Health Insurance Plan Administration

The City of St. Joseph is seeking a subcontractor to fully administer a group health insurance plan for its transit employees and early retirees, encompassing end-to-end management of premium collection, claims processing, enrollment services, and dedicated customer support. The contractor must ensure strict adherence to federal regulations including the Affordable Care Act, HIPAA privacy and security standards, and COBRA continuation coverage requirements, maintaining compliance across all operational functions. This engagement requires seamless coordination with city personnel and beneficiaries, with a focus on accuracy, timeliness, and data security throughout the lifecycle of plan administration. The solicitation was posted on July 3, 2026, with responses due by August 12, 2026, under a subcontract classification and NAICS code 621421, which pertains to outpatient care centers. Performance is expected to center on operations tied to the City of St. Joseph, Missouri, though specific geographic details are not provided. The contract involves managing sensitive health information and requires robust systems and trained personnel to handle participant inquiries, regulatory filings, and benefit management without disruption. Potential bidders must demonstrate proven experience in public sector health plan administration and a track record of compliant service delivery to municipal or public transportation workforces.