This Solicitation opportunity from South Carolina was posted on September 24, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Claims Administration and MMSEA Reporting Services

Closed

27-4024State & Local

Submission Closed10/15/2026, 02:00:00 PM EDT

Contract Overview

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

Active Opportunities Like This One

NAICS: 524292

New

Federal

Q517--PHARMACY BENEFITS SERVICES | WICHITA |

Solicitation # 36C25527Q0015

The Department of Veterans Affairs, Network Contracting Office 15, is soliciting quotations to establish a single-award, Indefinite Delivery/Indefinite Quantity (IDIQ) contract with fixed unit pricing for Pharmacy Benefit Services. This contract supports the First Fill Prescription Voucher Program at the Robert J. Dole VA Medical Center in Wichita, Kansas, including its associated Community Based Outpatient Clinics and Home-Based Primary Care programs. The program is designed to provide eligible Veterans with first or urgent fill prescriptions, typically limited to a 10-day supply or 14 days for antibiotics, in scenarios where VA pharmacies are impractical, such as after telehealth appointments or emergency room visits. The period of performance is scheduled from January 4, 2027, to January 3, 2030. This procurement is a total set-aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSB), and all offerors must be registered in the SBA VetCert database to be considered. The selected contractor must maintain a geographically accessible pharmacy network with 24-hour and extended holiday coverage, adhere to VA-provided emergency medication formulary lists, and maintain strict HIPAA and Privacy Act compliance. Award will be based on best value, with technical capability and past performance combined being weighted more heavily than price. Quotations must include a dispensing fee per prescription, a discount from the Average Wholesale Price, and an administration fee per prescription, and must be submitted electronically to the contracting officer by November 23, 2026.

255-NETWORK Contract Office 15 (36C255)

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Third Party Administration of Workers' Compensation Benefits

Solicitation # 27-014

The City of Hayward is seeking a licensed Third Party Administrator (TPA) to manage its self-insured workers' compensation program. The contract is expected to span three years, with two optional one-year extensions based on performance. The selected TPA will be responsible for professional claims administration, maintaining an electronic database for state-required and ad hoc reporting, and ensuring the transition of all claims and payment data from the existing system within 30 days of the award. The TPA must designate a full-time Claims Supervisor as the primary point of contact and adhere to strict data security and confidentiality protocols in accordance with state and federal regulations. The selection process utilizes a points-based evaluation focusing on responsiveness, qualifications, and price, with high-scoring firms invited to oral interviews. Proposals must include a bid summary, statement of experience, non-collusion declaration, and a fee proposal on a not-to-exceed basis. The City requires the contractor to maintain a valid business license and comply with nondiscriminatory employment practices, including the designation of an Equal Employment Opportunity Officer. Financial administration involves an imprest account for medical and legal expenses, with the TPA providing check registers to the City's accounting office and receiving reimbursements within ten days of request.

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DEADLINE

Commercial Liability and Auto InsuranceThis subcontract agreement establishes the mandatory insurance requirements for prime contractors leasing space from the Illinois Department of Natural Resources through the Office of Realty and Capital Planning. The contract ensures that all participating contractors maintain specific coverage levels to mitigate risk, including a General Commercial Liability aggregate limit of 2,000,000 dollars and an Auto Liability limit of 1,000,000 dollars per occurrence. To remain compliant, contractors must provide valid Certificates of Insurance that explicitly name the State of Illinois and the IDNR as required parties. The solicitation was posted on November 12, 2026, with a response deadline set for December 9, 2026, falling under NAICS code 524292.

