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This Solicitation opportunity from Nevada was posted on August 23, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Regional Health Maintenance Organization (HMO)

Closed
95PEBP-S2819State & Local

Contract Overview

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

Active Opportunities Like This One

NAICS: 524114
New
SLED
RFP 2026-028 FULLY INSURED MEDICAL, DENTAL, VISION, FSA, HRA, HSA AND COBRA
Solicitation # 2026-028
The City of Pflugerville has issued Request for Proposals 2026-028 to solicit qualified firms for fully insured employee benefit coverages. The scope of work includes medical, dental, and vision insurance, as well as the administration of Health Reimbursement Arrangements (HRA), Health Savings Accounts (HSA), Flexible Spending Accounts (FSA), and COBRA. This contract is intended for a five-year term serving approximately 422 full-time active employees, with an effective start date of January 1, 2027. The City intends to award the contract to a single service provider based on best value, considering factors such as adherence to specifications, the contractor's reputation, and their past relationship with the City. Proposals must be submitted electronically by 10:00 A.M. CST on September 22, 2026. Submissions must follow a specific organizational structure using designated tabs, including a mandatory Excel format for the Submission Form and Rate Sheets. Successful carriers must meet stringent insurance requirements, including comprehensive general liability, workers' compensation, and excess liability, while also ensuring network adequacy with at least two providers within 10 miles of the service area. Additionally, contractors are required to comply with various legal mandates, such as Texas House Bill 1295, non-collusion certifications, and the Texas Public Information Act regarding confidential information. Monthly reporting on claims experience and a 120-day notice period for renewal rates are required performance deliverables.
CITY OF PFLUGERVILLE

POSTED

7 days ago

DEADLINE

in 27 days
NAICS: 524114
Federal
Request for Information - Group LE Staff Health Insurance for U.S. Embassy Vientiane
Solicitation # 19LA9026N0378
The U.S. Embassy Vientiane is seeking information from insurance providers capable of delivering group health insurance coverage for its locally employed staff and eligible dependents, totaling approximately 280 employees, 225 spouses, and 650 children. This request is strictly for market research and does not constitute a solicitation or binding commitment; responses are voluntary and will inform a potential future procurement expected to be launched in late 2027. The government is evaluating insurers with established networks in Laos and Thailand, seeking details on plan specifications, coverage limits, premium structures, provider payment methods, claims processing, and optional benefits such as dental, vision, air ambulance, and international medical coverage. Companies must demonstrate their ability to meet the needs of a large, diverse workforce across a complex regional environment and show flexibility in customizing plans. Submissions must be presented in a white paper format and include company contact information, proposed contracting strategy, and comprehensive responses to all questions outlined in the RFI. The deadline for responses is September 14, 2026, and submissions must be emailed to VientianeProcurement@state.gov with a specific subject line. All materials submitted become the property of the U.S. Government and will not be returned. Participants are advised that no reimbursement will be provided for response preparation costs. Questions must be submitted in writing by September 1, 2026, and will be addressed publicly through an amendment on SAM.gov. The North American Industry Classification System code associated with this effort is 524114, indicating a focus on health and medical insurance.
US Embassy Vientiane

POSTED

19 days ago

DEADLINE

in 19 days
NAICS: 524114
Federal
Medicare Administrative Contractor (MAC) Jurisdiction 8 (J8) - Synopsis/Draft RFP / Presolicitation
Solicitation # 75FCMC27R0001
The Centers for Medicare & Medicaid Services (CMS) is seeking a Medicare Administrative Contractor (MAC) to administer health insurance benefit services for Medicare Fee-For-Service (FFS) beneficiaries in Jurisdiction 8, which includes the states of Indiana and Michigan. The contractor will be responsible for core functions such as Medicare claims processing and payment services, provider enrollment and customer service, appeals management, audit and reimbursement activities, and medical review, all in strict compliance with federal laws, CMS guidelines, Medicare manuals, and regulatory requirements to ensure the financial integrity of the program. The contract is anticipated to be awarded as a Cost-Plus-Award Fee (CPAF) instrument with a base year and eight one-year option periods, totaling a potential duration of 120 months, with performance beginning upon contract award and phased implementation timelines for key components such as Part A and Part B systems cutover. The solicitation follows a full and open procurement under FAR Part 15, and award will be made using a trade-off approach that prioritizes the best overall value to the government, weighting technical factors—Staffing Plan, Operations, and Past Performance—significantly higher than price, with Small Business Utilization and AbilityOne compliance serving as equally weighted, pass/fail criteria. All offerors must adhere to comprehensive submission requirements including a six-volume proposal structure with strict page limits for technical sections, mandatory use of specific templates and attachments such as the Basis of Estimate, Cost Proposal Templates, and the Voluntary Product Accessibility Template (VPAT), and submission in specified formats including PDF, Microsoft Word, and unprotected Microsoft Excel files compatible with Office 2016 or later. Proposals must be submitted electronically via email by 11:00 AM EST on November 2, 2026, and must include certifications regarding small business status, responsibility, debarment status, and compliance with federal regulations including FAR clauses on ethics, payments, contract changes, government property, and inspection of services. The contractor must also meet stringent operational requirements such as separation of certification and disbursement functions for Medicare payments, compliance with Section 508 ICT accessibility standards, and adherence to HIPAA and data security protocols. All employees requiring access to HHS facilities or systems must pass FBI fingerprint background checks, and U.S.-based performance is required to the maximum extent practicable. Invoicing must occur through the Invoice Processing Platform (IPP), and deliverables are to be submitted via the MAC/CMS Data Exchange system. Responses to the draft solicitation
Ofc Of Acquisition And Grants Management

