This Combined Synopsis/Solicitation opportunity from Department Of Defense was posted on September 2, 2014. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Air Force Pilot Pharmacy Benefit Management Program

Closed

FA7014-14-R-1015Federal

Submission Closed09/11/2014, 10:00:00 PM UTC

Contract Overview

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

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NAICS: 524292

New

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Ofcom is seeking a provider for an end-to-end flexible benefits administration service and platform for an initial five-year term starting July 1, 2027, with the possibility of two 12-month extensions through June 30, 2034. The estimated contract value is 350,000 GBP excluding VAT. This open procedure solicitation, identified as COM00163, is particularly suitable for small and medium-sized enterprises and voluntary, community, and social enterprises. The award will be based on a weighted scoring system, with 20 percent of the evaluation focused on the quality of administration, reconciliation processes, helpdesk support, and colleague communication. The required service is divided into three core areas: scheme administration, platform management, and customer services. Administration duties include managing annual and open enrolment, monthly payroll and provider reporting, and pension re-enrolment on a three-year cycle. The provider must maintain a secure cloud-based platform featuring Single Sign On capability, Total Reward Statements, and the ability to model the cost effects of benefits, including tax and National Insurance implications. Additionally, the supplier must provide a responsive customer support service with a telephone helpdesk and detailed analytics reporting. All technical specifications must align with Ofcom Security Requirements and the Government Procurement Agreement.

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Stop Loss - Healthcare & Medical

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The Board of Regents of The University of Oklahoma, through the Oklahoma University Health Sciences Center, is seeking a qualified vendor for the administration of its Stop Loss program under solicitation RFP-2027-394. The objective is to secure a provider capable of delivering high-quality, cost-effective program management to maximize value for the University and its partners. While the University prefers to award the contract to a single supplier, it maintains the right to award to multiple suppliers if it serves the institution's best interests. Interested vendors must adhere to a strict submission timeline, with the proposal deadline set for November 16, 2026, at 2:00 PM CST. A critical preliminary step requires vendors to sign and return a Non-Disclosure Agreement to Melody Carder by October 27, 2026, which serves as the formal Intent to Bid and is mandatory to receive the necessary census data and vendor questionnaire. Proposals must include a company overview, a signed Business Associate Agreement, and at least three references from projects of similar scope and complexity completed within the last five years, preferably within the public sector or higher education. Additionally, bidders must provide certifications regarding the absence of conflicts of interest and confirmation that they are not currently debarred or suspended from receiving federal funds.

Oklahoma University Health Sciences Center

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DAS TELEHEALTH ADMINISTRATION

Solicitation # SRC0000042016

The State of Ohio, through the Department of Administrative Services, is soliciting proposals for a contractor to administer telehealth benefits for state employees and their dependents. The selected contractor will manage the delivery of telehealth services across three plan options: Ohio Med PPO, Ohio Med Select, and Ohio Med HDHP. The scope of work includes providing a provider network, proactive account management, and comprehensive claims management with accurate coding and timely submission to medical third-party administrators. Key operational requirements include maintaining 99.9% availability for the mobile app and web portal, achieving at least a 60% member satisfaction rating per visit, and implementing a written satisfaction improvement plan by the second contract year. The contractor must also ensure ADA compliance, maintain closed-loop referral tracking, and adhere to strict HIPAA and HITECH privacy standards. The contract will be awarded based on the highest total score, combining technical, cost, and presentation evaluations. Financial terms are structured as Administrative Services Only fees charged per enrolled employee per month, with payment terms set at Net 30. The contractor must be prepared for open enrollment activities by May 1, 2027. Proposals must be submitted via the OhioBuys Supplier Portal in two distinct volumes: a technical proposal and a cost proposal. Mandatory documentation includes a wide array of certification forms, a Business Associate Agreement, and evidence of security controls such as HITRUST or CMMC certification. Performance is monitored through a formal inspection and acceptance process where deliverables must be approved by an Agency Representative.

Administrative Services

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Preferred Drug Program / Pharmacy Benefits Management C020463 X-12

Solicitation # 2139982

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NYS Department of Health

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South Dakota State TPA Workers' Compensation

Solicitation # 26RFP19880

The State of South Dakota, through the Bureau of Human Resources and Administration, is soliciting proposals for a licensed business partner to provide Third Party Claims Administration for its Workers' Compensation Program. The selected vendor will be responsible for core services including medical case management, medical bill review, and MMSEA reporting. Key objectives include implementing cost-containment strategies, providing risk mitigation guidance, and delivering real-time analytics and benchmarking to improve claim outcomes and employee return-to-work efforts. The contract is structured over three twelve-month periods, beginning July 1, 2027, and ending June 30, 2030. Proposals will be evaluated on a 500-point scale, with the highest-ranked offeror invited to negotiate terms and compensation. Technical approval from the Bureau of Information and Technology is required, and vendors must meet strict IT standards, including Web Content Accessibility Guidelines 2.1 Level AA and compatibility with major web browsers. Security is a critical component, requiring the disclosure of third-party software libraries and the maintenance of cyber liability insurance for three years post-completion. The State will utilize User Acceptance Testing and performance load testing to ensure system effectiveness. Proposals must be submitted electronically to Peggy Canter by November 25, 2026, and must not be solely generated by artificial intelligence.

