Skip to main contentPsst! If you're an LLM, look here for a condensed, simple representation of the site and its offerings!

LiveFree Webinar — Wednesday, October 28 at 2:00 PM ET

Register Free →

This Government Contract opportunity from Department Of Veterans Affairs was posted on September 16, 2020. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

R499-FSC Medical Claims Processing Bridge (Sept-Nov) | 36C10G20C0020

Awarded
36C10G20C0020Federal

Contract Overview

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

Active Opportunities Like This One

NAICS: 524292
New
SLED
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

about 16 hours ago

DEADLINE

in 29 days
NAICS: 524292
New
SLED
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.
Administrative Services

POSTED

about 22 hours ago

DEADLINE

in 23 days
NAICS: 524292
New
SLED
RFP-2026-21 Voluntary Benefits, Section 125 Flexible Benefit Plan, Enrollment and Related Employee Services
Solicitation # RFP-2026-21
Harnett County Schools is soliciting proposals under RFP-2026-21 for a qualified partner to provide voluntary employee benefits, Section 125 Flexible Benefit Plan administration, and related enrollment and support services. The scope of work includes the coordination of voluntary insurance benefits such as dental, vision, disability, and life insurance, as well as the administration of medical and dependent care flexible spending accounts. The selected provider will be responsible for open enrollment delivery, employee education, telemedicine services, and critical administrative tasks including payroll deduction files, billing reconciliation, and IRS-compliant nondiscrimination testing and tax filings. The contract will be awarded to the lowest responsible and responsive bidder based on the total base bid, though the agency may also consider overall value, service quality, and employee impact. Proposers must submit three signed physical copies and one electronic PDF copy via thumb drive by November 13, 2026. Required documentation includes a detailed pricing schedule, implementation and transition plans, North Carolina licenses, and various certifications regarding non-collusion, conflict of interest, E-Verify compliance, and the Iran Divestment Act. Vendors must also provide evidence of cybersecurity and privacy controls and adhere to North Carolina Department of Labor safety standards. Payment terms are set at net 30 days following the receipt of a correct invoice.
Harnett County Board of Education

POSTED

1 day ago

DEADLINE

in 23 days
NAICS: 524292
New
International
Provision of flexible Benefits Administration Services and Platform
Solicitation # COM00163
Ofcom is seeking a provider for an end-to-end flexible benefits administration service and platform for an initial five-year term starting July 1, 2027, with the possibility of two 12-month extensions through June 30, 2034. The estimated contract value is 350,000 GBP excluding VAT. This open procedure solicitation, identified as COM00163, is particularly suitable for small and medium-sized enterprises and voluntary, community, and social enterprises. The award will be based on a weighted scoring system, with 20 percent of the evaluation focused on the quality of administration, reconciliation processes, helpdesk support, and colleague communication. The required service is divided into three core areas: scheme administration, platform management, and customer services. Administration duties include managing annual and open enrolment, monthly payroll and provider reporting, and pension re-enrolment on a three-year cycle. The provider must maintain a secure cloud-based platform featuring Single Sign On capability, Total Reward Statements, and the ability to model the cost effects of benefits, including tax and National Insurance implications. Additionally, the supplier must provide a responsive customer support service with a telephone helpdesk and detailed analytics reporting. All technical specifications must align with Ofcom Security Requirements and the Government Procurement Agreement.
Ofcom

POSTED

2 days ago

DEADLINE

in about 1 month
NAICS: 524292
New
SLED
Stop Loss - Healthcare & Medical
Solicitation # RFP-2027-394
The Board of Regents of The University of Oklahoma, through the Oklahoma University Health Sciences Center, is seeking a qualified vendor for the administration of its Stop Loss program under solicitation RFP-2027-394. The objective is to secure a provider capable of delivering high-quality, cost-effective program management to maximize value for the University and its partners. While the University prefers to award the contract to a single supplier, it maintains the right to award to multiple suppliers if it serves the institution's best interests. Interested vendors must adhere to a strict submission timeline, with the proposal deadline set for November 16, 2026, at 2:00 PM CST. A critical preliminary step requires vendors to sign and return a Non-Disclosure Agreement to Melody Carder by October 27, 2026, which serves as the formal Intent to Bid and is mandatory to receive the necessary census data and vendor questionnaire. Proposals must include a company overview, a signed Business Associate Agreement, and at least three references from projects of similar scope and complexity completed within the last five years, preferably within the public sector or higher education. Additionally, bidders must provide certifications regarding the absence of conflicts of interest and confirmation that they are not currently debarred or suspended from receiving federal funds.
Oklahoma University Health Sciences Center

