Attachment G - Sample Contract for Third Party Administrator.docx

This is a Sample Contract document for Third Party Administrator services submitted by the City of Houston, Texas, in support of its procurement for third-party administrator (TPA) and chronic disease management (CDM) services for the City's self-funded medical benefit plans. The contract is designed to establish the terms and conditions under which a qualified firm will provide administrative services to support the City's Human Resources department in achieving greater operational efficiency, improved member experience, and enhanced health outcomes for City employees and their dependents. The initial contract term extends for five (5) years with two (2) optional one-year renewal periods available, providing a maximum contract duration of seven (7) years. The sample contract document serves as a template to define the scope of work, responsibilities, performance standards, and operational requirements that the selected vendor must fulfill throughout the engagement.

The sample contract establishes the contractual framework, roles, and obligations expected of the third-party administrator, including detailed specifications for claims processing, member services, reporting requirements, and compliance with applicable healthcare regulations. The document outlines performance metrics, service level agreements, and standards that the TPA must maintain to ensure quality administration of the City's self-funded medical plans. As a template document, this contract provides prospective bidders with visibility into the specific terms, conditions, and performance expectations that will govern the relationship between the City of Houston and the selected TPA vendor, enabling qualified firms to assess their capability to meet the City's requirements and prepare competitive proposals accordingly.