About this opportunity
AI summaryThe City of Jersey City requests sealed proposals from qualified vendors to provide self-funded medical and prescription drug excess stop loss coverage services. The coverage must assume active and retired employees across designated plan designs on a 24/12 or paid contract basis, incorporate advanced or immediate funding with an unlimited lifetime maximum for specific coverage, waive actively-at-work requirements, and approve Meritain Health / Aetna and Express Scripts, Inc. as plan administrators. Bidders must download specifications and addenda from BidnetDirect and comply with New Jersey Business Registration, Equal Employment Opportunity, and affirmative action rules. Prospective vendors must submit all questions online via BidnetDirect by November 17, 2026. Proposals must be delivered in individual sealed envelopes solely to the dedicated purchasing lockbox at 280 Grove Street, First Floor, Room 116, Jersey City, NJ 07302 by 4:00 PM on November 24, 2026.
Buyer and opportunity details
- Client
- City of Jersey City
Scope of work
- Excess loss coverage for active and retired employees under a single risk pool
- Stop loss quotes on a 24/12 or paid contract basis for specific and aggregate coverages
- Specific stop loss including advanced/immediate funding and unlimited lifetime maximum
- High-claim monitoring and timely processing of all stop-loss reimbursement submissions
- Coordination with Meritain Health / Aetna and Express Scripts, Inc. as approved administrators
- Provision of Terminal Liability (TLO) pricing for 3-6 month runout period as an optional addition
- No-New Laser guarantee
- Waiver of actively at work requirements
How proposals are evaluated
| Criterion | Weight / scoring |
|---|---|
| Pricing | Not specified |
| Ability to perform services | Not specified |
| Pay claims in a timely manner | Not specified |
| General reputation in the field | Not specified |
Minimum qualifications
- Licensed stop loss insurers and Managing General Underwriters
- Business Registration Certificate issued by the New Jersey Department of the Treasury
Documents to include with your response
- Acknowledgement of Receipt of Addenda form
- Intent to Response Form / Confidentiality Agreement
- Signature Page
- Mandatory Affirmative Action Language (Exhibit A)
- Non-Collusion Affidavit (Notarized)
- Americans with Disabilities Act (Appendix A)
- C. 271 Political Contribution Disclosure Form
- Business Entity Disclosure Certification
- Certification of Non-Involvement in Prohibited Activities in Russia or Belarus
- Disclosure of Investment Activities in Iran Form
Key dates
- Bidnet Go Live Date
- November 5, 2026
- Proposals due
- Tuesday, November 24, 2026, at 4:00 pm
- Effective Date
- January 1, 2027
How to submit
- Method
- Sealed hard copy delivered to a dedicated lockbox
- Instructions
- Delivered individually in a sealed envelope to the dedicated lockbox at Division of Purchasing, 280 Grove Street, 1st Floor, Room 116, Jersey City, NJ 07302. Respondents must submit two clearly marked versions (one complete evaluation copy, one redacted for OPRA). E-mail or fax not accepted.
Contract details
- Term
- One (1) year
- Place of performance
- Jersey City, New Jersey
- Insurance and bonding
- Workers' Compensation, General Liability, Automobile Liability, Cyber Liability, and Professional Liability coverage (effective retroactive to Agreement or Notice-to-Proceed, kept in force until at least 3 years after). Certificates must name City of Jersey City, its officers and employees as additional insured on a primary, noncontributory basis.