NIGP 94995: Worker's Comp., Other Contr Svcs

NIGP 94995 Worker's Compensation, Other Contractor Services, an Item code, covers third-party claims administration for self-insured state and local government entities managing workers' compensation claims within their self-funded retention limits. State and local governments procure comprehensive claims-administration services under this code, including initial claimant contact, benefit determination, medical provider and bill management, investigative services, subrogation activities, legal representation at hearings, safety and OSHA compliance programs, and quarterly or monthly reporting. Issuing bodies include county governments with self-insured workers' compensation programs; recent solicitations name Monroe County, Florida and Greenville County, South Carolina, each managing programs covering approximately 1,000 to 1,300 employees across multiple government agencies. Vendors must hold state-specific TPA licensing, carry professional certifications (such as CPCU, ARM, or AIC), and maintain comprehensive general liability, professional liability, cyber liability, and statutory workers' compensation insurance with substantial per-occurrence limits.

Recent activity concentrates in the Southeast. Monroe County issued RFP 629 on May 2, 2026, due July 16, 2026, seeking a licensed Florida TPA to administer claims within a $500,000 self-insured retention for the Board of County Commissioners, Sheriff's Office, and Constitutional Officers; the contract runs three years from September 21, 2026, with two optional one-year renewals and annual medical-bill processing of approximately $2.1 million. Greenville County issued RFP 26101 on April 24, 2026, due May 8, 2026, seeking a TPA with at least ten years' experience managing groups of 1,000 or more employees, structured on quarterly retainers with per-claim fees for lost-time, medical-only, and record-only claims; evaluation criteria weight past performance with governmental entities (20%), experience and pricing transparency (20% each), and technology platform capabilities (20%). Neither solicitation specifies a budget range or award value; both structure pricing as annual flat fees, quarterly retainers, or per-claim models. Local business preferences appear in Monroe County's evaluation (up to 10 points) but no set-aside designations are specified in either RFP.