This Government Contract opportunity from Department Of State was posted on September 9, 2025. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Health Insurance Plan Administration & Claims Processing

Closed

Federal

Submission Closed09/22/2025, 06:00:00 PM UTC

Contract Overview

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

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NAICS: 524114

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RIteSmiles 4-ALL Medicaid Managed Care Dental Services

Solicitation # QLV27007063

The Rhode Island Executive Office of Health and Human Services is soliciting proposals from qualified Managed Care Organizations to administer the RIteSmiles 4-ALL Medicaid Managed Care Dental Program. The contract establishes a three-year base period from July 1, 2027, through June 30, 2030, with the possibility of three additional one-year renewals. The selected contractor will be responsible for comprehensive dental program functions, including the implementation of Initial Health Assessments for new members within 90 days of enrollment, integrated care coordination, case management, and the maintenance of a Quality Management/QI Committee. Performance is governed by NCQA standards, the RI Medicaid Dental Services Coverage Manual, and federal regulations including 42 CFR § 438.208(c)(3). The award process involves a multi-phase evaluation starting with a pass/fail screening of mandatory qualifications. Technical proposals are scored on a 1-4 scale across 185 items, requiring a minimum score of 85% to advance to the Impact Small Business Enterprise evaluation phase, where bidders can earn up to six additional points. Compliance requirements are extensive, encompassing HIPAA privacy and security rules, the Anti-Kickback Act of 1986, and various non-discrimination statutes such as Title VI of the Civil Rights Act and the Americans with Disabilities Act. Proposals must be submitted in four separate PDF files, with a combined page limit of 250 pages for the business and technical volumes.

State of Rhode Island

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Health Insurance for Locally Employed Staff

Solicitation # 19MY3027R0001

The U.S. Embassy Kuala Lumpur is soliciting proposals for health insurance coverage for its locally employed staff, including non-temporary direct hires, Personal Services Agreements, and Personal Services Contracts within Malaysia. The contract consists of a one-year base period beginning April 1, 2027, with four one-year renewal options. The government seeks off-the-shelf plans that meet specific minimum benefit levels, including 100 percent coverage for hospitalization and emergency services, and 80 percent for ambulance and outpatient services. Official Residence Expense staff are covered via a separate rider. Award will be granted to the responsible offeror providing the lowest priced, technically acceptable proposal, with a tie-breaker based on the most generous profit-sharing credit plan. Technical acceptability requires a valid management plan, relevant past performance, and licensing or accreditation by the Government of Malaysia or another government with the capacity to provide benefits in-country. Proposals must be submitted electronically by November 20, 2026, and must include a completed SF-1449, pricing schedules, and proof of SAM registration. The use of subcontractors is prohibited, and the prime contractor must maintain a permanent business address in Malaysia. Payments will be made monthly in Malaysian Ringgit, except for eligible American citizens who may receive U.S. dollars.

US Embassy Kuala Lumpur

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Solicitation # 19TH2027Q0003

The US Embassy Bangkok is preparing a solicitation for the provision of health insurance coverage for its Locally Employed Staff. This will be a firm fixed price contract with economic price adjustment, featuring a base year followed by four one-year options and one six-month option. The government may award the contract based on initial offers without further discussion, and a pre-quotation conference will be scheduled. Prospective offerors must be registered in the System for Award Management database to be eligible for consideration. Electronic responses are permitted, provided they adhere to email size limits. This opportunity is subject to specific federal regulations regarding taxes on foreign procurements and the option to extend services.

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Workers' Compensation Medical Case ManagementThis subcontract for Workers' Compensation Medical Case Management involves providing professional medical case management services for prime contractors supporting South Dakota State Government projects. The primary objective is to coordinate care for injured state employees through the implementation of cost-containment strategies and the facilitation of return-to-work efforts to improve overall claim outcomes and deliver effective managed care plans. The selected provider must strictly adhere to South Dakota Workers' Compensation statutes and maintain full compliance with HIPAA and PHI privacy standards, including the mandatory use of secured email for transmitting protected health information. Interested parties should note the response deadline of November 25, 2026, for this opportunity categorized under NAICS code 524114.

