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This Solicitation opportunity from Texas was posted on June 23, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Health Insurance Third-Party Administrator (TPA) RFP

Closed
26-025VState & 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
New
SLED
Workers' Compensation Claims Administration
Solicitation # 6100066485-RFI
The Commonwealth of Pennsylvania, through the Office of Administration under the Governor's Office, has issued Request for Information 6100066485-RFI to gather market intelligence regarding Workers' Compensation Claims Administration Services. This RFI is intended for planning purposes to assist the Commonwealth in developing a future solicitation for a Third-Party Administrator (TPA) to manage its self-insured program. The agency is specifically seeking information on industry best practices, available technologies, service delivery models, and cost structures related to claims management, medical bill repricing, data management, and the coordination of medical and litigation-related activities. This is a sources-sought request only and does not constitute a formal solicitation, an offer for procurement, or a commitment to award a contract. Interested companies are encouraged to submit their responses by the deadline of October 6, 2026, at 4:00 p.m. EST. The submission process requires completing a Workers' Compensation Claims Administration Questionnaire via a Microsoft Forms link and emailing a Trade Secret/Confidential Proprietary Notice to the point of contact, Sonya Schurtz. While respondents are not required to provide trade secrets, any confidential information must be clearly marked and accompanied by a redacted version of the response to comply with the Pennsylvania Right-to-Know Law.
Office of Administration (under Governor's Office)

POSTED

3 days ago

DEADLINE

in 12 days
NAICS: 524292
New
SLED
Medical Bill Review Services (Suffolk County Dept. of Law)
Solicitation # 2026-24
The Suffolk County Office of Central Procurement, on behalf of the Department of Law, is seeking qualified providers for medical bill review, repricing, and utilization review services for workers' compensation claims. The scope of work involves auditing all workers' compensation bills, verifying Current Procedural Terminology billing codes, and repricing bills based on State fee schedules or Preferred Provider Organization contracts. Key deliverables include the preparation of explanation of payment letters and the provision of a secure, encrypted, browser-based interface for online record review and the electronic processing of objections. Services must adhere to American Medical Association guidelines and Workers' Compensation Board fee schedules. The anticipated contract term runs from January 1, 2027, to December 31, 2029, with three optional one-year renewals extending through December 31, 2032. Award decisions are based on a 100-point scale evaluating general qualifications (40 points), proposed technical services (40 points), and the cost proposal (20 points). Pricing may be submitted as a contingent fee with a not-to-exceed clause, a service fee per bill, or an annual flat fee. The successful contractor must maintain professional liability insurance of at least 2 million dollars and comply with strict data protection, cybersecurity, and federal hiring laws. Proposals are due via the Bonfire portal by October 19, 2026.
Suffolk County

POSTED

6 days ago

DEADLINE

in 19 days
NAICS: 524292
International
Consultant to Perform Actuarial Services Relating to Retirement and Other Post-Employment Benefits
Solicitation # 2026-9
The City of Brantford is seeking a consultant under RFQ 2026-9 to provide actuarial services for retirement and other post-employment benefits for both the City and the Brantford Public Library Board. The contract covers three reporting cycles, specifically for the fiscal years 2026, 2027, and 2028. The selected consultant will be responsible for conducting a detailed actuarial valuation for the 2026 fiscal year and performing extrapolations for 2027 and 2028 to satisfy financial statement reporting and disclosure requirements under PS 3250 and PS 3255. Key deliverables include supporting calculations, documentation of assumptions and demographic data, and the creation of disclosure tables for financial statements. The contract will be awarded to the compliant respondent with the lowest contract amount following a three-stage evaluation process consisting of mandatory submission reviews, technical requirement assessments, and pricing analysis. The agreement commences upon execution and terminates after the completion of the 2028 year-end requirements. Selected consultants must maintain a minimum of 2 million dollars in both Non-Owned Automobile Liability and Errors and Omission insurance, the latter of which must be held for two years following the contract's end. Additionally, the consultant must provide a WSIB Certificate of Good Standing and adhere to the Municipal Freedom of Information and Protection of Privacy Act and the Accessibility for Ontarians with Disabilities Act. Invoices are to be submitted monthly with net 30-day payment terms.
City of Brantford