REALTYCAPPLAN422 - Office of Realty and Capital Planning

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DEADLINE

Workers' Compensation Third Party Administrator

Solicitation # RFP-00121

The City of Modesto is seeking a qualified Third Party Administrator (TPA) to provide claims administration services for its self-insured workers' compensation program, covering approximately 1,700 employees, including 350 public safety personnel. The selected TPA will manage all existing indemnity, medical-only, and future medical claims in coordination with the City's Risk Management Division. The contract is structured as a time and materials agreement for an initial two-year term, with three optional one-year extensions, potentially totaling five years. Key performance standards include issuing injured worker reimbursements within 15 working days and adhering to California Labor Code sections 4850 and 4650(c), as well as CCR 9812. To be considered, proposers must be licensed with the California Department of Industrial Relations, Self-Insurance Plans (SIP) and possess at least five years of experience working with public agencies of similar size. Personnel requirements are stringent, requiring state-certified Self-Insurance Administrators for claims managers and adjusters, with specific experience thresholds for senior and medical-only roles. Proposals will be evaluated on a 100-point scale focusing on staffing plans, references, and a TPA questionnaire, though the City Council reserves the right to award the contract based on the best fit for the City's needs. Submissions must be made via the OpenGov Procurement portal by December 15, 2026, and must include comprehensive financial statements and a professional insurance rating of at least A:VII from A.M. Best.

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Retirement Plan Administrator

Solicitation # 414475FC

The San Diego County Regional Airport Authority is soliciting proposals for a Retirement Plan Administrator to manage its 401(a) Defined Contribution and 457 Deferred Compensation Plans. The selected firm will be responsible for plan administration, record keeping, participant education, communications, and investment-related services. The scope of work requires the contractor to provide the necessary personnel, systems, and expertise to ensure compliance with plan documents, federal tax laws, and state and local regulations. Key deliverables include the establishment of mutually agreed service standards, the maintenance of internal controls for auditing, and the provision of comprehensive data and asset-transfer support upon contract termination. Proposals will be evaluated based on firm strength and experience, the quality of record keeping and data security, and the effectiveness of participant services. The contract includes a base term with an option for two one-year extensions at the discretion of the President/CEO. Administrative requirements include monthly invoicing with detailed task documentation and a notification trigger when 75% of the total compensation is expended. Compliance mandates include adherence to Title VI of the Civil Rights Act, the Occupational Safety and Health Act, and specific cybersecurity best practices from the SPARK Institute. Additionally, the Authority provides preferences for small, veteran-owned, and local businesses, requiring specific certifications for eligibility.

Procurement Department of San Diego County Regional Airport Authority

POSTED

DEADLINE

Pharmacy Drug Benefits

Solicitation # HHS0017240

The Texas Department of State Health Services is soliciting proposals for a Pharmacy Benefits Manager to support the Texas HIV Medications Program. The selected manager will oversee prescription drug benefits, premium payments, and copayments as a secondary payor for several sub-programs, including the State Pharmacy Assistance Program, the Texas Insurance Assistance Program, and the Texas Insurance Assistance Program-PLUS. These programs provide FDA-approved HIV treatment medications and financial assistance to low-income Texans through various insurance structures, including Medicare Part D, managed care organizations, and private marketplace plans. The contract features an initial one-year term starting in May 2027, with the possibility of four additional one-year renewals and one final operational extension. Historical compensation for similar services is approximately 15 million dollars per state fiscal year. Award selection is based on best value, and qualified respondents must have at least five years of business experience or equivalent executive management experience in pharmacy benefits management. Additionally, any respondent proposing a SaaS solution must obtain TX-RAMP Level 2 certification prior to the award. Proposals must be submitted by November 19, 2026, via the Online Bid Room or through sealed USB drives. Required documentation includes a narrative proposal not exceeding 40 pages, a cost proposal in Excel format with active formulas, a VetHUB Subcontracting Plan, and various mandatory certifications regarding lobbying and non-construction programs. All submissions are subject to the Public Information Act, requiring specific redaction protocols for any proprietary information. Katrina Chester serves as the sole point of contact for this procurement.

Department of State Health Services

POSTED

DEADLINE

Provision of Advisory services to WFP’s population of retirees in the United States WFP Procurement - [email hidden]

Solicitation # HQ26NF358

The United Nations World Food Programme (WFP) has issued a Request for Expression of Interest (EOI), solicitation number HQ26NF358, to identify qualified suppliers capable of providing advisory, administrative, and support services for its retirees and eligible dependents residing in the United States. The project aims to assist approximately 150 individuals in navigating the complexities of the U.S. Medicare program, specifically focusing on eligibility reviews, enrollment support, and ongoing participation. The primary objective is to ensure these individuals can make informed decisions regarding their healthcare benefits while maintaining compliance with applicable regulations and coordinating Medicare with existing medical insurance arrangements. To be eligible for the subsequent bidding process, suppliers must demonstrate a minimum of three years of experience providing Medicare-related services to retirees, pensioners, or international organizations and possess a deep understanding of Medicare eligibility and contribution dues. Applicants must be legally registered to provide these services in the U.S. and provide at least three references from the last five years. Submission requirements include a completed EOI Response Form covering WFP requirements, supplier information, financial status, and relevant experience, along with audited accounts for the last two years and CVs for up to three senior staff members. All responses must be submitted to [email hidden] by November 19, 2026.

