Comprehensive Employee Health and Benefits Administration Services

The government authority located in Newark, New Jersey is seeking a vendor to provide comprehensive employee health and benefits administration services. The agency needs to address the administration of its self-funded health plans, pharmacy benefits, Medicare programs, stop-loss reinsurance, and general benefits enrollment. Through this solicitation, the agency aims to secure a Third Party Administrator and provider network services organization to manage claims, care, and network access. The scope of work covers medical plan administration for multiple plan types, including Preferred Provider Organizations, Point of Service Plans, and Health Maintenance Organizations. The selected vendor must also manage tiered network health plans, Qualified High-Deductible Health Plans, Medicare Supplement PPO and Medicare HMO Plans, and a referenced-based pricing option. Additionally, the project requires pharmacy benefits management, a Medicare advantage with prescription drug program administrator, and stop-loss reinsurance contract administration. The agency also requests benefits administration services encompassing open enrollment, ongoing enrollment, COBRA and direct billing, and customer support. Bidders must perform all work onsite and must be onshore organizations based in the United States. The agency is looking for proposals to determine the budget and will award a contract for a period of two years. All questions regarding this procurement must be submitted no later than July 14, 2026.