Medical Claims Administrative Services, Individual and Aggregate Stop Loss Coverage, and Prescription Drug Claims Administration

Sourcewell, acting on behalf of the Board of Trustees of the Better Health Collective, issued solicitation RFP 040224 to secure professional services for Medical Claims Administrative Services, Individual and Aggregate Stop Loss Coverage, and Prescription Drug Claims Administration. In accordance with Minnesota Statutes and Commerce Rules, the collective sought proposals on either a bundled or unbundled basis to support its member participants. The procurement process included a pre-proposal webinar and a series of four addenda that provided critical clarifications on plan networks, formulary lists, offshoring policies, wellness program expectations, and the coordination of outside vendors and fertility providers. Proposals were required to be submitted exclusively through the Sourcewell Procurement Portal by the deadline of April 2, 2024, at 4:30 p.m. Central Time. The solicitation process emphasized strict adherence to submission guidelines, including the mandatory acknowledgment of all issued addenda. The scope of the request focused on comprehensive health insurance administration, including the management of retiree and COBRA coverage under stop loss and the administration of specific bonus programs.