City_of_Edinburg_RFP#_2025-011_Pharmacy_Benefit_Management.pdf

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City of Edinburg

Request for Proposal (RFP# 2025-011)

Pharmacy Benefit Management (PBM)

Effective Date: October 1, 2025

Deadline for Proposals: 03:00 P.M., July 29, 2025

Prepared by: Roger Garza, Insurance Consultant

Valley Risk Consulting, Inc., 1200 Fresno, Suite C, McAllen, Texas 78501

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The City of Edinburg is accepting proposals for:

RFP# 2025-011 Pharmacy Benefit Management (PBM)

Proposals must be submitted electronically to: https://procurement.opengov.com/portal/cityofedinburg, no later than Tuesday, July 29, 2025 @ 03:00 p.m.”

Proposals will be accepted until 03:00 p.m. on Tuesday, July 29, 2025. Any proposals received late will not be accepted.

Any questions about this Request for Proposal should be submitted through the procurement portal by 05:00 p.m. Monday, July 21, 2025.

The proposal will be awarded at a City Commission meeting in August. The city reserves the right to accept or reject any and/or all proposals, waive minor technicalities, or award the proposal to the most responsible offeror who best serves the City's interests.

Please fill out, sign, and submit with your proposal response the enclosed IRS Form, W-9, and Conflict of Interest Questionnaire.

We look forward to hearing from you.

Sincerely, Erica Balli, Director of Human Resources

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Executive Summary Notice Request for Proposals (RFP) General Information:

1. The purpose of this Executive Notice is to highlight the key requirements of the Request for Proposal (RFP).

2. The City of Edinburg is requesting proposals from qualified firms to provide Pharmacy Benefit Management services. Only 100% Pass-Through Modeling will be considered, no Traditional Modeling.

3. Where applicable, all companies submitting proposals must be licensed by the Texas Department of Insurance and be permitted to contract with the State or any of its subdivisions. All insurance carriers must be rated by AM Best Company. Proposers who fall under the guidelines of the Interlocal Cooperation Act, Chapter 791, Title 7, Government Code, will be acceptable.

4. The City of Edinburg may award to contract to the bidder who provides goods or services at the best value for the City. In determining the best value for the City, the City may consider:

(1) the purchase prices.

(2) the reputation of the bidder and the bidder's goods or services.

(3) the quality of the bidder's goods or services.

(4) the extent to which the goods or services meet the City's needs.

(5) the bidder's past relationship with the City.

(6) the impact on the ability of the City to comply with laws and rules relating to contracting with historically underutilized businesses and nonprofit organizations employing persons with disabilities.

(7) the total long-term cost to the City to acquire the bidder's goods or services; and

(8) any relevant criteria specifically listed in this request for bids or proposals

5. The contract will be effective per the Insurance Policy, or after city council approval, whichever occurs later.

The city would prefer a one-year contract with the option to renew for two (2) additional (separate) one (1) year terms, if there are no changes in terms and conditions, insurance agent or underwriting company, and the insurance rates do not increase more than 5% per year.

6. Any questions about this RFP and requests for additional information shall be requested no later than Monday, July 21, 2025, 5:00 p.m. via https://procurement.opengov.com/portal/cityofedinburg. The city will not respond to verbal inquiries. Any form of contact by an offeror or potential offeror regarding this RFP, at any time during the solicitation process from initial advertisement through award, with the Commissioners or any person employed by the City of Edinburg, other than through the communication channels stipulated in the Request for Proposal, or as subsequently instructed by the City of Edinburg through the solicitation process, will constitute grounds for rejection of their Proposal.

7. Public sector employers are not allowed, under current state law, to execute a document containing a Hold Harmless/Indemnification Clause, causing the employer to be responsible for other parties’ liability.

Therefore, your documents should not contain any such clauses.

8. Since the City of Edinburg is interested in limiting costs associated with the acquisition process, offerors not intending to continue with the RFP are requested to submit a letter requesting they be taken off the mailing list for this solicitation. The City of Edinburg reserves the right to reject any or all proposals, waive

4 | P a g e technicalities, and award the contract in the best interest of the City. Price alone will not be the sole determining criterion in the selection process.

9. Proposers must submit electronically https://procurement.opengov.com/portal/cityofedinburg