Program No 0584-s Term 10/17/2018 To 03/31/2020

TITLE: Medicare Acknowledgement, Subsidy Determination, 

and IRMAA Non-BRI Notices

BASIS OF

ITEM NO. DESCRIPTION AWARD

UNIT RATE COST UNIT RATE COST UNIT RATE COST UNIT RATE COST

I. PROCESSING/FORMATING FILES:

Processing/Formatting Files.....................per notice workload................ 3 $1,000.00 $3,000.00 $250.00 $750.00 NC $0.00 $50.00 $150.00

II. COMPOSITION:

Envelopes.................................................per envelope 17 NC $0.00 $100.00 $1,700.00 NC $0.00 $50.00 $850.00

III. PREPRODUCTION TESTS:

(a) Transmission Test..................................... 1 NC $0.00 $200.00 $200.00 NC $0.00 NC $0.00

(b) Preproduction Validation Test........................... 1 $16,000.00 $16,000.00 $1,500.00 $1,500.00 NC $0.00 NC $0.00

IV. PRINTING/IMAGING, BINDING AND CONSTRUCTION:

(a) Daily makeready/setup charge................................... 250 NC $0.00 $200.00 $50,000.00 NC $0.00 $211.00 $52,750.00

(b) Notices: Printing/Imaging in black ink, Including binding.............per 100 pages 176144 $0.45 $79,264.80 $0.65 $114,493.60 $0.70 $123,300.80 $0.42 $73,980.48

(c) Mailout envelope: Printing in black ink Including construction....per 100 envelopes 35273 $0.50 $17,636.50 $1.20 $42,327.60 $2.14 $75,484.22 $1.04 $36,683.92

V. PAPER:

Computation of the net number of leaves will be based on the

following:

Notices (8-1/2 x 11"):A charge will be allowed for each page size leaf

Mailout Envelopes (6-1/8 x 9-1/2"): One leaf will be allowed

for each envelope.

(a) Notices: White Offset Book (50-lb.)..............................Per 100 Leaves 88072 $1.10 $96,879.20 $0.80 $70,457.60 $0.95 $83,668.40 $0.57 $50,201.04

(b) Mailout Envelopes: White Writing Envelope (24-lb.)...............Per 100 Envelopes 35273 $2.30 $81,127.90 $1.75 $61,727.75 NC $0.00 $1.04 $36,683.92

VI. INSERTING AND PREPARING FOR MAILING:

(a) Mailer 1: Acknowledgement English Notice and/or

Determination English Notice.............................................Per 100 Mailers 21715 $1.75 $38,001.25 $1.85 $40,172.75 $0.50 $10,857.50 $1.38 $29,966.70

(b) Mailer 2: Acknowledgement Spanish/English Notice and/or

Determination Spanish/English Notice..................................Per 100 Mailers 1733 $1.75 $3,032.75 $1.85 $3,206.05 $0.50 $866.50 $1.38 $2,391.54

(c) Mailer 3:IRMAA Non-BRI Daily English Notices......................Per 100 Mailers 11825 $1.75 $20,693.75 $1.85 $21,876.25 $0.50 $5,912.50 $1.38 $16,318.50

CONTRACTOR TOTALS $355,636.15 $408,411.60 $300,089.92 $299,976.10

DISCOUNT 0.25% $889.09 1.00% $4,084.12 0.00% $0.00 0.25% $749.94

DISCOUNTED TOTALS $354,747.06 $404,327.48 $300,089.92 $299,226.16

AWARDED

Allison Payment Systems

Indianapolis, IN

IMS, Inc

Liverpool, NY

NPC, INC.

Capitol Heights, MD Claysburg, PA

Gray Graphics
Program No 0584-s Term DOA To 03/31/2020

TITLE: Medicare Acknowledgement, Subsidy Determination, 

and IRMAA Non-BRI Notices

BASIS OF

ITEM NO. DESCRIPTION AWARD

UNIT RATE COST UNIT RATE COST UNIT RATE COST UNIT RATE COST

I. PROCESSING/FORMATING FILES:

Processing/Formatting Files 3 NC $0.00 $100.00 $300.00 $250.00 $750.00 $0.00 $0.00

II. COMPOSITION:

Envelopes.................................................per envelope 17 NC $0.00 $25.00 $425.00 $60.00 $1,020.00 $0.00 $0.00

III. PREPRODUCTION TESTS:

(a) Transmission Test..................................... 1 NC $0.00 NC $0.00 NC $0.00 $0.00 $0.00

(b) Preproduction Validation Test........................... 1 NC $0.00 NC $0.00 $12,782.98 $12,782.98 $0.00 $0.00

IV. PRINTING/IMAGING, BINDING AND CONSTRUCTION:

(a) Daily makeready/setup charge................................... 250 NC $0.00 $125.00 $31,250.00 $20.00 $5,000.00 $0.00 $0.00

(b) Notices: Printing/Imaging in black ink, Including binding.............per 100 pages 176144 $0.70 $123,300.80 $0.631 $111,146.86 $1.50 $264,216.00 $0.70 $123,300.80

(c) Mailout envelope: Printing in black ink Including construction....per 100 envelopes 35273 NC $0.00 $0.799 $28,183.13 $0.60 $21,163.80 $0.00 $0.00

V. PAPER:

Computation of the net number of leaves will be based on the

following:

Notices (8-1/2 x 11"):A charge will be allowed for each page size leaf

Mailout Envelopes (6-1/8 x 9-1/2"): One leaf will be allowed

for each envelope.

(a) Notices: White Offset Book (50-lb.)..............................Per 100 Leaves 88072 $0.70 $61,650.40 $0.750 $66,054.00 $0.87 $76,622.64 $0.80 $70,457.60

(b) Mailout Envelopes: White Writing Envelope (24-lb.)...............Per 100 Envelopes 35273 $2.20 $77,600.60 $1.199 $42,292.33 $2.70 $95,237.10 $2.20 $77,600.60

VI. INSERTING AND PREPARING FOR MAILING:

(a) Mailer 1: Acknowledgement English Notice and/or

Determination English Notice.............................................Per 100 Mailers 21715 $1.50 $32,572.50 $1.472 $31,964.48 $3.50 $76,002.50 $1.50 $32,572.50

(b) Mailer 2: Acknowledgement Spanish/English Notice and/or

Determination Spanish/English Notice..................................Per 100 Mailers 1733 $1.50 $2,599.50 $1.472 $2,550.98 $7.00 $12,131.00 $1.50 $2,599.50

(c) Mailer 3:IRMAA Non-BRI Daily English Notices......................Per 100 Mailers 11825 $1.50 $17,737.50 $1.472 $17,406.40 $3.50 $41,387.50 $1.50 $17,737.50

CONTRACTOR TOTALS $315,461.30 $331,573.18 $606,313.52 $324,268.50

DISCOUNT 2.00% $6,309.23 0.00% $0.00 0.00% $0.00 1.00% $3,242.69

DISCOUNTED TOTALS $309,152.07 $331,573.18 $606,313.52 $321,025.81

The Data Center LLC CURRENT CONTRACTOR

Suwanee, GA Salt Lake City, UT

Pinnacle Data Systems SOURCELINK & Laser Prints Plus LPP PINNACLE DATA SYSTEMS

Miamisburg, OH Norcross, GA