Medical / Rx Stop Loss Insurance

The contract pertains to Medical and Rx Stop Loss Insurance for the City of Sugar Land, Texas, with a duration of five years, offering renewal options of up to four additional one-year periods. The proposal must be based on the benefits plan outlined in the RFP and the census data provided, ensuring coverage for all participants enrolled as of December 31, 2025. Starting January 1, 2026, all health services incurred by currently enrolled participants are eligible expenses under the new plan, with the City’s enrollment records serving as the basis for coverage transfer. The plan must comply with the Patient Protection and Affordable Care Act, providing immediate coverage for all full-time employees from their first day of employment and ending coverage at the end of the month of employment separation. Retirees enrolled in the plan are eligible for continued coverage until reaching Medicare eligibility, assuming they were enrolled immediately prior to retirement. The City requires clear communication of renewal rate increases, including the maximum allowable increase and the basis for calculation, with notification provided at least 120 days before the renewal date. The contract size ranges between five and fifteen million dollars, and proposals are due by September 25, 2025. The primary point of contact is Jason Poscovsky, reachable via email or phone. The procurement process is managed through the City of Sugar Land’s official portal, emphasizing transparency and compliance with procurement standards.