This Solicitation opportunity from New Jersey was posted on September 19, 2025. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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CLAIMS ADMINISTRATOR PROPERTY Including Auto/Physical Damage

Closed

25-04State & Local

Submission Closed11/05/2025, 12:00:00 AM UTC

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

SLED

EMPLOYEE HEALTH PLAN BENEFITS ADMINISTRATION

Solicitation # 27-018

Solicitation 27-018 is a procurement opportunity issued by the state of Maryland for Employee Health Plan Benefits Administration. The solicitation was posted on November 4, 2026, with a response deadline of November 23, 2026, at 1:00 PM. The project is designated as a SLED organization procurement and will be performed within the state of Maryland. The procurement includes a specific minority business enterprise goal of 0.25. Shanna Reese serves as the primary point of contact and Procurement Officer for this action. While the solicitation establishes the administrative framework for health plan benefits, specific details regarding the statement of work, contract value, and evaluation factors were not provided in the available documentation.

POSTED

DEADLINE

Notice of Intent to Solicit Proposals: Employee Health Plan Benefits Administration

Solicitation # 27-018-1

Charles County Government is soliciting proposals under solicitation number 27-018-1 for qualified firms to provide comprehensive benefit administration and support services. The scope of work involves the administration of medical, pharmacy, dental, and vision benefit plans for employees and retirees, as well as the provision of stop-loss reinsurance. The county intends to select one or multiple firms based on an evaluation of provider networks, administrative services and programs, regulatory compliance, and pricing. Interested firms must first submit a Notice of Intent Form electronically by November 23, 2026, at 8:00 am to be considered eligible for the subsequent RFP release. All communications regarding this procurement must be directed exclusively to the primary point of contact, Shanna Reese, as any unauthorized contact with the county may lead to disqualification. The procurement is managed by the Human Resources agency in La Plata, Maryland, and requires the delivery of high-quality, cost-effective services tailored to the needs of the county's workforce and retirees.

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26-70009-000 - Statewide Integrated Health Care Provider Network RFP

Solicitation # 26-70009-000

The California Department of State Hospitals (DSH) is soliciting proposals for a Statewide Integrated Health Care Provider Network (HCPN) to provide community-based specialty medical services. The contract includes the implementation of a Third Party Administration (TPA) and Utilization Management (UM) system, featuring Prior Authorization (PA) services. The anticipated performance period begins March 1, 2027, for an initial term of up to three years, with the possibility of two one-year extensions. Award selection is based on the best overall value, utilizing a three-step scoring process that evaluates technical capabilities and cost, provided the proposer meets minimum qualifications including legal right to do business, three professional references, and agreement to insurance requirements. The selected contractor must adhere to strict professional standards, including NCQA PA/UM standards, The Joint Commission requirements, and HIPAA and CMIA privacy regulations. Key deliverables include the submission of business continuity, disaster recovery, and transition-out plans within 60 calendar days of the contract effective date. The contractor is responsible for providing all necessary laboratory supplies and specimen transport materials, such as sterile containers and locked transport bags, at no additional cost. Financial requirements include the maintenance of performance and payment bonds not less than the contract price, with invoicing submitted monthly in arrears. The agreement is subject to a 30-day cancellation notice by the DSH and requires signed acceptance from the DSH Contract Manager for payment processing.

California Department of State Hospitals

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

Solicitation # 27-011CH-32RFP

The Tempe Union High School District #213 is soliciting proposals under RFP 27-011CH-32RFP for the administration of employee benefits, including Basic and Voluntary Life, Accidental Death and Dismemberment (AD&D), Short-Term Disability (STD), Flexible Spending Accounts (FSA), Health Savings Accounts (HSA), and COBRA services. The intended contract period for these services spans from July 1, 2027, through June 30, 2032, with an initial term from March 15, 2027, to March 14, 2028. The District requires that the selected provider ensure no loss of benefits for employees or dependents during a carrier transition, waive pre-existing condition limitations for initially enrolled members, and eliminate active-at-work restrictions in the master contract. Proposals must be submitted via the OpenGov portal by November 19, 2026, with technical responses and cost proposals uploaded separately. The District will award contracts by individual product line, utilizing a point-based evaluation system where technical proposals must score at least 500 points to proceed to price evaluation. Key deliverables include the provision of a designated account management team, bilingual educational materials, and attendance at four annual open enrollment meetings in Tempe, Arizona. The contract is governed by Arizona law and requires compliance with the Davis-Bacon Act and various non-discrimination and equal employment opportunity regulations.

