This Solicitation opportunity from California was posted on March 16, 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 Workers' Compensation Program

Closed

2026-RFP-0125State & Local

Submission Closed04/15/2026, 09:00:44 PM UTC

Contract Overview

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

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NAICS: 524292

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DAS Behavioral Health Third-Party Administrator RFP

Solicitation # SRC0000040548

The State of Ohio, through the Department of Administrative Services, is soliciting proposals for a Third-Party Administrator to manage its self-insured Behavioral Health Benefit Plan. Starting July 1, 2027, the selected contractor will provide administrative services for approximately 43,800 employees and 104,600 total lives. Key responsibilities include managing eligibility, claims history, prior authorizations, utilization management, and data integration with the State's data warehouse. The contract runs from the date of signature through June 30, 2030, with the possibility of a one-month discretionary renewal and further mutual renewals for up to four additional years. To be eligible, offerors must be NCQA accredited and comply with the Mental Health Parity and Addiction Equity Act. The evaluation process is based on a total score derived from technical requirements, cost, and presentations, with the highest-ranking responsible offeror recommended for award. Financial terms utilize a not-to-exceed unit cost fee structure, and the contractor must provide a Benefits Fund of at least 150,000 dollars. Strict compliance is required regarding HIPAA through a Business Associate Agreement, State IT policies, and secure data transfer protocols via SFTP. Proposals must be submitted electronically through the OhioBuys portal, consisting of separate technical and cost volumes.

Administrative Services

POSTED

DEADLINE

Employee Benefits- Life/STD/FSA/HSA/COBRA

Solicitation # 27-011CH-32RFP

The Tempe Union High School District is soliciting proposals under solicitation number 27-011CH-32RFP to secure a provider for the administration of employee benefits, including Basic and Voluntary Life and Accidental Death and Dismemberment, Short-Term Disability, Flexible Spending Account, Health Spending Account, and COBRA administration. The intended contract period runs from July 1, 2027, through June 30, 2032. Key requirements include the waiver of pre-existing condition limitations for initially enrolled employees and dependents, the elimination of active-at-work restrictions, and a guarantee that no employee suffers a loss of benefits during a carrier change. The selected vendor must provide a designated account management team, bilingual educational materials, and attendance at four days of annual open enrollment meetings in Tempe, Arizona. The award process utilizes a point formula system across three phases: initial evaluation, vendor interviews, and a best and final offer. Evaluation factors include responsiveness, cost, and past performance, with a minimum of 500 technical points required to proceed to price evaluation. The District intends to award the least number of vendors necessary, with contracts potentially awarded by individual product lines. Proposals must be submitted via the OpenGov portal by November 19, 2026. The contract is subject to Arizona Revised Statutes and School District Procurement Rules, featuring a zero-tolerance gift policy and net 30-day payment terms. Implementation must be completed 60 days prior to open enrollment, with a required 45-day support period following the July 1 effective date.

POSTED

DEADLINE

DAS Medical Plan Third-Party Administrator

Solicitation # SRC0000038100

The State of Ohio, through the Department of Administrative Services, is soliciting proposals for one or more contractors to serve as Third-Party Administrators for its self-insured medical plans, known as Ohio Med. The scope includes the administration of three plan options: the Ohio Med PPO, Ohio Med Select, and the Ohio Med HDHP, covering approximately 103,000 lives. The selected contractor will be responsible for administering all claims incurred on or after July 1, 2027, and must ensure a seamless transition of care and eligibility verification. Key requirements include providing case, care, disease, and utilization management, while behavioral health remains a carved-out service. The contractor must also integrate with the state's data warehouse vendor, Merative, and adhere to strict IT security standards, including HIPAA compliance via a Business Associate Agreement and various recognized security certifications such as SOC 2 Type 2 or HITRUST. The contract term runs from the date of signature through June 30, 2030, with options for short-term monthly renewals and potential mutual extensions for up to four additional years. Performance is measured by specific Service Level Agreements, such as mailing ID cards within five days of enrollment and maintaining zero errors in initial eligibility files. Financial terms involve weekly claims billing paid via ACH, with a cost proposal structure based on per employee per month fees for core and disease management services. Award selection is based on a total score combining technical, cost, and presentation evaluations. Proposals must be submitted electronically through the OhioBuys portal, with technical and cost components submitted as separate, non-password-protected electronic envelopes.

