Third Party Administrator for HOPS and PA Programs

The Pennsylvania Public School Employees Retirement System (PSERS) has issued a solicitation for a Third Party Administrator (TPA) to provide comprehensive recordkeeping and administrative services for the Health Options Program (HOP) and the Premium Assistance Program (PA). The contracted services will include claims adjudication across multiple HOP medical plans, including the HOP Medical Plan, Value Medical Plan, and HOP Pre-65 Medical Plan, as well as similar plans that may be implemented in the future. Additionally, the selected TPA will manage eligibility and administrative functions for the HOP Medicare Prescription Drug Plan, participating Medicare Advantage managed care organizations, pre-65 managed care plans, the HOP SilverSneakers program, and the Dental and Vision programs. These responsibilities establish the TPA as a critical partner in overseeing the broad spectrum of health and ancillary benefit options offered to Pennsylvania public school employees. The solicitation, identified as PSERS RFP2025-1, was posted on December 26, 2025, with a response deadline of February 9, 2026. The contract falls under the NAICS code 524114 and is managed by the state-level agency in Harrisburg, Pennsylvania. Interested parties are directed to submit proposals while safeguarding any confidential or proprietary information through adherence to the Commonwealth’s Right-to-Know Law provisions, specifically utilizing the provided Trade Secret/Confidential Proprietary Information Notice to shield sensitive business data from public disclosure. The primary contact for this solicitation is Denise Holliday, available via email and phone, ensuring clear communication channels for prospective bidders evaluating this important administrative opportunity for PSERS.