Health Benefits Plan Third Party Administrator Service

Cape Girardeau County, Missouri is soliciting proposals from qualified onshore Third-Party Administrators (TPAs) to manage its self-funded employee health benefits program. The selected vendor must provide a single, integrated solution encompassing claim processing, network management, in-house claim repricing, customer service, utilization management, stop-loss reinsurance, and pharmacy benefit management. The scope also includes compliance consulting, employer and employee support, and potential administration of prior plan year claim run-outs. Eligible bidders must be USA organizations with general liability and errors and omissions insurance, demonstrated public sector self-funded health plan experience, and compliance with applicable federal and state laws including HIPAA. Questions must be submitted via email to [email protected] by October 28, 2026, at 1:00 PM CST. Bidders must submit sealed proposals electronically through the county portal or via mail or in-person delivery to the County Clerk by November 4, 2026, at 10:30 AM CST. The evaluation committee will assess proposals based on credentials, customer service, technical competence, cost-saving controls, suitability, and cost.