Administrative Services

POSTED

DEADLINE

RFP-2026-21 Voluntary Benefits, Section 125 Flexible Benefit Plan, Enrollment and Related Employee Services

Solicitation # RFP-2026-21

Harnett County Schools is soliciting proposals under RFP-2026-21 for a qualified partner to provide voluntary employee benefits, Section 125 Flexible Benefit Plan administration, and related enrollment and support services. The scope of work includes the coordination of voluntary insurance benefits such as dental, vision, disability, and life insurance, as well as the administration of medical and dependent care flexible spending accounts. The selected provider will be responsible for open enrollment delivery, employee education, telemedicine services, and critical administrative tasks including payroll deduction files, billing reconciliation, and IRS-compliant nondiscrimination testing and tax filings. The contract will be awarded to the lowest responsible and responsive bidder based on the total base bid, though the agency may also consider overall value, service quality, and employee impact. Proposers must submit three signed physical copies and one electronic PDF copy via thumb drive by November 13, 2026. Required documentation includes a detailed pricing schedule, implementation and transition plans, North Carolina licenses, and various certifications regarding non-collusion, conflict of interest, E-Verify compliance, and the Iran Divestment Act. Vendors must also provide evidence of cybersecurity and privacy controls and adhere to North Carolina Department of Labor safety standards. Payment terms are set at net 30 days following the receipt of a correct invoice.

Harnett County Board of Education

POSTED

DEADLINE

Provision of flexible Benefits Administration Services and Platform

Solicitation # COM00163

Ofcom is seeking a provider for an end-to-end flexible benefits administration service and platform for an initial five-year term starting July 1, 2027, with the possibility of two 12-month extensions through June 30, 2034. The estimated contract value is 350,000 GBP excluding VAT. This open procedure solicitation, identified as COM00163, is particularly suitable for small and medium-sized enterprises and voluntary, community, and social enterprises. The award will be based on a weighted scoring system, with 20 percent of the evaluation focused on the quality of administration, reconciliation processes, helpdesk support, and colleague communication. The required service is divided into three core areas: scheme administration, platform management, and customer services. Administration duties include managing annual and open enrolment, monthly payroll and provider reporting, and pension re-enrolment on a three-year cycle. The provider must maintain a secure cloud-based platform featuring Single Sign On capability, Total Reward Statements, and the ability to model the cost effects of benefits, including tax and National Insurance implications. Additionally, the supplier must provide a responsive customer support service with a telephone helpdesk and detailed analytics reporting. All technical specifications must align with Ofcom Security Requirements and the Government Procurement Agreement.

POSTED

DEADLINE

Stop Loss - Healthcare & Medical

Solicitation # RFP-2027-394

The Board of Regents of The University of Oklahoma, through the Oklahoma University Health Sciences Center, is seeking a qualified vendor for the administration of its Stop Loss program under solicitation RFP-2027-394. The objective is to secure a provider capable of delivering high-quality, cost-effective program management to maximize value for the University and its partners. While the University prefers to award the contract to a single supplier, it maintains the right to award to multiple suppliers if it serves the institution's best interests. Interested vendors must adhere to a strict submission timeline, with the proposal deadline set for November 16, 2026, at 2:00 PM CST. A critical preliminary step requires vendors to sign and return a Non-Disclosure Agreement to Melody Carder by October 27, 2026, which serves as the formal Intent to Bid and is mandatory to receive the necessary census data and vendor questionnaire. Proposals must include a company overview, a signed Business Associate Agreement, and at least three references from projects of similar scope and complexity completed within the last five years, preferably within the public sector or higher education. Additionally, bidders must provide certifications regarding the absence of conflicts of interest and confirmation that they are not currently debarred or suspended from receiving federal funds.

