UNSPSC 64122100: Health insurance contracts

A broad range of commercial risk management contracts, in the form of policies, that protect individuals or members of a group against the risk of damage due to health related conditions and maladies

UNSPSC 64122100 Health insurance contracts is a Class code encompassing the full range of group and individual health insurance products, administrative services, and related benefits that state and local governments procure for employees, retirees, and other covered populations. State and local governments actively buy group medical and prescription drug insurance (fully insured and self-funded), stop loss reinsurance, pharmacy benefit management, dental and vision coverage, Medicare Advantage and Medicare supplement plans, ancillary benefits (life, disability, critical illness), employee assistance programs, flexible spending account administration, COBRA administration, dependent eligibility verification, health insurance brokerage and consulting services, claims administration and third-party administration, and specialized coverages such as athletic and student accident insurance. The issuing bodies span state agencies (Texas Education Agency, Mississippi State Department of Health, South Dakota Division of Insurance), county governments (Okaloosa County, Volusia County, Gwinnett County, Orange County), municipalities (City of Tucson, City of Orlando, City of Sarasota, City of Waxahachie), school districts (Northside ISD, Manor ISD, Garland ISD, SCUC ISD), higher education institutions (University of Texas System, Salt Lake Community College, University of North Georgia), special districts (Cook County Health, Central Health), and transit or specialized authorities (Illinois Tollway System, Buckman Direct Diversion Board). Repeat buyers appear across multiple procurement waves—school districts and city governments issue recurring RFPs for medical, stop loss, and ancillary benefits; counties solicit group health insurance and broker services frequently; and health departments and public health agencies regularly bid TPA and eligibility services.

Recent activity concentrates heavily in Texas (Edinburg, SCUC ISD, Manor ISD, Northside ISD, Tucson, Lubbock, Richardson, Waxahachie, Corinth), Florida (Okaloosa, Volusia, Orange County, Doral, Sarasota, Walton County), and Georgia (Athens-Clarke, Gwinnett, Hall County, Dalton State, University of North Georgia, USG system), with secondary activity in Arizona, Maryland, South Carolina, Mississippi, Oregon, Illinois, Kentucky, and other jurisdictions. Representative recent opportunities include the City of Edinburg's RFP for group employee medical insurance (fully-funded and self-funded options, due August 4, 2026), Central Health's RFP for hospital indemnity insurance (due July 13, 2026), Salt Lake Community College's RFP for stop loss insurance with detailed claims and census data (due May 26, 2026), Northside ISD's RFP for medical TPA and pharmacy benefit management serving 18,000 members (due May 6, 2026), Orange County Florida's RFP for group vision insurance with performance guarantees and mandatory service levels (due May 28, 2026), Okaloosa County's dual RFPs for group health insurance and ancillary benefits (both posted April 24, 2026), and the City of Orlando's RFP for third-party administration of firefighters' workers' compensation claims (due April 24, 2026). Stop loss insurance, health insurance brokerage, TPA services, and ancillary benefits administration are particularly active categories; multiple jurisdictions issued RFPs in the 60-day window captured by the source. Activity reflects both routine contract renewals and competitive rebids following rejected prior proposals, indicating sustained procurement momentum in this code.