Stop Loss Insurance Service

The government authority in Pasadena, TX seeks a vendor to provide stop loss insurance services covering medical and prescription drug benefits payable under its plan. The scope requires individual specific stop loss coverage with a $175,000 deductible on an incurred contract basis, alongside requested alternate deductibles of $185,000 and $200,000, and aggregate excess loss insurance. The vendor must provide monthly reporting detailing submitted, pended, denied, and paid amounts for individual claimants, while ensuring plan provisions, definitions, and eligibility rules match the underlying plan. Eligibility restricts participation to USA organizations located onshore. Vendors may perform the work onsite or offsite. The buyer is actively looking for proposals to establish the budget, but the text provides no specific valuation, key dates, or evaluation details.