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Stop Loss Coverage for Self Funded Health Plan

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2027-008-HRState & Local

Contract Overview

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

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The City of Sarasota is soliciting proposals for stop loss coverage for its self-funded health plan, with an effective date of January 1, 2027. The plan currently serves approximately 747 employees and 265 retirees, though Medicare eligible retirees are specifically excluded from stop loss coverage. The scope of work requires coverage for both medical and pharmacy benefits on a 24/12 contract basis. Proposers must provide options for individual stop loss at $250,000 and $275,000, along with aggregate coverage featuring a 125 percent corridor, a 50 percent rate cap, an NNL provision, and a Spec Advance Rider. This is a closed bid requiring best and final rates quoted net of commissions. Proposals will be evaluated by the City and Brown and Brown based on proposed rates, terms and conditions, and responses to a questionnaire. The submission deadline is October 21, 2026, at 5:00pm EST via email. All inquiries and proposals are coordinated through Brown and Brown, with primary procurement contact Helen Reed and marketing analyst Morgan Johnson. The plan must also comply with Section 112.0801 of the Florida Statutes regarding retiree participation.

General Info

Sarasota seeks proposals for self-funded health plan stop loss coverage starting January 2027.

Place of Performance

FL, USA

Set-Aside

NONE

Documents

1

City of Sarasota - Stop Loss Coverage for Self Funded Health Plan (2027 008 HR)

PDF, High priority: read this first7 pages · rfp
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Timeline

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Organization & Contact Information

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AgencyFlorida → Procurement
Contacts1 person available
OfficeSarasota, FL, 34231, USA
Organization / AgencyFlorida → Procurement
Office AddressSarasota, FL, 34231, USA
Contacts
Helen ReedConsulting Purchasing Professional

Full Description

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The City of Sarasota's self-insured health plan is administered by Blue Cross Blue Shield of Florida (BCBS) with pharmacy benefits administered by RxBenefits/CareMark. Stop loss coverage is provided by HM Insurance. The City has a strong commitment to health and wellness and continues to adopt plans to encourage healthy behaviors. The City's benefit program includes incentives for covered members (employees, retirees and spouses) over the age of 19 and uses their onsite health care center as well as their Medical Administrator for their wellness initiatives. There are approximately 747 employees and 265 retirees on the health plan. **MEDICARE ELIGIBLE RETIREES ARE EXCLUDED FROM STOP LOSS.

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