This Solicitation opportunity from New York was posted on June 15, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Third Party Administrator for Medical Services 2027-2032

Closed

2026-16State & Local

Submission Closed07/15/2026, 05:00:00 PM UTC

Contract Overview

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

Active Opportunities Like This One

NAICS: 524292

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SLED

RFP 27-20-0610 Workers' Compensation Third Party Claims Administration Services

Solicitation # 27-20-0610

Forsyth County, Georgia, is soliciting proposals under RFP 27-20-0610 for a Third Party Administrator to provide Workers Compensation Claims Administration Services for its Department of Risk Management. The selected firm will manage a self-insured program covering approximately 2,681 employees across various departments, including public safety and public works. The contract term is set from January 1, 2027, to December 31, 2031. Qualified proposers must maintain a physical office within Georgia and demonstrate experience with at least three active public entity clients that include fire or police operations. Proposals are due by October 15, 2026, and must be submitted digitally via the EUNA Portal. The scope of work emphasizes high quality employee treatment, timely claim service, and cost savings through professional affiliations. Key performance requirements include a 24-hour three-point contact for 95 percent of new claims, assigning adjusters within four business hours, and maintaining 99 percent accuracy in monthly data integration. The contractor must provide a secure, web-based Risk Management Information System that integrates with Origami Risk and utilizes multi-factor authentication. Evaluation is based on capabilities, experience and references, a detailed questionnaire, and telephonic and field case management. Award criteria also require a non-collusion affidavit and E-Verify compliance.

Forsyth County Board of Commissioners

POSTED

DEADLINE

Individual Coverage Health Reimbursement Arrangement (ICHR)

Solicitation # 2027-09-01

Metrocare Services, a major behavioral health provider in Dallas County, has issued solicitation 2027-09-01 seeking a qualified vendor to provide comprehensive administration services for an Individual Coverage Health Reimbursement Arrangement (ICHRA). The scope of work includes plan design, implementation, ongoing administration, compliance monitoring, and reporting. Key deliverables involve developing employee class structures, contribution strategy modeling, maintaining required plan documentation such as Summary Plan Descriptions, and providing a self-service employee portal with bilingual customer support. The selected vendor must ensure strict adherence to IRS, HIPAA, Department of Labor, and Affordable Care Act regulations, as well as applicable state requirements. The contract will be awarded based on a best value proposal, with an intended annual term. Interested parties must submit their proposals by 2:00 pm Central Time on September 24, 2026, via the OpenGov portal or through sealed paper submission. Required documentation includes a vendor questionnaire, a 2024 W-9, a conflict of interest questionnaire, a pricing table, sample reports, and evidence of professional and cyber liability insurance. Metrocare encourages responses from certified small, minority, woman-owned, and veteran-owned businesses. The agreement is subject to the availability of federal, state, or local funds and includes specific Texas Government Code prohibitions regarding the boycott of energy companies and discrimination against firearm entities for contractors with ten or more employees and contract values exceeding 100,000 dollars.

POSTED

DEADLINE

Administration & Management - Workers Comp. & IOD / HR

Solicitation # BD-23-1172-PUR00-PUR01-133341

The City of Worcester, Massachusetts, through its Purchasing Department, is seeking proposals for the administration and management of Workers Compensation and Injury on Duty services within its Human Resources framework. This solicitation, identified by RFP number CR-8812-W7 and solicitation number BD-23-1172-PUR00-PUR01-133341, is aimed at securing professional management services to handle these specific personnel and insurance functions. Interested parties must submit their responses by the deadline of October 14, 2026, at 3:00 PM. The primary point of contact for this procurement is Purchaser Chris Gagliastro. All services will be performed within the city of Worcester, Massachusetts, and detailed bid information is available through the official city website and the CommBuys portal.

PUR001 - Purchasing Department

POSTED

DEADLINE

Medical Claims Administration (RFP)

Solicitation # 00322898

The Port of Seattle, through its Human Resources agency, has issued solicitation 00322898 for Medical Claims Administration services. This request for proposals seeks a strategic partner to provide robust medical offerings for employees and their families over a potential ten year period, consisting of a five year base term with the possibility of five one year extensions. The contract has an estimated not to exceed fee of 14 million dollars, with proposals due by October 9, 2026. The procurement process involves a comprehensive evaluation of vendor capabilities, including financial strength, public sector experience, and the ability to provide domestic support. Proposers must submit detailed responses across several exhibits, including a medical questionnaire regarding account management, a data management questionnaire covering IT security and HIPAA compliance, and a provider disruption questionnaire to assess network stability. Additionally, vendors must provide multi year pricing for the 2028 through 2032 calendar years, including specific stop loss assumptions and detailed discount structures for various facility and professional claim types.

