Vision and Dental Benefits Services

The Pennsylvania government authority is seeking a vendor to provide bundled dental and vision claims administrative services for certain active and former employees of the state system. The authority requires these services to support a self-insured, self-administered vision plan that operates as a preferred provider plan with an out-of-network allowance. Because the dental and vision plans are bundled, employees cannot enroll in only one of the services. The selected vendor must meet strict claims processing standards for turnaround time, procedural accuracy, and financial accuracy. The authority requires a user-friendly online platform for both administrators and participants, and bidders must provide website examples, screenshots, and details on participant data protection. The payment structure consists of monthly invoices covering claims plus a per-member administration fee. The scope of work includes specific reporting capabilities, such as consolidating routine reports on a system-wide basis while maintaining the ability to break out data by university and bargaining unit upon request. The vendor must issue reports categorized by benefits and claim amount, as well as an annual report showing separate dental utilization by age, sex, employee, dependent status, and type of service. Bidders must be United States organizations, and all contracted work must be performed offsite. The authority is looking for proposals to establish the budget for these services. Bidders must submit all questions regarding this opportunity no later than June 1, 2026.