4-PD 1.1 Attachment C- Subcontracting.docx

This is a Subcontractor Information Form attachment from the City of Round Rock, Texas, used in conjunction with a solicitation for Health and Pharmacy Benefits services. The form requires respondents to indicate whether they intend to use subcontractors on the contract and, if so, to provide detailed information for each subcontractor, including name, contact information, address, telephone and fax numbers, a description of work to be performed, and the percentage of total contract work assigned to each subcontractor. The form allows for multiple subcontractors with additional pages available as needed.

The solicitation seeks proposals from firms experienced in providing comprehensive health benefits and prescription drug claims services to the City of Round Rock. The City currently contracts with United Healthcare as its Third-Party Administrator (TPA) for health, dental, vision, and prescription drug claims administration. The City operates a self-insured medical and dental benefit program serving approximately 2,400 active employees, retirees, and dependents as of 2026. The successful respondent must provide enhanced program recommendations, options, and alternatives through internal or external sources and third-party agreements. The City's fiscal year runs October 1 through September 30, while the benefits plan year runs January 1 through December 31, with open enrollment occurring in October annually.