This Solicitation opportunity from California was posted on April 8, 2025. The submission period has ended. Browse the details below for market research, or find similar active opportunities.
The City of Long Beach is seeking proposals from qualified health insurance carriers to manage its health benefit plans, which include a self-insured Preferred Provider Organization (PPO) and fully insured Health Maintenance Organization (HMO) plans. The goal is to partner with carriers capable of effectively administering these plans, ensuring efficient health plan management, cost control, and improved health outcomes for city employees and their dependents. The contract, identified under solicitation number HR-25-592, is posted on April 8, 2025, with a response deadline of May 6, 2025. The contract size is estimated to range between 50 million and 150 million dollars, reflecting the significant scope and scale of the health benefits program.
The procurement process involves detailed vendor engagement through the Long Beach Buys system, which provides comprehensive user guides to facilitate the submission of proposals. These guides outline procedures for locating solicitations, creating and submitting quotes, handling validation errors, uploading necessary documentation, and ensuring compliance with terms and conditions. The process emphasizes transparency, accuracy, and completeness to ensure responsive bids. The selected carriers will work closely with the City’s Human Resources department to deliver tailored health plan solutions, optimize administrative processes, and enhance the overall quality of health benefits offered to city employees.
HighAI Summary for A2. Cost Proposal for HMO - City of Long Beach: A cost proposal spreadsheet for the City of Long Beach detailing fully-insured HMO medical rates for employees and retirees. The document includes specific plan options (Premier and Classic HMO), rate guarantees for 2025, and detailed pricing for various tiers including Employee, Employee + One, and Employee + Family.
PDF
PDF, High priority: read this firstspecial-notice
HighAI Summary for Attachment C: Local Preference Program: This document is a certification form for the City of Long Beach Local Preference Program. It outlines the criteria for local businesses to receive extra credit percentage points (up to 10%) based on their location and business status. It requires bidders to certify their eligibility, provide a business license number, and submit supporting documentation to claim the preference.
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XLSX, High priority: read this firstspecifications
HighAI Summary for City of Long Beach - Carrier Deviations for Plan: This document is a template for reporting plan design deviations for the City of Long Beach. It includes specific tables for HMO Classic, HMO Premier, Premier PPO, and Medicare PPO plans (without prescription drugs), requiring carriers to list current benefit descriptions versus proposed benefit descriptions.
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XLSX, High priority: read this firstspecifications
HighAI Summary for City of Long Beach Geo-Access Analysis Template: A reporting template for the City of Long Beach used to analyze geographic access for HMO and PPO plans. It defines specific access standards for physicians, specialists, and hospitals across urban, suburban, and rural areas, including requirements for driving distance and time.
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XLSX, High priority: read this firstspecifications
HighAI Summary for City of Long Beach - HMO Network Disruption Analysis: A provider list for the City of Long Beach HMO Network Disruption Analysis. The document contains a detailed directory of healthcare providers, including Tax IDs, names, addresses, and columns for PPO and other network status verification.
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XLSX, High priority: read this firstspecifications
HighAI Summary for City of Long Beach - Performance Guarantees and Allowances: This document outlines the Performance Guarantees and Allowances for the City of Long Beach, detailing specific metrics for Service & Claim (e.g., ASA, Call Abandon Rate, First Call Resolution), Implementation readiness, and Provider Access & Stability. It includes penalty structures for claim processing and financial accuracy, as well as placeholders for bidder-defined custom guarantees.
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XLSX, High priority: read this firstspecifications
HighAI Summary for City of Long Beach - PPO Network Disruption Analysis: A network disruption analysis spreadsheet for the City of Long Beach PPO providers. The document contains a detailed list of healthcare providers, including Tax IDs, names, addresses, and columns to identify PPO and other network affiliations.
XLSX
XLSX, High priority: read this firstspecifications
HighAI Summary for City of Long Beach PPO Plan Administration Fee Proposal: A cost proposal template for the City of Long Beach regarding Self-Funded PPO Plan Administration. The document outlines required fee schedules for base administration, fiduciary services, case/disease management, carve-out fees, and multi-year rate guarantees.
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PDF, High priority: read this firstrfp
HighAI Summary for City of Long Beach RFP HR-25-592: Health Benefit Plans - PPO & HMO: The City of Long Beach is soliciting proposals from qualified health insurance carriers to provide medical plan administration services for its self-insured PPO and fully insured HMO medical plan products. Released on April 8, 2025, the RFP seeks partners to manage benefits for approximately 12,600 members. Proposals are due by May 6, 2025, via LongBeachBuys.com.
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PDF, High priority: read this firstspecifications
HighAI Summary for Exhibit 15: Current Clinical Programs: This document outlines the current clinical programs available for HMO and PPO plans. It details case management, utilization management, and specialized clinical review programs, including services for behavioral health, cancer care navigation, and chronic condition management (ConditionCare: CORE).