POSTED

DEADLINE

Health, Pharmacy, Dental, Vision and Stop Loss Coverage Employee Benefits Plan

Solicitation # RFP 2428

The Township of Wayne, New Jersey, is soliciting proposals under RFP 2428 to establish a comprehensive employee benefits plan covering health, pharmacy, dental, vision, and stop loss coverage. The scope of work includes the appointment of a Medical Claims Third Party Administrator to manage claims adjudication, benefit administration, and member services. Key deliverables involve a detailed implementation and transition plan, the procurement of specific and aggregate stop loss insurance, and the provision of network disruption and geo-access analyses to ensure provider availability for employees. The contract is intended for a duration of up to three years, with a start date no later than 21 days following the award. Proposals are evaluated using a points-based system across five equally weighted categories: understanding of the work, technical competence, management and personnel qualifications, timeliness of completion, and cost. Bidders must provide detailed pricing exhibits, including per employee per month rates and stop loss options, while adhering to strict legal and regulatory requirements such as HIPAA compliance, EEO standards, and New Jersey state business registrations. Administrative requirements include monthly invoicing with detailed backup documentation, the submission of a performance bond within 14 days of the signed contract, and a waiver of subrogation in favor of the Township. The Township maintains the right to terminate the contract for convenience with 60 calendar days of advanced notice.

POSTED

DEADLINE

Medical Claims Administration and Member SupportThis subcontract for Medical Claims Administration and Member Support focuses on providing comprehensive medical claims administration for prime contractors associated with the Hidalgo County Head Start Program in Texas. The scope of work includes executing claims adjudication and processing, managing customer service, and overseeing care management. Additionally, the contractor is responsible for coordinating with data warehouse vendors and independently selected Direct Primary Care providers to ensure seamless operational integration. Key deliverables under this agreement include the provision of processed claims reports, member support services, and the delivery of administrative data feeds. The project falls under NAICS code 524292 and is managed through the Head Start Program. Interested parties should note the response deadline of September 23, 2026.

POSTED

DEADLINE

Medical Claims Processing and Payment Accuracy Review

Defense Health Agency

POSTED

DEADLINE

General Liability Third Party Administration Services

Solicitation # LACDA26-067

The Los Angeles County Development Authority is seeking proposals under RFP No. LACDA26-067 for general liability third party administration services. The selected provider will be responsible for furnishing all necessary labor, material, and equipment to perform work in accordance with the Statement of Work. Proposals must be submitted by October 2, 2026, at 2:00 p.m. The agency intends to award an initial one-year contract with the possibility of up to four one-year extensions based on satisfactory performance and available funding. Contractors must adhere to strict insurance requirements, including General Liability, Automobile Liability, Workers Compensation, Professional Liability, Crime Liability, and Sexual Abuse and Molestation coverage. Additionally, the successful bidder must comply with various regulatory mandates, including the Living Wage Program for Los Angeles County, Section 3 of the Housing and Urban Development Act of 1968, the Equal Employment Opportunity Act, and the Fair Chance Employment Hiring Practices Policy. The contract also requires adherence to the County Lobbyist Ordinance and the Zero Tolerance Human Trafficking Policy.

AS- Procurement (AS-P)

POSTED

DEADLINE

Solicitation # Notice_Of_Intent_PBM

The Department of Homeland Security, through U.S. Immigration and Customs Enforcement and the ICE Health Service Corps, intends to award a sole source modification of contract 70CDCR26C00000003 to Ardent Group, LLC. This action is for the continued provision of Pharmacy Benefit Management support. The government has determined that Ardent Group is the only responsible source capable of meeting the requirements within the necessary timeframe, citing authority under FAR Class Deviation 25-11. This notice is not a solicitation for proposals, but interested parties may submit information regarding their capabilities to the government by September 14, 2026. The primary North American Industry Classification System code for this requirement is 524292. The government maintains full discretion over whether to proceed with the sole source award or move toward a competitive procurement process based on the responses received.

Detention Compliance And Removals

POSTED

DEADLINE

THIRD PARTY ADMINISTRATOR FOR LIABILITY AND PROPERTY CLAIMS

Solicitation # RFP-MN-1420

The Metropolitan Water District of Southern California is seeking a Third Party Administrator to manage liability and property claims under solicitation number RFP-MN-1420. This local government opportunity is based in Los Angeles, California, and requires a qualified provider to oversee the administration of claims processes. Interested vendors must submit their responses by October 6, 2026, at 11:00 AM PT. Detailed bid documents and registration requirements are available through the provided PlanetBids portal, and all inquiries regarding the contract language or missing information should be directed to the originating agency.

