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This Solicitation opportunity from Texas was posted on May 20, 2025. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Health Plan Administration Services; Medicare Advantage Plan (MA) or MA Plus Prescription Drug Plan (PD) Services; and Stand-Alone Utilization Management Services

Closed
TRS000528State & Local

Contract Overview

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

Active Opportunities Like This One

NAICS: 561110
New
SLED
Child & Eldercare Committee Oversight
Solicitation # 77250
The State of Vermont Department of Human Resources is seeking one or more contractors to provide comprehensive administrative and facilitative support for the Child and Eldercare Committee. The scope of work includes managing committee meeting preparations such as announcements and minutes, overseeing the entire lifecycle of child and eldercare reimbursement applications from distribution to the drafting of approval or denial letters, acting as a liaison with Child Care Resource and Referral contractors, and promoting the benefit through communications and benefit fairs. The solicitation, posted on October 26, 2026, requires electronic submissions by November 13, 2026, in a single searchable PDF. Evaluation will be based on the best interest of the state, considering the bidder's methodology, experience, cost, and timeline, with preference given to resident bidders. Contractors must adhere to strict security standards consistent with NIST SP 800-53 and FIPS 200, and they must securely dispose of state data within thirty days of a request or contract termination. Financial and compliance requirements include net 30 payment terms and mandatory registration with the Vermont Secretary of State. Bidders must provide a price schedule based on hourly labor rates and may be required to submit a Best and Final Offer or participate in presentations. Depending on the bid amount, contractors may need to provide certifications regarding lobbying, climate change considerations, and worker classification compliance, as well as detailed subcontractor reporting including workers compensation insurance providers.
Department of Economic Development

POSTED

1 day ago

DEADLINE

in 17 days

AI Contract Overview

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The Teacher Retirement System of Texas is seeking qualified vendors to provide comprehensive health plan administration services for its self-funded TRS-ActiveCare and TRS-Care programs, as well as fully insured Medicare Advantage plans or Medicare Advantage plus Prescription Drug Plans for the TRS-Care program. Additionally, the contract includes stand-alone utilization management services to support both the TRS-ActiveCare and TRS-Care initiatives. The solicitation, identified as TRS000528, was posted on May 20, 2025, with a response deadline of July 21, 2025. The project involves a substantial contract value estimated between 50 million and 200 million dollars, reflecting its significance and scope. The Texas-based Teacher Retirement System emphasizes the importance of experienced vendors capable of managing complex health benefits and utilization management services for its members. Interested parties can contact Jacob Bledsoe via email or phone for further details and access the solicitation through the provided link.

General Info

Place of Performance

TX, USA

Set-Aside

NONE

Documents

58

Addendum 1 to Solicitation TRS000528 for Health Plan Administration Services

DOCX, High priority: read this firstamendment
High

Addendum 2 to Solicitation TRS000528 for Health Plan Administration Services

DOCX, High priority: read this firstamendment
High

Addendum 3 to Solicitation TRS000528 for Health Plan Administration Services

DOCX, High priority: read this firstamendment
High

Addendum 4 Exhibit 1 - Illustration of CTG Calculation Revised

XLSX, High priority: read this firstamendment
High

Addendum 4 Exhibit 2 Revised Submission Schedule for Solicitation TRS000528

XLSX, High priority: read this firstamendment
High

Addendum 4 to Solicitation TRS000528 for Health Plan Administration Services

DOCX, High priority: read this firstamendment
High

Attachment A: HIPAA Business Associate Agreement (BAA) for TRS

DOCX, High priority: read this firstcontract-document
High

Attachment B Special Terms and Conditions for TRS Contract

DOCX, High priority: read this firstspecial-terms-and-conditions
High

Attachment B Special Terms and Conditions - TRS Contract

DOCX, High priority: read this firstspecial-terms-and-conditions
High

Attachment B Special Terms and Conditions - TRS Stand-Alone Utilization Management Services