POSTED

DEADLINE

27-0092-RFP Deferred Compensation Plan Recordkeeping and Administration Services

Solicitation # 27-0092-RFP

Pinellas County is seeking a single provider to manage the recordkeeping and administration of its 457(b) Deferred Compensation Plan, consolidating assets from four current providers—MissionSquare, Nationwide, Corebridge, and Empower—into one. The plan currently manages approximately 216 million dollars in total assets for about 3,200 eligible employees, including 1,000 participants who receive quarterly statements. A key requirement of this consolidation is the re-enrollment of all assets into age-appropriate target date funds, with the county considering two investment scenarios: one utilizing a proprietary capital preservation fund and another utilizing fully open architecture investment offerings. The procurement process is a two-phase RFP. Phase 1 uses a points-based evaluation to select the two highest-ranked firms, who then advance to Phase 2 for virtual presentations and Q&A sessions. The selected vendor will be awarded a contract with an initial term of 120 months, with the possibility of two 12-month extensions. Compliance requirements include registration with the Florida Division of Corporations, adherence to Florida Statutes regarding public records and DEI certifications, and a $5,000 penalty for contract breaches during emergency recovery periods. All proposals must be submitted via the OpenGov portal, including a completed vendor questionnaire and electronic pricing proposal.

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DEADLINE

Services in Support of the SSDC and its Programs for Medicaid Supplemental and Other Drug Rebate

Solicitation # 03410-255-27

The Department of Vermont Health Access is seeking a contractor to provide administrative support services for the Sovereign States Drug Consortium (SSDC), a multi-state collaboration focused on negotiating Medicaid supplemental drug rebates to lower costs for beneficiaries. The selected provider will be responsible for maintaining and executing the SSDC Consortium Agreement, overseeing collective services contracts, assisting member states with Medicaid State Plan Amendments and CMS negotiations, and coordinating the annual business meeting. The contract is designed for a base period of three years with an option to renew for two additional twelve-month periods, with a maximum annual payment of $60,000.00. Work is expected to average 15 to 25 hours per month at a fixed hourly rate. Applicants should possess three to five years of experience in administrative support for government entities, with a preference for expertise in pharmacy, drug rebates, or Medicaid. Evaluation is based on a 100-point scale, weighing technical responsiveness, organizational experience, and program cost, with preferences given to resident bidders and those promoting clean energy. Key performance milestones include delivering Consortium Agreement updates by November 1st and ensuring the rebate procurement contract is active by April 1st. Payment terms are Net 30, and all invoices require a two-thirds majority vote of approval from SSDC Member States. Bidders must submit a single, digitally searchable PDF by December 1, 2026, including a technical response, price schedule, and signed certifications.

Department of Economic Development

POSTED

DEADLINE

South Dakota State TPA Workers' Compensation

Solicitation # 26RFP19880

The State of South Dakota, Bureau of Human Resources and Administration, is seeking a licensed business partner to provide Third Party Claims Administration for its Workers' Compensation Program under solicitation 26RFP19880. The selected vendor will be responsible for the timely and consistent administration of claims, including specialized services such as Medical Case Management, Medical Bill Review, and Medicare, Medicaid, and SCHIP Extension Act of 2007 reporting. Key objectives include implementing cost-containment strategies to reduce claim duration, providing risk mitigation and workplace safety guidance, and delivering real-time reporting and analytics to improve program effectiveness and employee return-to-work outcomes. The contract is structured for three 12-month periods running from July 1, 2027, through June 30, 2030. Proposals are due by November 25, 2026, and must be submitted electronically via email, with additional hardcopy requirements. Vendors must adhere to strict Information Technology Security Policies, including vulnerability scanning, Single Sign-On integration, and HIPAA compliance as outlined in the Business Associate Agreement. Pricing is based on a detailed cost breakdown including administration, implementation, and per-claim fees. Offerors must also provide a completed Security and Vendor Questionnaire and certifications regarding non-discrimination and federal debarment.

