NIGP 94994: Worker's Comp., Medical Services

NIGP 94994 Worker's Comp., Medical Services is an Item code encompassing third-party workers' compensation claims administration services purchased by local government entities managing self-insured or self-funded workers' compensation programs. State and local governments procure comprehensive claims-handling services under this code, including initial claim intake and claimant contact, recorded statements, physician coordination, medical bill reduction and review, subrogation activities, investigative services, legal representation at hearings, state-mandated reporting, quarterly loss reporting, safety management and OSHA compliance programs, system access and reporting capabilities, and PPO network maintenance. Issuing bodies are primarily county governments; both recent opportunities originate from counties managing large self-insured workers' compensation pools covering 1,000 or more employees across multiple departments and agencies.

Recent activity appears concentrated in the Southeast, with solicitations posted from Monroe County, Florida and Greenville County, South Carolina between April and May 2026. Monroe County, Florida issued RFP 629 for Workers' Compensation Third Party Claims Administration Services with a due date of July 16, 2026, seeking a TPA licensed under Florida Statutes 626.88–626.8991 to manage approximately 1,320 county employees with a $500,000 per-claim self-insured retention and 82 open claims totaling $3,803,842 in reserves; the contract term runs three years effective September 21, 2026 through September 20, 2029 with two optional one-year renewals, structured on a Life of Contract annual flat-fee basis with separate pricing for run-off claims. Greenville County, South Carolina issued RFP 26101 due May 8, 2026, seeking vendors with a minimum of ten years' experience in workers' compensation third-party administration for groups of 1,000 or more employees; pricing follows a quarterly retainer and fee-for-service model with per-claim fees for lost-time, medical-only, and record-only claims plus bill review and hourly rates, with a tentative award date of May 25, 2026 and notice to proceed expected June 15, 2026. Both opportunities require comprehensive insurance including general liability, automobile liability, and statutory workers' compensation coverage with employer liability limits.