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Vision Insurance Provider (Carrier)This subcontract opportunity is for a Vision Insurance Provider to support the County of Mecklenburg Human Resources projects. The selected carrier will be responsible for providing vision insurance products, underwriting risk for employee populations, developing plan designs, and managing both financial reserves and claims payouts. To successfully execute the contract, the provider must utilize proprietary claims processing systems and member enrollment portals to deliver an active, funded vision insurance policy. Eligible candidates must hold a valid North Carolina Insurance License and maintain admitted carrier status. This procurement is categorized under NAICS code 524114. Interested parties should note that the solicitation was posted on October 15, 2026, with a response deadline of November 13, 2026.

County of Mecklenburg

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Solicitation # 487-PW-HRS004004

Mecklenburg County, North Carolina, is soliciting proposals under solicitation number 487-PW-HRS004004 for the provision of vision insurance services for its Human Resources Department. The county is seeking evaluations of vision proposals for the 2028 plan year, specifically requesting options that either match the current plan design or provide alternative recommendations from the carrier. This procurement falls under NIGP Code 95352 for Insurance and Insurance Services. Interested vendors must have an established profile with the County to submit a response. All proposals are due by 5:00 PM EST on November 13, 2026. Paul Walker serves as the primary procurement contact for this solicitation. The place of performance is located within the state of North Carolina.

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Group Medicare Advantage Plan

Solicitation # 2000004432

Fairfax County Public Schools is soliciting sealed proposals under solicitation 2000004432 to establish a contract for a fully insured Medicare Advantage plan providing medical and vision benefits for eligible retirees and their dependents. Effective January 1, 2028, the plan will operate alongside a self-insured Employer Group Waiver Plan with a Wrap prescription drug program administered by SilverScript. The contract will be awarded to the offeror providing the best proposal based on a combined evaluation by a Selection Advisory Committee and an IT Committee. Qualified offerors must manage at least 100,000 covered lives within their Medicare Advantage book of business and comply with all Centers for Medicare and Medicaid Services requirements. The pricing structure is based on a per-member-per-month basis, requiring guaranteed premium quotes for 2028 through 2030, as well as allowances for implementation, renewal support, audits, and communications. A gain-sharing agreement based on a defined Loss Ratio will also be implemented. Key administrative requirements include the assignment of a dedicated account executive, adherence to strict cybersecurity and data privacy standards, and compliance with accessibility mandates such as the ADA and Section 508. Proposals must be submitted electronically via the Euna Procurement portal by November 6, 2026, and must include a separate cost proposal and a signed non-disclosure agreement to access specific attachments.

Fairfax County Public Schools

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DEADLINE

RFP 2000004432 Group Medicare Advantage Plan

Solicitation # 2000004432

Fairfax County Public Schools is soliciting sealed proposals under RFP 2000004432 to establish one or more contracts for a fully insured Medicare Advantage plan providing medical and vision benefits for eligible retirees and their dependents. The selected plan will be administered in conjunction with a self-insured Employer Group Waiver Plan and a Wrap prescription drug program currently managed by SilverScript, with an effective start date of January 1, 2028. The procurement is managed by the FCPS Financial Services department and will be performed in Falls Church, Virginia. Proposals must be submitted electronically via the Euna Procurement portal by November 6, 2026, at 5:00 PM ET, as submissions via email, fax, or paper will not be accepted. Applicants are required to provide business classifications, legal structure details, and certifications regarding ethics in public contracting and general bidding conditions. The solicitation emphasizes non-discrimination policies, including protections for faith-based organizations and prohibited discrimination based on race, religion, color, sex, national origin, age, or disability. An optional pre-proposal conference is scheduled for October 19, 2026.

