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This Solicitation opportunity from Pennsylvania was posted on September 14, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Specifications for 3rd Party Leave Administration and Consulting Services

Closed
RFP-2026-0011State & Local

Contract Overview

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

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NAICS: 524292
New
SLED
DAS Healthcare Navigation Services
Solicitation # SRC0000040927
The State of Ohio Department of Administrative Services is soliciting proposals for a contractor to provide comprehensive healthcare navigation services for approximately 103,000 members. The primary objective is to improve the quality of care and reduce overall costs by simplifying access to care, increasing engagement in existing programs, and improving healthy outcomes. The scope of work includes providing guidance on healthcare benefits, supporting provider selection and appointment scheduling, assisting with claims and billing, and offering cost transparency tools. The selected contractor must integrate with existing Third Party Administrators and HR technology platforms and provide data insights via reporting capabilities. The contract utilizes a not-to-exceed unit cost fee structure with an initial term running from the date of signature through June 30, 2030, with potential renewals for up to four years. To qualify, offerors must meet a mandatory requirement of having provided navigation services to at least one public sector self-insured employer with at least 25,000 covered lives within the past five years. Award selection is based on the highest total score combining technical, cost, and presentation evaluations, provided a minimum technical threshold is met. The contractor must adhere to strict service level agreements, including answering calls within 20 seconds and maintaining 99.9 percent web portal availability, while complying with State IT policies and HIPAA regulations via a Business Associate Agreement.
Administrative Services

POSTED

1 day ago

DEADLINE

in 13 days
NAICS: 524292
New
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Q517--PHARMACY BENEFITS SERVICES | WICHITA |
Solicitation # 36C25527Q0015
The Department of Veterans Affairs, Network Contracting Office 15, is soliciting quotations to establish a single-award, Indefinite Delivery/Indefinite Quantity (IDIQ) contract with fixed unit pricing for Pharmacy Benefit Services. This contract supports the First Fill Prescription Voucher Program at the Robert J. Dole VA Medical Center in Wichita, Kansas, including its associated Community Based Outpatient Clinics and Home-Based Primary Care programs. The program is designed to provide eligible Veterans with first or urgent fill prescriptions, typically limited to a 10-day supply or 14 days for antibiotics, in scenarios where VA pharmacies are impractical, such as after telehealth appointments or emergency room visits. The period of performance is scheduled from January 4, 2027, to January 3, 2030. This procurement is a total set-aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSB), and all offerors must be registered in the SBA VetCert database to be considered. The selected contractor must maintain a geographically accessible pharmacy network with 24-hour and extended holiday coverage, adhere to VA-provided emergency medication formulary lists, and maintain strict HIPAA and Privacy Act compliance. Award will be based on best value, with technical capability and past performance combined being weighted more heavily than price. Quotations must include a dispensing fee per prescription, a discount from the Average Wholesale Price, and an administration fee per prescription, and must be submitted electronically to the contracting officer by November 23, 2026.
255-NETWORK Contract Office 15 (36C255)

POSTED

1 day ago

DEADLINE

in 23 days
NAICS: 524292
New
SLED
Employee Benefits- Life/STD/FSA/HSA/COBRA
Solicitation # 27-011CH-32RFP
The Tempe Union High School District is soliciting proposals under RFP 27-011CH-32RFP for the administration of employee benefits for the plan years spanning July 1, 2027, through June 30, 2032. The scope of work includes Basic and Voluntary Life and Accidental Death and Dismemberment, Short-Term Disability, Flexible Spending Accounts, Health Savings Accounts, and COBRA administration. Key requirements include the provision of a 24/7 participant website, comprehensive online reporting for the District, and the waiver of pre-existing condition limitations for initially enrolled employees and dependents. The District intends to ensure that no employees suffer a loss of benefits during a carrier transition and requires a master contract that eliminates active-at-work restrictions or deferred effective dates. Proposals must be submitted via the OpenGov portal by November 19, 2026, with questionnaires and financial tabs provided exclusively in Excel format. The award will be based on a point formula system evaluating responsiveness, qualifications, cost, and past performance, with the possibility of multiple awards by individual product lines. Technical proposals must score at least 500 out of 1000 points to proceed to price evaluation. Contractual terms include Net 30 payment terms, a five-year records retention requirement, and compliance with various federal and state laws, including the Americans with Disabilities Act and Arizona Revised Statutes. Implementation must be completed 60 days prior to open enrollment, with the implementation manager providing support for 45 days following the July 1 effective date.
Business Services

