Self Insured Medical and Pharmacy Administrative Services

The government authority located in State is seeking a vendor to provide self-insured medical and pharmacy administrative services. The agency needs these administrative services only for its medical program, alongside comprehensive pharmacy benefit management services. To manage financial risk, the agency requires stop-loss coverage at deductible levels of two hundred thousand dollars, two hundred twenty-five thousand dollars, and two hundred fifty thousand dollars under a twenty-four twelve contract. The scope of work requires the selected provider to issue employee coverage identification cards to all participants. The provider must also generate and deliver plan year accumulator reports that detail medical deductibles, co-pays, and total paid amounts for each covered individual. All contracted work will be performed offsite, and the agency is accepting stop-loss quotes from general agents. Only organizations based in the United States are eligible to submit proposals for this opportunity. Bidders must submit their proposals digitally, either online or via email, and the agency has not disclosed a specific budget, indicating instead that it is looking for competitive proposals. The agency requires all clarifying questions regarding this procurement to be submitted no later than June 17, 2026.