This Solicitation opportunity from Texas was posted on November 19, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Stop Loss Insurance Plan Administration

Closed

RFP #2025-026State & Local

Submission Closed12/13/2024, 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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DAS Medical Plan Third-Party Administrator

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The State of Ohio, through the Department of Administrative Services, is soliciting proposals for one or more Third-Party Administrators (TPA) to manage medical health benefits for approximately 103,000 covered lives. The selected contractor(s) will be evaluated by region and must administer the existing Ohio Med PPO, Ohio Med Select, and Ohio Med HDHP plan designs without exception. The contract term runs from the date of signature through June 30, 2030, with the contractor assuming responsibility for all claims incurred on or after July 1, 2027. Key responsibilities include seamless data integration with pharmacy, behavioral health, and population health management vendors, as well as daily reconciliation of plan accumulators. The procurement process requires a two-part electronic submission via OhioBuys, consisting of a technical proposal and a separate cost proposal. Mandatory requirements include agreement to existing plan designs and the execution of a nondisclosure agreement to access specific provider data. Pricing is structured around per employee per month (PEPM) administrative services only (ASO) fees, with additional costs for file feeds, communications, and disease management. Performance is monitored through strict Service Level Agreements (SLAs), including a requirement to mail ID cards within five days of enrollment. Contractors must also provide a Benefits Fund of $75,000 per awarded region for the initial three-year period and maintain compliance with State IT policies and HIPAA regulations via a Business Associate Agreement.

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Announcement of RFP for Retirement Plan Administration and Record Keeping Services

Solicitation # LC26028

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Nevada State Pharmacy Benefit Manager

Solicitation # 41NHA-S3992

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410 - Nevada Health Authority Director's Office

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Solicitation # 2611-KP

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Solicitation # HHS0017240

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Department of State Health Services

POSTED

DEADLINE

DAS Behavioral Health Third-Party Administrator RFP

Solicitation # SRC0000040548

The State of Ohio, through the Department of Administrative Services, is soliciting proposals for a Third-Party Administrator to manage its self-insured Behavioral Health Benefit Plan. Starting July 1, 2027, the selected contractor will provide administrative services for approximately 43,800 employees and 104,600 total lives. Key responsibilities include managing eligibility, claims history, prior authorizations, utilization management, and data integration with the State's data warehouse. The contract runs from the date of signature through June 30, 2030, with the possibility of a one-month discretionary renewal and further mutual renewals for up to four additional years. To be eligible, offerors must be NCQA accredited and comply with the Mental Health Parity and Addiction Equity Act. The evaluation process is based on a total score derived from technical requirements, cost, and presentations, with the highest-ranking responsible offeror recommended for award. Financial terms utilize a not-to-exceed unit cost fee structure, and the contractor must provide a Benefits Fund of at least 150,000 dollars. Strict compliance is required regarding HIPAA through a Business Associate Agreement, State IT policies, and secure data transfer protocols via SFTP. Proposals must be submitted electronically through the OhioBuys portal, consisting of separate technical and cost volumes.

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POSTED

DEADLINE

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

Solicitation # 27-011CH-32RFP

The Tempe Union High School District is soliciting proposals under solicitation number 27-011CH-32RFP to secure a provider for the administration of employee benefits, including Basic and Voluntary Life and Accidental Death and Dismemberment, Short-Term Disability, Flexible Spending Account, Health Spending Account, and COBRA administration. The intended contract period runs from July 1, 2027, through June 30, 2032. Key requirements include the waiver of pre-existing condition limitations for initially enrolled employees and dependents, the elimination of active-at-work restrictions, and a guarantee that no employee suffers a loss of benefits during a carrier change. The selected vendor must provide a designated account management team, bilingual educational materials, and attendance at four days of annual open enrollment meetings in Tempe, Arizona. The award process utilizes a point formula system across three phases: initial evaluation, vendor interviews, and a best and final offer. Evaluation factors include responsiveness, cost, and past performance, with a minimum of 500 technical points required to proceed to price evaluation. The District intends to award the least number of vendors necessary, with contracts potentially awarded by individual product lines. Proposals must be submitted via the OpenGov portal by November 19, 2026. The contract is subject to Arizona Revised Statutes and School District Procurement Rules, featuring a zero-tolerance gift policy and net 30-day payment terms. Implementation must be completed 60 days prior to open enrollment, with a required 45-day support period following the July 1 effective date.

Business Services

POSTED

8 days ago

DEADLINE

in 22 days

AI Contract Overview

The Public Employee Benefits Cooperative of North Texas (PEBC) is a collaborative organization formed through an interlocal agreement, comprising Dallas County, Tarrant County, Denton County, the North Texas Tollway Authority, and Parker County. Acting as the Plan Administrator for its benefit programs, PEBC is seeking proposals from qualified vendors to manage Stop Loss Insurance Plan Administration. The solicitation, identified as RFP #2025-026, was posted on November 19, 2024, with a response deadline of December 13, 2024. The contract is expected to be valued between five million and fifteen million dollars and falls under the NAICS code 524292, which pertains to insurance agencies, brokerages, and related activities. The purpose of this RFP is to select a licensed and experienced vendor capable of providing comprehensive administration services for the Stop Loss Insurance Plan, including handling supplementary workbooks and reference files included in the proposal attachments. The contract will serve the needs of multiple North Texas counties and authorities, emphasizing the importance of expertise in managing large-scale insurance programs within a public sector context. Interested vendors can find additional details and submit their proposals through the provided online link.

General Info

Agency

Texas → NCTCOG

NAICS

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

Place of Performance

TX, USA

Set-Aside

NONE

Documents

No documents available

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AI Contract Breakdown

Uniform Contract Format

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Timeline

PhaseClosed

PostedNov 19

Solicitation

Response DeadlineDec 13

Deadline has passed

Submission Closed

12/13/2024, 12:00:00 AM UTC

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Organization & Contact Information

AgencyTexas → NCTCOG

ContactsNo contacts available

OfficeN/A

Organization / AgencyTexas → NCTCOG

Office AddressN/A

ContactsNo contact information available

Full Description

The Public Employee Benefits Cooperative of North Texas (PEBC) is a coalition established through an interlocal agreement. The PEBC member groups are Dallas County, Tarrant County, Denton County, the North Texas Tollway Authority (NTTA) and Parker County. The PEBC serves as Plan Administrator for its benefit programs. The purpose of this Request for Proposals (RFP) is to request proposals from qualified and appropriately licensed vendors to provide the following services: Stop Loss Insurance Plan Administration. Necessary supplementary workbooks and reference files for your proposal are found in the attachments below.