DOCX, High priority: read this firstspecial-terms-and-conditions
High

Attachment C: TRS General Terms and Conditions

DOCX, High priority: read this firstcontract-document
High

Attachment D Exhibit 2 Performance Guarantees

DOCX, High priority: read this firstsow
High

Attachment D Exhibit 3 Administrative Requirements

DOCX, High priority: read this firstsow
High

Attachment D Exhibit 4 Reporting Schedule Addendum 3

DOCX, High priority: read this firstsow
High

Attachment D Exhibit 4 Reporting Schedule - Category A

DOCX, High priority: read this firstsow
High

Attachment D Exhibit 4 Reporting Schedule - Category B

DOCX, High priority: read this firstsow
High

Attachment D Exhibit 4 Reporting Schedule - Category D

DOCX, High priority: read this firstsow
High

Attachment D Exhibit 5 Claim Data File Layout Categories A B C

DOCX, High priority: read this firstsow
High

Attachment D Exhibit 5 Claim Target Guarantee Categories A B D

DOCX, High priority: read this firstsow
High

Attachment D Exhibit 6 Claim Target Guarantee Categories A B D

DOCX, High priority: read this firstsow
High

Attachment D Exhibit 7 List of Awarded Regions Category A

DOCX, High priority: read this firstsow
High

Attachment D Scope of Work Category B HPA Services TRS-Care Program Addendum 3

DOCX, High priority: read this firstsow
High

Attachment D Scope of Work for Category C TRS-Care Program Services Addendum 3

DOCX, High priority: read this firstsow
High

Attachment D: Scope of Work for Stand-Alone Utilization Management Services

DOCX, High priority: read this firstsow
High

Attachment D Scope of Work for TRS-ActiveCare Program Addendum 3

DOCX, High priority: read this firstsow
High

Attachment F Insurance Requirements

DOCX, High priority: read this firstinsurance-requirements
High

Attachment L Historically Underutilized Business (HUB) Requirements

DOCX, High priority: read this firsthub-subcontracting-plan-requirements
High

Contract Signature Page for Health Plan Administration Services TRS000528 Addendum 3

DOCX, High priority: read this firstcontract-document
High

PHI Confidentiality Agreement for TRS Contract

DOCX, High priority: read this firstcontract-document
High

RFP Attachment C - HIPAA Data Use Agreement (DUA) for Solicitation TRS000528

DOCX, High priority: read this firstcontract-document
High

RFP Attachment E - Third-Party Assessment Form

DOCX, High priority: read this firstthird-party-assessment-form
High

RFP Attachment F - Mandatory Minimum Qualifications Requirements Form TRS000528

DOCX, High priority: read this firstrfp-attachment-minimum-qualifications
High

RFP Attachment I - Respondent's Signature and Information for Solicitation No. TRS000528

DOCX, High priority: read this firstrfp-attachment
High

RFP Attachment J - TRS-ActiveCare Regions 1-5

PDF, High priority: read this firstrfp-attachment
High

RFP Attachment K - Exceptions, Deviations, and Assumptions for Solicitation TRS000528

DOCX, High priority: read this firstrfp-attachment
High

RFP TRS000528 Attachment A1 Respondent Questionnaire Medical Services Addendum 4 Part 2

XLSX, High priority: read this firstrfp-attachment-questionnaire
High

RFP TRS000528 Attachment A1 Respondent Questionnaire Medical Services Addendum 4 Part 3

XLSX, High priority: read this firstrfp-attachment-questionnaire
High

RFP TRS000528 Attachment A2 Respondent Questionnaire UM Services Addendum 3

XLSX, High priority: read this firstrfp
High

RFP TRS000528 Attachment H Bid Specification Form Addendum 1

XLSX, High priority: read this firstrfp
High

Solicitation TRS000528 Attachment D - HIPAA Compliance Supplemental Assessment

DOCX, High priority: read this firstrfp-attachment
High

TRS000528 Health Plan Administration Services RFP Addendum 4

DOCX, High priority: read this firstamendment
High

TRS000528 RFP Attachment B Confidentiality Agreement

DOCX, High priority: read this firstconfidentiality-agreement
High

TRS Contract Signature Page for Health Plan Administration Services

DOCX, High priority: read this firstcontract-document
High

TRS Contract Signature Page for Medicare Advantage Plan Services

DOCX, High priority: read this firstcontract-document
High

TRS Contract Signature Page for Utilization Management Services

DOCX, High priority: read this firstcontract-document
High

Attachment D Exhibit 1 Financial Terms Placeholder

DOCX, Low priorityother
Low

Attachment E - Notices, Representatives, and Records Location Form

DOCX, Low prioritycontract-document
Low

Attachment G. Confidentiality Policy

PDF, Low priorityother
Low

Attachment H. Confidential Information Procedures and Standards

PDF, Low priorityother
Low

Attachment J. Background Check Policy

PDF, Low prioritypolicy
Low

AI Contract Breakdown

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Timeline

PhaseClosed
Posted

Solicitation

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyTexas → Teacher Retirement System
Contacts1 person available
OfficeN/A
Office AddressN/A

Full Description

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The Teacher Retirement System of Texas (TRS), seeks a qualifiedvendor(s) to provide one (1) or more of the following services: Health PlanAdministration Services for the self-funded TRS-ActiveCare and TRS-Care Programs;Fully insured Medicare Advantage Plan (MA) or MA + Prescription Drug Plan (PD) Servicesfor the TRS-Care Program; and stand-alone Utilization Management Services forthe TRS-ActiveCare and TRS-Care Programs.

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