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This Solicitation opportunity from Florida was posted on May 13, 2025. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Group Medical Administrative Services Only (ASO) & Flexible Spending Accounts

Closed
2025-RFP-032State & Local

Contract Overview

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

Active Opportunities Like This One

NAICS: 524292
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SLED
TPA Workers' Compensation
Solicitation # 127-2026
The Southwest Ohio Regional Transit Authority (SORTA), operating as Cincinnati Metro, is soliciting proposals for a Third-Party Administrator (TPA) to manage its self-insured Workers' Compensation program. The scope of work includes comprehensive claims administration from intake to closure, medical management, cost containment, legal support, and regulatory compliance in accordance with Ohio Workers' Compensation laws and the Ohio Industrial Commission. Additionally, the TPA will provide safety consulting, OSHA/VSSR review services, and bi-weekly payment forecasts. Proposals must be submitted electronically by November 4, 2026, and must be divided into a Technical Proposal and a Business Proposal, with pricing submitted separately via a firm-fixed price proposal and a Vendor Questionnaire. Award selection will be based on the most advantageous proposal, with evaluation heavily weighted toward the project approach (45 percent) and firm and staffing qualifications (35 percent). The selected contractor must comply with strict federal and state regulations, including the Americans with Disabilities Act, Title VII of the Civil Rights Act, and Equal Employment Opportunity requirements. Contractual terms include NET 30 payment schedules, a requirement for designated project managers from both parties, and a three-year record retention policy. Funding is contingent upon annual appropriations, and the contractor must maintain comprehensive insurance coverage, including Professional Liability and Errors and Omissions.
Human Resources

POSTED

about 8 hours ago

DEADLINE

in 8 days
NAICS: 524292
New
SLED
Request for Proposal - Third Party Administrative and Actuarial Services
Solicitation # 2025-RFP-127
The City of Cleveland Department of Finance, Division of Risk Management, is soliciting competitive bids for Third-Party Administrative and Actuarial Services under solicitation 2025-RFP-127. The selected Third-Party Administrator will be responsible for managing Ohio Bureau of Workers' Compensation claims and conducting detailed liability claim reviews to reduce premium costs and minimize organizational exposure. Key deliverables include administrative claims handling, the provision of online communication tools, and the delivery of annual unmodified SOC 1 Type II and SOC 2 Type II reports to validate data security and processing controls. Technical requirements mandate that data be encrypted at rest using AES-256 and in transit via TLS 1.3, with strict adherence to PII and data breach notification laws. Proposals are due by October 29, 2026, and will be evaluated through a phased, points-based process. Phase 1 assesses the quality of the proposal, demonstrated ability, OEO compliance, technical components, key personnel credentials, and the proposed schedule, while Phase 2 may involve presentations for shortlisted teams. Compensation will be based on a simple time-based method or a mutually agreed-upon fee schedule. Contractors must maintain comprehensive general liability insurance of at least 2 million dollars and business automobile liability of 1 million dollars. Additionally, successful bidders must comply with the Cleveland Area Business Code, including good-faith efforts to involve certified Minority, Female, and Cleveland Small Business Enterprises, and must file a written affirmative action program within 60 days of contract execution.
Finance - Division of Risk Management

POSTED

1 day ago

DEADLINE

in 2 days
NAICS: 524292
New
SLED
Actuarial Services
Solicitation # 2611-KP
The Sacramento Housing and Redevelopment Agency (SHRA) is soliciting proposals under RFP 2611-KP for a qualified actuarial services firm to manage its Other Post-Employment Benefits (OPEB) program. The primary objective is to obtain professional services for measuring liabilities, supporting funding decisions, and ensuring compliance with GASB 75 financial reporting standards. The scope of work includes performing full actuarial valuations, developing Actuarially Determined Contributions (ADCs), and providing advisory services for prefunding strategies and long-term planning. The selected contractor will be required to handle complex plan designs, including various contribution structures based on hire dates and PEMHCA vesting-based subsidies, while coordinating with independent auditors. The contract is envisioned as an initial one-year term with options to extend for up to four additional periods, not to exceed five years in total. Key deliverables include actuarial valuation reports for the years 2026 through 2030, kickoff and review meetings, and presentations to executive management or the governing board. Proposals must be submitted via the Agency's Electronic Bid Portal by October 29, 2026, with an anticipated start date of December 7, 2026. Selection is based on a two-stage process evaluating technical qualifications, past performance, and cost, with a minimum technical score of 70 percent required for responsiveness. Contractors must adhere to strict compliance requirements, including maintaining acceptable insurance coverage, complying with the Federal Privacy Act of 1974, and certifying no conflicts of interest. Subcontracting is generally prohibited. Payment will be made based on an agreed-upon method such as invoice, task, or monthly billing, provided that all invoices include a valid SHRA Purchase Order number and itemized details of work performed. The Agency encourages participation from small, minority, and women-owned business enterprises.
Finance

