What the buyer needs
AI summaryYamhill County, Oregon seeks qualified onshore vendors to provide group medical insurance and pharmacy drug coverage benefit services for eligible County employees and dependents for a one-year contract term. The selected carrier must deliver comprehensive medical and pharmacy benefits—including preventive care, behavioral health, maternity and reproductive health, specialty care, telehealth, and utilization-management programs—alongside a broad provider network with local, statewide, and national access. The scope also requires eligibility and enrollment administration, claims processing, member and provider customer service, appeals and grievances, digital member resources, and implementation and open-enrollment support. Selected proposers must be authorized to transact business in Oregon before contract execution. Vendors must submit questions to HR Director Patricia Rojas no later than December 11, 2026. The RFP cover page states proposals are due January 8, 2027, by 5:00 p.m. PST physically or by email, whereas the public notice lists a December 18, 2026, 5:00 p.m. local time physical submission deadline.
Scope of work
- Comprehensive group medical and prescription drug coverage for eligible employees and dependents
- Preventive care, behavioral health, maternity, reproductive health, specialty care, and telehealth
- Broad provider network serving Yamhill County with statewide and national access
- Pharmacy services, formulary management, and specialty-drug utilization programs
- Eligibility and enrollment administration and open-enrollment support
- Claims processing, appeals, grievances, and member/provider customer service
- Digital member resources, provider search, and cost-estimator tools
- Monthly and annual claims and utilization reporting
How proposals are evaluated
| Criterion | Weight / scoring |
|---|---|
| Premium/rate competitiveness | 30 |
Minimum qualifications
- Licensed and authorized to issue group health insurance in Oregon
- Authorized by the State of Oregon to transact business in Oregon with a Registered Agent
- At least three governmental references for groups of comparable size
Documents to include with your response
- Proposer Information and Certification Sheet (Exhibit C) signed in ink
- Affidavit of Trade Secret (Exhibit B) and redacted proposal, if claiming confidentiality
- GeoAccess analysis using the County's employee ZIP-code census
- Proposed formulary and formulary tiers
- Samples of standard monthly and annual claims/utilization reports
- Completed W-9 form (when requested)
How to submit
- Method
- Mail/in-person sealed package, email, or Shared OneDrive
- Instructions
- Submit to 400 NE Baker St., McMinnville, OR 97128, or via email / Shared OneDrive (access requested by email). Include one original copy and one digital PDF copy on CD or USB in a sealed package or envelope.
