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Group Medical Benefit Plan Administrative Services

City of DurhamNorth Carolina, USADue Friday, November 13, 2026
Client
City of Durham
RFP Number
INSU-6626
Posted
10/16/2026
Category
Insurance Services
Budget
Looking for Proposal
NAICS
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Set-aside
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Contact
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Description

AI Generated

Key solicitation details

AI-extracted from COD - Medical Benefit RFP.pdf. Confirm against the original documents before bidding.

The City of Durham is soliciting proposals from qualified insurance carriers to provide Administrative Services Only (ASO) for its self-funded group medical benefit plan. The plan covers eligible full-time and part-time employees, elected officials, retirees up to age 65, and their dependents. The selected vendor must match or exceed current dual option benefit plan designs.

Issued by
City of Durham
Questions due
October 26, 2026 by 5pm
Proposals due
November 13, 2026 by 5pm
Proposal Evaluation Committee
December 9 - 11, 2026
Contract Formulation and evaluation
December 21, 2026 – January 11, 2027
How to submit
Hard copy and email
Submission details
Submit two original hard-copy proposals in a sealed envelope to 1121 Pemberton Hill Road, plus one electronic copy emailed to [email protected].
Contract term
Contract effective July 1, 2027 with a recommended 3-year rate guarantee.
Place of performance
Offsite
Insurance and bonding
Commercial General Liability ($1,000,000 per occurrence/$2,000,000 aggregate), Automobile Liability ($1,000,000 CSL), Umbrella/Excess Liability, Workers Compensation, and Professional Liability/E&O.

How proposals are evaluated

Understanding of the Project15 points
Methodology Used for the Project15 points
Management Plan for the Project15 points
Experience and Qualifications15 points
Contract Cost40 points

Scope of work

  • Administrative Services Only (ASO) for self-funded group medical benefit plan
  • Dual option benefit plan design matching or exceeding current plan
  • Optional carved-out Pharmacy Benefit Management services
  • Optional carved-out Stop Loss Reinsurance coverage
  • Customer and member service unit support
  • Claims processing and subrogation services
  • Provision of dedicated wellness coordinator
  • Claims repricing analysis

Minimum qualifications

  • Primary insurance carriers must be authorized to do business in North Carolina
  • Comply with all state, local, and federal licensing requirements
  • Account management team key personnel must have at least three years of account management experience in ASO administration

Documents to include with the bid

  • Cover Letter signed by a principal
  • Responses to Questionnaire
  • Proposal Summary Worksheet
  • Non-Collusion Affidavit
  • Three client references
  • Sample billing statement/invoice
  • Sample ASO contract
  • Sample open enrollment announcement materials
  • Repriced claims file (Excel) and summary analysis
  • Certificate of Insurance

Verify important details

Document check

Confirm submission instructions and amendments with the issuing agency before responding.

1 available fileDocuments checked

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