POSTED

5 days ago

DEADLINE

in 2 days
NAICS: 524292
New
SLED
Medicaid Medication Risk Reduction Initiative
Solicitation # RFP-2027-DMS-01-MEDIC
The New Hampshire Department of Health and Human Services, Division of Medicaid Services, is soliciting proposals for a statewide Medicaid Medication Risk Reduction Initiative (MMRRI). This program will be led by New Hampshire licensed clinical pharmacists to reduce medication-related problems, adverse drug events, polypharmacy, over-prescribing, and risks associated with opioids and behavioral health medications. The selected vendor will implement a technology solution to analyze pharmacy claims and encounter data to identify high-risk beneficiaries, conduct comprehensive medication reviews, and generate actionable medication safety reports for patients and providers. The contract has an anticipated total funding value of approximately 33,553,391 dollars, distributed across five budget periods through September 2031, and is supported by federal funds under the Rural Health Transformation Program. Key performance requirements include a guaranteed positive return on investment by the end of the third contract year, measured by a reduction in total cost of care on a per member per month basis. Vendors must possess at least three years of experience in pharmacy data analysis and medication review. Award decisions will be based on a point system evaluating technical and cost responses, with a minimum technical score of 1,600 points required to avoid disqualification. The contractor must adhere to strict data security standards, including maintaining an Information Security Management System and ensuring all data processing occurs within the United States. Compliance with Title VI of the Civil Rights Act, the Americans with Disabilities Act, and 2 CFR Part 200 is mandatory. Proposals are due by October 28, 2026, and must be submitted as separate technical and cost documents.
Dhhs-Department Of Health & Human Services

POSTED

5 days ago

DEADLINE

in about 19 hours
NAICS: 524292
New
SLED
Pharmacy Drug Benefits
Solicitation # HHS0017240
The Texas Department of State Health Services (DSHS) is soliciting proposals under solicitation number HHS0017240 for a Pharmacy Benefits Manager (PBM) to support the Texas HIV Medications Program (THMP). The selected PBM will act as a secondary payor to manage prescription drug benefits, premium payments, and copayments through three primary programs: the State Pharmacy Assistance Program (SPAP) for Medicare Part D costs, the Texas Insurance Assistance Program (TIAP) for medication copayments and COBRA premiums, and the Texas Insurance Assistance Program-PLUS (TIAP-PLUS) for private and federal marketplace plan assistance. The scope of work involves processing medication claims and monthly invoice premium payments, with historical data indicating the management of over 15,000 claims for approximately 2,764 participants. The contract features an initial one-year term with the possibility of four additional one-year extensions and one final option period at the discretion of DSHS. Award selection is based on best value, evaluated through a weighted scoring system consisting of the Project Workplan (45%), Cost Proposal (35%), and Qualifications and Experience (20%). Proposals must be submitted by November 19, 2026, via either USB drive or an online bid room. Requirements include a narrative proposal limited to 40 pages, a separate Excel-based cost proposal, and a VetHUB Subcontracting Plan. The contract is governed by Texas Government Code Section 2155.144 and incorporates various HHS uniform terms, additional provisions, and a Data Use Agreement.
Department of State Health Services

