Medical Benefit Plans and Services

The government authority located in Stockton, California is seeking medical benefit plans and services for its active employees and retirees. The agency requires a contractor to establish and maintain a local account team and a dedicated call center to service the needs of agency staff and eligible participants. To ensure smooth administration, the selected vendor must notify the agency in writing of all authorized representatives and handle all enrollment processing, cancellations, and terminations. The scope of work includes providing staff and written informational materials for training sessions, benefit fairs, and informational meetings. The agency requires monthly operation reports, quarterly performance standard reports in both hard copy and electronic formats, and an annual plan performance report with incurred and paid accounts within one hundred twenty days after each contract year. Additionally, the contractor must provide claim reports and maintain HIPAA-compliant hardware, software, and systems capable of receiving electronic data transmissions from the agency regarding enrollments, premiums, and other contract matters. Eligible bidders must be onshore organizations based in the United States, and the performance of the work must be conducted onsite. The agency is looking for proposals to determine the budget for this contract, which will span a three-year period. A non-mandatory pre-bid meeting is scheduled for June 3, 2026, and bidders must submit all questions regarding this opportunity no later than June 5, 2026.