Revised_HCPS_2026_Medical_Census_11.07.25_1.xlsx

This file is a medical census spreadsheet for Hillsborough County Public Schools (HCPS) in Tampa, Florida, documenting enrollment data for the district's medical and prescription drug benefits program. The spreadsheet contains detailed enrollment information as of August 2025, showing 19,121 total participants across active employees (18,601), COBRA participants (44), and pre-65/post-65 retirees and surviving spouses (476), representing 78.5% enrollment of approximately 24,328 eligible employees. HCPS is transitioning from a fully insured model through Aetna (ending December 31, 2025) to a self-funded approach effective January 1, 2026, introducing three new medical plans. The RFP (25-598-DST) requests proposals for comprehensive medical benefits including behavioral health and pharmacy services, with four proposal structure options available: self-funded Administrative Services Only (ASO) or Third-Party Administrator (TPA) with pharmacy benefits either carved in or carved out. The technical question deadline is November 20, 2025, with proposal submissions due December 12, 2025, through VendorLink.

The procurement is evaluated using a 100-point scoring system comprising cost/value (45 points), plan administration (15 points), service capabilities (20 points), network access (15 points), and related experience and references (5 points). 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. The district historically pays approximately 91% of medical premiums, with current commission arrangements providing Aon Consulting $3.62 per employee per month capped at $825,000 annually. Vendors must complete federal certifications and comply with Appendix II to 2 CFR Part 200 for federally funded purchases. The contract effective date is January 1, 2027, with no specific award value disclosed in the RFP materials.