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Third Party Administrator for Self-Funded Medical Benefit Plans

Active
RFP-2026-0011State & Local

Contract Overview

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

AI Contract Overview

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The City of Houston is soliciting proposals from qualified third-party administrators to manage its self-funded medical benefit plans and deliver chronic disease management services, aiming to increase operational efficiency, improve the experience for employees and their dependents, and drive better health outcomes. The contract will span a five-year initial term with the option to renew annually for up to two additional years, allowing for a potential seven-year engagement. The selected vendor will be responsible for comprehensive administrative support and targeted interventions to manage chronic conditions among the City’s health plan members. Proposals must be submitted by August 27, 2026, in response to solicitation number RFP-2026-0011, which was posted on July 17, 2026. The opportunity is open to any qualified firm without specific set-aside restrictions, and the primary point of contact for inquiries is Susana Martinez of the City’s Human Resources department, reachable via phone or email. All services are expected to be performed in Texas, and detailed information and submission guidelines are available through the city’s BeaconBid portal.

General Info

Houston seeks third-party admin for 5-year medical plan and chronic disease management, renewable up to 7 years.

Agency

Texas → City of HoustonView Agency

NAICS

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

Place of Performance

TX, USA

Set-Aside

NONE

Documents

(27)

Attachment J - Cost Proposal for City of Houston RFP

XLSX•cost-proposal

Exhibit VII - Anti-Lobbying Certification

DOCX•certification

Attachment C - FFS Claims Data Layout

XLSX•specifications

Letter of Clarification No. 1 for RFP-2026-0011

PDF•amendment

Attachment A - Minimum Requirements Form for RFP

DOCX•minimum-requirements-form

Exhibit VI - Certification Regarding Debarment and Suspension

DOCX•certification

Exhibit V - Conflict of Interest Questionnaire

PDF•conflict-of-interest-questionnaire

Exhibit IV - Anti-Collusion Statement for RFP

DOCX•other

Exhibit I - Offer and Submittal References

DOCX•offer-submittal

Attachment K - Performance Guarantees for Medical Administration Services

XLSX•performance-guarantees

Attachment B - Non-Disclosure Agreement - Revised 7.28.26

DOCX•nda

Attachment D Encounter Data Layout

XLSX•sow

Attachment E Census Data Layout

XLSX•specifications

Attachment I - General Proposal Conditions and RFP Questionnaire

XLSX•sow

Exhibit II - WSBE Participation Plan and Subcontracting Agreement Forms

DOCX•wsbe-forms

Attachment N - Network Access Summary Report

XLSX•report

RFP-2026-0011 Attendance Sheet for TPA Medical Benefit Plans

PDF•attendance-sheet

RFP-2026-0011 Third Party Administrator for Self-Funded Medical Benefit Plans

PDF•rfp

HITS Cloud Governance Policy - City of Houston

PDF•policy

RFP-2026-0011 Letter of Clarification No. 2 for Third Party Administrator

PDF•amendment

RFP-2026-0011 Third Party Administrator for Self-Funded Medical Benefit Plans Pre-Proposal Conference

PDF•rfp

Attachment H - Network Access Standards

DOCX•specifications

Attachment M - Exceptions and Deviations to the RFP

DOCX•exceptions-and-deviations

Sample Contract for Third Party Administrator - City of Houston

DOCX•contract-document

Agreement Exceptions and Deviations to Terms and Conditions

DOCX•agreement-exceptions

Exhibit II - Hire Houston First Declaration

DOCX•1 page•other

City of Houston Ownership Information Form

DOCX•ownership-information-form

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Timeline

PhaseSolicitation
Posted

Solicitation

Response Deadline

Submission deadline

Response Deadline

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Organization & Contact Information

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AgencyTexas → City of Houston
Contacts1 person available
OfficeTX, USA
Organization / Agency
Texas → City of Houston
View Agency Profile
Office AddressTX, USA
Contacts
Susana Martinez
contact@example.gov
+1 (555) 000-0000

Full Description

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The City of Houston seeks proposals from qualified firms to provide third-party administrator (TPA) services and chronic disease management (CDM) services to the City’s self-funded medical benefit plans. The Human Resources department seeks to achieve greater efficiency, improved member experience, and enhanced health outcomes for City employees and their dependents. The contract term will be for a five (5) year initial term with two (2) one-year options to renew annually, for a maximum seven-year (7) contract.

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