Oklahoma University Health Sciences Center

POSTED

DEADLINE

DAS TELEHEALTH ADMINISTRATION

Solicitation # SRC0000042016

The State of Ohio, through the Department of Administrative Services, is soliciting proposals for a contractor to administer telehealth benefits for state employees and their dependents. The selected contractor will manage the delivery of telehealth services across three plan options: Ohio Med PPO, Ohio Med Select, and Ohio Med HDHP. The scope of work includes providing a provider network, proactive account management, and comprehensive claims management with accurate coding and timely submission to medical third-party administrators. Key operational requirements include maintaining 99.9% availability for the mobile app and web portal, achieving at least a 60% member satisfaction rating per visit, and implementing a written satisfaction improvement plan by the second contract year. The contractor must also ensure ADA compliance, maintain closed-loop referral tracking, and adhere to strict HIPAA and HITECH privacy standards. The contract will be awarded based on the highest total score, combining technical, cost, and presentation evaluations. Financial terms are structured as Administrative Services Only fees charged per enrolled employee per month, with payment terms set at Net 30. The contractor must be prepared for open enrollment activities by May 1, 2027. Proposals must be submitted via the OhioBuys Supplier Portal in two distinct volumes: a technical proposal and a cost proposal. Mandatory documentation includes a wide array of certification forms, a Business Associate Agreement, and evidence of security controls such as HITRUST or CMMC certification. Performance is monitored through a formal inspection and acceptance process where deliverables must be approved by an Agency Representative.

Administrative Services

POSTED

DEADLINE

Preferred Drug Program / Pharmacy Benefits Management C020463 X-12

Solicitation # 2139982

The New York State Department of Health, specifically the Office of Health Insurance Programs, intends to award a single-source contract to Prime Therapeutics State Government Solutions LLC for the provision of Preferred Drug Program and Pharmacy Benefit Management Services. This procurement is exempt from competitive advertising because a competitive process was not feasible within the required timeframe, as this extension represents the minimum period necessary to complete a new competitive procurement for these services. The contract is scheduled for a period of performance from December 1, 2026, through November 30, 2027, with the services being performed statewide across New York. Administrative oversight for the contract is managed by Health Program Administrator Kevin Noonan, based in Albany, New York. The solicitation is identified by number 2139982 and was posted on October 16, 2026.

NYS Department of Health

POSTED

DEADLINE

South Dakota State TPA Workers' Compensation

Solicitation # 26RFP19880

The State of South Dakota, through the Bureau of Human Resources and Administration, is soliciting proposals for a licensed business partner to provide Third Party Claims Administration for its Workers' Compensation Program. The selected vendor will be responsible for core services including medical case management, medical bill review, and MMSEA reporting. Key objectives include implementing cost-containment strategies, providing risk mitigation guidance, and delivering real-time analytics and benchmarking to improve claim outcomes and employee return-to-work efforts. The contract is structured over three twelve-month periods, beginning July 1, 2027, and ending June 30, 2030. Proposals will be evaluated on a 500-point scale, with the highest-ranked offeror invited to negotiate terms and compensation. Technical approval from the Bureau of Information and Technology is required, and vendors must meet strict IT standards, including Web Content Accessibility Guidelines 2.1 Level AA and compatibility with major web browsers. Security is a critical component, requiring the disclosure of third-party software libraries and the maintenance of cyber liability insurance for three years post-completion. The State will utilize User Acceptance Testing and performance load testing to ensure system effectiveness. Proposals must be submitted electronically to Peggy Canter by November 25, 2026, and must not be solely generated by artificial intelligence.

South Dakota State Government

POSTED

DEADLINE

Workers' Compensation & General Liability Claim AdministrationThis subcontract for the Maryland Office of Risk Management involves providing comprehensive end-to-end claim administration for prime contractors working on County insurance projects. The selected provider will manage Workers Compensation, Auto Liability, General Liability, and First Party Property Damage claims utilizing online internet-based reporting systems. Key deliverables include the management of claim files, the processing of settlements, and the delivery of regular claim status reports. To be eligible, providers must hold the necessary state and federal licenses for insurance adjusting and administration. The opportunity is categorized under NAICS code 524292, with a response deadline set for December 1, 2026.

