This Government Contract opportunity from Department Of Health And Human Services was posted on February 10, 2025. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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75FCMC23R0013 - DME Medicare Administrative Contractor (MAC) Jurisdiction A (JA) Synopsis/RFP/Solicitation

Awarded

75FCMC23R0013Federal

Submission Closed02/05/2025, 12:00:00 PM UTC

Contract Overview

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

Active Opportunities Like This One

NAICS: 524114

New

Federal

PILOT PROGRAM TO ASSIST CERTAIN MEMBERS OF THE ARMED FORCES AND DEPENDENTS WITH ADDITIONAL SUPPLEMENTAL COVERAGE RELATING TO CANCER HT9402-26-RFI-0255

Solicitation # HT9402-26-RFI-0255

The Defense Health Agency is conducting market research via Request for Information HT9402-26-RFI-0255 to establish a pilot program for supplemental cancer insurance. In accordance with Section 734 of the National Defense Authorization Act for Fiscal Year 2026, the program aims to provide members of the Army, Navy, Marine Corps, Air Force, and Space Force, along with their dependents enrolled in TRICARE, with fixed indemnity supplemental benefits for non-covered cancer screening, diagnosis, and treatment expenses. The pilot program must be established by September 30, 2027, and any resulting agreements will be limited to a maximum duration of three years without the possibility of renewal. A critical requirement of this initiative is that the Government will not subsidize the cost of the insurance plans; therefore, the program must be financially viable as a 100 percent beneficiary-paid group plan. The DHA is seeking detailed information from potential carriers regarding plan types, coverage scopes, eligibility verification, premium structures, and claims processing. Evaluation factors for future awards will include technical and management functions, past performance, price, financial viability, and small business participation. Interested vendors are requested to submit written responses and may request one-on-one virtual meetings with the Government to provide further market intelligence.

Defense Health Agency

POSTED

DEADLINE

Medical and Rx Stop Loss Insurance ProviderPasadena Independent School District is seeking a Medical and Rx Stop Loss Insurance Provider to provide coverage for prime contractors on its self-funded health plan projects. The selected provider will be responsible for underwriting risk, issuing stop-loss policies, and processing claims that exceed established specific or aggregate attachment points. To qualify, the provider must be licensed to operate within the state of Texas and maintain minimum A.M. Best financial strength ratings to ensure stability and reliability in delivering claim reimbursements. This subcontract opportunity is categorized under NAICS code 524114. Interested parties must submit their responses by the deadline of November 4, 2026. The primary objective of the contract is the delivery of an active Stop Loss Insurance Policy that protects the district from excessive healthcare costs through a structured reimbursement process.

POSTED

DEADLINE

27P-012LP Medical and Rx Stop Loss Coverage for Self-Funded Health Plan

Solicitation # 27P-012LP

Pasadena Independent School District is soliciting proposals under solicitation number 27P-012LP for Medical and Rx Stop Loss Coverage to support its self-funded health plan. This SLED opportunity is based in Pasadena, Texas, and is managed by the district's purchasing and finance departments. Interested respondents must submit their proposals electronically through the Pasadena ISD eBid System by the deadline of 2:00 PM on Wednesday, November 4, 2026. Primary points of contact for this procurement include Karen Clayton, Laurie Pruett, and Derek Gillard.

POSTED

DEADLINE

27P-013LP Fully Insured Medical and Prescription Drug Benefits Plan

Solicitation # 27P-013LP

Pasadena Independent School District is soliciting competitively sealed proposals under solicitation number 27P-013LP for a Fully Insured Medical and Prescription Drug Benefits Plan. This SLED organization, based in Pasadena, Texas, is seeking a provider to manage these comprehensive health benefits. Detailed specifications for the plan are hosted on the Pasadena ISD eBid System, and all interested vendors must access the portal at https://pasadenaisd.jonwavenet to view the full requirements and submit their responses. The deadline for the submission of proposals is 2:00 PM on Wednesday, November 4, 2026. All responses must be submitted electronically through the designated eBid System. Primary points of contact for this procurement include Karen Clayton, Laurie Pruett, the Director of Purchasing, and Derek Gillard, the Executive Director of Finance. The place of performance for the resulting contract will be within the state of Texas.

