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Medical Health Benefits Plan Consultant Services

Binghamton, New YorkNew York, USADue Wednesday, November 4, 2026
Client
Binghamton, New York
RFP Number
HEALTH-11005
Posted
10/10/2026
Category
Health and Related Services
Budget
Looking for Proposal
NAICS
—
Set-aside
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Contact
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Description

AI Generated

Broome County Risk & Insurance requires a qualified individual to provide offsite medical health benefits plan consultant services for its government authority in Binghamton, New York. The consultant must perform claims data collection, audit third-party providers, negotiate non-network discount pricing, and assist with legal, actuarial, stop-loss insurance, financial reporting, legal compliance, vendor transitions, and coverage disputes. Eligible applicants must be USA-based onshore organizations that maintain required occurrence-basis insurance from New York-licensed carriers rated A-VII or better. Proposers must mail or deliver one original, one copy, one redacted copy, and one electronic copy on USB media in a sealed envelope to the Broome County Division of Purchasing in Binghamton, New York. All proposals are due by 2:00 p.m. local time on Wednesday, November 4, 2026, and all questions must be submitted no later than October 19, 2026. Proposers must submit proposal pricing, and the contract term will commence upon county approval, award notification, mutual agreement execution, and satisfactory insurance receipt.

Key solicitation details

AI-extracted from RFP-2026-055 - Medical Health Benefits Plan Consultant.pdf. Confirm against the original documents before bidding.

Broome County, New York is inviting sealed proposals from qualified individuals for a Medical Health Benefits Plan Consultant. The consultant will provide services involving the County's health benefits plans to assist with cost management strategies for an annual budget of approximately $70,000,000. Proposals are open to onshore USA organizations.

Issued by
Broome County Risk & Insurance
Inquiries or requests for clarification due
12:00 p.m. local time Monday October 19, 2026
Proposals due
2:00 p.m. local time on Wednesday, November 4, 2026
How to submit
Sealed envelope delivered or mailed
Submission details
Submit ONE (1) ORIGINAL, ONE (1) COPY, ONE (1) REDACTED COPY, AND ONE (1) ELECTRONIC COPY ON USB MEDIA to Broome County Division of Purchasing, 60 Hawley Street, 2nd Floor, Edwin L. Crawford County Office Building, Binghamton, New York 13901.
Contract term
Intention to contract for a 3-year term commencing upon approval, award notification, agreement execution, and satisfactory insurance certificate receipt.
Place of performance
Binghamton, NY / Offsite
Insurance and bonding
Commercial General Liability ($1,000,000 per occurrence, $2,000,000 aggregate), Automobile Liability ($1,000,000 CSL), Workers Compensation, NYS Disability Insurance, and Professional Liability ($1,000,000 per occurrence, $3,000,000 aggregate).

How proposals are evaluated

Previous Experience and References20%

Scope of work

  • Ensure compliance with federal and state laws regarding health benefits plans
  • Address vendor transitional issues and plan coverage disputes
  • Conduct discount pricing negotiations with non-network providers
  • Perform claims data collection procedures and identify analytical tools
  • Interact with staff and consultants for legal, actuarial, claims administration, Stop Loss insurance, and financial reporting
  • Audit processes and system capabilities of third-party providers
  • Assist members with medical claims questions via dedicated customer service telephone number
  • Provide monthly premium rate equivalents for the plan's next fiscal year

Minimum qualifications

  • Onshore (USA Organization Only)
  • Must meet minimum qualifications defined in the specifications

Documents to include with the bid

  • Proposal Sheet
  • Variation and Justification Sheet
  • Non-Collusive Bidding Certificate
  • Iranian Energy Divestment Certification
  • Election Law Statement
  • Gifts Statement
  • Insurance Acknowledgment
  • Form W-9
  • Proof of required insurance coverage

Verify important details

Document check

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1 available fileDocuments checked

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