South Dakota State Government

POSTED

DEADLINE

Paid Family and Medical Leave (PFML) Administration Services

Solicitation # RFI-063

Isle of Wight County, Virginia, has issued a Request for Information (RFI-063) to identify qualified vendors capable of administering and ensuring compliance with the statewide Paid Family and Medical Leave (PFML) insurance program enacted in spring 2026 under SB 2 / HB 1207. The scope of work encompasses comprehensive leave administration, including intake, eligibility tracking, and coordination between federal FMLA, Virginia PFML, and company policies. Additionally, the county seeks support for state program coordination with the Virginia Employment Commission (VEC), the potential design and underwriting of a private employer plan, and the provision of technology solutions such as employee and manager portals for case management. This procurement is strictly for market research and planning purposes and does not commit the county to a formal contract award. Interested respondents must submit their technical proposals through the procurement portal by November 30, 2026, utilizing a specific template that covers corporate profiles, technical approaches, and non-binding budgetary pricing. Key deliverables include training materials, reporting on utilization and costs, and regulatory monitoring to ensure alignment with evolving VEC rules. All submissions are subject to public disclosure laws, and the county advises against including trade secrets unless essential to the response.

POSTED

DEADLINE

Voluntary Dental Insurance Program DPPO

Solicitation # RFP-2026-0019

The City of Houston is seeking a qualified Dental Plan Administrator to manage voluntary dental insurance programs for its employees, eligible dependents, and non-Medicare eligible retirees. The objective is to secure a single partner to provide fully insured DHMO and DPPO dental plans while improving member experience, operational efficiency, and overall dental health outcomes. The contract is structured for an initial three-year term with two optional one-year renewals, for a maximum total duration of five years. The selected administrator will be responsible for plan administration, claims processing, member services, and the delivery of robust data reporting and cost containment strategies. Proposers must meet strict minimum requirements, including professional licensing and a proven track record of administering public sector plans with at least 25,000 lives for a minimum of five years. Evaluation is based on a 105-point scale, heavily weighting technical competence (75 points), cost proposals (25 points), and local preference via the Hire Houston First program (10 points). Key compliance mandates include HIPAA administrative simplification rules, the City's HITS Cloud Governance Policy for data protection, and adherence to Equal Employment Opportunity and WSBE participation goals. Performance will be monitored through specific guarantees regarding ID card delivery, reporting cadences, and the City's right to conduct unannounced audits of records and equipment.

City of Houston

POSTED

7 days ago

DEADLINE

in about 1 month

AI Contract Overview

The City of Greenville, South Carolina, is seeking proposals for professional Claims Administration and MMSEA Reporting Services under solicitation number 27-4024. The objective is to partner with a qualified company that can provide a comprehensive solution for managing liability and workers compensation claims, as well as ensuring accurate Medicare Secondary Payer reporting. Interested parties must submit their responses by the deadline of October 15, 2026, at 6:00 PM. This solicitation is issued by a state and local government entity and will be performed within the state of South Carolina. Inquiries and submissions should be directed to the purchasing department via the provided electronic contact information.

General Info

Greenville, SC seeks claims administration and MMSEA reporting services by October 15, 2026.

Agency

South Carolina → City Of Greenville

NAICS

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

Place of Performance

SC, USA

Set-Aside

NONE

Documents

No documents available

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Timeline

PhaseClosed

PostedSep 24

Solicitation

Response DeadlineOct 15

Deadline has passed

Submission Closed

10/15/2026, 02:00:00 PM EDT

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Organization & Contact Information

AgencySouth Carolina → City Of Greenville

Contacts1 person available

OfficeN/A

Organization / AgencySouth Carolina → City Of Greenville

Office AddressN/A

Contacts

Full Description

The City of Greenville, South Carolina (the “City”), is requesting proposals for Claims Administration and MMSEA Reporting Services. The purpose of this RFP is to identify a qualified Company and Proposed Solution that can effectively meet the City’s needs for comprehensive liability and workers’ compensation claims administration and MMSEA reporting services.