PDF
PDF, High priority: read this first6 pages · user-guide
HighAI Summary for Long Beach Buys User Guide for Submitting a Quote: This document is the Long Beach Buys User Guide designed to assist vendors in submitting quotes for contract opportunities with the City of Long Beach. It explains user roles, how to locate bid solicitations, and step-by-step instructions for creating and submitting a quote through the Long Beach Buys system. Key content includes guidance on handling validation errors, entering pricing in the Line-Item tab for ITBs, accepting Terms and Conditions, uploading required attachments, and reviewing the summary before final submission. The guide aims to streamline the submittal process and ensure vendors provide all necessary information for responsive bids.
DOCX
DOCX, High priority: read this firstproposal-template
HighAI Summary for Section 4.3 Narrative Proposal Template: A narrative proposal template for the City of Long Beach, outlining required submission content including organizational capacity, experience, subcontractor information, method of approach (executive summary, clinical/disease management, accessibility, sustainability, and implementation), and communications and reporting requirements.
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PDF, Low prioritycertification-form
LowAI Summary for Attachment B Equal Benefits Ordinance Form: A certification and disclosure form for the City of Long Beach requiring contractors to certify compliance with the Equal Benefits Ordinance (EBO). The document ensures that employees with domestic partners receive the same benefits as those with spouses, providing options for provisional compliance and outlining penalties for non-compliance.
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PDF, Low priorityother
LowAI Summary for City of Long Beach 2025 Active Employees Benefit Guide: A summary guide for City of Long Beach active employees detailing benefit options for the 2025 plan year (January 1 - December 31, 2025). It covers open enrollment highlights, eligibility requirements for employees and dependents, and overviews of medical, pharmacy, dental, vision, life, disability, and retirement benefits.
PDF
PDF, Low priorityother
LowAI Summary for City of Long Beach 2025 Non-Permanent Employees Benefits Guide: A benefits summary guide for non-permanent employees of the City of Long Beach for the 2025 plan year (January 1 to December 31). It outlines open enrollment procedures via LifeViewHR, eligibility requirements for employees and dependents, and provides an overview of medical, pharmacy, voluntary, and retirement benefits.
PDF
PDF, Low priorityother
LowAI Summary for City of Long Beach 2025 Retirees Benefit Guide: A benefits guide for the City of Long Beach for the 2025 calendar year. It outlines healthcare options, eligibility for retirees and dependents, open enrollment highlights, and monthly cost schedules for various medical plans including Anthem Blue Cross and UnitedHealthcare.
PDF
PDF, Low priorityother
LowAI Summary for City of Long Beach Authorization and Certification: A certification and authorization form for proposers submitting a Request for Proposals to the City of Long Beach. It includes requirements for authorized signatures based on business entity type, a non-collusion statement, federal debarment certifications, and a table for documenting exceptions to terms and conditions.
PDF
PDF, Low prioritycontract-document
LowAI Summary for City of Long Beach - Classic HMO Evidence of Coverage 2024: Evidence of Coverage (EOC) booklet for the City of Long Beach Health Maintenance Organization (HMO) plan, provided by Anthem Blue Cross, effective January 1, 2024. The document outlines member rights and federal compliance notices, including the Consolidated Appropriations Act of 2021 (No Surprises Act), the Patient Protection and Affordable Care Act, and the Mental Health Parity and Addiction Equity Act.
PDF
PDF, Low prioritysummary-of-benefits-and-coverage
LowAI Summary for City of Long Beach Custom BC Premier PPO SBC 2025: Summary of Benefits and Coverage (SBC) for the Anthem Blue Cross Custom BC Premier PPO plan for the coverage period 01/01/2025 - 12/31/2025. It outlines cost-sharing details including deductibles, out-of-pocket limits, and copayments for in-network and out-of-network medical services for the City of Long Beach.
PDF
PDF, Low priorityspecifications
LowAI Summary for City of Long Beach Custom Classic HMO Summary of Benefits and Coverage 2025: A Summary of Benefits and Coverage (SBC) document for the City of Long Beach Custom Classic HMO plan provided by Anthem BlueCross for the coverage period 01/01/2025 - 12/31/2025. It outlines cost-sharing responsibilities, deductibles, out-of-pocket limits, and copayments for various medical services.
PDF
PDF, Low priorityspecifications
LowAI Summary for City of Long Beach Custom Premier HMO Summary of Benefits and Coverage 2025: A Summary of Benefits and Coverage (SBC) document for the City of Long Beach Custom Premier HMO plan provided by Anthem BlueCross for the coverage period 01/01/2025 - 12/31/2025. It outlines cost-sharing, deductibles, out-of-pocket limits, and copayments for various medical services including primary care, emergency services, and hospital stays.
PDF
PDF, Low priorityspecifications
LowAI Summary for City of Long Beach Custom Premier PPO Summary of Benefits and Coverage 2025: Summary of Benefits and Coverage (SBC) for the City of Long Beach Custom Premier PPO plan provided by Anthem Blue Cross for the coverage period 01/01/2025 - 12/31/2025. The document outlines deductibles, out-of-pocket limits, and cost-sharing for in-network and out-of-network medical services, including primary care, specialist visits, and emergency services.
