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This Solicitation opportunity from Texas was posted on April 9, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Self-Funded Medical, Pharmacy Benefit Management, Specific Stop Loss Insurance, Near Site Clinic, HSA and COBRA

Closed
RFP 2026-046- Addendum #2 Addendum 2State & Local

Contract Overview

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

Active Opportunities Like This One

NAICS: 524292
SLED
DENTAL INSURANCE ASO PROGRAM
Solicitation # RFP 27-26
The City of Charlottesville is soliciting proposals for a Dental Insurance Administrative Services Only (ASO) Program through RFP 27-26. The contract aims to support a self-funded dental plan for approximately 1,100 active, benefits-eligible employees and 500 retirees. While the City currently maintains a single dental plan, it is considering a dual-option offering that includes a new buy-up plan effective July 1, 2027. The initial contract term is scheduled to run from January 4, 2027, through June 30, 2028, with the possibility of up to six additional one-year renewal terms. Based on historical billed charges from the 2025-2026 period, the estimated contract value is approximately $1,653,140. Offerors must provide pricing on a per employee per month (PEPM) basis, with rates guaranteed for a 24-month period. Proposals are evaluated based on several critical factors, including network access via GeoAccess reports, provider disruption analysis, and financial competitiveness regarding ASO fees and shared savings. The City requires strict adherence to data privacy standards for personally identifiable information and mandates that all insurance policies be issued by companies with an A.M. Best Financial Strength Rating of A- or better and a Financial Size Category of VII or higher. Additionally, the contractor must comply with various non-discrimination laws and accessibility requirements, ensuring all digital reports are compatible with screen readers. Proposals must be submitted via the OpenGov portal by the deadline of September 16, 2026.
Human Resources

POSTED

10 days ago

DEADLINE

in 18 days
NAICS: 524292
SLED
MEDICAL PLAN ADMINISTRATION
Solicitation # RFP 27-24
The City of Charlottesville is soliciting proposals for medical plan administration services through RFP 27-24 to support approximately 1,100 active, benefits-eligible employees and 90 pre-65 retirees. The scope of work involves administering current point of service (POS) and health maintenance organization (HMO) plans, which are currently coupled with a health reimbursement arrangement (HRA). The City is also considering the addition of a high-deductible health plan (HDHP) to the mix, requiring bidders to address potential impacts on administration fees and provide comprehensive strategies for health savings account (HSA) administration and pricing. Key service requirements include high standards for claims adjudication accuracy and turnaround times, integration with a carve-out pharmacy benefit manager (PBM) featuring real-time deductible accumulators, and the provision of clinical and wellness programs such as telemedicine, tobacco cessation, and musculoskeletal support. The proposed contract term begins January 4, 2027, and runs through June 30, 2028, with options for up to six additional one-year renewals. Pricing is based on an Administrative Services Only (ASO) model, requiring detailed fee structures for base administration, claim fiduciary services, data warehouse integration, and various clinical programs. Bidders must demonstrate capabilities in advanced reporting, including on-demand financial and utilization data, and must comply with various regulatory standards such as the Consolidated Appropriations Act (CAA) and the Affordable Care Act (ACA). The solicitation requires detailed responses regarding geographic provider access and includes strict provisions for audit rights, insurance requirements, and nondiscrimination. Proposals are due by September 16, 2026.
Human Resources