POSTED

2 days ago

DEADLINE

in 19 days
NAICS: 524292
New
SLED
Employee Benefits- Medical/Rx/EAP RFP
Solicitation # 27-012CH-32RFP
Tempe Union High School District #213 is soliciting proposals under RFP 27-012CH-32RFP for the provision of comprehensive employee health benefits, including Third-party Administrator (TPA) services for medical claims, bundled Pharmacy Benefit Management (PBM), and an Employee Assistance Program (EAP). The procurement covers plan years from July 1, 2027, through June 30, 2032, with an initial contract term starting March 15, 2027, and ending March 14, 2028, followed by up to four one-year renewals. The scope includes claims administration, network access, clinical case management, and the potential addition of a qualified High Deductible Health Plan. Key deliverables include bilingual educational materials and attendance at four annual Open Enrollment meetings in Tempe, Arizona. The contract is governed by Arizona Law and the Arizona School District Procurement Code, requiring contractors to maintain records for five years and comply with the Americans with Disabilities Act and the Affordable Care Act. Award decisions will be based on a point formula system evaluating technical responsiveness, qualifications, cost, and past performance, rather than price alone. Bidders must provide comprehensive general liability insurance of at least 1 million dollars per occurrence and 2 million dollars aggregate. All direct services must be performed within the United States. Proposals must be submitted via the OpenGov portal by November 19, 2026, with specific requirements for Excel-formatted questionnaires and PDF documentation.
Business Services

POSTED

2 days ago

DEADLINE

in 19 days
NAICS: 524292
New
SLED
RFP-746-2500000254-4 | Financial Mgmt. for PDS in 1915(c)HCBS Waiver Programs C5684
Solicitation # RFP-746-2500000254-4
The Commonwealth of Kentucky Cabinet for Health and Family Services, Department for Medicaid Services, is soliciting proposals for Financial Management Services (FMS) to support Participant-Directed Services (PDS) across five 1915(c) Medicaid waiver programs: Acquired Brain Injury, ABI Long Term Care, Home and Community Based, Michelle P. Waiver, and Supports for Community Living. Serving approximately 15,640 participants, the selected vendor will be responsible for critical operational tasks including electronic visit verification, claims processing, payroll, tax assistance, and financial reporting. The contract requires a seamless transition from the current vendor and mandates adherence to PMI standards for project management. Technical requirements include integration with the Kentucky Online Gateway for identity and access management using SAML 2.0, OIDC/OAuth 2.0, and WS-Fed protocols, as well as compliance with Commonwealth Office of Technology standards and HIPAA regulations via a Business Associate Agreement. Vendor performance will be strictly monitored through pre-operational and operational report cards, with monetary penalties ranging from 100 to 10,000 dollars for non-compliance in areas such as call center support, billing accuracy, and disaster recovery. Security is a high priority, requiring immediate data breach notification within 30 minutes of discovery and the maintenance of cyber insurance or performance bonds. Proposals are evaluated based on technical and cost criteria, with a 15 percent preference given to qualified bidders. The final deadline for proposal submission is December 9, 2026, with an anticipated contract start date of April 1, 2027. Payments are processed within 30 working days of invoice acceptance, provided all specific documentation and Personal Service Contract forms are submitted.
275 E.Main St.,Fkt, Ky

