HCPS_Detailed_Rx_Data.zip

This is a Request for Proposals file for Hillsborough County Public Schools (HCPS) in Tampa, Florida, soliciting comprehensive medical benefits and prescription drug services for approximately 24,328 eligible employees, with current enrollment of 19,121 participants. HCPS seeks medical coverage, behavioral health services, and pharmacy benefits for active employees, retirees under age 65, Medicare-eligible retirees, and COBRA participants, effective January 1, 2027. The procurement allows vendors to propose one of four self-funded structures: Administrative Services Only (ASO) with pharmacy benefits carved in or carved out, or Third-Party Administrator (TPA) options with the same pharmacy carve configurations. The technical question submission deadline is November 20, 2025, with proposals due by December 12, 2025, through VendorLink. The contract term is effective January 1, 2027, replacing the current fully insured Aetna model that concludes December 31, 2025, which will transition to a self-funded approach with three new medical plans in 2026.

The evaluation will use a 100-point scoring system: 45 points for cost and value, 15 points for plan administration, 20 points for service capabilities, 15 points for network access, and 5 points for related experience and references. Aetna is the current incumbent insurance provider. Vendors must meet minimum requirements including 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 more. Proposers must be pre-qualified and complete federal certifications compliant with Appendix II to 2 CFR Part 200. HCPS historically pays approximately 91 percent of medical premiums, with the current broker, Aon Consulting, receiving $3.62 per employee per month in medical commissions capped at $825,000 annually. While no specific set-aside designations are explicitly mentioned, HCPS encourages diverse business participation and requires vendor registration completion.