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This Solicitation opportunity from New York was posted on April 28, 2025. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Workers Compensation Insurance

Closed
2121803State & Local

Contract Overview

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

Active Opportunities Like This One

NAICS: 524292
New
SLED
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.
Human Resources

POSTED

about 9 hours ago

DEADLINE

in 8 days
NAICS: 524292
New
SLED
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.
Finance - Division of Risk Management

POSTED

1 day ago

DEADLINE

in 2 days
NAICS: 524292
New
SLED
Actuarial Services
Solicitation # 2611-KP
The Sacramento Housing and Redevelopment Agency (SHRA) is soliciting proposals under RFP 2611-KP for a qualified actuarial services firm to manage its Other Post-Employment Benefits (OPEB) program. The primary objective is to obtain professional services for measuring liabilities, supporting funding decisions, and ensuring compliance with GASB 75 financial reporting standards. The scope of work includes performing full actuarial valuations, developing Actuarially Determined Contributions (ADCs), and providing advisory services for prefunding strategies and long-term planning. The selected contractor will be required to handle complex plan designs, including various contribution structures based on hire dates and PEMHCA vesting-based subsidies, while coordinating with independent auditors. The contract is envisioned as an initial one-year term with options to extend for up to four additional periods, not to exceed five years in total. Key deliverables include actuarial valuation reports for the years 2026 through 2030, kickoff and review meetings, and presentations to executive management or the governing board. Proposals must be submitted via the Agency's Electronic Bid Portal by October 29, 2026, with an anticipated start date of December 7, 2026. Selection is based on a two-stage process evaluating technical qualifications, past performance, and cost, with a minimum technical score of 70 percent required for responsiveness. Contractors must adhere to strict compliance requirements, including maintaining acceptable insurance coverage, complying with the Federal Privacy Act of 1974, and certifying no conflicts of interest. Subcontracting is generally prohibited. Payment will be made based on an agreed-upon method such as invoice, task, or monthly billing, provided that all invoices include a valid SHRA Purchase Order number and itemized details of work performed. The Agency encourages participation from small, minority, and women-owned business enterprises.
Finance

POSTED

5 days ago

DEADLINE

in 2 days
NAICS: 524292
New
SLED
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.
Dhhs-Department Of Health & Human Services

POSTED

5 days ago

DEADLINE

in about 18 hours
NAICS: 524292
New
SLED
Pharmacy Drug Benefits
Solicitation # HHS0017240
The Texas Department of State Health Services (DSHS) is soliciting proposals under solicitation number HHS0017240 for a Pharmacy Benefits Manager (PBM) to support the Texas HIV Medications Program (THMP). The selected PBM will act as a secondary payor to manage prescription drug benefits, premium payments, and copayments through three primary programs: the State Pharmacy Assistance Program (SPAP) for Medicare Part D costs, the Texas Insurance Assistance Program (TIAP) for medication copayments and COBRA premiums, and the Texas Insurance Assistance Program-PLUS (TIAP-PLUS) for private and federal marketplace plan assistance. The scope of work involves processing medication claims and monthly invoice premium payments, with historical data indicating the management of over 15,000 claims for approximately 2,764 participants. The contract features an initial one-year term with the possibility of four additional one-year extensions and one final option period at the discretion of DSHS. Award selection is based on best value, evaluated through a weighted scoring system consisting of the Project Workplan (45%), Cost Proposal (35%), and Qualifications and Experience (20%). Proposals must be submitted by November 19, 2026, via either USB drive or an online bid room. Requirements include a narrative proposal limited to 40 pages, a separate Excel-based cost proposal, and a VetHUB Subcontracting Plan. The contract is governed by Texas Government Code Section 2155.144 and incorporates various HHS uniform terms, additional provisions, and a Data Use Agreement.
Department of State Health Services

POSTED

6 days ago

DEADLINE

in 23 days
NAICS: 524292
New
SLED
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

6 days ago

DEADLINE

in 17 days
NAICS: 524292
New
SLED
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.
Business Services

POSTED

7 days ago

DEADLINE

in 23 days
NAICS: 524292
SLED
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

