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This Government Contract opportunity from Texas was posted on May 18, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Stop Loss Insurance Underwriting & Risk Modeling Services

Closed
State & Local

Contract Overview

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

Active Opportunities Like This One

NAICS: 524114
New
Federal
Medicare Administrative Contractor (MAC) Jurisdiction 8 (J8) - Synopsis/Draft RFP / Presolicitation
Solicitation # 75FCMC27R0001
The Centers for Medicare & Medicaid Services (CMS) is seeking a Medicare Administrative Contractor (MAC) to provide health insurance benefit administration services for Jurisdiction 8, which covers Indiana and Michigan. The contractor will be responsible for Medicare Fee-For-Service (FFS) claims processing and payment services, including provider enrollment, customer service, appeals, medical review, and audit and reimbursement functions for both Part A and Part B. This procurement, identified by solicitation number 75FCMC27R0001, is conducted as a full and open competition under FAR Part 15. The resulting contract will be a Cost-Plus-Award-Fee (CPAF) arrangement consisting of a base year and eight one-year options, with a total duration not to exceed 120 months. Award will be based on the best overall value to the government using the FAR 15.103-1 trade-off approach. Evaluation factors include a staffing plan, operations, past performance, small business utilization, and AbilityOne compliance, with non-price factors being significantly more important than price. A pass/fail gate is required for AbilityOne, necessitating that the offeror propose AbilityOne contractors to perform at least 1% of the total contract value. Proposals must be submitted in six separate volumes by November 2, 2026, at 11:00 AM EST. The anticipated award date is September 2027, and the applicable NAICS code is 524114.
Ofc Of Acquisition And Grants Management

POSTED

3 days ago

DEADLINE

in about 2 months
NAICS: 524114
New
SLED
Group Medical Insurance For Hidalgo County Head Start Program
Solicitation # 26-0521-09-23-04
Hidalgo County is soliciting proposals under RFP-26-0521-09-23-04 for Group Medical Insurance for the Head Start Program. The response deadline is September 23, 2026, at 8:00 PM CST. This procurement is managed by the Hidalgo County Purchasing Department and requires offerors to adhere to strict submission guidelines, including the disclosure of any deficiencies or deviations from the specifications. The process emphasizes ethical standards and legal compliance, requiring a Proposer's Affidavit of Non-Collusion, a Conflict of Interest Questionnaire per Texas Local Government Code, and a certification regarding debarment, suspension, and ineligibility from federal transactions. The contract includes comprehensive requirements for insurance coverage, including general liability, automobile liability, and workers compensation, with the County named as an additional insured. Because the program involves federal funding, the contract incorporates mandatory federal provisions, including Title VI nondiscrimination assurances, 2 CFR 200 Appendix II clauses for federal awards, and FHWA Form 1273 for construction-related provisions where applicable. Additionally, the County promotes the use of Historically Underutilized Businesses (HUB), targeting 30 percent participation. Evaluation of proposers will include a formal reference check process conducted by the Purchasing Department to verify past performance and project history.
Head Start Program

POSTED

7 days ago

DEADLINE

in 12 days
NAICS: 524114
Federal
U.S Embassy Accra LES GMC Health Insurance Services
Solicitation # 19GH1026R0001
The U.S. Embassy in Accra is soliciting proposals for Global Medical Coverage health insurance services for its Locally Employed staff and their eligible dependents. This requirement supports employees across multiple agencies, including the Department of State, Department of Defense, and CDC. The contract is structured as a fixed-price arrangement with economic price adjustment, consisting of a one-year base period starting February 13, 2027, with four subsequent one-year option periods. Award will be granted to the lowest priced, technically acceptable, responsible offeror. Technical evaluation focuses on meeting mandatory minimum benefit levels, providing an acceptable management approach, and demonstrating proper licensing by the Government of Ghana or another authorized government. Proposals must be submitted in three separate volumes, including an executed Standard Form 33 and Section K, by the deadline of September 25, 2026. The government encourages the use of off-the-shelf plans and requires that all pricing be fixed. Payments will be made in Ghanaian cedis, with Value Added Tax listed as a separate line item. Performance is monitored by the Contracting Officer’s Representative, with a quality standard requiring no more than one customer complaint per month. Offerors must be registered in the System for Award Management and provide proof of authorization to provide health insurance in the host country. In the event of equal proposals, the award will be decided based on the most generous profit-sharing credit plan.
US Embassy Accra

POSTED

8 days ago

DEADLINE

in 14 days

AI Contract Overview

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The contract seeks specialized actuarial services to support the underwriting and risk modeling of stop loss insurance products for public-sector health plans, leveraging historical claims data and other relevant health plan information. The contractor will be responsible for developing detailed risk models, conducting comprehensive underwriting analyses, and providing actionable pricing recommendations for both specific and aggregate stop loss coverage, ensuring alignment with the financial and operational goals of the health plan. This work requires advanced statistical expertise and a deep understanding of public health insurance dynamics to accurately assess and project potential claim liabilities. The opportunity is issued as a subcontract under NAICS code 524114, with a response deadline of June 16, 2026, and was posted on May 18, 2026. The contracting entity is Metro Houston, operating under the State of Texas, though specific location details for performance or contact points are not provided. The work must be completed in accordance with the unique data structures and regulatory environment of public-sector health plans, and the selected contractor will need to demonstrate proficiency in handling sensitive health data, applying robust modeling techniques, and delivering timely, data-driven insights to support insurance pricing decisions.

General Info

Specialized actuarial services for stop loss insurance risk modeling and pricing in public health plans.

Agency

Texas → Metro HoustonView Agency

NAICS

524114 - Direct Health and Medical Insurance CarriersView NAICS

Place of Performance

TX, USA

Set-Aside

NONE

Documents

This scope was carved out of RFP 2026000008.

The full solicitation package (2 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Stop Loss Insurance for Metropolitan Transit Authority of Harris County, Texas

AI Contract Breakdown

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No contract breakdown available.

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Timeline

PhaseClosed
Posted

subcontract

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyTexas → Metro Houston
ContactsNo contacts available
OfficeN/A
Organization / Agency
Texas → Metro Houston
View Agency Profile
Office AddressN/A
ContactsNo contact information available

Full Description

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Provide actuarial risk modeling, underwriting analysis, and pricing recommendations for specific and aggregate stop loss insurance coverage based on historical claims and public-sector health plan data.

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