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This Government Contract opportunity from Texas was posted on July 1, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Health Insurance Program Design & Actuarial Analysis

Closed
State & 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
SLED
Pharmacy Services – Specialty Medications QVL
Solicitation # STATE 0000000551SL
Solicitation STATE 0000000551SL is issued by the State of Missouri Office of Administration on behalf of the Missouri Veterans Commission to establish a Qualified Vendor List (QVL) for specialty pharmacy services. The scope of work includes the provision of pharmaceuticals, biologicals, IV therapy, and care coordination for veterans, with services required to be available 24 hours a day, 7 days a week. Awarded vendors must be responsive, responsible, and reliable, with the state intending to award contracts to all qualified vendors to ensure adequate coverage. Once the QVL is established, individual prescriptions will be awarded based on the lowest cost, with preference considerations given to Missouri-based firms, Service-Disabled Veteran Business Enterprises, and organizations for the blind or sheltered workshops. The contract mandates strict adherence to quality standards, including the United States Pharmacopeia and FDA Orange Book, and requires compliance with HIPAA and HITECH regulations through a Business Associate Agreement. Specific packaging and labeling requirements are detailed, including the use of bubble card systems for tablets and compliance with the Federal Food, Drug, and Cosmetic Act. Contractors must maintain veteran records for seven years and provide an updated product catalog annually. The agreement includes a base period with the option for four additional one-year renewals. Compliance certifications are required regarding the Anti-Discrimination Against Israel Act, E-Verify enrollment, and federal drug-free workplace standards. Payments are processed monthly via Electronic Funds Transfer within thirty calendar days of a valid invoice.
PROC OA DIVISION OF PURCHASING PROCUREMENTS

POSTED

10 days ago

DEADLINE

in 12 days
NAICS: 524292
SLED
Medical Claims Audit
Solicitation # RFP-12-2027
Multnomah County is seeking a qualified independent contractor to perform comprehensive medical, prescription, and dental claims audits and operational assessments for its self-funded health plans. The primary goals of this engagement are to ensure fiscal accountability, verify compliance with plan documents, and identify opportunities for cost recovery and process improvement. The selected vendor will be responsible for conducting audits at the County's discretion, implementing robust quality assurance and error-checking protocols, and providing a knowledge transfer plan, including training sessions for County staff. The contract may have a term of up to five years, with payment terms set at Net 30. Proposals are due by September 23, 2026, via the Multco Marketplace Supplier Portal. Evaluation is based on cost, expertise, methodology, innovation, and alignment with County needs, with a specific emphasis on responsible business practices, including energy conservation and living wage standards. High priority is placed on HIPAA compliance for data security and the integration of equity-focused principles to identify health plan disparities. The County strongly encourages participation from minority-owned, women-owned, and emerging small businesses. Award will be granted to the responsible proposer whose proposal is deemed most advantageous, with the highest-scoring responsive bidder entering negotiations for final contract terms.
Multnomah County

POSTED

15 days ago

DEADLINE

in 18 days
NAICS: 524292
SLED
DENTAL INSURANCE ASO PROGRAM
Solicitation # RFP 27-26
The City of Charlottesville is soliciting proposals for a Dental Insurance Administrative Services Only (ASO) Program through RFP 27-26. The contract aims to support a self-funded dental plan for approximately 1,100 active, benefits-eligible employees and 500 retirees. While the City currently maintains a single dental plan, it is considering a dual-option offering that includes a new buy-up plan effective July 1, 2027. The initial contract term is scheduled to run from January 4, 2027, through June 30, 2028, with the possibility of up to six additional one-year renewal terms. Based on historical billed charges from the 2025-2026 period, the estimated contract value is approximately $1,653,140. Offerors must provide pricing on a per employee per month (PEPM) basis, with rates guaranteed for a 24-month period. Proposals are evaluated based on several critical factors, including network access via GeoAccess reports, provider disruption analysis, and financial competitiveness regarding ASO fees and shared savings. The City requires strict adherence to data privacy standards for personally identifiable information and mandates that all insurance policies be issued by companies with an A.M. Best Financial Strength Rating of A- or better and a Financial Size Category of VII or higher. Additionally, the contractor must comply with various non-discrimination laws and accessibility requirements, ensuring all digital reports are compatible with screen readers. Proposals must be submitted via the OpenGov portal by the deadline of September 16, 2026.
Human Resources

POSTED

17 days ago

DEADLINE

in 11 days

AI Contract Overview

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Texas Woman’s University is seeking a subcontractor to design comprehensive student health insurance plans, perform detailed actuarial analysis, and recommend benefit structures that meet all federal Affordable Care Act requirements and applicable Texas state regulations. The work involves developing insurance products tailored to the needs of a student population, ensuring financial sustainability through rigorous modeling and analysis, and aligning plan features with legal and regulatory standards to guarantee compliance and affordability. The contract, categorized under NAICS code 524292, is posted with a response deadline of July 28, 2026, and is open for bidding through the Texas SmartBuy procurement portal, with performance expected to support the university’s student health services and insurance offerings.

General Info

Design student health insurance plans compliant with ACA and Texas law, with actuarial analysis and benefit structuring.

Agency

Texas Woman's University

NAICS

524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsView NAICS

Place of Performance

TX, USA

Set-Aside

NONE

Documents

This scope was carved out of RFP-731-26-012-SR.

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

View the prime solicitation

Student Health Insurance Broker and Risk Management Services

AI Contract Breakdown

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No contract breakdown available.

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Timeline

PhaseClosed
Posted

subcontract

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyTexas Woman's University
ContactsNo contacts available
OfficeN/A
Organization / Agency
Texas Woman's University
Office AddressN/A
ContactsNo contact information available

Full Description

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Design student health insurance plans, conduct actuarial analysis, and recommend benefit structures compliant with ACA and Texas regulations.