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Short-Term Disability (STD) Insurance ProviderThis subcontract agreement establishes a partnership with a Short-Term Disability insurance provider to manage coverage and claims for prime contractors working on Tempe Union High School District projects. The provider is responsible for the end-to-end claims process, which includes verifying the disability status of claimants, coordinating directly with physicians, and assisting individuals with their Social Security benefit applications. To ensure transparency and efficiency, the provider must maintain a member web portal for tracking claim status and deliver regular claims adjudication reports alongside the disbursement of benefit payments. The opportunity is managed under the Business Services agency in Arizona and is categorized under NAICS code 524114. Interested parties should note that the solicitation was posted on October 20, 2026, with a response deadline set for November 19, 2026.

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Voluntary Insurance Benefit ProviderThe Harnett County Board of Education is seeking a subcontracted Voluntary Insurance Benefit Provider to supply and underwrite a comprehensive suite of insurance products for prime contractors. The scope of work includes providing coverage and managing claims processing for dental, vision, cancer, critical illness, accident, hospital indemnity, short-term and long-term disability, and group term life insurance. To be eligible, providers must hold valid North Carolina insurance licenses and maintain strict compliance with the State Treasurer's Final Divestment List. The selected provider will be responsible for delivering active insurance coverage and ensuring efficient claims reimbursement. The response deadline for this opportunity is November 13, 2026.

Harnett County Board of Education

POSTED

DEADLINE

yearly service contract for international travel insurance last day for questions 11/3/2026

Solicitation # 50013-btb3014

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University of New Orleans

POSTED

DEADLINE

RIteSmiles 4-ALL Medicaid Managed Care Dental Services

Solicitation # QLV27007063

The Rhode Island Executive Office of Health and Human Services is soliciting proposals from qualified Managed Care Organizations to administer the RIteSmiles 4-ALL Medicaid Managed Care Dental Program. The contract establishes a three-year base period from July 1, 2027, through June 30, 2030, with the possibility of three additional one-year renewals. The selected contractor will be responsible for comprehensive dental program functions, including the implementation of Initial Health Assessments for new members within 90 days of enrollment, integrated care coordination, case management, and the maintenance of a Quality Management/QI Committee. Performance is governed by NCQA standards, the RI Medicaid Dental Services Coverage Manual, and federal regulations including 42 CFR § 438.208(c)(3). The award process involves a multi-phase evaluation starting with a pass/fail screening of mandatory qualifications. Technical proposals are scored on a 1-4 scale across 185 items, requiring a minimum score of 85% to advance to the Impact Small Business Enterprise evaluation phase, where bidders can earn up to six additional points. Compliance requirements are extensive, encompassing HIPAA privacy and security rules, the Anti-Kickback Act of 1986, and various non-discrimination statutes such as Title VI of the Civil Rights Act and the Americans with Disabilities Act. Proposals must be submitted in four separate PDF files, with a combined page limit of 250 pages for the business and technical volumes.

State of Rhode Island

POSTED

DEADLINE

Health Insurance for Locally Employed Staff

Solicitation # 19MY3027R0001

The U.S. Embassy Kuala Lumpur is soliciting proposals for health insurance coverage for its locally employed staff, including non-temporary direct hires, Personal Services Agreements, and Personal Services Contracts within Malaysia. The contract consists of a one-year base period beginning April 1, 2027, with four one-year renewal options. The government seeks off-the-shelf plans that meet specific minimum benefit levels, including 100 percent coverage for hospitalization and emergency services, and 80 percent for ambulance and outpatient services. Official Residence Expense staff are covered via a separate rider. Award will be granted to the responsible offeror providing the lowest priced, technically acceptable proposal, with a tie-breaker based on the most generous profit-sharing credit plan. Technical acceptability requires a valid management plan, relevant past performance, and licensing or accreditation by the Government of Malaysia or another government with the capacity to provide benefits in-country. Proposals must be submitted electronically by November 20, 2026, and must include a completed SF-1449, pricing schedules, and proof of SAM registration. The use of subcontractors is prohibited, and the prime contractor must maintain a permanent business address in Malaysia. Payments will be made monthly in Malaysian Ringgit, except for eligible American citizens who may receive U.S. dollars.

