Revised_HCPS_2026_Medical_Census_11.07.25_1.xlsx

This file is a medical census spreadsheet prepared by Hillsborough County Public Schools (HCPS) in Tampa, Florida, supporting RFP 25598-DST for comprehensive medical and prescription drug benefits. HCPS is soliciting proposals to cover approximately 24,328 eligible employees, with current enrollment of 19,121 participants as of August 2025, consisting of 18,601 active employees, 44 COBRA participants, and 476 pre-65 and post-65 retirees and surviving spouses. The procurement seeks medical benefits including behavioral health and pharmacy services for active employees, under-age-65 retirees, Medicare-eligible retirees, and COBRA participants, effective January 1, 2027. HCPS is offering four proposal structures for vendors to select: self-funded Administrative Services Only (ASO) with pharmacy carved in or carved out, and self-funded Third-Party Administrator (TPA) with pharmacy carved in or carved out. The last day for technical questions is November 20, 2025, with proposals due December 12, 2025, submitted through VendorLink. Evaluation will utilize a 100-point scoring system allocating 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 through December 31, 2025, to a self-funded approach effective January 1, 2026, introducing three new medical plans. Minimum vendor requirements include at least five years of pharmacy benefit management experience in Florida, registration with the Florida Office of Insurance Regulation, and 95% or greater network accessibility. Vendors must complete federal certifications and comply with Appendix II to 2 CFR Part 200 for federally funded purchases. The district historically pays approximately 91% of medical premiums, with the current consultant Aon receiving $3.62 per employee per month in medical commissions, capped at $825,000 annually. While no specific award value is disclosed, the primary objective is claims cost mitigation. HCPS encourages diverse business participation and requires vendor registration forms for compliance with procurement standards.