NIGP 94972: Self Insured Program, Admin Fee

NIGP 94972 Self Insured Program, Admin Fee is an Item code capturing administrative services and ancillary support for municipal and public-employee self-funded health plans. State and local governments that operate self-insured benefit programs procure third-party administration (TPA) services to manage claims processing, eligibility verification, network management, and related operations; they also acquire reinsurance or stop-loss coverage to hedge catastrophic claim exposure on behalf of employee populations. The buying pattern centers on municipal employee benefits trusts and public agencies seeking to offload day-to-day plan administration while retaining risk control or cost management through self-funding structures.

The City of Temple, Texas, acting through the City of Temple Employee Benefits Trust, posted RFP 270327 on June 3, 2026, for self-insured medical and pharmacy administrative services with reinsurance (stop-loss coverage), with proposals due June 26, 2026. The solicitation sought administrative services only for a self-funded medical plan paired with pharmacy benefit management and stop-loss reinsurance to protect against catastrophic claims. Geographic and issuing-body patterns remain sparse in the available record; recent activity shows Texas municipalities and their employee benefits vehicles as active buyers under this code, though the broader state and local procurement volume under NIGP 94972 is not reflected in posted opportunities reviewed to date.