Addendum_3_-_Rx_RFP_Announcement.pdf

This is Addendum 3 to a competitive solicitation issued by Hillsborough County Public Schools (HCPS) in Tampa, Florida, for medical benefits and prescription drug services under RFP 25598-DST. The addendum modifies the Rx RFP Announcement section to establish pre-qualification requirements for proposers intending to submit proposals for pharmacy services. Prospective vendors must complete and submit two required attachments—Attachment A (Medical/Rx Read Me First & RFP Instructions) and Attachment C (Rx Minimum Requirements)—to contractsupport@hcps.net no later than November 15, 2025, at 5:00 PM EST, with the email subject line clearly marked "Response to 25598-RFP-DST Rx Only." The overall RFP addresses comprehensive medical and pharmaceutical coverage for approximately 24,328 eligible employees (current enrollment of 19,121 participants) including active employees, under-age-65 retirees, Medicare-eligible retirees, and COBRA participants, with an effective date of January 1, 2027. Proposals are due by December 12, 2025, submitted through VendorLink, with the last day for technical questions set for November 20, 2025.

HCPS is transitioning from a fully insured Aetna model to a self-funded approach and has established four proposal structure options for vendors: self-funded Administrative Services Only (ASO) with pharmacy services either carved in or carved out, and self-funded Third-Party Administrator (TPA) options with the same pharmacy configuration choices. The evaluation will utilize a 100-point scoring system allocating 45 points for cost/value, 15 points for plan administration, 20 points for service capabilities, 15 points for network access, and 5 points for related experience and references. Pre-qualified vendors must demonstrate at least five years of pharmacy benefit management experience in Florida, registration with the Florida Office of Insurance Regulation, and network accessibility of 95 percent or greater. Vendors are required to comply with federal certifications and procurement standards outlined in Appendix II to 2 CFR Part 200. The district historically pays approximately 91 percent of medical premiums, with the incumbent consultant Aon receiving commissions capped at $825,000 annually.