POSTED

7 days ago

DEADLINE

in 15 days
NAICS: 524292
SLED
Third-Party Recovery & Subrogation Services for Property Damage
Solicitation # 2124-RFP
The City of Rock Hill, South Carolina, is soliciting proposals under RFP 2124-RFP for a qualified firm to provide comprehensive third-party recovery and subrogation services. The objective is to recover costs from liable third parties for property damage to city assets, including vehicles, mobile equipment, real property, water/sewer assets, and utilities infrastructure such as poles and signage. The selected vendor will be responsible for 24/7 claim intake, liability investigations, and financial management, including the preparation of itemized invoices for labor and parts. The contract features an initial three-year term starting January 1, 2027, with two optional 12-month extensions. Awarding will be based on a weighted evaluation system considering service quality, past performance, and compliance, with special adjustments available for local businesses in Rock Hill or York County. Performance is measured by strict KPIs, including a non-litigated recovery rate of at least 70%, an average cycle time of 120 days or less, and 100% reporting timeliness. The vendor must maintain comprehensive liability and workers compensation insurance, adhere to strict PII confidentiality standards, and certify compliance with South Carolina laws regarding unauthorized aliens and the Iran Divestment Act. Payment is processed monthly within 30 days of invoicing, though the City reserves the right to hold up to 10% in retainage until all issues are resolved to its satisfaction.
Risk Management

POSTED

8 days ago

DEADLINE

in 15 days

AI Contract Overview

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The Schertz-Cibolo-Universal City Independent School District is soliciting proposals for comprehensive services to manage its self-funded employee medical plan through RFP 26-025V, titled Health Insurance Third-Party Administrator (TPA) RFP. The solicitation seeks vendors capable of delivering medical third-party administration, network access, pharmacy benefit management, specialty pharmacy services, and strategic cost-containment solutions. Respondents may submit either a comprehensive proposal covering all services or a modular proposal focusing on specific components, and must clearly outline the scope of services, any exclusions, key dependencies, and transparent pricing structures. The District retains full discretion to award a single contract, multiple contracts, a lead vendor with subcontractors, or no contract at all, and may consider continuing current arrangements, introducing replacement vendors, or implementing carve-out or supplemental providers. Proposals must be submitted through the Bonfire portal by 2:00 p.m. on June 23, 2026, and all inquiries must be submitted in writing via the same system. Proposals remain confidential under Texas Government Code §552.104 until recommended and accepted by the District’s Board of Trustees. The District’s evaluation will prioritize alignment with operational efficiency, financial sustainability, and member experience, though no weighted scoring criteria or evaluation thresholds are specified. There is no predefined contract value, ceiling, or pricing structure provided; vendors are expected to propose their own cost models. Performance will occur in Texas, but no specific duration or delivery schedule is indicated. The NAICS code for this solicitation is 524292, and the contracting office is located in Schertz, Texas, with Terri Canal and Aaron Miranda as the primary points of contact.

General Info

Schertz-Cibolo-Universal City ISD seeks proposals for managing self-funded employee medical plan, flexible models.

Place of Performance

TX, USA

Set-Aside

NONE

Documents

(1)

RFP 26-025V Health Insurance Third-Party Administrator (TPA)

PDF•rfp

AI Contract Breakdown

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Timeline

PhaseClosed
Response Deadline

Deadline has passed

Posted

Solicitation

Submission Closed

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Organization & Contact Information

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AgencyTexas → SCHERTZ-CIBOLO-UNIVERSAL CITY ISD
Contacts3 people available
OfficeSCHERTZ, TX, 78154, USA
Organization / Agency
Texas → SCHERTZ-CIBOLO-UNIVERSAL CITY ISD
Office AddressSCHERTZ, TX, 78154, USA
Contacts
AARON MIRANDADIRECTOR OF PURCHASING & SUPPLY
TERRI CANALPURCHASING MANAGER

Full Description

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Schertz-Cibolo-UniversalCity Independent School District (“SCUC ISD” or the “District”) is solicitingproposals from qualified firms, vendor teams, and/or integrated vendorplatforms to provide comprehensive services for the District’s self-fundedemployee medical plan. Services sought include, but are not limited to: medicalthird-party administration (TPA), medical network access, pharmacy benefitmanagement (PBM), specialty pharmacy, and strategic cost-containment solutions.TheDistrict intends to evaluate proposals to identify the solution or combinationof solutions that best align with its operational, financial, and memberexperience objectives. As part of this process, the District may considerreplacement vendors, supplemental or carve-out providers, modular servicearrangements, or continuation of all or part of its current vendor structure.The issuance of this RFP does not obligate the District to replace anyincumbent vendor or arrangement.TheDistrict reserves the right to award contracts in a manner it deems mostadvantageous, including selection of a single vendor, multiple vendors, a leadvendor with approved subcontractors, or no award. Respondents may submit eithera comprehensive proposal addressing all requested services or a modularproposal addressing specific service components. All responses must clearlydefine the proposed scope of services, any exclusions, key dependencies, andtransparent pricing structures.

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