Revised_HCPS_2026_Medical_Census_11.07.25_1.xlsx

The file "Revised_HCPS_2026_Medical_Census_11.07.25_1.xlsx" is a medical census document related to the School Board of Hillsborough County Public Schools (HCPS) in Tampa, Florida. The document supports a medical benefits procurement for active employees, under-65 retirees, Medicare-eligible retirees, and COBRA participants, effective January 1, 2027. The total eligible population is approximately 24,328 individuals, with 78.5% currently enrolled in Medical/Rx coverage, comprising 18,601 active employees, 44 COBRA participants, and 476 pre/post-65 retirees and surviving spouses.

HCPS is transitioning from a fully insured Aetna model through 12/31/25 to a self-funded approach starting 1/1/26, introducing three new medical plans. The procurement offers respondents multiple structural options to propose, including self-funded ASO and TPA models with either integrated or carved-out pharmacy services. The primary objective is claims cost mitigation, with HCPS providing flexibility for vendors to develop the most suitable solution. The upcoming contract represents a significant healthcare benefits restructuring for the school district, aimed at optimizing coverage and managing healthcare expenses effectively.