25-Fort Bend ISD 2025 Stop Loss RFP 26-023KB Data Exhibits.pdf

PDF 180 KB Posted

Attached to
Stop Loss Insurance
Solicitation number
RFP 26-023KB
Issued by
Fort Bend County, Texas

About this file

This document is a Request for Proposal (RFP) for Stop Loss Insurance issued by Fort Bend Independent School District, with RFP Number 26-023KB. The document provides a comprehensive list of data exhibits for potential bidders, covering various insurance plan documents, membership enrollment data, and claims information for the years 2023-2025. The exhibits include Stop Loss Policy, Stop Loss Amendment, Summary of Benefits and Coverage (SBC) for multiple plans (Surest, Kelsey UHC Charter, and Choice HSA), and Summary Plan Descriptions (SPD) for these plans.

The data exhibits are categorized as Non-PHI (Non-Personal Health Information) and include detailed enrollment and claims data from January 2023 through August 2025. Several exhibits are available upon request, such as large claimants with diagnosis, medical claims by month, prescription claims details, and a census. The documents cover multiple plan years and provide a comprehensive view of Fort Bend ISD's health insurance enrollment and claims history, which would be critical for potential stop loss insurance providers to evaluate risk and develop competitive proposals.

View the file

Other files

File Type Posted
20-Membership Managed Ad Hoc 1223.xlsx XLSX spreadsheet
22-Payments by Month 0825.xlsx XLSX spreadsheet
13-Exhibit 3. Fort Bend ISD Stop Loss Policy Amendment.pdf PDF
10-PRE-EMPLOYMENT OR PRE-SERVICE AFFIDAVIT FOR EDUCATIONAL ENTITIES.pdf PDF
26-RFP 26-023KB Stop Loss Scope of Work.pdf PDF
11-Exhibit 1. Fort Bend ISD Stop Loss RFP Workbook RFP 26-023KB.xlsx XLSX spreadsheet
4-EDGAR Certifications (2 CFR Section 200 REQUIRED PROVISIONS).pdf PDF
18-Exhibit 8. Fort Bend ISD Kelsey UHC Charter Plan SPD 2025.pdf PDF
15-Exhibit 5. Fort Bend ISD Kelsey UHC Charter Plan SBC 2025.pdf PDF
8-Vendor Acknowledgement Form.pdf PDF
16-Exhibit 6. Fort Bend ISD Choice HSA Plan SBC 2025.pdf PDF
14-Exhibit 4. Fort Bend ISD Surest Plan SBC 2025.pdf PDF
1-Insurance Requirements.pdf PDF
6-General Provisions for Purchasing Solicitations and Contracts (3.3.25).pdf PDF
24-Payments By Month 1224.xlsx XLSX spreadsheet
19-Membership Managed Ad Hoc 0825.xlsx XLSX spreadsheet
23-Payments By Month 1223.xlsx XLSX spreadsheet
5-Sample DPA - Data Protection Agreement Addendum (v4.1).pdf PDF
3-Form 1295 Instructions - How to Complete the Form.pdf PDF
9-CIQ Forms-Updated 8.14.25.pdf PDF
17-Exhibit 7. Fort Bend ISD Choice HSA Plan SPD 2025.pdf PDF
21-Membership Managed Ad Hoc 1224.xlsx XLSX spreadsheet
2-Suspension and Debarment Certification.pdf PDF
7-Sample FBISD Agreement for Services FBISD (6.2.25).pdf PDF
12-Exhibit 2. Fort Bend ISD Stop Loss Policy.pdf PDF
Show all 25

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

1 © 2025 Arthur J. Gallagher & Co.

Fort Bend ISD Stop Loss RFP

RFP NUMBER 26-023KB

Data Exhibits

Link #1 – Non-PHI Data:

Exhibit # Report Name

1 Stop Loss RFP Workbook

2 Stop Loss Policy

3 Stop Loss Amendment

4 Surest Plan SBC 2025

5 Kelsey UHC Charter Plan SBC 2025

6 Choice HSA Plan SBC 2025

7 Choice HSA Plan SPD 2025

8 Kelsey UHC Charter Plan SPD 2025

9 Surest Plan SPD 2025 Draft

10 Fort Bend Membership Enrollment by Tier 01.2023 - 12.2023

11 Fort Bend Membership Enrollment by Tier 01.2024 - 12.2024

12 Fort Bend Membership Enrollment by Tier 01.2025 - 08.2025

13 Large Claimants with Diagnosis 2023 – Current – Upon Request

14 Medical Claims by Month 01.2023 - 12.2023 – Upon Request

15 Medical Claims by Month 01.2024 - 12.2024 – Upon Request

16 Medical Claims by Month 01.2025 - 08.2025 – Upon Request

17 Rx Claims Detail 2023 Plan Year – Upon Request

18 Rx Claims Detail 2024 Plan Year – Upon Request

19 Rx Claims Detail 2025 Year to Date – Upon Request

20 Census – Upon Request

File details come from the government source that posted it. Updated .