POSTED

6 days ago

DEADLINE

in 23 days
NAICS: 524292
New
SLED
DAS Behavioral Health Third-Party Administrator RFP
Solicitation # SRC0000040548
The State of Ohio, through the Department of Administrative Services, is soliciting proposals for a Third-Party Administrator to manage its self-insured Behavioral Health Benefit Plan. Starting July 1, 2027, the selected contractor will provide administrative services for approximately 43,800 employees and 104,600 total lives. Key responsibilities include managing eligibility, claims history, prior authorizations, utilization management, and data integration with the State's data warehouse. The contract runs from the date of signature through June 30, 2030, with the possibility of a one-month discretionary renewal and further mutual renewals for up to four additional years. To be eligible, offerors must be NCQA accredited and comply with the Mental Health Parity and Addiction Equity Act. The evaluation process is based on a total score derived from technical requirements, cost, and presentations, with the highest-ranking responsible offeror recommended for award. Financial terms utilize a not-to-exceed unit cost fee structure, and the contractor must provide a Benefits Fund of at least 150,000 dollars. Strict compliance is required regarding HIPAA through a Business Associate Agreement, State IT policies, and secure data transfer protocols via SFTP. Proposals must be submitted electronically through the OhioBuys portal, consisting of separate technical and cost volumes.
Administrative Services

POSTED

6 days ago

DEADLINE

in 17 days
NAICS: 524292
New
SLED
Employee Benefits- Life/STD/FSA/HSA/COBRA
Solicitation # 27-011CH-32RFP
The Tempe Union High School District is soliciting proposals under solicitation number 27-011CH-32RFP to secure a provider for the administration of employee benefits, including Basic and Voluntary Life and Accidental Death and Dismemberment, Short-Term Disability, Flexible Spending Account, Health Spending Account, and COBRA administration. The intended contract period runs from July 1, 2027, through June 30, 2032. Key requirements include the waiver of pre-existing condition limitations for initially enrolled employees and dependents, the elimination of active-at-work restrictions, and a guarantee that no employee suffers a loss of benefits during a carrier change. The selected vendor must provide a designated account management team, bilingual educational materials, and attendance at four days of annual open enrollment meetings in Tempe, Arizona. The award process utilizes a point formula system across three phases: initial evaluation, vendor interviews, and a best and final offer. Evaluation factors include responsiveness, cost, and past performance, with a minimum of 500 technical points required to proceed to price evaluation. The District intends to award the least number of vendors necessary, with contracts potentially awarded by individual product lines. Proposals must be submitted via the OpenGov portal by November 19, 2026. The contract is subject to Arizona Revised Statutes and School District Procurement Rules, featuring a zero-tolerance gift policy and net 30-day payment terms. Implementation must be completed 60 days prior to open enrollment, with a required 45-day support period following the July 1 effective date.
Business Services

POSTED

7 days ago

DEADLINE

in 23 days
NAICS: 524292
SLED
COBRA Administration, Retiree Billing & FSA Administration
Solicitation # RFP 2435
The Township of Wayne, New Jersey, issued Request for Proposal RFP 2435 to secure a qualified organization for comprehensive COBRA Administration, Retiree Billing, and Flexible Spending Account (FSA) Administration services. With an effective start date of January 1, 2027, the selected vendor will manage notice generation, election tracking, premium administration, and direct billing for retirees, as well as provide regulatory compliance support and vendor integration. The contract duration is up to two years, with the possibility of two additional one-year extensions. Proposals must be submitted electronically via the ProcureNow portal by October 29, 2026, at 11:00 am. Award selection may be based on the lowest responsive bid or a points-based evaluation focusing on qualifications, method statement, history and experience, resource availability, and references. Mandatory submission requirements include a Statement of Ownership Disclosure, a notarized Non-Collusion Affidavit, and certifications regarding affirmative action and prohibited activities in Russia, Belarus, and Iran. The successful contractor must maintain specific insurance coverages, including a minimum of 1,000,000 dollars for Business Automobile and Umbrella liability, and at least 2,000,000 dollars per occurrence for certain data losses. Additionally, the vendor must ensure strict adherence to HIPAA regulations and New Jersey state statutory requirements.
Purchasing Division

