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Workers' Compensation Third Party Administrator

Open
RFP-00121State & Local

Contract Overview

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

AI Contract Overview

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The City of Modesto is seeking a qualified Third Party Administrator (TPA) to provide claims administration services for its self-insured workers' compensation program, covering approximately 1,700 employees, including 350 public safety personnel. The selected TPA will manage all existing indemnity, medical-only, and future medical claims in coordination with the City's Risk Management Division. The contract is structured as a time and materials agreement for an initial two-year term, with three optional one-year extensions, potentially totaling five years. Key performance standards include issuing injured worker reimbursements within 15 working days and adhering to California Labor Code sections 4850 and 4650(c), as well as CCR 9812. To be considered, proposers must be licensed with the California Department of Industrial Relations, Self-Insurance Plans (SIP) and possess at least five years of experience working with public agencies of similar size. Personnel requirements are stringent, requiring state-certified Self-Insurance Administrators for claims managers and adjusters, with specific experience thresholds for senior and medical-only roles. Proposals will be evaluated on a 100-point scale focusing on staffing plans, references, and a TPA questionnaire, though the City Council reserves the right to award the contract based on the best fit for the City's needs. Submissions must be made via the OpenGov Procurement portal by December 15, 2026, and must include comprehensive financial statements and a professional insurance rating of at least A:VII from A.M. Best.

General Info

Modesto seeks a TPA for workers' compensation claims administration for 1,700 employees.

Agency

California → Human Resources

NAICS

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

Place of Performance

CA, USA

Set-Aside

NONE

Documents

6
PDF, High priority: read this firstrfp
High
PDF, High priority: read this firstspecifications
High
PDF, High priority: read this firstspecifications
High
PDF, High priority: read this firstspecifications
High
PDF, Low prioritypast-performance
Low
DOCX, Low prioritysupporting-documents
Low

AI Contract Breakdown

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Timeline

PhaseSolicitation
Posted

Solicitation

Response Deadline

Submission deadline

Response Deadline

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Organization & Contact Information

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AgencyCalifornia → Human Resources
Contacts2 people available
OfficeModesto, CA, 95353, USA
Organization / AgencyCalifornia → Human Resources
Office AddressModesto, CA, 95353, USA
Contacts
Matthew BraleyRisk Manager
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Lynn SchmidtAsst. Buyer
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Interested Companies (1)

Cecil & Cecil EnterprisesSacramento, CA

Full Description

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NOTICE IS HEREBY GIVEN that the City of Modesto, County of Stanislaus, State of California ("City"), will receive proposals (each, a "Proposal") through its OpenGov Procurement portal from qualified Proposers (each, a "Proposer") for the furnishing of Project Title services (the "Services") for the City of Modesto, Department Name Department, Department Division Division.

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