Medical Third-Party Administration Services

The agency is seeking a vendor to provide medical third-party administration services. The project covers non-Medicare Medi-Cal insurance with an anticipated effective date of July 1, 2027, and Medicare Supplement insurance with an anticipated effective date of January 1, 2028. The requested Medicare Supplement plan must duplicate the current Medicare Supplement plan in full, without any deviations, to provide supplemental coverage to Medicare-eligible retirees and their Medicare-eligible dependents. The agency requires the administration services to include innovative healthcare organizations that offer solutions expanding access to primary care, behavioral health, metabolic and weight management services, care navigation, or measurable workforce wellness and assessment capabilities. The selected provider must offer ease of access to a member-facing secure web portal for enrollment and account information. Additionally, the administrator must support the State with communication to all eligible employees and retirees about the medical insurance program. Eligibility is restricted to onshore organizations based in the United States. The agency requires all performance of the work to occur offsite. Bidders must submit responses digitally via email or online, and the agency is currently looking for proposals to determine the budget. The agency has established several key deadlines for this procurement process. Bidders must submit an Intent to Submit Proposal no later than May 27, 2026. A mandatory pre-proposal virtual meeting will take place on May 29, 2026. Bidders must submit all questions regarding the solicitation no later than June 1, 2026.