POSTED

7 days ago

DEADLINE

in 1 day

AI Contract Overview

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The City of Lakeland is seeking proposals from experienced firms to provide administration services for its self-insured medical plans, including medical Administrative Services Only (ASO) and Flexible Spending Accounts (FSA), for its employees, officials, retirees, COBRA participants, and their families. The contract aims to ensure high-quality service delivery, access to a robust network of providers, and cost-effective solutions. The selection process involves a structured timeline starting with the RFP release on May 13, 2025, followed by vendor questions due by May 28, 2025, and responses due by June 16, 2025. The City plans to conduct carrier presentations and obtain commission approval at unspecified dates, with the open enrollment scheduled from October 20 to October 31, 2025, and plan implementation set for January 1, 2026. Respondents are prohibited from direct contact with City employees outside designated channels and must coordinate through the City's appointed Agent of Record, the Gehring Group. The procurement process emphasizes transparency and fairness, with the City reserving the right to amend the RFP via written addenda and to evaluate proposals based on a scoring system. Respondents may be asked to present their proposals in person, and all submitted materials become the property of the City, which retains rights to utilize any ideas presented. The contract size is estimated between $500,000 and $2,000,000, and the project is managed by the Risk Management & Purchasing department in Florida. For further details or to submit inquiries, interested firms can contact Tara Walls via email or phone, with additional information available through the City’s procurement portal.

Documents

7

2025 Medical Rates & Fees - Active Employees & Retirees

XLS, High priority: read this firstspecifications
High

2025-RFP-032 Group Medical ASO & FSA

PDF, High priority: read this firstrfp
High

City of Lakeland - Medical ASO & FSA Questionnaire

XLSX, High priority: read this firstq-and-a
High

Park Restroom Restoration Project Scope of Work

PDF, High priority: read this firstsow
High

RFP 2025-RFP-032 Park Restroom Restoration Project

PDF, High priority: read this firstrfp
High

2025 UnitedHealthcare Choice Plus Plan A Summary of Benefits and Coverage

PDF, Low priorityother
Low

City of Lakeland Vendor Hold Harmless/Indemnification Agreement 2025

DOC, Low prioritycontract-document
Low

AI Contract Breakdown

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Timeline

1 update
PhaseClosed
Posted

Solicitation

Notice updated

Response deadline changed from May 27, 2025 to Jun 16, 2025. The notice title changed. NAICS code changed from 561210 to 524292. The notice description changed. The point of contact changed.

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyFlorida → Risk Management & Purchasing
Contacts1 person available
OfficeN/A
Office AddressN/A

Full Description

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The City of Lakeland, hereinafter referred to as the City, is soliciting experienced and qualified firms that demonstrate the highest level of ability to provide administration services for the following self-insured lines of coverage for the City's employees, officials, retirees, COBRA participants and their families. The City's goal is directed toward the highest professional level of service while delivering access to a quality network of providers at an affordable cost. Medical ASO Self-Insured Flexible Spending Accounts (FSA)  Firms interested in submitting a response to this RFP agree not to contact (lobby) any employee or agent of the City at any time during the solicitation period and the selection process other than the City's Purchasing staff or through OpenGov. Any other contact with the owner will be considered inappropriate and subject your response to rejection/disqualification. It is the City's intention to deal directly with all carriers via its appointed Agent of Record. The City's appointed Agent of Record is the Gehring Group, a RSC Company.  TimelineActivityDue DateRFP Release to VendorsMay 13, 2025Vendor Questions DueMay 28, 2025RFP Responses DueJune 16, 2025Carrier Presentations to Selection CommitteeTBDCommission ApprovalTBDOpen Enrollment PeriodOctober 20 - October 31, 2025Plan Effective DateJanuary 1, 2026This timeline is subject to change. Additional Information/Amendment: Changes to this RFP, when deemed necessary, will be completed by written addendum issued prior to the proposal due date. Respondents should not rely on any representations, statements, or explanation other than those made in the RFP or in any addendum to this RFP. Where there appears to be a conflict between the RFP and any addendum issued, the last addendum will prevail. It is the respondent’s responsibility to assure receipt of all addenda. Selection Process:The Broker will provide the Selection Committee with a summary of the submittals received and the Committee will determine which vendors to invite for presentations, if necessary. The scoring criteria will then be provided to those vendors for that phase of the selection process. Presentation:Respondents may be asked to provide an in-person presentation in support of their proposal or to explain or demonstrate the information contained therein. Disclosure Of Proposal Content:All material submitted becomes the property of the City. The City has the right to use any or all ideas presented in any reply to this RFP. Selection or rejection of the proposal does not affect this right. There is a separate Group Pharmacy Benefit RFP for City of Lakeland with a similar timeline, RFP # 2025-RFP-033.

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