Medical-Rx_RFP_Data_3.zip

The provided file is a Request for Proposal (RFP) from The School Board of Hillsborough County (HCPS) in Tampa, Florida, seeking medical benefits and pharmacy services for its employees and retirees. The contract opportunity covers approximately 24,328 eligible employees, with current enrollment at 19,121 participants, including active employees, COBRA participants, and pre/post-65 retirees. HCPS is transitioning from a fully insured model with Aetna through 12/31/25 to a self-funded model effective 1/1/26, with the new medical benefits contract set to commence on January 1, 2027. The district is offering respondents multiple structural options for proposal, including self-funded ASO and TPA models with varying pharmacy management approaches.

HCPS currently has 78.5% enrollment in Medical/Rx coverage and is seeking proposals that will help mitigate claims costs. The district will be introducing three new medical plans in 2026 and is soliciting comprehensive proposals that can address their evolving benefits landscape. Respondents are invited to propose solutions under four potential structures: 1) Self-Funded ASO with Rx carved in, 2) Self-Funded ASO with Rx carved out, 3) Self-Funded TPA with Rx carved in, or 4) Self-Funded TPA with Rx carved out. The goal is to find a flexible and cost-effective medical and prescription benefits solution that meets the diverse needs of HCPS employees and retirees.