Medical-Rx_RFP_Data_3.zip

This is a Request for Proposals (RFP 25598-DST) document from the School Board of Hillsborough County Public Schools (HCPS) in Tampa, Florida, soliciting comprehensive medical benefits and prescription drug services. HCPS seeks medical, behavioral health, and pharmacy coverage for 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. The services are effective January 1, 2027. HCPS is offering four proposal structure options: self-funded Administrative Services Only (ASO) with pharmacy carved in or out, and self-funded Third-Party Administrator (TPA) with pharmacy carved in or out. The technical question deadline is November 20, 2025, with proposals due December 12, 2025, submitted through VendorLink. The evaluation will utilize a 100-point scoring system: 45 points for cost/value, 15 points for plan administration, 20 points for service capabilities, 15 points for network access, and 5 points for related experience and references.

HCPS is transitioning from Aetna's fully insured model to a self-funded approach in 2026 with three new medical plans, with the district historically paying approximately 91% of medical premiums. Minimum vendor requirements include at least five years of pharmacy benefit management experience in Florida, registration with the Florida Office of Insurance Regulation, and network accessibility of 95% or more. Vendors must complete federal certifications and comply with Appendix II to 2 CFR Part 200 for federal funding compliance. The incumbent carrier is Aetna, and Aon Consulting receives $3.62 per employee per month in medical commissions, capped at $825,000 annually. The primary objective is claims cost mitigation, with vendors required to provide detailed plan administration, customer service, and implementation support. HCPS encourages diverse business participation and requires vendors to complete vendor registration forms.