RFP for Claims Administration for the Self-Insured Preferred Provider Organization (PPO) Health Plans

The County of Orange Human Resource Services, Employee Benefits Department is seeking proposals from qualified firms to manage claims administration for its self-insured Preferred Provider Organization (PPO) health plans, which serve active employees and retirees. The contract also includes the potential addition of High Performance Network (HPN) self-insured PPO plans, aimed at enhancing healthcare options for members. The solicitation, identified as RFP number 017-202403-MC, was posted on February 15, 2024, with a deadline for responses set for March 15, 2024. The project falls under NAICS code 524292, indicating a focus on health and medical insurance claims administration services. Interested firms are encouraged to submit their proposals electronically, although the County of Orange disclaims responsibility for any technical issues that may arise during the process. The primary contact for the solicitation is Melvin Chua, reachable via email at [email hidden] or by phone at [phone hidden]. The contract aims to secure a provider capable of efficiently managing claims for the county’s self-insured health plans, ensuring effective administration and potentially expanding healthcare network options for both active and retired employees within California. Further details and the proposal portal are accessible through the county’s procurement website.