Metropolitan Water District of Southern California

POSTED

DEADLINE

Employee Benefits Administration and Consulting Services

Solicitation # RFP260701

Seattle Public Schools is seeking a qualified third-party administrator to provide employee benefits administration and consulting services under solicitation RFP260701. The contract is intended for an initial three-year term running from January 1, 2027, through December 31, 2029, with the possibility of two additional one-year extensions. The selected vendor will be responsible for providing all necessary personnel, equipment, and materials to execute the scope of services, including the delivery of specific reports and the assignment of a dedicated team as outlined in the contract exhibits. The agreement requires strict adherence to professional standards of care, legal compliance, and nondiscrimination laws. Key requirements include mandatory background checks for personnel interacting with children, compliance with WCAG 2.1 AA and ADA accessibility standards, and the protection of student information under FERPA. Compensation is structured on a monthly basis, with the District paying invoices within thirty days of receipt upon the satisfactory completion of services. Proposals must be submitted by September 30, 2026, and should detail the vendor's approach, capabilities, team organization, capacity, and relevant experience.

Seattle Public Schools

POSTED

DEADLINE

Pharmacy Services – Specialty Medications QVL

Solicitation # STATE 0000000551SL

Solicitation STATE 0000000551SL is issued by the State of Missouri Office of Administration on behalf of the Missouri Veterans Commission to establish a Qualified Vendor List (QVL) for specialty pharmacy services. The scope of work includes the provision of pharmaceuticals, biologicals, IV therapy, and care coordination for veterans, with services required to be available 24 hours a day, 7 days a week. Awarded vendors must be responsive, responsible, and reliable, with the state intending to award contracts to all qualified vendors to ensure adequate coverage. Once the QVL is established, individual prescriptions will be awarded based on the lowest cost, with preference considerations given to Missouri-based firms, Service-Disabled Veteran Business Enterprises, and organizations for the blind or sheltered workshops. The contract mandates strict adherence to quality standards, including the United States Pharmacopeia and FDA Orange Book, and requires compliance with HIPAA and HITECH regulations through a Business Associate Agreement. Specific packaging and labeling requirements are detailed, including the use of bubble card systems for tablets and compliance with the Federal Food, Drug, and Cosmetic Act. Contractors must maintain veteran records for seven years and provide an updated product catalog annually. The agreement includes a base period with the option for four additional one-year renewals. Compliance certifications are required regarding the Anti-Discrimination Against Israel Act, E-Verify enrollment, and federal drug-free workplace standards. Payments are processed monthly via Electronic Funds Transfer within thirty calendar days of a valid invoice.

PROC OA DIVISION OF PURCHASING PROCUREMENTS

POSTED

18 days ago

DEADLINE

in 5 days

AI Contract Overview

The Central New York Regional Transportation Authority, also known as Centro, is seeking proposals from qualified firms to serve as the third party administrator for its medical benefits from 2027 to 2032. This solicitation, identified by the number 2026-16, was posted on June 15, 2026, with a submission deadline of July 15, 2026. The contract will involve managing the administration of medical services for the organization, which operates within New York State. Interested firms must respond by the specified deadline to be considered for this opportunity. While the contract's exact NAICS code and set-aside status are not provided, the focus clearly centers on providing efficient, expert third party administration of medical benefits. The contract’s performance location is within New York, and additional details and submission instructions are accessible through Centro’s procurement portal. This highlights an important chance for firms specializing in medical benefits administration to partner with a prominent regional transportation authority.

General Info

Centro seeks third-party administrator for medical benefits, 2027-2032, proposals due July 15, 2026.

Agency

New York → CentroView Agency

NAICS

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

Place of Performance

NY, USA

Set-Aside

NONE

Documents

(8)

CNYRTA Group Health Benefit Plan Summary Plan Description

PDF•plan-document

Attachment C - Medical Plan Census Data

XLSX•other

CNYRTA Third Party Administrator Medical Services Proposal Attachment A

PDF•questionnaire

Attachment F- Claim Re-Pricing File

XLSX•other

RFP 2026-16 Third Party Administrator for Medical Services 2027-2032

PDF•rfp

Attachment G- Provider Listing

XLSX•provider-listing

Attachment B Official Tender - Third Party Administrator for Medical Services

PDF•official-tender

CNYRTA Medical Claim Experience Summary

PDF•other

AI Contract Breakdown

Uniform Contract Format

Timeline

PhaseClosed

PostedJun 15

Solicitation

Response DeadlineJul 15

Deadline has passed

Submission Closed

07/15/2026, 05:00:00 PM UTC

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Organization & Contact Information

AgencyNew York → Centro

ContactsNo contacts available

OfficeNY, USA

Organization / Agency

New York → Centro

View Agency Profile

Office AddressNY, USA

ContactsNo contact information available

Full Description

The Central New York Regional Transportation Authority is requesting proposals from qualified firms for third party administration of medical benefits.

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