NIGP 95348: Health/Hospitalization (Including Dental and Visual Insurance)

NIGP 95348 Health/Hospitalization (Including Dental And Visual Insurance) is an Item code under which state and local governments procure comprehensive health benefits administration, including medical, dental, vision, life, disability, and supplemental coverage through fully insured plans, self-insured administrative services, broker-of-record consulting, pharmacy benefit management, and stop loss insurance protection. Recent solicitations show sustained demand across municipal, county, school district, and special-purpose health plan entities for both traditional carrier contracts and alternative service models including virtual urgent care, condition management, and dependent eligibility verification audits. The code attracts a broad mix of issuing bodies—cities (Phoenix, Leander, San Angelo, Buda, San Antonio), counties (Brevard, Collier, Nassau, Palm Beach, Pinellas, San Bernardino, Los Alamos, Burnet, Tucson, Johnson, Greenville, Volusia), school districts (Austin Independent School District, Fairfax County Public Schools), transit authorities (Palm Tran within Palm Beach County procurement), state agencies (Michigan Department of Technology for MPSERS, Illinois Central Management Services, New Jersey Treasury), special districts (Inland Empire Health Plan in California, Central Health in Texas, Upper Trinity Regional Water District), and regional pools (CIS serving Oregon public entities). Repeat buyers include Palm Beach County (issuing multiple dental and administrative RFPs across June-July 2026), Los Alamos County (dental, vision, and administrative services), Austin Independent School District (pharmacy and student accident insurance), and Florida municipalities (DeBary, Holly Hill, Sarasota, Leander), signaling ongoing competitive procurement cycles driven by annual renewal schedules and plan redesign initiatives.

Recent opportunities span the full scope of health benefits contracting: brokerage and consulting services (City of DeBary for 38-employee coverage, City of Sarasota for 1,782 lives, Greenville County for 2,700 employees), carrier contracts for medical/dental/vision bundles (City of Leander RFP due August 21, 2026; Fairfax County Public Schools Medicare Advantage effective January 1, 2028; Brevard County life and supplemental benefits RFP 1-26-12 due July 28, 2026), self-insured and ASO administration (Volusia County health plan ASO due August 27, 2025; Collier County pharmacy benefits management RFP 25-8414 due April 9, 2026), stop loss and reinsurance coverage (City of Tucson specific stop loss for $43.5 million annual claims, Johnson County Texas, City of San Angelo, Upper Trinity RWD), specialty services including pharmacy (New Jersey Department of Treasury T2679 for 800,000 members due September 25, 2026; Austin ISD PBM RFP 27RFP016 due August 4, 2026; Collier County historical spend approximately $8.7 million annually), virtual urgent care (Inland Empire Health Plan California RFI due October 31, 2026), and condition management for Medicaid populations (Cook County Health CountyCare RFP H26-25-060 due June 19, 2026). Geographic activity concentrates in California (Inland Empire Health Plan, Los Alamos, Tuolumne County day treatment), Florida (seven municipalties and Pinellas County), Texas (Austin ISD, Burnet, Buda, Leander, San Angelo, Upper Trinity RWD, Central Health, Johnson County), and Arizona (Tucson), with secondary activity in Illinois (state renewal notices for delta Dental, Aetna HMO and OAP, ComPsych EAP), Michigan (MPSERS vision administration award to EyeMed for $32.54 million), New Jersey (state PBM for SHBP/SEHBP 800,000 members), South Carolina (Greenville County RFP 26057), Oregon (CIS dependent eligibility and capital modeling), and New York (Nassau County dental and vision). The code remains highly active with overlapping cycles—multiple solicitations posted in June-October 2026 with deadlines ranging from June through November 2026, indicating sustained procurement momentum driven by calendar-year plan changes (January 1, 2027 effective dates predominate), retiree program transitions, and self-funded plan administration renewals. Incumbent carriers and administrators (Cigna, Aetna, Blue Cross, Delta Dental, UnitedHealth/OptumRx, MetLife, Aflac, Principal, Standard Insurance, Davis Vision/MetLife, EyeMed, Solstice Benefits) maintain strong market presence across multiple awards, though competitive RFPs signal periodic reassessment and potential vendor transitions.