Office of Risk Management

POSTED

DEADLINE

Third Party Administrative Services

Solicitation # 27-186

Frederick County, Maryland, through its Office of Risk Management, is seeking a third-party claim administrator to manage its self-insured workers compensation program and other lines of coverage. The selected contractor will provide comprehensive claim administration services, including specialized OSHA and MOSH reporting support, the calculation of lost and restricted duty days, and the provision of updated OSHA 300, 300A, and 301 reports. Key requirements include the ability to offer Medicare Set-aside services, interface with the County's risk management and safety systems, and maintain a rigorous information security program to protect confidential data. The contract is scheduled to commence on or about July 1, 2027, for an initial one-year term with the option for four additional one-year renewals at the County's discretion. Award selection is based on a points-weighted evaluation of the work proposal, provider qualifications, and the transition schedule. Successful bidders must provide evidence of general liability insurance and adhere to Net30 payment terms via electronic funds transfer. The procurement process is managed electronically through the OpenGov portal, with a response deadline of December 1, 2026.

Office of Risk Management

POSTED

DEADLINE

Q517--36C25527Q0015 | Pharmacy Benefits Services | Wichita |

Solicitation # 36C25527Q0015

The Department of Veterans Affairs Network Contracting Office 15 intends to award a single-award, Indefinite Delivery/Indefinite Quantity (IDIQ) contract for third-party pharmacy benefit services to support the First Fill Prescription Voucher Program. This program serves eligible Veterans assigned to the Robert J. Dole VA Medical Center in Wichita, Kansas, as well as associated Community Based Outpatient Clinics and Home-Based Primary Care programs. The contractor will provide the personnel, systems, and pharmacy network necessary to dispense new or urgent prescriptions when VA pharmacies are impractical, such as during telehealth appointments or after-hours emergency room visits. Services are limited to a maximum day supply of 10 days for most medications and 14 days for antibiotics, with a requirement for 24-hour network availability including weekends and federal holidays. This procurement is designated as a VOSB/SDVOSB set-aside under NAICS code 524292, with a size standard of 4.5 million dollars. The anticipated period of performance includes a base year from January 4, 2027, to January 3, 2028, with two subsequent one-year options. The contractor must maintain strict compliance with HIPAA, the Privacy Act of 1974, and Joint Commission standards, and will be subject to a Quality Assurance Surveillance Plan monitoring network availability and dispensing accuracy. The formal solicitation is expected to be publicized on or about November 1, 2026, via SAM.gov. All interested vendors must be active in the System for Award Management and, if applicable, registered in the SBA VetCert database.

255-NETWORK Contract Office 15 (36C255)

POSTED

6 days ago

DEADLINE

in 26 days

AI Contract Overview

The City of Pasadena is soliciting proposals for a Third-Party Administrative (TPA) firm to provide comprehensive claims administration services for its Workers' Compensation program. This engagement covers both new and existing claims across all City departments, including the Police and Fire Departments, with approximately 601 open claims currently managed by the existing TPA. The City is self-insured and operates its Workers’ Compensation claims under a structure reporting to the City Manager’s Office, with an in-house team comprising a Claims Supervisor, two Claims Examiners, and clerical support. The TPA handles the bulk of open claims and collaborates directly with the City’s Workers’ Compensation Supervisor. The City is transitioning toward a carve-out program for all employees, following its existing carve-out for public safety claims, and seeks a vendor experienced in California Workers’ Compensation Alternative Dispute Resolution (ADR) programs to expand ADR coverage for all claims, aiming to reduce litigation and improve outcomes. Proposals should also address system access for City staff to claims data, as Pasadena plans to evaluate contracting its own claims management system during the term of the contract. Pricing should reflect variability depending on this potential system procurement. The City currently utilizes the Ventiv claims management system managed through the current TPA, alongside third-party providers handling bill review, Utilization Review, and Nurse Case Management. The selected vendor will need to demonstrate compliance with California labor code requirements, provide administrative expertise, and collaborate effectively with City personnel. The contract process includes stringent requirements for non-collusion, conflict of interest disclosures, and adherence to lobbying regulations, ensuring transparency and compliance with public procurement policies. The contract response deadline is mid-April 2026, and the point of contact for this solicitation is the City Manager’s Office located in Pasadena, California.

General Info

City of Pasadena seeks TPA for workers' compensation claims, ADR expansion, and system integration.