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Employee Benefits- Medical/Rx/EAP RFP

Solicitation # 27-012CH-32RFP

Tempe Union High School District #213 is soliciting proposals for the administration of Employee Health Benefits, specifically covering Medical, Pharmacy (Rx), and Employee Assistance Program (EAP) services. The procurement seeks a Third-party Administrator (TPA) for claims, network access, and clinical case management, as well as a Pharmacy Benefit Manager (PBM) and EAP provider. While the District currently utilizes bundled services through Banner Aetna, it will consider stand-alone EAP providers and intends to remain in an Administrative Services Only (ASO) arrangement. The scope includes the potential addition of a qualified High Deductible Health Plan (HDHP) and requires the selected vendor to provide bilingual educational materials and attend annual open enrollment meetings in Tempe, Arizona. The initial contract term is scheduled from March 15, 2027, through March 14, 2028, with the possibility of four one-year renewals, aiming to cover plan years through June 30, 2032. Proposals were due by November 19, 2026, and will be evaluated based on responsiveness (35%), qualifications (30%), cost (25%), and past performance (10%). Award decisions will be made by individual product lines to ensure the least number of vendors necessary are utilized. The contract is governed by Arizona Law and the Arizona School District Procurement Code, requiring vendors to maintain records for five years and comply with the Patient Protection and Affordable Care Act. Key performance guarantees include a requirement that 98% of all claims be coded without errors.

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EMS and Prevention Billing Services

Solicitation # 493

The City of Santa Monica is seeking a qualified third-party provider to manage EMS and Fire Prevention billing services for the Santa Monica Fire Department. The scope of work includes general EMS billing for up to 12,000 annual collections, covering emergency and non-emergency dispatch requests, transports, and mobile integrated healthcare. Additionally, the provider will handle Fire Prevention billing for up to 8,000 annual inspections, including fire and life safety inspections, annual permits, special event permits, and vehicle accident cost recovery, all in accordance with the City's adopted annual fee schedule. A critical requirement of the contract is the integration with First Due Records Management software. The selected proposer must provide an interface to First Due to confirm payment amounts and reconciliation, as well as a billing analytics portal to track inspection volumes, individual performance, and revenue collection rates. Proposers are required to submit a detailed implementation schedule for discovery and testing, a project work plan, and resumes of key personnel. The contract will be awarded to the best qualified firm based on a variety of evaluation factors, with the City maintaining absolute discretion over the weighting of these criteria. Compliance with the Living Wage Ordinance and strict data confidentiality and security standards are mandatory.

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Workers’ Compensation Third-Party Administration (TPA) Services

Solicitation # 2026-0026

The City of Chino is seeking proposals for Workers Compensation Third-Party Administration services under solicitation number 2026-0026. This local government contract is designed to secure professional TPA services to manage workers compensation claims for the city, with the place of performance located in Chino, California. Interested vendors must submit their responses by the deadline of November 24, 2026, at 10:00 AM PT. Detailed bid documents and registration requirements are available through the PlanetBids portal, and it is the responsibility of the applicant to ensure all addenda are obtained and requirements are met via the official procurement website.

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RFP-171-260000002410-2 | Behavioral Health and Substance Use Disorder Benefits Admin

Solicitation # 260000002410

The State of Michigan Department of Technology, Management and Budget is soliciting proposals for the administration of Behavioral Health and Substance Use Disorder benefits for the State Health Plan PPO. This hybrid contract covers Active Employee, Non-Medicare Retiree, and Medicare Supplemental Retiree plan designs, providing comprehensive services including inpatient and residential care, Applied Behavioral Analysis for autism, and various outpatient and specialized treatments. The contract is scheduled to be effective May 1, 2027, and expire December 31, 2031, with the option for seven additional one-year renewals. The selected contractor must adhere to strict performance and security standards, including a 99.98 percent software availability requirement and compliance with HIPAA, FedRAMP, and NIST SP 800-53. All state data must be hosted within the continental United States in Tier 3 data centers. Award decisions will be based on best value, requiring bidders to meet a minimum technical threshold of 80 points. Evaluation factors include pricing, prior performance with the state, total cost of ownership, and the bidder's status as a qualified disabled veteran owned business. Bidders are required to provide detailed claims repricing, disruption analysis, and GeoAccess reporting to ensure network adequacy and cost-effectiveness.