POSTED

10 days ago

DEADLINE

in 18 days
NAICS: 524292
SLED
PHARMACY BENEFITS MANAGER
Solicitation # RFP 27-25
The City of Charlottesville is soliciting proposals for Pharmacy Benefit Management (PBM) services through RFP 27-25 to support approximately 1,100 active, benefits-eligible employees and roughly 90 pre-65 retirees. The selected contractor will provide pharmacy benefits coordination for a population currently utilizing medical plan options including Point of Service (POS) and Health Maintenance Organization (HMO) plans, with a potential addition of a High-Deductible Health Plan (HDHP). A critical requirement for offerors is the ability to coordinate seamlessly with the selected medical Third Party Administrator (TPA) regarding accumulator integration, eligibility exchange, claims data, and reporting. The City is specifically requesting Traditional and Transparent (Pass-Through) arrangements, with vendor pricing guaranteed for a three-year term. The initial contract term is scheduled to run from January 4, 2027, through June 30, 2028, with the possibility of up to six additional one-year renewal terms. Key deliverables include specialty and limited distribution drug lists at the NDC level, implementation and ongoing performance guarantees, and a menu of clinical programs with associated fees. The contract is governed by the laws of the Commonwealth of Virginia and the Code of the City of Charlottesville. Offerors must comply with various regulatory and administrative standards, including the protection of personally identifiable information (PII), ADA-compliant reporting, and drug-free workplace requirements. Proposals are due by September 16, 2026, and will be evaluated with the assistance of Alliant Employee Benefits.
Human Resources

POSTED

10 days ago

DEADLINE

in 18 days

AI Contract Overview

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The contract solicitation, identified as RFP 2026-046 with Addendum #2, pertains to services including Self-Funded Medical, Pharmacy Benefit Management, Specific Stop Loss Insurance, Near Site Clinic, Health Savings Account (HSA), and COBRA administration for Canutillo Independent School District in Texas. The addendum was issued to provide answers and clarifications to questions received by April 17, 2026, along with supporting attachments that are essential for preparing formal proposals as outlined on page 16 of the original RFP document. Proposers are required to clearly mark all communications, documentation, and proposals referencing this RFP and its addendum. The solicitation was originally posted on April 9, 2026, with a response deadline set for April 28, 2026, at 9:00 PM MST. The primary point of contact for this solicitation is Veronica Campbell, Purchasing Agent for Canutillo ISD, who can be reached via the provided email. The engagement is based in Texas, with detailed information available through the agency’s online portal.

General Info

RFP 2026-046 for Canutillo ISD self-funded medical, pharmacy, stop loss, clinic, HSA, COBRA services.

Agency

Texas → Canutillo ISDView Agency

NAICS

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

Place of Performance

TX, USA

Set-Aside

NONE

Documents

(16)

Canutillo ISD Aetna Base Schedule of Benefits 2025

PDFschedule-of-benefits

Aetna Stop Loss Application 2026 for Canutillo ISD

PDFapplication

Attachment D Canutillo ISD SBC Aetna Medical CDHP 20260101

PDFbenefits-summary

Attachment M Aetna Total v Paid 2025 Summary

XLSother

Aetna Monthly Claim Report 2025 for Canutillo ISD

XLSreport

Aetna Large Claim Report 2025 for Canutillo ISD

XLSother

Attachment C Canutillo ISD SBC Aetna Medical Basic Plan 20260101

PDFspecifications

Canutillo ISD Medical RFP Workbook Final 2026-046

XLSXrfp

Aetna Stop Loss Insurance Policy 2026 for Canutillo ISD

PDFcontract-document

Attachment A Canutillo ISD Census Data

XLSXother

CISD RFP 2026-046 Self-Funded Medical and Related Services

PDFrfp

Attachment N Aetna Incurred Claims 2025

XLSother

Attachment K Aetna Large Claims with SL 2025

XLSother

RFP 2026-046 Addendum 2 - Self-Funded Medical and Related Services

PDFamendment

Attachment J Aetna Large Claim with Diagnosis 2025

XLSXother

Canutillo ISD Aetna HDHP Schedule of Benefits 2025

PDFschedule-of-benefits

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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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AgencyTexas → Canutillo ISD
Contacts1 person available
OfficeTX, USA
Organization / Agency
Texas → Canutillo ISD
View Agency Profile
Office AddressTX, USA
Contacts
Veronica CampbellPurchasing Agent

Full Description

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All Communication, Documentation, and Proposal shall be clearly marked: RFP# 2026-046 Addendum #2 has been issued in order to provided necessary Answers to Questions received on April 17, 2026 at 4:00pm (MST) along with supporting Attachments used to address questions asked for clarity and these are provided as per page 16 of the RFP for reference and necessary for formal proposal response.