This Solicitation opportunity from Connecticut was posted on March 15, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Second Injury Fund Medical Bill Audit Services

Closed

OTT1201-001State & Local

Submission Closed05/01/2024, 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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Request for Proposal - Third Party Administrative and Actuarial Services

Solicitation # 2025-RFP-127

The City of Cleveland Department of Finance, Division of Risk Management, is soliciting competitive bids for Third-Party Administrative and Actuarial Services under solicitation 2025-RFP-127. The selected Third-Party Administrator will be responsible for managing Ohio Bureau of Workers' Compensation claims and conducting detailed liability claim reviews to reduce premium costs and minimize organizational exposure. Key deliverables include administrative claims handling, the provision of online communication tools, and the delivery of annual unmodified SOC 1 Type II and SOC 2 Type II reports to validate data security and processing controls. Technical requirements mandate that data be encrypted at rest using AES-256 and in transit via TLS 1.3, with strict adherence to PII and data breach notification laws. Proposals are due by October 29, 2026, and will be evaluated through a phased, points-based process. Phase 1 assesses the quality of the proposal, demonstrated ability, OEO compliance, technical components, key personnel credentials, and the proposed schedule, while Phase 2 may involve presentations for shortlisted teams. Compensation will be based on a simple time-based method or a mutually agreed-upon fee schedule. Contractors must maintain comprehensive general liability insurance of at least 2 million dollars and business automobile liability of 1 million dollars. Additionally, successful bidders must comply with the Cleveland Area Business Code, including good-faith efforts to involve certified Minority, Female, and Cleveland Small Business Enterprises, and must file a written affirmative action program within 60 days of contract execution.

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Announcement of RFP for Retirement Plan Administration and Record Keeping Services

Solicitation # LC26028

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410 - Nevada Health Authority Director's Office

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Medicaid Medication Risk Reduction Initiative

Solicitation # RFP-2027-DMS-01-MEDIC

The New Hampshire Department of Health and Human Services, Division of Medicaid Services, is soliciting proposals for a statewide Medicaid Medication Risk Reduction Initiative (MMRRI). This program will be led by New Hampshire licensed clinical pharmacists to reduce medication-related problems, adverse drug events, polypharmacy, over-prescribing, and risks associated with opioids and behavioral health medications. The selected vendor will implement a technology solution to analyze pharmacy claims and encounter data to identify high-risk beneficiaries, conduct comprehensive medication reviews, and generate actionable medication safety reports for patients and providers. The contract has an anticipated total funding value of approximately 33,553,391 dollars, distributed across five budget periods through September 2031, and is supported by federal funds under the Rural Health Transformation Program. Key performance requirements include a guaranteed positive return on investment by the end of the third contract year, measured by a reduction in total cost of care on a per member per month basis. Vendors must possess at least three years of experience in pharmacy data analysis and medication review. Award decisions will be based on a point system evaluating technical and cost responses, with a minimum technical score of 1,600 points required to avoid disqualification. The contractor must adhere to strict data security standards, including maintaining an Information Security Management System and ensuring all data processing occurs within the United States. Compliance with Title VI of the Civil Rights Act, the Americans with Disabilities Act, and 2 CFR Part 200 is mandatory. Proposals are due by October 28, 2026, and must be submitted as separate technical and cost documents.

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Solicitation # SRC0000040548

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

Solicitation # 27-011CH-32RFP

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COBRA Administration, Retiree Billing & FSA Administration

Solicitation # RFP 2435

The Township of Wayne, New Jersey, issued Request for Proposal RFP 2435 to secure a qualified organization for comprehensive COBRA Administration, Retiree Billing, and Flexible Spending Account (FSA) Administration services. With an effective start date of January 1, 2027, the selected vendor will manage notice generation, election tracking, premium administration, and direct billing for retirees, as well as provide regulatory compliance support and vendor integration. The contract duration is up to two years, with the possibility of two additional one-year extensions. Proposals must be submitted electronically via the ProcureNow portal by October 29, 2026, at 11:00 am. Award selection may be based on the lowest responsive bid or a points-based evaluation focusing on qualifications, method statement, history and experience, resource availability, and references. Mandatory submission requirements include a Statement of Ownership Disclosure, a notarized Non-Collusion Affidavit, and certifications regarding affirmative action and prohibited activities in Russia, Belarus, and Iran. The successful contractor must maintain specific insurance coverages, including a minimum of 1,000,000 dollars for Business Automobile and Umbrella liability, and at least 2,000,000 dollars per occurrence for certain data losses. Additionally, the vendor must ensure strict adherence to HIPAA regulations and New Jersey state statutory requirements.

Purchasing Division

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7 days ago

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in 1 day

AI Contract Overview

The Office of the State Treasurer in Connecticut oversees the Second Injury Fund (SIF), a state-operated workers’ compensation insurance program established in 1945 to promote the employment and integration of veterans with pre-existing injuries into the workforce. The fund was modified by Public Act 95-277, which closed new second injury claims for injuries occurring on or after July 1, 1995, and increased penalties for employers who fail to provide workers’ compensation coverage. Currently, the office is seeking proposals for Second Injury Fund Medical Bill Audit Services, with a solicitation posted on March 15, 2024, and a response deadline of May 1, 2024. The contract opportunity falls under NAICS code 524292 and is managed by the Connecticut State Department of Administrative Services’ procurement portal. Interested parties can find more details and submit responses through the provided online link.

General Info

Agency

Connecticut → Office of State Treasurer

NAICS

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

Place of Performance

CT, USA

Set-Aside

NONE

Documents

OTT1201-001 Second Injury Fund Medical Bill Audit Services

rfp

High

AI Contract Breakdown

Uniform Contract Format

Timeline

PhaseClosed

PostedMar 15

Solicitation

Response DeadlineMay 1

Deadline has passed

Submission Closed

05/01/2024, 12:00:00 AM UTC

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Organization & Contact Information

AgencyConnecticut → Office of State Treasurer

ContactsNo contacts available

OfficeN/A

Organization / AgencyConnecticut → Office of State Treasurer

Office AddressN/A

ContactsNo contact information available

Full Description

The Office of the State Treasurer, Second Injury Fund (the Fund or “SIF”) is a state operated workers’ compensation insurance fund established in 1945 to discourage discrimination against veterans and encourage the assimilation of veterans with pre-existing injury into the workforce. Passage of Public Act 95-277 closed the Fund to new “second injury” claims for injuries sustained on or after July 1, 1995, and expanded fines and penalties against employers who failed to provide workers’ compensation coverage.