This Solicitation opportunity from Texas was posted on November 15, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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24-035 (LC) - Employee Medical Plans - Third Party Administrator Carrier and Network Options

Closed

24-035 (LC) - Employee Medical Plans - Third Party Administrator Carrier and Network OptionsState & Local

Submission Closed02/25/2025, 12:00:00 AM UTC

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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NAICS: 524292

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The Commonwealth of Kentucky is soliciting proposals for Financial Management Services (FMS) to support Participant Directed Services (PDS) within 1915(c) Home and Community-Based Services (HCBS) Waiver Programs. The selected vendor will be responsible for providing comprehensive financial management and ensuring a seamless transition from the incumbent provider. Project management methodologies must adhere to PMI standards, and the vendor is required to maintain staffing levels at 90% or more of the agreed-upon Project Staffing Plan. Key deliverables include monthly performance report cards and claims files delivered every other Friday. Proposals must be submitted electronically via the Kentucky Vendor Self Service site by December 9, 2026, divided into separate technical, cost, and proprietary documents. Award decisions are based on a ranking of technical and cost evaluations, with a 15% point preference granted to qualified bidders. The contract requires strict adherence to federal and state regulations, including certifications against debarment, compliance with the Kentucky Civil Rights Act, and the maintenance of cyber insurance or performance bonds. Security is paramount, with a requirement to notify the Department for Medicaid Services of any suspected data breaches within 30 minutes of discovery. Payment is processed within 30 working days of invoice acceptance.

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The City of Chicago Department of Law is soliciting proposals for Third Party Liability Claims Administrator Services under solicitation number 54879. The selected contractor will provide general claims administration, inside claims specialist services, and outside claims adjuster services, with a primary focus on managing tort claims. Key responsibilities include conducting physical inspections, securing evidence, and providing litigation support. The contract is structured as a Blanket Purchase Agreement with a base term of 60 months and options for two 12-month extensions or a single 24-month extension. Performance is measured by strict processing timelines, requiring routine claims to be resolved within 70 days and complex claims within 182 days, with a mandatory 80 percent adherence rate. Proposals are due by December 18, 2026, and will be evaluated based on professional and technical competence (70 percent), the implementation and management plan (20 percent), and the schedule of compensation (10 percent). Several pass/fail criteria apply, including financial stability, insurance compliance, and the submission of a sexual harassment policy affidavit. The contractor must provide on-site coverage Monday through Friday from 8:00 am to 6:00 pm and Saturdays from 8:00 am to 12:00 noon. Additionally, the City will provide a 100,000 dollar Claims Payment Fund for the contractor to manage and replenish monthly. Compliance with MBE, WBE, and VBE goals is required, and the contractor must adhere to stringent data protection requirements for all protected information.

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TRICARE Medicare Eligible Program Second Generation (TMEP2)

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DAS Medical Plan Third-Party Administrator

Solicitation # SRC0000038100

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Vehicle Assistance and Claims AdministratorThe Vehicle Assistance and Claims Administrator subcontract, issued by the US Embassy Paris for the Department of State, involves providing roadside assistance and third-party insurance claims management for prime contractors in France. The selected provider will manage assistance for 112 vehicles, settle third-party claims, and recover expenses related to personnel and equipment. Key deliverables include the resolution of claims, the recovery of funds, and detailed documentation of all roadside assistance events. To be eligible, the contractor must possess a Kbis registration and appoint a Project Manager who is fluent in both English and French. The work will be performed in Paris, France, under NAICS code 524292. Responses for this opportunity are due by November 6, 2026.

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Announcement of RFP for Retirement Plan Administration and Record Keeping Services

Solicitation # LC26028

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Nevada State Pharmacy Benefit Manager

Solicitation # 41NHA-S3992

The Nevada Health Authority Director's Office is seeking proposals for a Nevada State Pharmacy Benefit Manager under solicitation number 41NHA-S3992. This state-level procurement opportunity is managed by the Nevada Health Authority in Carson City and is open for responses until December 29, 2026. Interested parties should coordinate with the primary purchaser, Heather Moon, or the designated administration contact for further inquiries. All detailed requirements and submission guidelines are contained within the official solicitation attachments provided through the Nevada ePro portal.

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Solicitation # 2611-KP

The Sacramento Housing and Redevelopment Agency (SHRA) is soliciting proposals under RFP 2611-KP for a qualified actuarial services firm to manage its Other Post-Employment Benefits (OPEB) program. The selected contractor will be responsible for measuring liabilities, supporting funding decisions, and providing essential data for financial reporting and long-term planning. Key deliverables include GASB 75 reporting packages for fiscal year ends 2026 through 2030 and full actuarial valuations as of December 31 for 2026, 2027, and 2028. The scope also encompasses advisory services for prefunding strategies, scenario modeling, and the development of Actuarially Determined Contributions (ADCs) to ensure the fiscal sustainability of retiree medical and dental benefits. The contract is structured for an initial one-year term with options to extend for up to four additional periods, not to exceed five years in total. Proposals are due by October 29, 2026, via the OpenGov portal, with an anticipated start date of December 7, 2026. Evaluation follows a two-stage process where technical proposals must score at least 70% to be considered responsive before cost proposals are reviewed. Award criteria emphasize technical expertise in public-sector OPEB valuations, past performance with similar governmental agencies, and the qualifications of the project team. The agreement requires strict adherence to GASB 75 standards, the Federal Privacy Act of 1974, and applicable Actuarial Standards of Practice.