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Roswell Park Comprehensive Cancer Center is seeking proposals from qualified Workers' Compensation Third-Party Administrators to oversee and manage their workers' compensation program for a five-year period. The selected TPA will handle all aspects of claims management, including reporting, investigation, medical and case management, fraud prevention, compliance, litigation, and resolution, with an emphasis on delivering high-quality, timely, and cost-effective services. The partnership aims to ensure compliance with applicable laws and regulations while fostering collaboration with internal departments such as HR, Risk Management, Employee Health, Safety, and Finance to streamline claims processing and support injured workers’ recovery and return-to-work initiatives. The contract emphasizes strategies to reduce claims frequency and severity, aligning with the center’s broader safety and health objectives. The procurement process includes specific requirements such as a total MWBE participation goal of 30%, and bidders are encouraged to review the RFP thoroughly before submitting proposals by the deadline of May 19, 2025. Questions regarding the RFP are due by May 9, 2025. The contract is valued between $500,000 and $2,000,000, and the services will be performed within Erie County, New York. Notably, the center has previously purchased similar services from out-of-state vendors within the past three years, and an entity with a history of similar contracts, FCS Administrators Inc., has been involved in comparable procurements within the last five years. The primary contact for the solicitation is Jennifer Gaenzler, Senior Strategic Sourcing Manager.

Documents

8

RFP #25-563 Workers Compensation Consulting Services Agreement (Draft)

DOCX, High priority: read this firstcontract-document
High

RFP 25-563 Workers Compensation Insurance

DOCX, High priority: read this firstrfp
High

Certification Under Executive Order No. 16 (Russia Business Operations)

PDF, Low priorityother
Low

EEO Policy Statement

DOCX, Low priorityother
Low

EEO Staffing Plan

DOCX, Low priorityother
Low

Non-Collusion Affidavit - Roswell Park Comprehensive Cancer Center

DOCX, Low priorityother
Low

Roswell Park Comprehensive Cancer Center Disclosure Form

DOCX, Low priorityother
Low

Roswell Park M/WBE Utilization Plan

DOCX, Low priorityother
Low

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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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AgencyNew York → Roswell Park Cancer Institute Corp.
Contacts1 person available
OfficeN/A
Office AddressN/A
Contacts
Jen GaenzlerSenior Strategic Sourcing Manager

Full Description

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Roswell Park Comprehensive Cancer Center is seeking proposals from qualified and experienced Workers' Compensation Third-Party Administrators (WC TPA) to manage and administer our workers compensation program. The selected WC TPA will be responsible for the full spectrum of services related including claims reporting, investigation, medical management, case management, fraud prevention, compliance, reporting, litigation management, and claims resolution. The goal of this partnership is to provide high-quality, timely, and cost-effective management of workers' compensation claims, ensuring compliance with all relevant laws and regulations. Additionally, the TPA will be expected to collaborate closely with our internal teams—HR, Risk Management, Employee Health Clinic, Occupational and Environmental Safety and Finance—to ensure that claims are handled efficiently, cost-effectively, and in a manner that supports the overall goals of the company. Additionally, we expect the TPA to implement strategies that reduce claims frequency and severity while supporting injured workers in their recovery and return-to-work. Bidders are advised to carefully review and consider the RFP requirements before submitting their proposal responses; all as further set forth in this RFP. Service-Disabled Veteran-Owned Set Aside: No Total MWBE Participation Goals: 30% Due date:05/19/2025 2:00 PM Questions due on 5/9/25 before 12:00 pm EST Contract term: 5 years County(ies): Erie Location: Erie * These goods or services have been purchased from an out-of-state/foreign vendor within the past three years. Business entities awarded an identical or substantially similar procurement contract within the past five years: FCS Administrators Inc.

More opportunities from New York → Roswell Park Cancer Institute Corp.

Same awarding agency

NAICS: 325120
New
SLED
Bulk Medical Gas
Solicitation # 2140202
Roswell Park Comprehensive Cancer Center is soliciting Statements of Qualifications through RFQ 2140202 to identify qualified suppliers for the supply and delivery of bulk medical and research gases in Buffalo, New York. The scope of work includes the furnishing, installation, maintenance, and monitoring of bulk storage systems for liquid nitrogen and liquid oxygen. Specifically, the center requires support for two 6,000-gallon and one 4,500-gallon liquid nitrogen tank, as well as one 6,000-gallon and one 1,500-gallon liquid oxygen tank. The successful supplier must ensure all equipment is commissioned and fully operational by May 20, 2027, with a primary focus on a seamless transition that avoids interrupting patient care or research operations. The resulting agreement is intended for an initial term of five years, with an option to renew for an additional five years, though a ten-year initial term may be considered if beneficial. Evaluation factors include relevant healthcare and research sector experience, financial stability, supply chain reliability, and the quality of the proposed transition plan. Respondents must submit their qualifications, including budgetary pricing and evidence of regulatory compliance, by November 16, 2026. Awarded vendors must adhere to strict New York State requirements, including EEO policies, non-collusive bidding certifications, and prevailing wage laws, while maintaining comprehensive records for seven years.
Industrial Gas Manufacturing

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5 days ago

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in 20 days
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