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 is trying to solve the administrative challenge of managing these benefits by securing a self-insured, preferred provider vision plan alongside dental benefits, where employees must enroll in both plans together. The selected provider must meet strict claims processing standards for turnaround time, procedural accuracy, and financial accuracy. The scope of work requires a user-friendly online platform for both administrators and participants, and the authority requires website examples and screenshots of these interfaces. Bidders must provide detailed information regarding how they protect participant data. The authority will pay monthly invoices consisting of actual claims plus a per-member administration fee. The administrative scope also includes robust reporting capabilities. The provider must consolidate routine reports on a system-wide basis while maintaining the ability to break out data by university and bargaining-unit upon request. The authority requires reports issued by benefits category and claim amount, as well as an annual report showing separate dental utilization by age, sex, employee, dependent status, and type of service. Eligibility is restricted to onshore, USA-based organizations only. The performance of all contracted work will take place offsite. The authority is currently looking for proposals to determine the budget and has not signaled a specific funding limit. All questions regarding this opportunity must be submitted no later than June 1, 2026.