SPECIFIC STOP LOSS INSURANCE

Currently, the City offers three medical plans to employees and retirees: a Network plan (HMO like benefits and restricted to participants residing in Arizona), a qualified High Deductible Health Plan (HDHP) with Health Savings Account (HSA) and a HDHP with Health Reimbursement Arrangement (HRA) (follow the link below for the latest benefit booklets): https://tucsonaz.gov/benefits Effective July 1, 2026, the City will continue to offer three medical plans to employees and retirees but intends to eliminate the HDHP with HRA plan by plan year 2027/2028. At this time the City does not know if and how the HDHP with HRA plan will be replaced. The three medical plans under AZ Blue are: EPO In-Network Only Plan – available Nationwide (different from current "Arizona Only" access) HDHP with HSA HDHP with HRA Eligibility and contribution information may be found at: https://tucsonaz.gov/benefits As medical and pharmacy costs continue to rise, the City has had to implement plan design changes and premium rate changes each plan year since 2022. Plan changes effective 7/1/2026 are outlined below. EPO In-Network Only Plan: Deductible Increase by $250/$500 ($1000/$2000) MOOP Increase by $250/$500 ($6600/$13200) Increase Coinsurance to 80% ER Copay Increase to $500 PCP Copay Increase $50 Network: SPC Copay Increase to $70 Rx Copay Increase: $20/$60/$120/$250 2.5x mail HDHP w/HRA Plan: Eliminate HRA Contribution HDHP w/HSA Plan: No changes to plan design or City contribution to HSA accounts NO PRE-BID/PROPOSAL CONFERENCE: The City is foregoing a Pre-Bid/Proposal conference for this solicitation. Prospective bidders/offerors are invited to contact the assigned Contract Officer with any questions, preferably within eight (8) days prior to the submittal due date. Ordinarily, the purpose of this conference is to clarify the contents of this solicitation in order to prevent any misunderstanding of the City's position. Any doubt as to the requirements of this solicitation or any apparent omission or discrepancy should be presented to the Contract Officer before the submittal due date. The City will then determine the appropriate action necessary, if any, and issue a written addendum to the solicitation. Oral statements or instructions shall not constitute an addendum to this solicitation. Questions should be entered into the Q&A section of this solicitation in the OpenGov system. The deadline for questions is 5/5/2026 at 2 pm Arizona time (MST). The City's contracted benefits consultant, McGriff, a Marsh & McLennan Agency LLC company, will be assisting the City with this RFP process.