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This Solicitation opportunity from Hawaii was posted on June 6, 2025. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Third Party Administrator For The State Of Hawai I'S Flexible Spending Accounts And Commuter Benefits

Closed
DHRD RFP No. 25-5-EAOState & Local

Contract Overview

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

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NAICS: 524292
SLED
Pharmacy Services – Specialty Medications QVL
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PROC OA DIVISION OF PURCHASING PROCUREMENTS

POSTED

11 days ago

DEADLINE

in 12 days
NAICS: 524292
SLED
Medical Claims Audit
Solicitation # RFP-12-2027
Multnomah County is seeking a qualified independent contractor to perform comprehensive medical, prescription, and dental claims audits and operational assessments for its self-funded health plans. The primary goals of this engagement are to ensure fiscal accountability, verify compliance with plan documents, and identify opportunities for cost recovery and process improvement. The selected vendor will be responsible for conducting audits at the County's discretion, implementing robust quality assurance and error-checking protocols, and providing a knowledge transfer plan, including training sessions for County staff. The contract may have a term of up to five years, with payment terms set at Net 30. Proposals are due by September 23, 2026, via the Multco Marketplace Supplier Portal. Evaluation is based on cost, expertise, methodology, innovation, and alignment with County needs, with a specific emphasis on responsible business practices, including energy conservation and living wage standards. High priority is placed on HIPAA compliance for data security and the integration of equity-focused principles to identify health plan disparities. The County strongly encourages participation from minority-owned, women-owned, and emerging small businesses. Award will be granted to the responsible proposer whose proposal is deemed most advantageous, with the highest-scoring responsive bidder entering negotiations for final contract terms.
Multnomah County

POSTED

15 days ago

DEADLINE

in 18 days
NAICS: 524292
SLED
DENTAL INSURANCE ASO PROGRAM
Solicitation # RFP 27-26
The City of Charlottesville is soliciting proposals for a Dental Insurance Administrative Services Only (ASO) Program through RFP 27-26. The contract aims to support a self-funded dental plan for approximately 1,100 active, benefits-eligible employees and 500 retirees. While the City currently maintains a single dental plan, it is considering a dual-option offering that includes a new buy-up plan effective July 1, 2027. The initial contract term is scheduled to run from January 4, 2027, through June 30, 2028, with the possibility of up to six additional one-year renewal terms. Based on historical billed charges from the 2025-2026 period, the estimated contract value is approximately $1,653,140. Offerors must provide pricing on a per employee per month (PEPM) basis, with rates guaranteed for a 24-month period. Proposals are evaluated based on several critical factors, including network access via GeoAccess reports, provider disruption analysis, and financial competitiveness regarding ASO fees and shared savings. The City requires strict adherence to data privacy standards for personally identifiable information and mandates that all insurance policies be issued by companies with an A.M. Best Financial Strength Rating of A- or better and a Financial Size Category of VII or higher. Additionally, the contractor must comply with various non-discrimination laws and accessibility requirements, ensuring all digital reports are compatible with screen readers. Proposals must be submitted via the OpenGov portal by the deadline of September 16, 2026.
Human Resources

POSTED

17 days ago

DEADLINE

in 11 days
NAICS: 524292
SLED
MEDICAL PLAN ADMINISTRATION
Solicitation # RFP 27-24
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Human Resources

POSTED

17 days ago

DEADLINE

in 16 days
NAICS: 524292
SLED
PHARMACY BENEFITS MANAGER
Solicitation # RFP 27-25
The City of Charlottesville is soliciting proposals for Pharmacy Benefit Management (PBM) services through RFP 27-25 to support approximately 1,100 active, benefits-eligible employees and roughly 90 pre-65 retirees. The selected contractor will provide pharmacy benefits coordination for a population currently utilizing medical plan options including Point of Service (POS) and Health Maintenance Organization (HMO) plans, with a potential addition of a High-Deductible Health Plan (HDHP). A critical requirement for offerors is the ability to coordinate seamlessly with the selected medical Third Party Administrator (TPA) regarding accumulator integration, eligibility exchange, claims data, and reporting. The City is specifically requesting Traditional and Transparent (Pass-Through) arrangements, with vendor pricing guaranteed for a three-year term. The initial contract term is scheduled to run from January 4, 2027, through June 30, 2028, with the possibility of up to six additional one-year renewal terms. Key deliverables include specialty and limited distribution drug lists at the NDC level, implementation and ongoing performance guarantees, and a menu of clinical programs with associated fees. The contract is governed by the laws of the Commonwealth of Virginia and the Code of the City of Charlottesville. Offerors must comply with various regulatory and administrative standards, including the protection of personally identifiable information (PII), ADA-compliant reporting, and drug-free workplace requirements. Proposals are due by September 16, 2026, and will be evaluated with the assistance of Alliant Employee Benefits.
Human Resources

POSTED

17 days ago

DEADLINE

in 16 days

General Info

Agency

Hawaii → Human Resources DevelopmentView Agency

NAICS

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

Place of Performance

HI, USA

Set-Aside

NONE

Documents

(5)

Public Notice to Offerors.pdf

PDF

Extension for RFP No. 25-5-EAO - Addendum No. 2 - FINAL - signed.pdf

PDF

RFP NO. 25-5-EAO - FINAL - signed.pdf

PDF

Written Responses to Questions Received on RFP No. 25-5-EAO - Addendum No. 1 - FINAL - signed.pdf

PDF

103D General Conditions for State Contract

PDFgeneral-conditions

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Timeline

PhaseClosed
Posted

Solicitation

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyHawaii → Human Resources Development
Contacts1 person available
OfficeN/A
Organization / Agency
Hawaii → Human Resources Development
View Agency Profile
Office AddressN/A

Full Description

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Third Party Administrator to administer the State of Hawai‘i’s Flexible Spending Accounts and Commuter Benefits.