US Embassy Kuala Lumpur

POSTED

DEADLINE

Solicitation # 19TH2027Q0003

The US Embassy Bangkok is preparing a solicitation for the provision of health insurance coverage for its Locally Employed Staff. This will be a firm fixed price contract with economic price adjustment, featuring a base year followed by four one-year options and one six-month option. The government may award the contract based on initial offers without further discussion, and a pre-quotation conference will be scheduled. Prospective offerors must be registered in the System for Award Management database to be eligible for consideration. Electronic responses are permitted, provided they adhere to email size limits. This opportunity is subject to specific federal regulations regarding taxes on foreign procurements and the option to extend services.

POSTED

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Workers' Compensation Medical Case ManagementThis subcontract for Workers' Compensation Medical Case Management involves providing professional medical case management services for prime contractors supporting South Dakota State Government projects. The primary objective is to coordinate care for injured state employees through the implementation of cost-containment strategies and the facilitation of return-to-work efforts to improve overall claim outcomes and deliver effective managed care plans. The selected provider must strictly adhere to South Dakota Workers' Compensation statutes and maintain full compliance with HIPAA and PHI privacy standards, including the mandatory use of secured email for transmitting protected health information. Interested parties should note the response deadline of November 25, 2026, for this opportunity categorized under NAICS code 524114.

South Dakota State Government

POSTED

DEADLINE

Vision Insurance Provider (Carrier)This subcontract opportunity is for a Vision Insurance Provider to support the County of Mecklenburg Human Resources projects. The selected carrier will be responsible for providing vision insurance products, underwriting risk for employee populations, developing plan designs, and managing both financial reserves and claims payouts. To successfully execute the contract, the provider must utilize proprietary claims processing systems and member enrollment portals to deliver an active, funded vision insurance policy. Eligible candidates must hold a valid North Carolina Insurance License and maintain admitted carrier status. This procurement is categorized under NAICS code 524114. Interested parties should note that the solicitation was posted on October 15, 2026, with a response deadline of November 13, 2026.

County of Mecklenburg

POSTED

7 days ago

DEADLINE

in 23 days

AI Contract Overview

This contract, awarded by the Department of Health and Human Services through the Office of Acquisition and Grants Management, establishes a Durable Medical Equipment Medicare Administrative Contractor for Jurisdiction A. The selected contractor is responsible for providing health insurance benefit administration services, specifically focusing on Medicare claims processing and payment services for the traditional Medicare fee-for-service program. The geographic scope of Jurisdiction A includes Connecticut, Delaware, the District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont. Due to frequent changes in Medicare program requirements driven by mandatory legislation and associated performance uncertainties, the contract is not structured as a fixed-price agreement. This flexible pricing model allows for adjustments as cost impacts from legislative changes emerge. The procurement process was competitive and is categorized under NAICS code 524114.

General Info

Agency

Department Of Health And Human Services → Ofc Of Acquisition And Grants Management

Contract Value

$32,812,958

NAICS

524114 - Direct Health and Medical Insurance Carriers

Place of Performance

MD, USA

Set-Aside

NONE

Awardee

NORIDIAN HEALTHCARE SOLUTIONS, LLC

Award Issued Date

03/01/2025, 12:00:00 AM UTC

Documents

No documents available

Documents will appear here when they are available.

AI Contract Breakdown

Uniform Contract Format

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Timeline

PhaseAwarded

PostedDec 19

Presolicitation

AwardedMar 1

Contract was awarded

Submission Closed

02/05/2025, 12:00:00 PM UTC

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Organization & Contact Information

AgencyDepartment Of Health And Human Services → Ofc Of Acquisition And Grants Management

Contacts2 people available

OfficeBALTIMORE, MD, 21244, USA

Organization / AgencyDepartment Of Health And Human Services → Ofc Of Acquisition And Grants Management

Office AddressBALTIMORE, MD, 21244, USA

Contacts

Malissa Shin

contact@example.gov

Courtney Garnes

contact@example.gov

+1 (555) 000-0000

Full Description

This award is the result of a competitive procurement. The contract type is not fixed price because of the ongoing changes in the Medicare program requirements directed by mandatory legislation and because resulting performance uncertainties in many functional areas are such that reasonable estimates of their cost impact cannot be made. The purpose of this contract is to obtain a Durable Medical Equipment (DME) Medicare Administrative Contractor (hereinafter referred to as - the contractor or - MAC or - DME MAC) to provide specified health insurance benefit administration services, including Medicare claims processing and payment services, in support of the - traditional Medicare program (also known as the Medicare fee-for-service or FFS, program) for Jurisdiction A (JA). JA encompasses the states and territories of Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont.