This Government Contract opportunity from Department Of Defense was posted on October 27, 2025. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Top

TRICARE Overseas Program (TOP) 2028 DRAFT Request for Proposal (RFP)

Closed

HT9402-25-RFI-0219Federal

Submission Closed09/24/2025, 10:00:00 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: 524114

New

SLED

Short-Term Disability (STD) Insurance ProviderThis subcontract agreement establishes a partnership with a Short-Term Disability insurance provider to manage coverage and claims for prime contractors working on Tempe Union High School District projects. The provider is responsible for the end-to-end claims process, which includes verifying the disability status of claimants, coordinating directly with physicians, and assisting individuals with their Social Security benefit applications. To ensure transparency and efficiency, the provider must maintain a member web portal for tracking claim status and deliver regular claims adjudication reports alongside the disbursement of benefit payments. The opportunity is managed under the Business Services agency in Arizona and is categorized under NAICS code 524114. Interested parties should note that the solicitation was posted on October 20, 2026, with a response deadline set for November 19, 2026.

POSTED

DEADLINE

Voluntary Insurance Benefit ProviderThe Harnett County Board of Education is seeking a subcontracted Voluntary Insurance Benefit Provider to supply and underwrite a comprehensive suite of insurance products for prime contractors. The scope of work includes providing coverage and managing claims processing for dental, vision, cancer, critical illness, accident, hospital indemnity, short-term and long-term disability, and group term life insurance. To be eligible, providers must hold valid North Carolina insurance licenses and maintain strict compliance with the State Treasurer's Final Divestment List. The selected provider will be responsible for delivering active insurance coverage and ensuring efficient claims reimbursement. The response deadline for this opportunity is November 13, 2026.

Harnett County Board of Education

POSTED

DEADLINE

RIteSmiles 4-ALL Medicaid Managed Care Dental Services

Solicitation # QLV27007063

The Rhode Island Executive Office of Health and Human Services is soliciting proposals from qualified Managed Care Organizations to administer the RIteSmiles 4-ALL Medicaid Managed Care Dental Program. The contract establishes a three-year base period from July 1, 2027, through June 30, 2030, with the possibility of three additional one-year renewals. The selected contractor will be responsible for comprehensive dental program functions, including the implementation of Initial Health Assessments for new members within 90 days of enrollment, integrated care coordination, case management, and the maintenance of a Quality Management/QI Committee. Performance is governed by NCQA standards, the RI Medicaid Dental Services Coverage Manual, and federal regulations including 42 CFR § 438.208(c)(3). The award process involves a multi-phase evaluation starting with a pass/fail screening of mandatory qualifications. Technical proposals are scored on a 1-4 scale across 185 items, requiring a minimum score of 85% to advance to the Impact Small Business Enterprise evaluation phase, where bidders can earn up to six additional points. Compliance requirements are extensive, encompassing HIPAA privacy and security rules, the Anti-Kickback Act of 1986, and various non-discrimination statutes such as Title VI of the Civil Rights Act and the Americans with Disabilities Act. Proposals must be submitted in four separate PDF files, with a combined page limit of 250 pages for the business and technical volumes.

State of Rhode Island

POSTED

DEADLINE

Health Insurance for Locally Employed Staff

Solicitation # 19MY3027R0001

The U.S. Embassy Kuala Lumpur is soliciting proposals for health insurance coverage for its locally employed staff, including non-temporary direct hires, Personal Services Agreements, and Personal Services Contracts within Malaysia. The contract consists of a one-year base period beginning April 1, 2027, with four one-year renewal options. The government seeks off-the-shelf plans that meet specific minimum benefit levels, including 100 percent coverage for hospitalization and emergency services, and 80 percent for ambulance and outpatient services. Official Residence Expense staff are covered via a separate rider. Award will be granted to the responsible offeror providing the lowest priced, technically acceptable proposal, with a tie-breaker based on the most generous profit-sharing credit plan. Technical acceptability requires a valid management plan, relevant past performance, and licensing or accreditation by the Government of Malaysia or another government with the capacity to provide benefits in-country. Proposals must be submitted electronically by November 20, 2026, and must include a completed SF-1449, pricing schedules, and proof of SAM registration. The use of subcontractors is prohibited, and the prime contractor must maintain a permanent business address in Malaysia. Payments will be made monthly in Malaysian Ringgit, except for eligible American citizens who may receive U.S. dollars.

US Embassy Kuala Lumpur

POSTED

DEADLINE

Solicitation # 19TH2027Q0003

The US Embassy Bangkok is preparing a solicitation for the provision of health insurance coverage for its Locally Employed Staff. This will be a firm fixed price contract with economic price adjustment, featuring a base year followed by four one-year options and one six-month option. The government may award the contract based on initial offers without further discussion, and a pre-quotation conference will be scheduled. Prospective offerors must be registered in the System for Award Management database to be eligible for consideration. Electronic responses are permitted, provided they adhere to email size limits. This opportunity is subject to specific federal regulations regarding taxes on foreign procurements and the option to extend services.

POSTED

DEADLINE

Workers' Compensation Medical Case ManagementThis subcontract for Workers' Compensation Medical Case Management involves providing professional medical case management services for prime contractors supporting South Dakota State Government projects. The primary objective is to coordinate care for injured state employees through the implementation of cost-containment strategies and the facilitation of return-to-work efforts to improve overall claim outcomes and deliver effective managed care plans. The selected provider must strictly adhere to South Dakota Workers' Compensation statutes and maintain full compliance with HIPAA and PHI privacy standards, including the mandatory use of secured email for transmitting protected health information. Interested parties should note the response deadline of November 25, 2026, for this opportunity categorized under NAICS code 524114.

South Dakota State Government

POSTED

DEADLINE

Vision Insurance Provider (Carrier)This subcontract opportunity is for a Vision Insurance Provider to support the County of Mecklenburg Human Resources projects. The selected carrier will be responsible for providing vision insurance products, underwriting risk for employee populations, developing plan designs, and managing both financial reserves and claims payouts. To successfully execute the contract, the provider must utilize proprietary claims processing systems and member enrollment portals to deliver an active, funded vision insurance policy. Eligible candidates must hold a valid North Carolina Insurance License and maintain admitted carrier status. This procurement is categorized under NAICS code 524114. Interested parties should note that the solicitation was posted on October 15, 2026, with a response deadline of November 13, 2026.

County of Mecklenburg

POSTED

DEADLINE

Solicitation # 487-PW-HRS004004

Mecklenburg County, North Carolina, is soliciting proposals under solicitation number 487-PW-HRS004004 for the provision of vision insurance services for its Human Resources Department. The county is seeking evaluations of vision proposals for the 2028 plan year, specifically requesting options that either match the current plan design or provide alternative recommendations from the carrier. This procurement falls under NIGP Code 95352 for Insurance and Insurance Services. Interested vendors must have an established profile with the County to submit a response. All proposals are due by 5:00 PM EST on November 13, 2026. Paul Walker serves as the primary procurement contact for this solicitation. The place of performance is located within the state of North Carolina.

County of Mecklenburg

POSTED

DEADLINE

Group Medicare Advantage Plan

Solicitation # 2000004432

Fairfax County Public Schools is soliciting sealed proposals under solicitation 2000004432 to establish a contract for a fully insured Medicare Advantage plan providing medical and vision benefits for eligible retirees and their dependents. Effective January 1, 2028, the plan will operate alongside a self-insured Employer Group Waiver Plan with a Wrap prescription drug program administered by SilverScript. The contract will be awarded to the offeror providing the best proposal based on a combined evaluation by a Selection Advisory Committee and an IT Committee. Qualified offerors must manage at least 100,000 covered lives within their Medicare Advantage book of business and comply with all Centers for Medicare and Medicaid Services requirements. The pricing structure is based on a per-member-per-month basis, requiring guaranteed premium quotes for 2028 through 2030, as well as allowances for implementation, renewal support, audits, and communications. A gain-sharing agreement based on a defined Loss Ratio will also be implemented. Key administrative requirements include the assignment of a dedicated account executive, adherence to strict cybersecurity and data privacy standards, and compliance with accessibility mandates such as the ADA and Section 508. Proposals must be submitted electronically via the Euna Procurement portal by November 6, 2026, and must include a separate cost proposal and a signed non-disclosure agreement to access specific attachments.

Fairfax County Public Schools

POSTED

DEADLINE

RFP 2000004432 Group Medicare Advantage Plan

Solicitation # 2000004432

Fairfax County Public Schools is soliciting sealed proposals under RFP 2000004432 to establish one or more contracts for a fully insured Medicare Advantage plan providing medical and vision benefits for eligible retirees and their dependents. The selected plan will be administered in conjunction with a self-insured Employer Group Waiver Plan and a Wrap prescription drug program currently managed by SilverScript, with an effective start date of January 1, 2028. The procurement is managed by the FCPS Financial Services department and will be performed in Falls Church, Virginia. Proposals must be submitted electronically via the Euna Procurement portal by November 6, 2026, at 5:00 PM ET, as submissions via email, fax, or paper will not be accepted. Applicants are required to provide business classifications, legal structure details, and certifications regarding ethics in public contracting and general bidding conditions. The solicitation emphasizes non-discrimination policies, including protections for faith-based organizations and prohibited discrimination based on race, religion, color, sex, national origin, age, or disability. An optional pre-proposal conference is scheduled for October 19, 2026.

Fairfax County Schools

POSTED

DEADLINE

Extended Group Medical Benefits for International Scholars

Solicitation # 2026010398

The University of British Columbia, under the Province of British Columbia, is seeking sources for Extended Group Medical Benefits for International Scholars. This sources-sought solicitation, identified by number 2026010398, was posted on October 8, 2026, with a response deadline set for November 6, 2026. The contract focuses on providing medical benefit coverage for international scholars within the province of British Columbia. Interested parties can find further details and submission guidelines through the official BC Bid portal.

University of British Columbia

POSTED

DEADLINE

Stop Loss Insurance ProviderThis subcontract opportunity seeks a licensed Florida insurance carrier to provide stop loss insurance coverage for prime contractors managing the City of Sarasota self-funded health plan projects. The selected provider will underwrite and issue a 24/12 contract basis policy covering both Medical and Pharmacy benefits. Key policy specifications include Individual Stop Loss deductibles set at 250,000 dollars and 275,000 dollars, along with Aggregate Coverage featuring a 125 percent corridor, a 50 percent Rate Cap, an NNL Provision, and a Spec Advance Rider. The procurement process is managed by the Florida Procurement agency under NAICS code 524114. Interested parties must submit their responses by October 21, 2026. The primary deliverable for this contract is the provision of an active stop loss insurance policy that adheres to the outlined underwriting requirements and regulatory standards.

Procurement

POSTED

13 days ago

DEADLINE

in about 8 hours

General Info

Agency

Department Of Defense → Defense Health Agency (dha)

NAICS

524114 - Direct Health and Medical Insurance Carriers

Place of Performance

USA

Set-Aside

NONE

Documents

TOP 2028 Draft RFP Questions and DHA Responses HT9402-25-R-0219

q-and-a

High

TOP 2028 Section C Draft 1 06AUG25 - TRICARE Overseas Program Statement of Objectives and Management

sow

High

TRICARE Overseas Program (TOP) Draft RFP Chapter 24 Administration and Financials

rfp

High

AI Contract Breakdown

Uniform Contract Format

Timeline

1 update

PhaseClosed

PostedSep 5

Combined Synopsis

Response DeadlineSep 24

Deadline has passed

Notice updatedOct 27

Notice type changed from Combined Synopsis/Solicitation to Special Notice. Set-aside changed from No Set aside used to No Set aside used. The notice description changed. The point of contact changed.

Submission Closed

09/24/2025, 10:00:00 PM UTC

Find active opportunities like this

Start your free trial to discover similar active contracts, track opportunities, and build proposals with AI assistance.

Organization & Contact Information

AgencyDepartment Of Defense → Defense Health Agency (dha)

Contacts2 people available

OfficeN/A

Organization / AgencyDepartment Of Defense → Defense Health Agency (dha)

Office AddressN/A

Contacts

Matthew Anderson Contracting Officer

contact@example.gov

+1 (555) 000-0000

Dawn Ruther Clinical Program Manager

contact@example.gov

+1 (555) 000-0000

Full Description

RFI UPDATE October 27, 2025. Responses to DRAFT RFP questions were posted in the attached document titled “TOP 2028 Responses to DRAFT RFP questions”

RFI AMENDMENT 1: This RFI is amended to include requests for Industry one-on-one meetings wth the DHA. The Government's intent is to hold one-on-one meetings with interested parties to discuss the DRAFT RFP in further detail and gauge the capabilities of the marketplace. Interested industry respondents may request a one-on-one meeting with the DHA by including the request for a one-on-one meeting in the initial response with the included "TOP Draft RFP Questions". If a one-on-one meeting is requested, please include a point of contact (name, title, address, phone and email) whom DHA can contact regarding the schedule information for the one-on-one meeting. The firm's point of contact will also need to provide a list of the firm's attendees' names, titles, e-mail address, and phone number via e-mail. DHA will respond with a date a time for the meeting to take place. One-on-one meetings are not mandatory. An interested industry respondent may elect to only submit questions and comments as directed below without a one-on-one meeting. The due date of 4:00pm MT on September 24, 2025 has not changed.

DoD, through the Defense Health Agency (DHA), is responsible for providing TRICARE health care services to eligible beneficiaries in locations outside the fifty United States and the District of Columbia. To accomplish this mission, the TOP contract supplements services that the direct care system provides to Active-Duty Service Members (ADSMs) and certain Active-Duty Family Members (ADFMs) in overseas military medical treatment facility (MTF) locations. While most TRICARE beneficiaries overseas receive care at MTFs, demand often exceeds MTF capacity, and many beneficiaries reside in remote locations without MTF access. The DoD uses the TOP contract to supplement MTF capabilities and provide healthcare in remote locations.

This mission currently is accomplished through the third-generation TOP contract (TOP 2021), which provides comprehensive health care support services, including developing and maintaining private sector networks; completing TRICARE eligibility verification and enrollment; providing customer service and call center support, clinical operations, beneficiary and provider education and marketing, claims processing and coding, medically necessary evacuations (medevacs) and translation services; and collecting medical documentation.

The DHA is contemplating a new single-award, predominately fixed-price TOP services contract. The DHA anticipates that the contract will include a 1-year base period for transition-in, eight 1-year option periods for health care delivery, a 1-year transition-out period, and a potential 6-month extension of services permitted per FAR Clause 52.217-8, Option to Extend Services, for a potential total allowable period of performance of 10 years and 6 months.

As part of ongoing market research (following Requests for Information from June 06, 2024, and July 26, 2024), potential offerors are invited to review the attached DRAFT RFP documents and submit questions or comments via email to Mr. Matt Anderson, Contracting Officer at matthew.l.anderson18.civ@health.mil and Dawn Ruther, Clinical Program Manager at dawn.r.ruther.civ@health.mil, not later than 4:00 pm MT, September 24, 2025. Please include the following in the subject line: DRAFT TOP HT9402-24-RFI-0219.

DHA seeks industry feedback and recommendations on its approach and description of the TOP requirements in the attached DRAFT RFP. DHA will consider industry’s comments to make revisions, ensuring the Government has realistic requirements and incorporates industry best practices, new technologies, innovative alternatives and potential capabilities into the final specifications and performance work statement.

DHA may incorporate industry expertise, best practices and incentives to ensure high-quality healthcare support services to TRICARE beneficiaries within the statutory and regulatory limitations governing this entitlement program.

Using the attached “TOP Draft RFP Questions” file, identify the DRAFT RFP document and cite relevant paragraphs to submit relevant questions or comments via email to Matthew Anderson and Dawn Ruther by 4:00 p.m. MT on September 24, 2025. Please state "DRAFT TOP HT9402-25-RFI-0219" in the email subject line.

This notice is for information and planning purposes only and is NOT a solicitation. DHA makes no commitment to issue a solicitation and reserves all acquisition options. Do not submit proposals or contact other individuals about this notice or the TOP requirements. All information provided to DHA is strictly voluntary, without compensation, and at no cost to the Government.

If a solicitation is issued, DHA will conduct source selection per Federal Acquisition Regulation (FAR) 15, as supplemented, at the Managed Care Contracting Division (MCCD), in Aurora, Colorado.

Any future information on this acquisition will be posted on www.sam.gov. It is the responsibility of the prospective offeror to review this site regularly for updates and/or changes.