This Solicitation opportunity from Georgia was posted on February 7, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Third Party Administrator Services for Workers Compensation Claims

Closed

PE-63125-NONST-2024-000000010State & Local

Submission Closed03/12/2024, 12:00:00 AM 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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TPA Workers' Compensation

Solicitation # 127-2026

The Southwest Ohio Regional Transit Authority (SORTA), operating as Cincinnati Metro, is soliciting proposals for a Third-Party Administrator (TPA) to manage its self-insured Workers' Compensation program. The scope of work includes comprehensive claims administration from intake to closure, medical management, cost containment, legal support, and regulatory compliance in accordance with Ohio Workers' Compensation laws and the Ohio Industrial Commission. Additionally, the TPA will provide safety consulting, OSHA/VSSR review services, and bi-weekly payment forecasts. Proposals must be submitted electronically by November 4, 2026, and must be divided into a Technical Proposal and a Business Proposal, with pricing submitted separately via a firm-fixed price proposal and a Vendor Questionnaire. Award selection will be based on the most advantageous proposal, with evaluation heavily weighted toward the project approach (45 percent) and firm and staffing qualifications (35 percent). The selected contractor must comply with strict federal and state regulations, including the Americans with Disabilities Act, Title VII of the Civil Rights Act, and Equal Employment Opportunity requirements. Contractual terms include NET 30 payment schedules, a requirement for designated project managers from both parties, and a three-year record retention policy. Funding is contingent upon annual appropriations, and the contractor must maintain comprehensive insurance coverage, including Professional Liability and Errors and Omissions.

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Request for Proposal - Third Party Administrative and Actuarial Services

Solicitation # 2025-RFP-127

The City of Cleveland Department of Finance, Division of Risk Management, is soliciting competitive bids for Third-Party Administrative and Actuarial Services under solicitation 2025-RFP-127. The selected Third-Party Administrator will be responsible for managing Ohio Bureau of Workers' Compensation claims and conducting detailed liability claim reviews to reduce premium costs and minimize organizational exposure. Key deliverables include administrative claims handling, the provision of online communication tools, and the delivery of annual unmodified SOC 1 Type II and SOC 2 Type II reports to validate data security and processing controls. Technical requirements mandate that data be encrypted at rest using AES-256 and in transit via TLS 1.3, with strict adherence to PII and data breach notification laws. Proposals are due by October 29, 2026, and will be evaluated through a phased, points-based process. Phase 1 assesses the quality of the proposal, demonstrated ability, OEO compliance, technical components, key personnel credentials, and the proposed schedule, while Phase 2 may involve presentations for shortlisted teams. Compensation will be based on a simple time-based method or a mutually agreed-upon fee schedule. Contractors must maintain comprehensive general liability insurance of at least 2 million dollars and business automobile liability of 1 million dollars. Additionally, successful bidders must comply with the Cleveland Area Business Code, including good-faith efforts to involve certified Minority, Female, and Cleveland Small Business Enterprises, and must file a written affirmative action program within 60 days of contract execution.

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Vehicle Assistance and Claims AdministratorThe Vehicle Assistance and Claims Administrator subcontract, issued by the US Embassy Paris for the Department of State, involves providing roadside assistance and third-party insurance claims management for prime contractors in France. The selected provider will manage assistance for 112 vehicles, settle third-party claims, and recover expenses related to personnel and equipment. Key deliverables include the resolution of claims, the recovery of funds, and detailed documentation of all roadside assistance events. To be eligible, the contractor must possess a Kbis registration and appoint a Project Manager who is fluent in both English and French. The work will be performed in Paris, France, under NAICS code 524292. Responses for this opportunity are due by November 6, 2026.

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Announcement of RFP for Retirement Plan Administration and Record Keeping Services

Solicitation # LC26028

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Solicitation # 41NHA-S3992

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410 - Nevada Health Authority Director's Office

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Solicitation # 2611-KP

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Medicaid Medication Risk Reduction Initiative

Solicitation # RFP-2027-DMS-01-MEDIC

The New Hampshire Department of Health and Human Services, Division of Medicaid Services, is soliciting proposals for a statewide Medicaid Medication Risk Reduction Initiative (MMRRI). This program will be led by New Hampshire licensed clinical pharmacists to reduce medication-related problems, adverse drug events, polypharmacy, over-prescribing, and risks associated with opioids and behavioral health medications. The selected vendor will implement a technology solution to analyze pharmacy claims and encounter data to identify high-risk beneficiaries, conduct comprehensive medication reviews, and generate actionable medication safety reports for patients and providers. The contract has an anticipated total funding value of approximately 33,553,391 dollars, distributed across five budget periods through September 2031, and is supported by federal funds under the Rural Health Transformation Program. Key performance requirements include a guaranteed positive return on investment by the end of the third contract year, measured by a reduction in total cost of care on a per member per month basis. Vendors must possess at least three years of experience in pharmacy data analysis and medication review. Award decisions will be based on a point system evaluating technical and cost responses, with a minimum technical score of 1,600 points required to avoid disqualification. The contractor must adhere to strict data security standards, including maintaining an Information Security Management System and ensuring all data processing occurs within the United States. Compliance with Title VI of the Civil Rights Act, the Americans with Disabilities Act, and 2 CFR Part 200 is mandatory. Proposals are due by October 28, 2026, and must be submitted as separate technical and cost documents.