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DAS Healthcare Navigation Services

Solicitation # SRC0000040927

The State of Ohio Department of Administrative Services is soliciting proposals for a contractor to provide comprehensive healthcare navigation services for approximately 103,000 members. The primary objective is to improve the quality of care and reduce overall costs by simplifying access to care, increasing engagement in existing programs, and improving healthy outcomes. The scope of work includes providing guidance on healthcare benefits, supporting provider selection and appointment scheduling, assisting with claims and billing, and offering cost transparency tools. The selected contractor must integrate with existing Third Party Administrators and HR technology platforms and provide data insights via reporting capabilities. The contract utilizes a not-to-exceed unit cost fee structure with an initial term running from the date of signature through June 30, 2030, with potential renewals for up to four years. To qualify, offerors must meet a mandatory requirement of having provided navigation services to at least one public sector self-insured employer with at least 25,000 covered lives within the past five years. Award selection is based on the highest total score combining technical, cost, and presentation evaluations, provided a minimum technical threshold is met. The contractor must adhere to strict service level agreements, including answering calls within 20 seconds and maintaining 99.9 percent web portal availability, while complying with State IT policies and HIPAA regulations via a Business Associate Agreement.

Administrative Services

POSTED

DEADLINE

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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Flexible Spending Account (FSA) Account Services

Solicitation # RFP 27P0026MOS

The University of Alaska is soliciting proposals under RFP 27P0026MOS to secure a qualified third-party administrator for its Flexible Spending Accounts program. This five-year contract aims to establish a modern, scalable, and compliant administration solution for benefit-eligible employees across the entire UA System. The selected contractor will be responsible for providing intuitive participant experiences through mobile apps and online portals, ensuring seamless automated data integration with university systems, and maintaining strict adherence to HIPAA and IRC Section 125 regulations. Key requirements include the delivery of responsive customer support tailored to Alaska time zones, real-time balance tracking, and simplified claim submission workflows. The university seeks a partner capable of enhancing overall benefit value while ensuring error-free financial accounting and robust auditability. Interested parties must submit their responses by November 25, 2026, to be considered for this comprehensive service agreement.

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Flexible Spending Accounts (FSA) Administration Services RFP Number: UA 27P0036MOS

Solicitation # 225712

The University of Alaska has issued Request for Proposals No. 27P0036MOS seeking qualified vendors to provide Flexible Spending Accounts (FSA) Administration Services. This solicitation was officially issued on October 30, 2026, and all relevant documentation, including potential amendments and award notices, is hosted on the University's Bonfire hub portal. Interested parties must adhere to a strict timeline, with the deadline for submitting questions set for November 18, 2026, at 5:00 PM AKDT. Final proposals must be submitted by November 25, 2026, at 12:00 PM AKDT. The University specifies that proposals must be submitted through the designated portal, as any submissions sent via fax or other unauthorized methods will be rejected as non-responsive.

University of Alaska

POSTED

6 days ago

DEADLINE

N/A

AI Contract Overview

The Ocean County Joint Insurance Fund is seeking a Property Claims Administrator to manage property claims, including auto and physical damage, within Ocean County, New Jersey. This solicitation, identified as number 25-04, is categorized under NAICS code 524292 and is open for responses until November 5, 2025. Interested parties should direct inquiries to the primary point of contact, Sean Canning. The procurement process is being managed through the BidNet Direct platform, and technical assistance for response uploads is available via a dedicated support line.

General Info

Ocean County JIF seeks a Property Claims Administrator; responses due by November 5, 2025.

Agency

New Jersey → Ocean County Joint Insurance Fund

NAICS

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

Place of Performance

NJ, USA

Set-Aside

NONE

Documents

No documents available

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AI Contract Breakdown

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Timeline

PhaseClosed

PostedSep 19

Solicitation

Response DeadlineNov 5

Deadline has passed

Submission Closed

11/05/2025, 12:00:00 AM UTC

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Organization & Contact Information

AgencyNew Jersey → Ocean County Joint Insurance Fund

Contacts1 person available

OfficeN/A

Organization / AgencyNew Jersey → Ocean County Joint Insurance Fund

Office AddressN/A

Contacts

Sean Canning

contact@example.gov

Full Description

**25-04 - PROPERTY CLAIMS ADMINISTRATOR, Including Auto/Physical Damage. Location: Ocean County, New Jersey, United States. This is for the Ocean County Joint Insurance Fund. For help with uploading your response, please reach out to technical support at +1 (555) 000-0000, option #2.**