any related agreements, without
incurring any liability to Proposers:
1. NHCC reserves the right to disqualify any and all proposals that fail to
meet the requirements specified in this RFP.
2. NHCC reserves the right to determine whether to interview some or all
of the Proposers, and to conduct such interviews privately.
3. NHCC reserves the right to select and enter into a contract with the
Proposer whose proposal best satisfies NHCC's overall interests.
4. Because this RFP is not a "competitive bid" process, the Proposer
submitting the lowest cost proposal, or the proposal projecting the
greatest financial benefit to NHCC, may not necessarily be selected.
NHCC instead reserves the right to select the proposal it believes to be
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