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Pharmacy Drug Benefits

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DEADLINE

DAS Behavioral Health Third-Party Administrator RFP

Solicitation # SRC0000040548

The State of Ohio, through the Department of Administrative Services, is soliciting proposals for a Third-Party Administrator to manage its self-insured Behavioral Health Benefit Plan. Starting July 1, 2027, the selected contractor will provide administrative services for approximately 43,800 employees and 104,600 total lives. Key responsibilities include managing eligibility, claims history, prior authorizations, utilization management, and data integration with the State's data warehouse. The contract runs from the date of signature through June 30, 2030, with the possibility of a one-month discretionary renewal and further mutual renewals for up to four additional years. To be eligible, offerors must be NCQA accredited and comply with the Mental Health Parity and Addiction Equity Act. The evaluation process is based on a total score derived from technical requirements, cost, and presentations, with the highest-ranking responsible offeror recommended for award. Financial terms utilize a not-to-exceed unit cost fee structure, and the contractor must provide a Benefits Fund of at least 150,000 dollars. Strict compliance is required regarding HIPAA through a Business Associate Agreement, State IT policies, and secure data transfer protocols via SFTP. Proposals must be submitted electronically through the OhioBuys portal, consisting of separate technical and cost volumes.

Administrative Services

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DEADLINE

Employee Benefits- Life/STD/FSA/HSA/COBRA

Solicitation # 27-011CH-32RFP

The Tempe Union High School District is soliciting proposals under solicitation number 27-011CH-32RFP to secure a provider for the administration of employee benefits, including Basic and Voluntary Life and Accidental Death and Dismemberment, Short-Term Disability, Flexible Spending Account, Health Spending Account, and COBRA administration. The intended contract period runs from July 1, 2027, through June 30, 2032. Key requirements include the waiver of pre-existing condition limitations for initially enrolled employees and dependents, the elimination of active-at-work restrictions, and a guarantee that no employee suffers a loss of benefits during a carrier change. The selected vendor must provide a designated account management team, bilingual educational materials, and attendance at four days of annual open enrollment meetings in Tempe, Arizona. The award process utilizes a point formula system across three phases: initial evaluation, vendor interviews, and a best and final offer. Evaluation factors include responsiveness, cost, and past performance, with a minimum of 500 technical points required to proceed to price evaluation. The District intends to award the least number of vendors necessary, with contracts potentially awarded by individual product lines. Proposals must be submitted via the OpenGov portal by November 19, 2026. The contract is subject to Arizona Revised Statutes and School District Procurement Rules, featuring a zero-tolerance gift policy and net 30-day payment terms. Implementation must be completed 60 days prior to open enrollment, with a required 45-day support period following the July 1 effective date.

Business Services

POSTED

9 days ago

DEADLINE

in 21 days

AI Contract Overview

The San Antonio Independent School District (SAISD) is seeking proposals from qualified entities to serve as a third-party administrator or carrier for employee medical plans, including network options. The contract, titled "24-035 (LC) - Employee Medical Plans - Third Party Administrator Carrier and Network Options," is open to interested parties and aims to select providers based on the District's evolving needs, which will be determined on an "as needed" basis. Funding availability is a prerequisite for contract award, and there is no guarantee of a minimum workload or volume of services. The project involves managing employee health benefit plans across the district, with the potential contract value ranging from five million to twenty million dollars, reflecting the scope and scale of the District’s employee health benefits program. The solicitation was posted on November 15, 2024, with a response deadline set for February 25, 2025. The contract falls under the NAICS code 524292, which pertains to health and welfare funds, indicating its focus on employee benefits administration. The District emphasizes that services will be provided within the state of Texas, and interested parties can access additional details and submit proposals through the designated online portal. This opportunity is part of the District’s ongoing efforts to optimize its employee health benefit offerings through competitive procurement processes.

General Info

Agency

Texas → San Antonio Independent School District

NAICS

524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

Place of Performance

TX, USA

Set-Aside

NONE

Documents

No documents available

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Timeline

PhaseClosed

PostedNov 15

Solicitation

Response DeadlineFeb 25

Deadline has passed

Submission Closed

02/25/2025, 12:00:00 AM UTC

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Organization & Contact Information

AgencyTexas → San Antonio Independent School District

ContactsNo contacts available

OfficeN/A

Organization / AgencyTexas → San Antonio Independent School District

Office AddressN/A

ContactsNo contact information available

Full Description

The San Antonio Independent School District (SAISD) requests interested parties to submit proposals for “Employee Medical Plans-Third Party Administrator/Carrier and Network Options”. This award is contingent upon the availability of District funding and no guarantee of a minimum amount of work is implied or expressed by this Request for Proposal. Services required shall be determined solely by the needs of the District on an “as needed” basis for District-wide use.