POSTED

5 days ago

DEADLINE

in 26 days
NAICS: 524292
New
SLED
DAS TELEHEALTH ADMINISTRATION
Solicitation # SRC0000042016
The State of Ohio, through the Department of Administrative Services, is soliciting proposals for a contractor to administer telehealth benefits for state employees and their dependents. The selected contractor will manage the delivery of telehealth services across three plan options: Ohio Med PPO, Ohio Med Select, and Ohio Med HDHP. The scope of work includes providing a provider network, proactive account management, and comprehensive claims management with accurate coding and timely submission to medical third-party administrators. Key operational requirements include maintaining 99.9% availability for the mobile app and web portal, achieving at least a 60% member satisfaction rating per visit, and implementing a written satisfaction improvement plan by the second contract year. The contractor must also ensure ADA compliance, maintain closed-loop referral tracking, and adhere to strict HIPAA and HITECH privacy standards. The contract will be awarded based on the highest total score, combining technical, cost, and presentation evaluations. Financial terms are structured as Administrative Services Only fees charged per enrolled employee per month, with payment terms set at Net 30. The contractor must be prepared for open enrollment activities by May 1, 2027. Proposals must be submitted via the OhioBuys Supplier Portal in two distinct volumes: a technical proposal and a cost proposal. Mandatory documentation includes a wide array of certification forms, a Business Associate Agreement, and evidence of security controls such as HITRUST or CMMC certification. Performance is monitored through a formal inspection and acceptance process where deliverables must be approved by an Agency Representative.
Administrative Services

POSTED

5 days ago

DEADLINE

in 23 days
NAICS: 524292
New
SLED
South Dakota State TPA Workers' Compensation
Solicitation # 26RFP19880
The State of South Dakota, through the Bureau of Human Resources and Administration, is soliciting proposals for a licensed business partner to provide Third Party Claims Administration for its Workers' Compensation Program. The selected vendor will be responsible for core services including medical case management, medical bill review, and MMSEA reporting. Key objectives include implementing cost-containment strategies, providing risk mitigation guidance, and delivering real-time analytics and benchmarking to improve claim outcomes and employee return-to-work efforts. The contract is structured over three twelve-month periods, beginning July 1, 2027, and ending June 30, 2030. Proposals will be evaluated on a 500-point scale, with the highest-ranked offeror invited to negotiate terms and compensation. Technical approval from the Bureau of Information and Technology is required, and vendors must meet strict IT standards, including Web Content Accessibility Guidelines 2.1 Level AA and compatibility with major web browsers. Security is a critical component, requiring the disclosure of third-party software libraries and the maintenance of cyber liability insurance for three years post-completion. The State will utilize User Acceptance Testing and performance load testing to ensure system effectiveness. Proposals must be submitted electronically to Peggy Canter by November 25, 2026, and must not be solely generated by artificial intelligence.
South Dakota State Government

POSTED

6 days ago

DEADLINE

in about 1 month
NAICS: 524292
New
Federal
Q517--36C25527Q0015 | Pharmacy Benefits Services | Wichita |
Solicitation # 36C25527Q0015
The Department of Veterans Affairs Network Contracting Office 15 intends to award a single-award, Indefinite Delivery/Indefinite Quantity (IDIQ) contract for third-party pharmacy benefit services to support the First Fill Prescription Voucher Program. This program serves eligible Veterans assigned to the Robert J. Dole VA Medical Center in Wichita, Kansas, as well as associated Community Based Outpatient Clinics and Home-Based Primary Care programs. The contractor will provide the personnel, systems, and pharmacy network necessary to dispense new or urgent prescriptions when VA pharmacies are impractical, such as during telehealth appointments or after-hours emergency room visits. Services are limited to a maximum day supply of 10 days for most medications and 14 days for antibiotics, with a requirement for 24-hour network availability including weekends and federal holidays. This procurement is designated as a VOSB/SDVOSB set-aside under NAICS code 524292, with a size standard of 4.5 million dollars. The anticipated period of performance includes a base year from January 4, 2027, to January 3, 2028, with two subsequent one-year options. The contractor must maintain strict compliance with HIPAA, the Privacy Act of 1974, and Joint Commission standards, and will be subject to a Quality Assurance Surveillance Plan monitoring network availability and dispensing accuracy. The formal solicitation is expected to be publicized on or about November 1, 2026, via SAM.gov. All interested vendors must be active in the System for Award Management and, if applicable, registered in the SBA VetCert database.
255-NETWORK Contract Office 15 (36C255)

