Stop_Loss_Coverage_for_Self_Funded_Health_Plan.pdf
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- Attached to
- Stop Loss Coverage for Self Funded Health Plan
- Solicitation number
- 2027-008-HR
- Issued by
- Sarasota County, Siesta Key CDP, Florida
About this file
This solicitation document is for Stop Loss Coverage for Self Funded Health Plan services issued by the City of Sarasota, Florida, in coordination with Brown and Brown Insurance Services, Inc. The City seeks stop loss coverage only on a 24/12 contract basis for medical and pharmacy benefits, with an effective date of January 1, 2027. Proposers must submit proposals via email to hailey.cronk@bbrown.com on or before October 21, 2026, at 5:00 pm EST. The solicitation was released on October 8, 2026, with a question submission deadline of October 15, 2026. No site visits or bidders' meetings are mentioned in the documentation. Proposals will be evaluated by the City and Brown & Brown based on proposed rates, terms and conditions, and responses to questionnaires.
The City's self-insured health plan covers approximately 747 employees and 265 retirees, with the current carrier being HM Insurance. The City requests both $250,000 and $275,000 Individual Stop Loss (ISL) options with aggregate coverage at a 125% corridor, a 50% rate cap, and a Non-Renewing Limit (NNL) provision with a Spec Advance Rider. Current rates are $124.92 PEPM for Individual Stop Loss and $4.81 PEPM for Aggregate Stop Loss. Renewal rates are not available as this is a closed bid requiring proposers to submit best and final rates quoted net of commissions. The health plan is contributory with the City paying a portion of the cost based on employment class. Medicare-eligible retirees are excluded from stop loss coverage, and retirees have rights under Florida Statutes Section 112.0801 to continue coverage at the same premium cost as active employees.
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For more information, please visit our online supplier portal, located at https://procurement.opengov.com/portal/sarasotafl
City of Sarasota
SOLICITATION
2027-008-HR
STOP LOSS COVERAGE FOR SELF FUNDED HEALTH PLAN
RELEASE DATE: October 8, 2026
RESPONSE DEADLINE: October 21, 2026, 5:00 pm
Please refer to the project timeline in this document for all important deadlines.
Solicitation #2027-008-HR Title: Stop Loss Coverage for Self Funded Health Plan
Table Of Contents
1. Introduction
2. Project Details
3. N/A
4. N/A
1. Introduction
1.1. Summary
The City of Sarasota is assisting it's Broker with (ONLY) advertising this opportunity. Any and all communication, documentation and proposal response are to be directed to Morgan Johnson, GBDS,VBS, Marketing Analyst, Brown and Brown- Public Sector. Phone number 386-239-8866(direct) and email:
Morgan.Johnson@bbrown.com .
1.2. Timeline
Solicitation Release Date: October 8, 2026
Question Submission Deadline: October 15, 2026, 5:00pm
Solicitation Opening: October 21, 2026, 5:00pm
1.3. Project Contact
Helen Reed
Consulting Purchasing Professional
1565 1st Street
Sarsasota, FL 34236
Email: helen.reed@sarasotafl.gov
Phone: (941) 263-6443
1.4. Procurement Contact
Helen Reed
Consulting Purchasing Professional
1565 1st Street
Sarsasota, FL 34236
Email: helen.reed@sarasotafl.gov
Phone: (941) 263-6443 mailto:Morgan.Johnson@bbrown.com
2. Project Details
2.1. Important Instructions for Submittals
Return Proposal:
Proposers are directed to submit their proposals via EMAIL to hailey.cronk@bbrown.com on or before
October 21, 2026 at 5:00pm EST.
Selection Process:
Proposals will be reviewed by the City and Brown & Brown. Evaluation is based upon proposed rates, terms & conditions proposed, and responses to questionnaire.
2.2. Scope of Work
Client: City of Sarasota
Address: 1565 1st Street
Sarasota, FL 34236
Client History: The City of Sarasota’s self-insured health plan is administered by BCBS of SC with pharmacy benefits administered by RxBenefits/CareMark. Stop loss coverage is provided by HM Insurance. The City has a strong commitment to health and wellness and continues to adopt plans to encourage healthy behaviors.
The City’s benefit program includes incentives for covered members (employees, retirees and spouses) over the age of 19 and uses their onsite health care center as well as their Medical Administrator for their wellness initiatives. There are approximately 747 employees and 265 retirees on the health plan. **MEDICARE
ELIGIBLE RETIREES ARE EXCLUDED FROM STOP LOSS.
Carrier History:
YEAR Stop Loss
Current HM
2025 HM
mailto:hailey.cronk@bbrown.com
2024 Vista | One80
2023 Vista | One80
2022 HM
2021 HM
Contract Effective Date: January 1, 2027
Proposal Request:
Stop Loss Coverage Only
• 24/12 contract basis
• Medical and Rx
• $250,000 ISL, and $275,000 ISL options
• Aggregate coverage with 125% corridor
• Rate Cap 50%
• NNL Provision
• Spec Advance Rider
Return Proposal:
Proposers are directed to submit their proposals via EMAIL to hailey.cronk@bbrown.com on or before
October 21, 2026 at 5:00pm EST.
Selection Process:
Proposals will be reviewed by the City and Brown & Brown. Evaluation is based upon proposed rates, terms & conditions proposed, and responses to questionnaire.
Attachments:
Census, Claim Reports, Benefit Summaries, and the Stop loss policy will be sent upon request. Please send your request for attachments to hailey.cronk@bbrown.com
Current Rates: $124.92 PEPM for Individual Stop Loss
$4.81 PEPM for Aggregate Stop Loss
$1,696.23 Agg Factors
Contribution:
mailto:hailey.cronk@bbrown.com
The health plans are contributory with the City paying a portion of the cost depending on class of employment
Renewal Rates:
Renewal rates are not available. This is a closed bid. Please present your best and final rates.
Retiree Coverage:
There are retirees on the plan. Section 112.0801, Florida Statutes, provides in part: "Any state agency, county, municipality, special district, community college, or district school board which provides life, health, accident, hospitalization, or annuity insurance, or all of any kinds of such insurance, for its officers and employees and their dependents upon a group insurance plan or self-insurance plan shall allow all former personnel who have retired prior to October 1, 1987, as well as those who retire on or after such date, and their eligible dependents, the option of continuing to participate in such group insurance plan or self-insurance plan.
Retirees and their eligible dependents shall be offered the same health and hospitalization insurance coverage as is offered to active employees at a premium cost of no more than the premium cost applicable to active employees. For the retired employees and their eligible dependents, the cost of any such continued participation in any type of plan or any of the cost thereof may be paid by the employer or by the retired employees."
Our Agency: Brown & Brown Insurance Services, Inc.
Producer: Danielle Boyle
Commission: Please quote Net of Commissions.
If you have any questions, please contact information as listed below:
Hailey Cronk, GBDS
Senior Benefit Analyst
Brown & Brown Insurance Services, Inc.
(386) 239-6067 - Direct
Hailey.Cronk@bbrown.com mailto:Hailey.Cronk@bbrown.com
3. N/A
| 1. Introduction |
| 1.1. Summary |
| 1.2. Timeline |
| 1.3. Project Contact |
| 1.4. Procurement Contact |
| 2. Project Details |
| 2.1. Important Instructions for Submittals |
| 2.2. Scope of Work |
3. N/A
File details come from the government source that posted it. Updated .