Fairfax County Schools

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Extended Group Medical Benefits for International Scholars

Solicitation # 2026010398

The University of British Columbia, under the Province of British Columbia, is seeking sources for Extended Group Medical Benefits for International Scholars. This sources-sought solicitation, identified by number 2026010398, was posted on October 8, 2026, with a response deadline set for November 6, 2026. The contract focuses on providing medical benefit coverage for international scholars within the province of British Columbia. Interested parties can find further details and submission guidelines through the official BC Bid portal.

University of British Columbia

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Stop Loss Insurance ProviderThis subcontract opportunity seeks a licensed Florida insurance carrier to provide stop loss insurance coverage for prime contractors managing the City of Sarasota self-funded health plan projects. The selected provider will underwrite and issue a 24/12 contract basis policy covering both Medical and Pharmacy benefits. Key policy specifications include Individual Stop Loss deductibles set at 250,000 dollars and 275,000 dollars, along with Aggregate Coverage featuring a 125 percent corridor, a 50 percent Rate Cap, an NNL Provision, and a Spec Advance Rider. The procurement process is managed by the Florida Procurement agency under NAICS code 524114. Interested parties must submit their responses by October 21, 2026. The primary deliverable for this contract is the provision of an active stop loss insurance policy that adheres to the outlined underwriting requirements and regulatory standards.

POSTED

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Stop Loss Coverage for Self Funded Health Plan

Solicitation # 2027-008-HR

The City of Sarasota is soliciting proposals for stop loss coverage for its self-funded health plan, with an effective date of January 1, 2027. The plan currently serves approximately 747 employees and 265 retirees, though Medicare eligible retirees are specifically excluded from stop loss coverage. The scope of work requires coverage for both medical and pharmacy benefits on a 24/12 contract basis. Proposers must provide options for individual stop loss at $250,000 and $275,000, along with aggregate coverage featuring a 125 percent corridor, a 50 percent rate cap, an NNL provision, and a Spec Advance Rider. This is a closed bid requiring best and final rates quoted net of commissions. Proposals will be evaluated by the City and Brown and Brown based on proposed rates, terms and conditions, and responses to a questionnaire. The submission deadline is October 21, 2026, at 5:00pm EST via email. All inquiries and proposals are coordinated through Brown and Brown, with primary procurement contact Helen Reed and marketing analyst Morgan Johnson. The plan must also comply with Section 112.0801 of the Florida Statutes regarding retiree participation.

Procurement

POSTED

13 days ago

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in about 12 hours

AI Contract Overview

The US Embassy Santiago, under the Department of State, is seeking a subcontractor for the administration of health insurance plans and claims processing for U.S. Government employees and their dependents located in Chile. The scope of work involves the comprehensive management of health benefits, including enrollment services, benefit administration, and the maintenance of financial reserves. A critical requirement of the contract is the ability to process insurance claims using both Chilean Pesos and Unidades de Fomento. Interested parties must submit their responses by September 22, 2025, in accordance with the solicitation posted on September 9, 2025.

General Info

Agency

Department Of State → US Embassy Santiago

NAICS

524114 - Direct Health and Medical Insurance Carriers

Place of Performance

DC, CHL

Set-Aside

NONE

Documents

This scope was carved out of 19C18025R0001.

The full solicitation package (3 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Health Insurance Coverage, U.S. Embassy Santiago Chile

AI Contract Breakdown

Uniform Contract Format

No documents to break down

The breakdown needs solicitation documents. None were found from this contract's source.

Timeline

PhaseClosed

PostedSep 9

subcontract

Response DeadlineSep 22

Deadline has passed

Submission Closed

09/22/2025, 06:00:00 PM UTC

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Organization & Contact Information

AgencyDepartment Of State → US Embassy Santiago

ContactsNo contacts available

OfficeN/A

Organization / AgencyDepartment Of State → US Embassy Santiago

Office AddressN/A

ContactsNo contact information available

Full Description

Comprehensive administration of health insurance benefits for U.S. Government employees and dependents in Chile, including claims processing in CLP and UF, enrollment, benefit management, and financial reserve maintenance.

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