Agency

California → City Managers Office

NAICS

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

Place of Performance

CA, USA

Set-Aside

NONE

Documents

City of Pasadena Conflict of Interest Disclosure and Certification

2 pages · conflict-of-interest

High

City of Pasadena Master Services Contract

19 pages · contract-document

High

Declaration of Non-Collusion and Vendor Forms for City of Pasadena Procurement

6 pages · declaration-of-noncollusion

High

DoIT Technical Assessment Questionnaire Rev 20210806

5 pages · technical-questionnaire

High

Exclusive Negotiating Agreement Template - City of Pasadena

7 pages · contract-document

High

Relevant Experience Form for Bid Submission

5 pages · past-performance

High

RFP for Third-Party Administrator Workers' Compensation Program City of Pasadena

rfp

High

Supplemental FEMA Terms & Conditions v2 (Oct 1, 2024)

guidance

Medium

City of Pasadena Unique Entity Identifier (UEI) Form

1 page · other

Low

City of Pasadena Workers' Compensation NDA

nda

Low

Designated Representatives and Key Personnel Form

1 page · other

Low

Disqualification Disclosure Questionnaire

1 page · disqualification-disclosure

Low

Federal Required Certification Regarding Lobbying

1 page · certification

Low

Insurance Requirements for Professional Services

other

Low

Pasadena Taxpayer Protection Amendment Disclosure

1 page · disclosure

Low

Standard Form-LLL Disclosure of Lobbying Activities

3 pages · disclosure-of-lobbying-activities

Low

AI Contract Breakdown

Uniform Contract Format

Timeline

PhaseClosed

PostedMar 16

Solicitation

Response DeadlineApr 15

Deadline has passed

Submission Closed

04/15/2026, 09:00:44 PM UTC

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Organization & Contact Information

AgencyCalifornia → City Managers Office

Contacts2 people available

OfficePasadena, CA, 91101, USA

Organization / AgencyCalifornia → City Managers Office

Office AddressPasadena, CA, 91101, USA

Contacts

Abbey TennManagement Analyst IV

contact@example.gov

+1 (555) 000-0000

Antonio WatsonProject Manager

contact@example.gov

+1 (555) 000-0000

Interested Companies (4)

Acclamation Insurance Management ServicesSACRAMENTO, CA

Pacific Secured EquitiesRocklin, CA

Athens AdministratorsConcord, CA

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Full Description

The City is seeking the services of a Third-Party Administrative firm to manage and provide claims administration services to further the City's Workers' Compensation program. Services will include new and existing claims. The City of Pasadena's claims are currently self-insured and administered by a Third-Party Administrator. Non Safety claims with dates of injury 7/1/2012 and continuing are handled by an outside Third-Party Administrator. Police and Fire Department claim are also handled by an outside Third-Party Administrator (TPA). The in-house Workers' Compensation Section operates under, and reports to, the City Manager's Office. This section is currently responsible for administration of approximately 13 open claims. The TPA is currently administering approximately 601 open claims across all City of Pasadena departments. The TPA reports directly to the Workers' Compensation Supervisor. The City also has a full Carve-Out program for the Police Department and Fire Department. The City is moving toward a carve out program for all City employees. The City of Pasadena's organizational structure for the Workers' Compensation Section includes a Claims Supervisor, two Claims Examiners and one Senior Office Assistant. The Senior Office Assistant provides clerical support for the City's claims department. The files are assigned based upon an alphabetical split, with one examiner assigned to last names beginning A-K, and the other assigned to L-Z. The Examiner's caseloads include maintenance claims. The City is requesting that the responders include in their proposal, system access for the City staff for the claims administered by the City of Pasadena. The City of Pasadena will be looking at the possibility of contracting for their own claims management system during this contract. Proposals should include pricing variability should the City procure a claims management system during this contract for both the City and the Third-Party Administered claims. The City currently operates an approved Alternative Dispute Resolution (ADR) program for a portion of its California Workers' Compensation claims. As part of its ongoing risk‑management strategy to reduce litigation exposure, streamline claim resolution, and improve outcomes for injured employees, the City intends to expand ADR coverage to all Workers' Compensation claims. To support this initiative, the City is seeking a vendor with demonstrated expertise in California Workers' Compensation ADR programs and a proven track record of collaborative, compliant, and solution‑oriented partnership. The City uses Ventiv which is managed through the current TPA's workers' compensation system. The City also uses a third party for bill review, Utilization Review and Nurse Case Management. The City requests that proposals p rovide Workers' Compensation administration for all City departments with all dates of injury (approximately 601 claims).

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