14-PD 1.1 Attachment D- Medical Vendor Response Workbook.xlsx

This is an Administrative Services Organization (ASO) Medical Request for Proposal (RFP) workbook for the City of Round Rock, Texas, seeking a third-party administrator to provide medical, pharmacy, and stop-loss administration services. The City's current contract with United Healthcare expires December 31, 2026, and the RFP solicits proposals for a 3-year contract term effective January 1, 2027, with two optional 1-year renewal periods. The RFP was released on April 17, 2026, with a bidder question deadline of April 28, 2026, and a final proposal submission deadline of May 19, 2026. The City anticipates finalizing the carrier selection in June 2026. The City currently covers approximately 2,393 enrolled members across 1,074 enrolled employees, with 1,183 benefit-eligible employees. The plan design includes both United Healthcare Choice Plus PPO and EPO options, with consideration for implementing a high-deductible health plan in 2027. The RFP requires respondents to match the in-force plan design and quote the broadest available network at 0% commissions.

Pricing must be quoted on a mature Administrative Services Only (ASO) basis with all fees inclusive of 12 months of run-out administration, with no percentage-based commission structure. Respondents must provide fixed fees for negotiated savings with non-network providers and guarantee rates for a minimum of three years. The City requires a $15,000 one-time implementation fee for the Holmes Murphy Data Warehouse and mandates 100% pass-through of pharmacy rebates with no carrier retention. Historical claims data from March 2023 through February 2026 shows total paid medical claims ranging from approximately $225,000 to $1.29 million monthly, with significant large claims documented. All respondents must complete required tabs in the workbook including ASO fees, service outlines, geographic access analysis, provider disruption documentation, network discounts, performance guarantees, and comprehensive questionnaire responses. The City requires full data access for designated third parties at no additional charge and either either the incumbent United Healthcare or competing carriers such as Aetna may respond.