Medical and Pharmacy Benefits Manager for Self-Insurance and/or Fully Insured Medical and Pharmacy Benefits

The City of Norfolk, acting on behalf of Norfolk Public Schools and the Norfolk Redevelopment and Housing Authority, collectively known as the Consortium or NHC, is soliciting proposals for medical plan administration and pharmacy benefit management services to cover employees, pre-65 retirees, and their qualified dependents for a five-year term beginning January 1, 2028, and ending December 31, 2032, with an option for one additional five-year renewal. The Consortium is seeking both self-insured and fully insured solutions, preferring a carved-in model that combines medical and pharmacy services to streamline administration, leverage bundled pricing, and ensure consolidated reporting, though it will evaluate separate proposals if they deliver superior value. Offerors may submit bids for one or multiple service areas but must provide distinct proposals for each within OpenGov, as linked in the project documents. The solicitation allows flexibility in structure while emphasizing cost efficiency, service quality, and seamless integration with existing systems. Proposals must be submitted by July 24, 2026, and are directed to the Healthcare Consortium based in Norfolk, Virginia, with primary contact Trish Northcutt, Purchasing Specialist II, reachable via email or phone. The solicitation does not designate a specific set-aside or NAICS code and is open to all qualified vendors without restriction. All performance will occur within Virginia, and responses must align with the Consortium's operational needs, including robust reporting, member support, compliance, and financial transparency. The goal is to secure a partner capable of delivering comprehensive, scalable, and cost-effective health benefits administration that meets the diverse needs of a multi-entity public workforce and retiree population.