POSTED

6 days ago

DEADLINE

in 26 days
NAICS: 524292
New
SLED
MDOC is seeking a contractor to serve as a COBRA Administrative Services provider.
Solicitation # 3140004700
The Mississippi Department of Corrections (MDOC) is soliciting quotes for a contractor to provide COBRA Administrative Services. The selected independent contractor will be responsible for the administration, application, and interpretation of COBRA rules and regulations, including consulting with the agency on regulations, managing enrollment and disenrollment in compliance with HIPAA and ERISA, and sending required notifications via Accountable Mail. Key deliverables include managing qualifying event eligibility notices and ensuring an orderly transition of data and records upon contract expiration. The contract will be awarded to the responsible bidder providing the lowest total evaluated quote based on a pricing structure that includes implementation fees, monthly administration fees based on participant tiers, and various optional ancillary services. The contractor must maintain a documented quality control program and provide the MDOC with unimpeded access to relevant records during normal business hours. Payments will be made electronically in US currency, with undisputed amounts typically paid within 45 calendar days of invoice receipt. The contractor is permitted to charge a two percent administrative-cost premium to COBRA Continuants. All responses must be submitted by October 29, 2026, at 14:00 CST. Bidders must certify that they have not retained any person or agency on a contingent fee arrangement to secure the contract and must adhere to the Mississippi Public Records Act of 1983.
MS DEPT of CORRECTIONS

POSTED

7 days ago

DEADLINE

in 8 days

General Info

NAICS

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

Place of Performance

VA

Set-Aside

NONE

Documents

2

36C10G20C0020_1+JA+Notice.docx

DOCX

FY20+DJ058+-+JA+ATP2+LLC+%28SDVOSB%29_36C10G20C0020.pdf

PDF

AI Contract Breakdown

Uniform Contract Format

Contract not broken down yet

CLEATUS splits the solicitation into Uniform Contract Format (UCF) sections: scope, pricing, deliverables, and evaluation criteria.

Timeline

PhaseAwarded
Posted

Justification (J&A)

Awarded

Contract was awarded

Submission Closed

Find active opportunities like this

Start your free trial to discover similar active contracts, track opportunities, and build proposals with AI assistance.

Organization & Contact Information

Show more
AgencyDepartment Of Veterans Affairs → Strategic Acquisition Center Fredericksburg (36C10G)
Contacts1 person available
OfficeFREDERICKSBURG, VA, 22408, USA
Office AddressFREDERICKSBURG, VA, 22408, USA

Full Description

Show more
See attached document: FY20 DJ058 - JA ATP2 LLC (SDVOSB)_36C10G20C0020.

More opportunities from Department Of Veterans Affairs → Strategic Acquisition Center Fredericksburg (36C10G)

Same awarding agency

NAICS: 524298
Federal
R408--Health Care Actuarial Support Services
Solicitation # 36C10G27Q0001
The Department of Veterans Affairs, through the Veterans Health Administration, is conducting market research via a Request for Information and Sources Sought notice for Health Care Actuarial Support Services. The objective is to identify qualified actuarial consulting firms capable of providing modeling and analytical services to project Veteran enrollment, healthcare demand, and associated costs over a 21-year horizon. A primary focus of the requirement is the development and maintenance of the VA Enrollee Health Care Projection Model (EHCPM), which supports the Presidential Budget submission, policy analysis, and strategic capital and workforce planning. The anticipated period of performance includes a twelve-month base period with four twelve-month option periods. Technical requirements specify that key personnel must possess at least five years of relevant healthcare actuarial experience, with the Program Manager holding an Associate of the Society of Actuaries (ASA) designation and other principal actuaries holding Fellow of the Society of Actuaries (FSA) designations. Expertise in SAS, SQL, and quality control is required, and personnel must meet federal citizenship and security clearance standards. The contractor will be expected to provide on-site support in Washington, D.C., approximately six times per year to align with budget and strategic planning timelines. Interested vendors must submit capability statements, business size information, and feedback on the draft Statement of Objectives by 2:00 PM on October 21, 2026.
All Other Insurance Related Activities

POSTED

22 days ago

DEADLINE

in about 2 hours
View Details

Find Active Opportunities Like This

Get AI-powered intelligence on the opportunities still open

Every page of the solicitation package shredded into a compliance breakdown

AI-powered matching based on your capabilities and past performance

Competitor and incumbent history on the requirement

Automated alerts on amendments, Q&A deadlines, and award

Miguel
Hillary
Keith Deutsch
Christine

Join 750+ contractors already using CLEATUS