This Solicitation opportunity from Texas was posted on July 3, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Pharmacy Benefits Management Services

Closed

#24-62010-32State & Local

Submission Closed07/24/2024, 12:00:00 AM UTC

Contract Overview

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

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NAICS: 524292

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Federal

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DAS Medical Plan Third-Party Administrator

Solicitation # SRC0000038100

The State of Ohio, through the Department of Administrative Services, is soliciting proposals for one or more contractors to serve as Third-Party Administrators for its self-insured medical plans, known as Ohio Med. The scope includes the administration of three plan options: the Ohio Med PPO, Ohio Med Select, and the Ohio Med HDHP, covering approximately 103,000 lives. The selected contractor will be responsible for administering all claims incurred on or after July 1, 2027, and must ensure a seamless transition of care and eligibility verification. Key requirements include providing case, care, disease, and utilization management, while behavioral health remains a carved-out service. The contractor must also integrate with the state's data warehouse vendor, Merative, and adhere to strict IT security standards, including HIPAA compliance via a Business Associate Agreement and various recognized security certifications such as SOC 2 Type 2 or HITRUST. The contract term runs from the date of signature through June 30, 2030, with options for short-term monthly renewals and potential mutual extensions for up to four additional years. Performance is measured by specific Service Level Agreements, such as mailing ID cards within five days of enrollment and maintaining zero errors in initial eligibility files. Financial terms involve weekly claims billing paid via ACH, with a cost proposal structure based on per employee per month fees for core and disease management services. Award selection is based on a total score combining technical, cost, and presentation evaluations. Proposals must be submitted electronically through the OhioBuys portal, with technical and cost components submitted as separate, non-password-protected electronic envelopes.

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Request for Proposal - Third Party Administrative and Actuarial Services

Solicitation # 2025-RFP-127

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State of South Dakota Account Based Plans (HRA, HSA and FSA)

Solicitation # 26RFP19879

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Vehicle Assistance and Claims AdministratorThe Vehicle Assistance and Claims Administrator subcontract, issued by the US Embassy Paris for the Department of State, involves providing roadside assistance and third-party insurance claims management for prime contractors in France. The selected provider will manage assistance for 112 vehicles, settle third-party claims, and recover expenses related to personnel and equipment. Key deliverables include the resolution of claims, the recovery of funds, and detailed documentation of all roadside assistance events. To be eligible, the contractor must possess a Kbis registration and appoint a Project Manager who is fluent in both English and French. The work will be performed in Paris, France, under NAICS code 524292. Responses for this opportunity are due by November 6, 2026.

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Announcement of RFP for Retirement Plan Administration and Record Keeping Services

Solicitation # LC26028

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Nevada State Pharmacy Benefit Manager

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410 - Nevada Health Authority Director's Office

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Solicitation # 2611-KP

The Sacramento Housing and Redevelopment Agency (SHRA) is soliciting proposals under RFP 2611-KP for a qualified actuarial services firm to manage its Other Post-Employment Benefits (OPEB) program. The selected contractor will be responsible for measuring liabilities, supporting funding decisions, and providing essential data for financial reporting and long-term planning. Key deliverables include GASB 75 reporting packages for fiscal year ends 2026 through 2030 and full actuarial valuations as of December 31 for 2026, 2027, and 2028. The scope also encompasses advisory services for prefunding strategies, scenario modeling, and the development of Actuarially Determined Contributions (ADCs) to ensure the fiscal sustainability of retiree medical and dental benefits. The contract is structured for an initial one-year term with options to extend for up to four additional periods, not to exceed five years in total. Proposals are due by October 29, 2026, via the OpenGov portal, with an anticipated start date of December 7, 2026. Evaluation follows a two-stage process where technical proposals must score at least 70% to be considered responsive before cost proposals are reviewed. Award criteria emphasize technical expertise in public-sector OPEB valuations, past performance with similar governmental agencies, and the qualifications of the project team. The agreement requires strict adherence to GASB 75 standards, the Federal Privacy Act of 1974, and applicable Actuarial Standards of Practice.

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DAS Behavioral Health Third-Party Administrator RFP

Solicitation # SRC0000040548

The State of Ohio, through the Department of Administrative Services, is soliciting proposals for a Third-Party Administrator to manage its self-insured Behavioral Health Benefit Plan. Starting July 1, 2027, the selected contractor will provide administrative services for approximately 43,800 employees and 104,600 total lives. Key responsibilities include managing eligibility, claims history, prior authorizations, utilization management, and data integration with the State's data warehouse. The contract runs from the date of signature through June 30, 2030, with the possibility of a one-month discretionary renewal and further mutual renewals for up to four additional years. To be eligible, offerors must be NCQA accredited and comply with the Mental Health Parity and Addiction Equity Act. The evaluation process is based on a total score derived from technical requirements, cost, and presentations, with the highest-ranking responsible offeror recommended for award. Financial terms utilize a not-to-exceed unit cost fee structure, and the contractor must provide a Benefits Fund of at least 150,000 dollars. Strict compliance is required regarding HIPAA through a Business Associate Agreement, State IT policies, and secure data transfer protocols via SFTP. Proposals must be submitted electronically through the OhioBuys portal, consisting of separate technical and cost volumes.