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XLSX, Low priorityother
LowAI Summary for City of Long Beach HMO Shock Claimants Report 2022-2023: A healthcare claims data report for the City of Long Beach (HMO plan) covering the period from December 2022 through November 2023. The document identifies 'shock claimants' (high-cost individuals) with a threshold of $25,000, detailing medical and pharmacy paid amounts and associated diagnosis codes.
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XLSX, Low priorityother
LowAI Summary for City of Long Beach HMO Shock Claimants Report 2023-2024: A healthcare claims data report for the City of Long Beach (HMO plan) covering the period from December 2023 through November 2024. The document identifies 'Shock Claimants' (high-cost claimants) with a threshold of $25,000, detailing medical and pharmacy paid amounts and associated diagnostic codes.
XLSX
XLSX, Low priorityother
LowAI Summary for City of Long Beach - Paid PPO Claims 2023: An ASO Medical Report for the City of Long Beach PPO covering the reporting period of January 2023 through December 2023. The document contains detailed claims data, including paid amounts, non-ASO fees, and subscriber counts categorized by group status and contract type.
XLSX
XLSX, Low priorityother
LowAI Summary for City of Long Beach - Paid PPO Claims 2024: An ASO Medical Report for the City of Long Beach PPO, covering the reporting period from January 2024 to November 2024. The document contains detailed claims data, including paid amounts, subscriber counts, and group status codes for various membership tiers (Subscriber, Spouse, Family).
PDF
PDF, Low prioritybenefit-booklet
LowAI Summary for City of Long Beach PPO Benefit Booklet 2024: A benefit booklet for the City of Long Beach PPO plan effective January 1, 2024. The document details coverage under the Consolidated Appropriations Act of 2021, including No Surprises Act requirements for emergency services, out-of-network providers at in-network facilities, and air ambulance services. It also covers provider directory accuracy, transparency requirements, and access to primary care and ObGyn services.
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XLSX, Low priorityclaims-report
LowAI Summary for City of Long Beach - PPO Paid Claims 2022: An ASO Medical Report detailing paid PPO claims for the City of Long Beach for the reporting period of January 2022 through December 2022. The document includes data on paid amounts, non-ASO fees, and subscriber counts categorized by group status and contract type.
XLSX
XLSX, Low priorityother
LowAI Summary for City of Long Beach - Shock Claimants Paid Report 2024-2025: A healthcare claims data report for the City of Long Beach, covering the period from February 2024 through January 2025. The document identifies 'Shock Claimants' (those with claims exceeding a $50,000 threshold) and provides a detailed breakdown of medical and pharmacy paid amounts, associated diagnoses, and coverage tiers.
XLSX
XLSX, Low priorityother
LowAI Summary for City of Long Beach - Shock Claimants Report 2023-2024: A medical and pharmacy claims data report for the City of Long Beach, covering the reporting period from February 2023 through January 2024. The document identifies 'shock claimants' (those exceeding a $50,000 threshold), detailing paid amounts, coverage types, and associated medical diagnosis codes.
XLSX
XLSX, Low priorityother
LowAI Summary for Employee Census for Jan 2025: An employee census data sheet dated January 2, 2025, containing member demographics, plan descriptions (PPO), coverage tiers, and retiree status for a group of employees.
XLSX
XLSX, Low priorityother
LowAI Summary for Exhibit 19 E19.HMO Active-COBRA 2022 to 2023.xlsx: Unreadable document.
XLSX
XLSX, Low priorityother
LowAI Summary for Exhibit 20 E20.Classic HMO Retiree 2022 to 2023.xlsx: Unreadable document.
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XLSX, Low priorityother
LowAI Summary for Exhibit 21 E21.Premier HMO Retiree 2022 to 2023.xlsx: Unreadable document.
XLSX
XLSX, Low priorityother
LowAI Summary for Exhibit 5 E5.Active-COBRA Claims for HMO.xlsx: Unreadable document.
XLSX
XLSX, Low priorityother
LowAI Summary for Exhibit 6 E6.Retiree Claims for Classic HMO.xlsx: Unreadable document.
XLSX
XLSX, Low priorityother
LowAI Summary for Exhibit 7 E7.Retiree Claims for Premier HMO.xlsx: Unreadable document.
PDF
PDF, Low prioritycontract-document
LowAI Summary for Premier HMO Evidence of Coverage 2024: Evidence of Coverage (EOC) booklet for the Premier HMO plan provided by Anthem Blue Cross, effective January 1, 2024. The document outlines member rights, federal compliance notices including the Consolidated Appropriations Act of 2021 (No Surprises Act), the Patient Protection and Affordable Care Act, and other federal health mandates.
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The City of Long Beach is seeking proposals from qualified health insurance carriers to administer its self-insured PPO and fully insured HMO medical plans. The selected carriers will collaborate with the City to ensure effective health plan management and improved outcomes.
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