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This Government Contract opportunity from Texas was posted on May 18, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Claims Administration & Processing Support

Closed
State & Local

Contract Overview

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The contract seeks a vendor to administer and process stop loss claims for a self-funded health plan, requiring full adjudication of claims, coordination with third-party administrators, and adherence to regulatory reporting obligations. This subcontract involves managing the end-to-end lifecycle of stop loss claims, ensuring accurate and timely processing while maintaining compliance with applicable health plan regulations and industry standards. The provider must demonstrate ability to integrate seamlessly with existing TPA systems and handle complex claims scenarios with precision and confidentiality. The opportunity is posted by Metro Houston under the North American Industry Classification System code 561400 and is open for responses until June 16, 2026. The contract is intended for performance in Texas, though specific location details are not provided. Interested parties must submit proposals via the designated online platform by the stated deadline, with no set-aside classification specified for this solicitation. The vendor will be expected to deliver reliable, scalable claims processing services that support the financial stability and regulatory compliance of the self-funded health plan.

General Info

Administer stop loss claims for self-funded health plan with TPA integration, compliance, and timely processing in Texas.

Agency

Texas → Metro HoustonView Agency

NAICS

561400

Place of Performance

TX, USA

Set-Aside

NONE

Documents

This scope was carved out of RFP 2026000008.

The full solicitation package (2 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Stop Loss Insurance for Metropolitan Transit Authority of Harris County, Texas

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Timeline

PhaseClosed
Posted

subcontract

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyTexas → Metro Houston
ContactsNo contacts available
OfficeN/A
Organization / Agency
Texas → Metro Houston
View Agency Profile
Office AddressN/A
ContactsNo contact information available

Full Description

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Administer and process stop loss claims for a self-funded health plan, including adjudication, TPA coordination, and regulatory reporting.

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Miguel
Hillary
Keith Deutsch
Christine

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