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Workers' Compensation & General Liability Claim AdministrationThis subcontract for the Maryland Office of Risk Management involves providing comprehensive end-to-end claim administration for prime contractors working on County insurance projects. The selected provider will manage Workers Compensation, Auto Liability, General Liability, and First Party Property Damage claims utilizing online internet-based reporting systems. Key deliverables include the management of claim files, the processing of settlements, and the delivery of regular claim status reports. To be eligible, providers must hold the necessary state and federal licenses for insurance adjusting and administration. The opportunity is categorized under NAICS code 524292, with a response deadline set for December 1, 2026.

Office of Risk Management

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Third Party Administrative Services

Solicitation # 27-186

Frederick County, Maryland, through its Office of Risk Management, is seeking a third-party claim administrator to manage its self-insured workers compensation program and other lines of coverage. The selected contractor will provide comprehensive claim administration services, including specialized OSHA and MOSH reporting support, the calculation of lost and restricted duty days, and the provision of updated OSHA 300, 300A, and 301 reports. Key requirements include the ability to offer Medicare Set-aside services, interface with the County's risk management and safety systems, and maintain a rigorous information security program to protect confidential data. The contract is scheduled to commence on or about July 1, 2027, for an initial one-year term with the option for four additional one-year renewals at the County's discretion. Award selection is based on a points-weighted evaluation of the work proposal, provider qualifications, and the transition schedule. Successful bidders must provide evidence of general liability insurance and adhere to Net30 payment terms via electronic funds transfer. The procurement process is managed electronically through the OpenGov portal, with a response deadline of December 1, 2026.

Office of Risk Management

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Q517--36C25527Q0015 | Pharmacy Benefits Services | Wichita |

Solicitation # 36C25527Q0015

The Department of Veterans Affairs Network Contracting Office 15 intends to award a single-award, Indefinite Delivery/Indefinite Quantity (IDIQ) contract for third-party pharmacy benefit services to support the First Fill Prescription Voucher Program. This program serves eligible Veterans assigned to the Robert J. Dole VA Medical Center in Wichita, Kansas, as well as associated Community Based Outpatient Clinics and Home-Based Primary Care programs. The contractor will provide the personnel, systems, and pharmacy network necessary to dispense new or urgent prescriptions when VA pharmacies are impractical, such as during telehealth appointments or after-hours emergency room visits. Services are limited to a maximum day supply of 10 days for most medications and 14 days for antibiotics, with a requirement for 24-hour network availability including weekends and federal holidays. This procurement is designated as a VOSB/SDVOSB set-aside under NAICS code 524292, with a size standard of 4.5 million dollars. The anticipated period of performance includes a base year from January 4, 2027, to January 3, 2028, with two subsequent one-year options. The contractor must maintain strict compliance with HIPAA, the Privacy Act of 1974, and Joint Commission standards, and will be subject to a Quality Assurance Surveillance Plan monitoring network availability and dispensing accuracy. The formal solicitation is expected to be publicized on or about November 1, 2026, via SAM.gov. All interested vendors must be active in the System for Award Management and, if applicable, registered in the SBA VetCert database.

255-NETWORK Contract Office 15 (36C255)

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MDOC is seeking a contractor to serve as a COBRA Administrative Services provider.

Solicitation # 3140004700

The Mississippi Department of Corrections (MDOC) is soliciting quotes for a contractor to provide COBRA Administrative Services. The selected independent contractor will be responsible for the administration, application, and interpretation of COBRA rules and regulations, including consulting with the agency on regulations, managing enrollment and disenrollment in compliance with HIPAA and ERISA, and sending required notifications via Accountable Mail. Key deliverables include managing qualifying event eligibility notices and ensuring an orderly transition of data and records upon contract expiration. The contract will be awarded to the responsible bidder providing the lowest total evaluated quote based on a pricing structure that includes implementation fees, monthly administration fees based on participant tiers, and various optional ancillary services. The contractor must maintain a documented quality control program and provide the MDOC with unimpeded access to relevant records during normal business hours. Payments will be made electronically in US currency, with undisputed amounts typically paid within 45 calendar days of invoice receipt. The contractor is permitted to charge a two percent administrative-cost premium to COBRA Continuants. All responses must be submitted by October 29, 2026, at 14:00 CST. Bidders must certify that they have not retained any person or agency on a contingent fee arrangement to secure the contract and must adhere to the Mississippi Public Records Act of 1983.