POSTED

3 days ago

DEADLINE

in about 1 month
NAICS: 524292
New
SLED
712589: Third Party Liability Claims Administrator Services
Solicitation # 54879
The City of Chicago Department of Law is soliciting proposals for Third Party Liability Claims Administrator Services under solicitation number 54879. The selected contractor will provide general claims administration, inside claims specialist services, and outside claims adjuster services, with a primary focus on managing tort claims. Key responsibilities include conducting physical inspections, securing evidence, and providing litigation support. The contract is structured as a Blanket Purchase Agreement with a base term of 60 months and options for two 12-month extensions or a single 24-month extension. Performance is measured by strict processing timelines, requiring routine claims to be resolved within 70 days and complex claims within 182 days, with a mandatory 80 percent adherence rate. Proposals are due by December 18, 2026, and will be evaluated based on professional and technical competence (70 percent), the implementation and management plan (20 percent), and the schedule of compensation (10 percent). Several pass/fail criteria apply, including financial stability, insurance compliance, and the submission of a sexual harassment policy affidavit. The contractor must provide on-site coverage Monday through Friday from 8:00 am to 6:00 pm and Saturdays from 8:00 am to 12:00 noon. Additionally, the City will provide a 100,000 dollar Claims Payment Fund for the contractor to manage and replenish monthly. Compliance with MBE, WBE, and VBE goals is required, and the contractor must adhere to stringent data protection requirements for all protected information.
Department of Law

POSTED

3 days ago

DEADLINE

in about 2 months
NAICS: 524292
New
Federal
TRICARE Medicare Eligible Program Second Generation (TMEP2)
Solicitation # HT940226R0001
The TRICARE Medicare Eligible Program Second Generation (TMEP2) is a full and open competitive acquisition issued by the Defense Health Agency to provide health care claims processing, customer support, and administrative services for dual-eligible Medicare and TRICARE beneficiaries. The scope of work covers medical services received across the United States, Puerto Rico, Guam, the US Virgin Islands, American Samoa, and the Northern Mariana Islands. This Firm Fixed-Price contract features a potential total period of performance of 8.5 years, consisting of a 12-month transition-in period, seven 1-year healthcare delivery periods, a 12-month transition-out period, and a possible 6-month extension of services. The government will utilize a best value trade-off source selection process, where technical approach and past performance are equal in importance and collectively significantly more important than price. A rating of acceptable for small business participation is required for award eligibility. Key requirements include CMMC Level 2 certification, adherence to FedRAMP Moderate security standards for cloud providers, and the implementation of a Quality Assurance Surveillance Plan to monitor performance metrics. Proposals must be submitted electronically via DoD SAFE by December 03, 2026, at 5 p.m. MST, organized into six separate electronic volumes.
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POSTED

3 days ago

DEADLINE

in about 1 month
NAICS: 524292
New
SLED
DAS Medical Plan Third-Party Administrator
Solicitation # SRC0000038100
The State of Ohio, through the Department of Administrative Services, is soliciting proposals for one or more Contractors to serve as Third-Party Administrators (TPA) for its self-insured medical plans, including Ohio Med PPO, Ohio Med Select, and Ohio Med HDHP. The selected Contractor(s) will be evaluated by region and will be responsible for administering existing plan designs for approximately 103,000 covered lives starting July 1, 2027. Key responsibilities include the seamless delivery of medical health benefits, daily reconciliation of plan accumulators with behavioral health and prescription drug contractors, and the integration of data feeds with pharmacy, population health management, and data warehouse vendors. The contract term runs from the date of signature through June 30, 2030, with the State maintaining the option for one-month renewals. Proposals are evaluated based on a maximum of 8,800 points, with a mandatory requirement that the Contractor administer existing plan designs without exception. Financial terms include monthly ASO fees paid Net 30 and claims reimbursement within ten business days, with claims billed no more than weekly via ACH. Contractors must provide a Benefits Fund of 75,000 USD per awarded region for the initial three-year period and at least 25,000 USD per region for subsequent renewals. Performance is monitored through strict Service Level Agreements, including a 100 percent success rate for mailing ID cards within five days of enrollment. Additionally, Contractors must comply with State IT policies, HIPAA regulations via a Business Associate Agreement, and maintain licensure with the Ohio Department of Insurance.
Administrative Services