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POSTED

DEADLINE

Employee Benefits- Life/STD/FSA/HSA/COBRA

Solicitation # 27-011CH-32RFP

The Tempe Union High School District is soliciting proposals under solicitation number 27-011CH-32RFP to secure a provider for the administration of employee benefits, including Basic and Voluntary Life and Accidental Death and Dismemberment, Short-Term Disability, Flexible Spending Account, Health Spending Account, and COBRA administration. The intended contract period runs from July 1, 2027, through June 30, 2032. Key requirements include the waiver of pre-existing condition limitations for initially enrolled employees and dependents, the elimination of active-at-work restrictions, and a guarantee that no employee suffers a loss of benefits during a carrier change. The selected vendor must provide a designated account management team, bilingual educational materials, and attendance at four days of annual open enrollment meetings in Tempe, Arizona. The award process utilizes a point formula system across three phases: initial evaluation, vendor interviews, and a best and final offer. Evaluation factors include responsiveness, cost, and past performance, with a minimum of 500 technical points required to proceed to price evaluation. The District intends to award the least number of vendors necessary, with contracts potentially awarded by individual product lines. Proposals must be submitted via the OpenGov portal by November 19, 2026. The contract is subject to Arizona Revised Statutes and School District Procurement Rules, featuring a zero-tolerance gift policy and net 30-day payment terms. Implementation must be completed 60 days prior to open enrollment, with a required 45-day support period following the July 1 effective date.

Business Services

POSTED

8 days ago

DEADLINE

in 22 days

AI Contract Overview

The City of Odessa, Texas, is seeking proposals for Pharmacy Benefits Management Services through a formal solicitation process. Interested vendors must submit their sealed proposals by 3:30 P.M. on July 24, 2024, to the Office of the City Secretary, with the public opening scheduled for 4:00 P.M. in the City Council Chambers. The contract aims to secure pharmacy benefit management services with a project value estimated between $500,000 and $5,000,000. Proposals and detailed specifications can be obtained by contacting Andrew Ung or Stephani Ahmad from Gallagher Pharmacy Practice, with contact details provided for email and phone inquiries. This procurement is managed under NAICS code 524292, which pertains to pharmacy benefits management, and is part of the city's efforts to enhance healthcare services for its residents. The contract is open to eligible organizations, and interested parties are encouraged to review the official bid portal for additional information and updates. The process emphasizes transparency and competitive bidding to select a qualified provider capable of managing pharmacy benefits effectively for the city’s needs.

General Info

Agency

Texas → City of Odessa

NAICS

524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

Place of Performance

TX, USA

Set-Aside

NONE

Documents

No documents available

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Timeline

PhaseClosed

PostedJul 3

Solicitation

Response DeadlineJul 24

Deadline has passed

Submission Closed

07/24/2024, 12:00:00 AM UTC

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Organization & Contact Information

AgencyTexas → City of Odessa

ContactsNo contacts available

OfficeN/A

Organization / Agency

Texas → City of Odessa

Office AddressN/A

ContactsNo contact information available

Full Description

NOTICE TO PROPOSERS Sealed Request for Proposal addressed to the Honorable Mayor and City Council of the City of Odessa, Texas, will be received in the Office of the City Secretary, 411 W. 8th Street - 1st Floor, until 3:30 P.M., July 24, 2024, and then publicly acknowledged at 4:00 P.M., in City Council Chambers for furnishing the City of Odessa with the following items: ItemProposal No. Pharmacy Benefits Management Services #24-62010-32 Specifications and proposal forms may be obtained by calling or emailing: Andrew Ung Stephani Ahmad Gallagher Pharmacy Practice (GPP) Gallagher Pharmacy Practice (GPP)Email: document.write('andrew ung'+'@'+'ajg.com')For security reasons, you must enable JavaScript to view this E-mail address. Email: document.write('stephani ahmad'+'@'+'ajg.com')For security reasons, you must enable JavaScript to view this E-mail address.Phone: +1 (555) 000-0000 Phone: 609-436-4857Marisa RodriquezDirector of Purchasing