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Solicitation # HHS0017240

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DAS Behavioral Health Third-Party Administrator RFP

Solicitation # SRC0000040548

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Administrative Services

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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

COBRA Administration, Retiree Billing & FSA Administration

Solicitation # RFP 2435

The Township of Wayne, New Jersey, issued Request for Proposal RFP 2435 to secure a qualified organization for comprehensive COBRA Administration, Retiree Billing, and Flexible Spending Account (FSA) Administration services. With an effective start date of January 1, 2027, the selected vendor will manage notice generation, election tracking, premium administration, and direct billing for retirees, as well as provide regulatory compliance support and vendor integration. The contract duration is up to two years, with the possibility of two additional one-year extensions. Proposals must be submitted electronically via the ProcureNow portal by October 29, 2026, at 11:00 am. Award selection may be based on the lowest responsive bid or a points-based evaluation focusing on qualifications, method statement, history and experience, resource availability, and references. Mandatory submission requirements include a Statement of Ownership Disclosure, a notarized Non-Collusion Affidavit, and certifications regarding affirmative action and prohibited activities in Russia, Belarus, and Iran. The successful contractor must maintain specific insurance coverages, including a minimum of 1,000,000 dollars for Business Automobile and Umbrella liability, and at least 2,000,000 dollars per occurrence for certain data losses. Additionally, the vendor must ensure strict adherence to HIPAA regulations and New Jersey state statutory requirements.

Purchasing Division

POSTED

7 days ago

DEADLINE

in 1 day

AI Contract Overview

The Clayton County Water Authority is seeking proposals from qualified third-party administrators to manage workers' compensation claims. The proposal submission process involves a virtual pre-proposal meeting scheduled for February 28, 2024, at 10:00 a.m., which is non-mandatory, and the formal proposal opening will occur via a virtual Teams meeting on March 12, 2024, at 10:00 a.m. Proposals must be submitted by the deadline, as late submissions will not be considered. The authority encourages participation from small, minority, and women-owned businesses, emphasizing inclusivity in the procurement process. Proposers can request the proposal package electronically in PDF format by emailing CCWA procurement, or they may opt to purchase a hardcopy for $25. The contract, identified under solicitation number 63125, is located in Georgia and pertains to services within the NAICS code 524292. The primary contact for inquiries is CCWA Procurement, reachable via email or phone. The initiative underscores environmentally responsible practices by promoting electronic submissions and providing accessible information to facilitate participation.

General Info

Agency

Georgia → Fanin County Water Authority

NAICS

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

Place of Performance

GA, USA

Set-Aside

NONE

Documents

Proposal 2024-HR-08: Third Party Administrator Services for Workers Compensation Claims

rfp

High

AI Contract Breakdown

Uniform Contract Format

Timeline

1 update

PhaseClosed

PostedFeb 7

Solicitation

Notice updatedFeb 7

Solicitation number changed from 63125 CLAYTON PE-63125-NONST-2024-000000010 to PE-63125-NONST-2024-000000010.

Response DeadlineMar 12

Deadline has passed

Submission Closed

03/12/2024, 12:00:00 AM UTC

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Organization & Contact Information

AgencyGeorgia → Fanin County Water Authority

Contacts1 person available

OfficeN/A

Organization / AgencyGeorgia → Fanin County Water Authority

Office AddressN/A

Contacts

Ccwa Procurement

contact@example.gov

+1 (555) 000-0000

Full Description

The Clayton County Water Authority will open sealed proposals from experienced third-party administrators via a Virtual Teams Meeting on Tuesday, March 12, 2024, at 10:00 a.m. (local time) for Third Party Administrator Services for Workers Compensation Claims. Any proposals received after the specified time will not be considered.
A Non-Mandatory Pre-Proposal Virtual Teams Meeting will be held on Wednesday, February 28, 2024, at 10:00 a.m. (local time). To attend both the Pre-Proposal and the Proposal Opening Virtual Meetings, please use the following information:
Toll number: +1 (555) 000-0000 Conference ID: 606 873 485#
CCWA encourages Small Local, Minority and Women-Owned businesses to participate and respond to this proposal request.
In an effort to promote responsible environmental practices the proposal package is available in electronic (Adobe PDF) format and can be requested via e-mail to CCWA contact@example.gov. Proposers will need to provide contact information and an email address and any file size transfer limits to ensure email transmittals can be made. A hardcopy proposal package can also be requested at a cost of $25.