Medical-Rx_RFP_Data_3.zip

This is a Request for Proposals (RFP 25598-DST) issued by the School Board of Hillsborough County Public Schools (HCPS) in Tampa, Florida, seeking comprehensive medical benefits and prescription drug services. HCPS is requesting proposals to cover approximately 24,328 eligible employees, with current enrollment of 19,121 participants as of August 2025, including 18,601 active employees, 44 COBRA participants, and 476 retirees and surviving spouses. The solicitation encompasses medical benefits, behavioral health services, and pharmacy coverage for active employees, under-age-65 retirees, Medicare-eligible retirees, and COBRA participants, effective January 1, 2027. Respondents may propose from four self-funded structures: Administrative Services Only (ASO) with pharmacy benefits either carved in or carved out, or Third-Party Administrator (TPA) options with the same pharmacy configurations. The technical questions deadline is November 20, 2025, with proposals due by December 12, 2025, through VendorLink submission. No specific award date or site visit requirements are identified in the summary.

HCPS is transitioning from a fully insured model through Aetna (current through December 31, 2025) to a self-funded approach effective January 1, 2026, with three new medical plans launching in 2026. The district historically pays approximately 91% of medical premiums, with current commissions to Aon Consulting totaling $3.62 per employee per month, capped at $825,000 annually. No specific contract award value is disclosed. Evaluation will use 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. 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 federally funded purchases. HCPS encourages diverse business participation and requires vendor pre-qualification and registration.