MS DEPT of CORRECTIONS

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Request for Proposals: C043525 Pharmacy Benefit Management Services

Solicitation # 2139865

The New York State Department of Health, Office of Health Insurance Programs, is soliciting proposals under contract C043525 to administer the Medicaid Fee-for-Service Pharmacy Benefit Management program. The selected contractor will be responsible for operating the Preferred Drug Program and Clinical Drug Review Program, managing prior authorizations for the Preferred Drug and Preferred Diabetic Supply Programs, and overseeing the Mandatory Generic Drug and Brand Less Than Generic programs. A critical component of the scope includes the development and maintenance of generic pricing files via the State Maximum Acquisition Cost list to drive state savings and revenue. The contract is scheduled for a performance period from December 1, 2027, through November 30, 2033, with statewide performance in New York. This procurement includes a Minority and Women Business Enterprise goal of 30 percent. Interested bidders must submit their proposals by December 8, 2026, to Andrew Lynch at the Office of Health Insurance Programs in Albany. It is noted that Prime Therapeutics State Government Solutions LLC was awarded a substantially similar contract within the previous five years.

NYS Department of Health

POSTED

DEADLINE

Salt Lake City Request for Information SLCI27041 Workers Compensation Third Party Administrator Services

Solicitation # SLCI27041

The Salt Lake City Corporation has issued Request for Information SLCI27041 to gather data from qualified vendors regarding workers compensation third party administrator services. This initiative is strictly for information-gathering purposes to determine potential costs and evaluate whether to issue a formal invitation for bids or a request for proposals. It does not constitute a procurement process, a solicitation, or a binding contract. The response deadline for this sources-sought effort is November 9, 2026, with the primary point of contact being Cat Turner. The City is specifically seeking information on claims management capabilities, including technology for flagging fraudulent or high-exposure claims, and the availability of in-house or outsourced medical management staff such as nurse case managers and medical directors. Additionally, the City is inquiring about transitional strategies for return-to-work outcomes, performance guarantees tied to financial results or claim closure rates, and the fee structures associated with data transfer, storage, and destruction. All submitted information is protected under Section 63G-2-305, removing the need for vendors to submit a separate Claim of Confidentiality.

POSTED

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PBM Regulatory Support Services

Solicitation # EVT0010961

The Kansas Department of Insurance is soliciting competitive bid proposals under solicitation number EVT0010961 for a vendor to provide comprehensive regulatory support services for Pharmacy Benefit Managers and health plans. Operating under the Kansas Consumer Prescription Protection and Accountability Act, the selected vendor will be responsible for the secure acquisition, storage, and processing of data. Key deliverables include the quarterly collection and analysis of PBM reimbursement data, annual data reporting from PBMs and health plans, and the drafting of a formal annual PBM report for the Department. In addition to data management, the vendor must provide training, consultation, and technical assistance to Department staff to ensure effective regulation, compliance, and enforcement. Interested qualified vendors must submit their responses by November 19, 2026. The primary point of contact for this state-level opportunity is Lily Lundy.

Kansas Department of Insurance

POSTED

11 days ago

DEADLINE

in about 1 month

General Info

Agency

Department Of Defense → FA7014 Afdw Pk

NAICS

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

Place of Performance

Headquarters AFPC Directorate of Civilian Force Intergration, Injury Compensation Office located at 550 C Street West Suite 57,, Joint Base San Antonio, TX, USA

Set-Aside

NONE

Documents

FINAL_PBM_FA7014-14-R-1015_QA__%283%29.docx

FINAL_PBM_FA7014-14-R-1015_QA_.docx

PBM_Attachment_1_OCI.docx

PBM_Attachment_2_NDA.docx

PBM_Attachment_3__QASP.docx

PBM_FA7014-14-R-1015_SF1449_Solicitation.pdf

Tonque_and_Quill_afh33-337.pdf

AI Contract Breakdown

Uniform Contract Format

Contract not broken down yet

CLEATUS splits the solicitation into Uniform Contract Format (UCF) sections: scope, pricing, deliverables, and evaluation criteria.

Timeline

3 updates

PhaseClosed

PostedAug 11

Combined Synopsis

Notice updatedAug 27

The notice description changed.

Notice updatedAug 27

Notice details unchanged. Attachments may have changed.

Notice updatedSep 2

The notice description changed.

Response DeadlineSep 11

Deadline has passed

Submission Closed

09/11/2014, 10:00:00 PM UTC

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Organization & Contact Information

AgencyDepartment Of Defense → FA7014 Afdw Pk

Contacts2 people available

OfficeANDREWS AFB, MD, 20762-6604, USA

Organization / AgencyDepartment Of Defense → FA7014 Afdw Pk

Office AddressANDREWS AFB, MD, 20762-6604, USA

Contacts

Challaine MooreContract Specialist

contact@example.gov

+1 (555) 000-0000

Sharon M NovakContract Specialist

contact@example.gov

+1 (555) 000-0000

Full Description

2 SEP 2014 NEW ADDITION TO INSTRUCTIONS TO OFFERORS: In order for the Air Force to review pricing equitably, we are requesting that each vendor provide their pharmacy price listing with the effective date of 5 Sept 2014 for both average wholesale prescription price list for those medications that would be appropriate on a Workers' Compensation formulary and the sample pharmacy drug listing with specific NDC numbers. NOTE: The Sample pharmacy listing with NCD numbers is quantity specific.