POSTED

22 days ago

DEADLINE

in 2 months
NAICS: 524114
Federal
Insurance Global Medical Coverage (GMC) for Local Staff
Solicitation # 19CG5026R0008_GMC_LocalStaff
The U.S. Embassy in Kinshasa is preparing to solicit offers for comprehensive health insurance coverage for its local staff under the title “Insurance Global Medical Coverage (GMC) for Local Staff,” with solicitation number 19CG5026R0008_GMC_LocalStaff. The requirement is classified under NAICS code 524114 for direct health and medical insurance carriers and PSC code G009 for social non-government insurance programs. The contract will be structured as a fixed price with economic price adjustment indefinite quantity/indefinite delivery instrument, under which the government will issue firm fixed-price delivery orders for approximately 351 premiums over the performance period. The anticipated period of performance includes a base year and four optional one-year extension periods, subject to government discretion. All prospective contractors must be registered in the System for Award Management (SAM) database in accordance with FAR 52.204-7, and responses must be submitted electronically via SAM.gov once the solicitation is officially published. The embassy has indicated that the solicitation is not yet ready for issuance but will be posted on SAM.gov when available, and the award may be made based on the initial offer without engaging in negotiations. Performance will be carried out in support of the U.S. Embassy Kinshasa located in the Democratic Republic of Congo, with primary point of contact Vernetta Wheeler and secondary contact Annie Ntula listed for inquiries. No set-aside provisions apply, and while key elements such as payment terms, invoicing methods, and evaluation criteria are not yet defined, the overarching obligation is to provide comprehensive global medical coverage to the embassy’s local workforce.
Usembassy Kinshasa

POSTED

3 months ago

DEADLINE

N/A

General Info

Agency

Nevada State of Nevada - OtherView Agency

NAICS

524114 - Direct Health and Medical Insurance CarriersView NAICS

Place of Performance

NV, USA

Set-Aside

NONE

Documents

(13)

95PEBP-S2819 Insurance Schedule

DOCXinsurance-requirements

95PEBP-S2819 Business Associate Agreement with State of Nevada PEBP

PDFcontract-document

95PEBP-S2819 RFP Proposal Response Document - Nevada Public Employees' Benefits Program HMO

XLSXrfp

RFP 95PEBP-S2819 Reference Questionnaire

DOCXreference-questionnaire

95PEBP-S2819 Eligibility File Layout Interface Specification

PDFspecifications

95PEBP-S2819 RFP Regional Health Maintenance Organization

DOCXrfp

Agreement to Maintain Confidentiality of Health Claims Data - RFP 95PEBP-S2819

DOCXagreement-to-maintain-confidentiality

95PEBP-S2819 PP-QC Privacy and Security of PHI Policy

PDFpolicy

RFP 95PEBP-S2819 Reference Questionnaire

DOCXreference-questionnaire

95PEBP-S2819 Contract for Services of Independent Contractor

DOCXcontract-document

95PEBP-S2819 HPN Contract Fee Schedule July 1, 2021 - June 30, 2025

PDFfee-schedule

95PEBP-S2819 Summary Plan Document

PDFsummary-plan-document

NevadaEPro Quote Submission Instructions

PDF5 pagesquote-instructions

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Timeline

PhaseClosed
Posted

Solicitation

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyNevada State of Nevada - Other
Contacts1 person available
OfficeN/A
Organization / Agency
Nevada State of Nevada - Other
View Agency Profile
Office AddressN/A
Contacts

Full Description

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Board of the Public Employees Benefits Program (PEBP), is soliciting proposals from qualified organizations to provide a fully insured regional Health Maintenance Organization (HMO) medical and pharmacy group health plan for PEBPs active employee and non-Medicare eligible retiree population.