HCPS_Medical_Repricing_Data.zip

This is a medical and prescription drug repricing data file related to an RFP issued by the School Board of Hillsborough County Public Schools (HCPS) in Tampa, Florida, for comprehensive medical benefits and pharmacy services. HCPS is soliciting proposals to cover approximately 24,328 eligible employees, with current enrollment of 19,121 participants across active employees, under-age-65 retirees, Medicare-eligible retirees, and COBRA participants, effective January 1, 2027. The district is offering four proposal structure options: self-funded Administrative Services Only (ASO) with pharmacy benefits either carved in or carved out, and self-funded Third-Party Administrator (TPA) options with the same pharmacy configurations. The technical question deadline is November 20, 2025, with proposals due December 12, 2025, through VendorLink. The contract term begins January 1, 2027, with no renewal options specified in the materials provided.

HCPS is transitioning from a fully insured Aetna model to a self-funded approach effective January 1, 2026, with three new medical plans launching in 2026. Evaluation will be conducted on 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. 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 95% or higher network accessibility. Vendors must complete federal certifications and comply with Appendix II to 2 CFR Part 200. The district historically pays approximately 91% of medical premiums; current broker Aon Consulting receives $3.62 per employee per month in medical commissions, capped at $825,000 annually. No specific award value is disclosed.