POSTED

3 days ago

DEADLINE

in 13 days
NAICS: 524292
New
SLED
TPA Workers' Compensation
Solicitation # 127-2026
The Southwest Ohio Regional Transit Authority (SORTA), also known as Cincinnati Metro, is soliciting proposals for a Third-Party Administrator (TPA) to manage its self-insured Workers' Compensation program. The scope of work includes comprehensive claims administration, medical management, cost containment, legal support, and regulatory compliance in accordance with Ohio Bureau of Workers' Compensation and Ohio Industrial Commission requirements. Additionally, the selected vendor will provide safety consulting, OSHA/VSSR review services, and various reporting deliverables, including quarterly claims reports and bi-weekly payment forecasts. The contract is intended to begin in March 2027 and utilizes a firm-fixed price structure for a five-year term. Proposals must be submitted electronically via the OpenGov portal by November 4, 2026, and must be divided into two volumes to keep pricing separate from technical and business qualifications. Evaluation will be based on a points-based system focusing on price, project approach, and firm and staffing qualifications, specifically looking for public-sector or transit-related experience. Award decisions will be made based on the most advantageous proposal to SORTA. The successful contractor must adhere to NET 30 payment terms and comply with various federal and state non-discrimination and equal employment opportunity regulations.
Human Resources

POSTED

4 days ago

DEADLINE

in 4 days

AI Contract Overview

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Pittsburgh Public Schools is soliciting proposals for a qualified vendor to provide comprehensive third-party leave administration and consulting services for over 4,000 benefits-eligible employees. The selected vendor will manage end-to-end claim administration for paid and unpaid leaves, including those governed by the Family and Medical Leave Act of 1993, Board policies, collective bargaining agreements, and various federal, commonwealth, and local regulations. Key operational requirements include the ability to integrate with the District's Munis Tyler Technologies ERP and Frontline absence management system, providing leave decisions within five business days of receiving documentation, and maintaining secure systems for protected health information. The contract is intended for a minimum three-year term running from January 1, 2027, through December 31, 2029. Proposals are due by October 14, 2026, and will be evaluated based on the vendor's ability to meet the District's needs, experience, qualifications, and pricing strategy. The award will be granted to the proposer deemed most advantageous to the School District, with the possibility of oral presentations for those in the competitive range. The chosen contractor must assign a dedicated Account Manager and ensure full compliance with ADA and ADAAA regulations, as well as provide detailed statistical analysis and benchmarking of the District's leave programs.

General Info

Pittsburgh Public Schools seeks a vendor for third-party leave administration from 2027 to 2029.

Documents

1
PDF, High priority: read this first11 pages · rfp
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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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AgencyPennsylvania → Pittsburgh Public School District
Contacts1 person available
OfficePA, USA
Office AddressPA, USA
Contacts
Holly Pataski

Full Description

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Pittsburgh Public Schools (PPS) is seeking proposals from qualified vendor to provide leave administration services as described in the request for proposal (RFP) and scope of work. Leave administration services for purposes of this RFP include both paid and unpaid leaves of absence that fall under the Family and Medical Leave Act of 1993 as well as applicable Board policies and collective bargaining agreements.

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NAICS: 541310
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Solicitation # RFP-2026-0016
The Pittsburgh Public School District is soliciting proposals for architectural and engineering services to manage the site development and construction of the new Northview Heights Elementary School. This lump sum fixed fee contract is scheduled to run from January 11, 2027, through December 31, 2030. The selected consultant will be responsible for all design phases, ensuring compliance with the Americans with Disabilities Act, Pennsylvania School Code, and specific safety requirements, including the installation of a storm shelter per 2021 IBC section 423.5. The project emphasizes sustainable, healthy, and high-performance design, with an evaluation focus on resilience, carbon reduction, and life-cycle value. Proposals are due by November 30, 2026, and must be submitted as a consolidated document and a separate fee proposal via bound paper copies and USB. The District will award the contract based on a combination of high qualifications and competitive fees, applying a 10 percent EBE aspirational goal for business diversity. Selected consultants must provide criminal background reports and child abuse clearances for all employees having direct contact with children. Payment will be issued monthly based on the percentage of work completed, with specific reimbursable expenses, such as site surveys and permit fees, billed at cost plus a 10 percent management fee.
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