This Solicitation opportunity from Utah was posted on November 25, 2025. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Group Medical and/or Pharmacy Benefit Management (PBM)

Closed

PCSD12232025WKTState & Local

Submission Closed12/23/2025, 12:00:00 AM UTC

Contract Overview

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

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NAICS: 561110

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Request for Quotations- KG0-FY17- LIHEAP Temporary Support Staff- DCSS Vendors

Solicitation # Doc852613

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3 days ago

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AI Contract Overview

Provo City School District (PCSD) has issued a Request for Proposal (RFP) aimed at contracting Group Medical and/or Pharmacy Benefit Management (PBM) services, effective September 1, 2026. PCSD currently operates a self-funded benefits model managed through UnitedHealthGroup, with UMR handling medical claims administration and Optum Rx providing pharmacy benefit management services. This solicitation allows for multiple contract awards in three distinct categories: a combined offering of integrated medical and pharmacy services, medical administration services only, or PBM services only. The contract term is initially three years, with the possibility of two additional one-year extensions and discretionary year-to-year renewals for up to five years total, contingent upon satisfactory performance, continuing need, funding availability, and compliance with applicable procurement laws. The contract emphasizes guaranteed administrative rates for the three-year term, transparent pricing and rebate disclosure, regulatory compliance including HIPAA and URAC accreditation, and robust integrated service capabilities such as coordinated claims processing, provider network maintenance, consolidated member communications, and comprehensive data reporting. The evaluation process is based on a weighted scoring system where technical criteria carry 70% of the weight and cost proposals 30%, with detailed sub-factors assessing firm qualifications, demonstrated ability to administer self-funded plans, provider network strength, references, and pharmacy management competencies. Award(s) will be made to one or more responsive and responsible offerors whose proposals offer the best overall value, determined through a trade-off analysis rather than lowest-price-only evaluation. Key compliance certifications include Utah licensure, HIPAA compliance, participation in RingmasterRx repricing, and E-Verify program certification. Contractual provisions cover extensive standard terms such as indemnification, confidentiality, intellectual property rights favoring District ownership, and insurance requirements. The contractor must adhere to specific operational mandates, including monthly claims data feeds to a third party (Cedar Gate Technologies), engagement in repricing activities, and maintenance of URAC accreditation. Inspection and acceptance occur at the destination, with the contractor bearing risk of loss until formal District acceptance. The solicitation process mandates submission via the Utah Public Procurement Place portal, adhering to strict procedural and confidentiality requirements as governed under Utah procurement code and state records law, including the handling of protected business information.

General Info

PCSD seeks multiple medical and pharmacy benefit management contracts, starting September 2026, with three-year terms.

Agency

Utah → Provo City School District

NAICS

561110 - Office Administrative Services

Place of Performance

UT, USA

Set-Aside

NONE

Documents

1-PCSD Vendor Prerequisites - Provo City School District RFP

7 pages · rfp

High

Mandatory Minimum Requirements for Medical and PBM Providers

1 page · mandatory-minimum-requirements

High

Price Proposal - Insurance Admin and PBM Services for Provo City School District

2 pages · price-proposal

High

Provo City School District RFP Additional Coverage Information

5 pages · rfp

High

Provo City School District Standard Terms and Conditions for Services

5 pages · contract-document

High

RFP PCSD12232025WKT Group Medical and PBM Services

7 pages · rfp

High

Business Confidentiality Claim Form - Utah State Archives

1 page · business-confidentiality-claim

Low

AI Contract Breakdown

Uniform Contract Format

Timeline

PhaseClosed

PostedNov 25

Solicitation

Response DeadlineDec 23

Deadline has passed

Submission Closed

12/23/2025, 12:00:00 AM UTC

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Organization & Contact Information

AgencyUtah → Provo City School District

ContactsNo contacts available

OfficeN/A

Organization / AgencyUtah → Provo City School District

Office AddressN/A

ContactsNo contact information available

Full Description

Issuing Procurement Unit: Purchasing Department Conducting Procurement Unit: Human Resources Department The purpose of this RFP is to enter into a contract to provide: Group Medical and/or Pharmacy Benefit Management (PBM) Services, effective September 1, 2026. PCSD currently operates under a self-funded model administered by UnitedHealthGroup, utilizing UMR as the medical third-party administrator and Optum Rx as the pharmacy benefit manager. This RFP may result in multiple contract awards. This contract may be awarded in the following three ways. 1. Combined Medical and PBM Proposal – fully integrated administrative and pharmacy services. 2. Medical Administration Only – medical claims administration services, excluding PBM. 3. PBM Only – pharmacy benefit management services. The methodology or formula that will be used to determine the number of contract awards is: Responsive and responsible vendor(s) with the highest score justified by the procurement code Length of Contract: The initial term of the contract resulting from this Request for Proposals (RFP) shall commence on September 1, 2026, and continue for a period of three (3) years. The District reserves the option to extend the contract for up to two (2) additional one-year periods under the same terms, conditions, and pricing, upon mutual agreement between the contractor and the District. Following completion of the initial term and any exercised one-year extensions, the District may, at its sole discretion, renew the contract on a year-to-year basis for up to an additional five (5) years if it is determined to be in the best interest of the procurement unit. In accordance with Utah Code 63G-6a-1204, any renewal or extension beyond the initial term shall be supported by a written determination from the District stating that such renewal is in the best interest of the procurement unit. All renewals are contingent upon satisfactory contractor performance, continued need for the services, and the availability and appropriation of funds. The district reserves the right to review the contract(s) regularly regarding performance and cost analysis and may negotiate price and service elements during the term of the contract.