26-0137-RFP - Workers Compensation Third Party Administrator Services

Closed State & local contract opportunity

Solicitation number
26-0137-REQ
State
Florida
Responses due

Opportunity facts

Jurisdiction
UNSPSC codes
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Point of contact

Opportunity details come from procurement.opengov.com. Updated .

About this opportunity

Pinellas County is seeking a Workers Compensation Third-Party Administrator (TPA) through RFP 26-0137 to transition from its current self-administered workers compensation program. The procurement covers comprehensive TPA services for approximately 5,359 employees, including county staff and Sheriff's Office personnel, with key deliverables including claims management, claims adjustment, investigation, transition of existing claims, administrative support, and technical system management. Qualified vendors must be Florida-licensed TPA providers with a minimum of seven years' experience administering workers' compensation claims for municipalities, demonstrate financial stability, and preferably maintain an office in the Tampa Bay region. The evaluation committee will score submissions based on qualifications (20%), approach and statement of work (25%), technology and reporting capabilities (25%), compensation (25%), and adherence to RFP terms (5%). Important dates include a question submission deadline of January 13, 2026, at 10:00 a.m., and proposal submissions due January 22, 2026, at 3:00 p.m. through the OpenGov procurement portal. The initial contract term is three years with two optional one-year renewal periods.

The procurement does not specify specific set-aside designations or restrictions for disadvantaged enterprises. The County currently manages approximately 200-300 open workers compensation files, 70 closed files requiring annual maintenance, and 30 files in litigation, with minimal paper files and a predominantly digital system. The current infrastructure includes a 24-hour nurse hotline (Company Nurse), RMIS entry through Riskonnect Clearsight, bill review via Corvel, pharmacy management through Mitchell Script Advisor, and case management through Paragon Case Management. The selected TPA must coordinate data conversion with Riskonnect Clearsight and achieve a go-live date within 2-3 months of contract award. While specific budget ranges are not explicitly stated, the RFP requires proposers to submit pricing on a comprehensive annual fee basis, including third-party claims administration, claim intake, EDI reporting, system access, and check writing, with a separate one-time transition fee for migrating existing claims. The County maintains a $2 million self-insured retention per occurrence and will provide weekly ACH or wire transfer payments for claims paid.

Opportunity text

In accordance with these specifications, Pinellas County intends to establish a contract for Workers Compensation Third-Party Administration Services, as and when required.

Files

File Type Posted
26-0137-RFP_-_Workers_Compensation_Third_Party_Administrator_Services_(Addendum_#2_Revision).pdf PDF
26-0137-RFP_-_Workers_Compensation_Third_Party_Administrator_Services_(Addendum_#2_Revision).pdf PDF
26-0137-RFP_-_Workers_Compensation_Third_Party_Administrator_Services_(Addendum_#1_Revision).pdf PDF
Common_Carrier_Attestation_02.05.2025.pdf PDF
Attachment1SpecialHandling.12.11.25.pdf PDF
Foreign_Countries_of_Concern_Affidavit_Review_Only_Do_Not_Submit_with_Your_Proposal.pdf PDF
Human_Trafficking_Affidavit_11.20.25.pdf PDF
Foreign_Countries_of_Concern_Affidavit_Review_Only_Do_Not_Submit_with_Your_Proposal.pdf PDF
Attachment1SpecialHandling.12.11.25.pdf PDF
Foreign_Countries_of_Concern_Affidavit_Review_Only_Do_Not_Submit_with_Your_Proposal.pdf PDF
Attachment1SpecialHandling.12.11.25.pdf PDF
Human_Trafficking_Affidavit_11.20.25.pdf PDF
Common_Carrier_Attestation_02.05.2025.pdf PDF
Common_Carrier_Attestation_02.05.2025.pdf PDF
Human_Trafficking_Affidavit_11.20.25.pdf PDF
26-0137-RFP_WorkersCompensationThirdPartyAdministratorFAQs.pdf PDF
26-0137-RFP_WorkersCompensationThirdPartyAdministratorFAQs.pdf PDF
26-0137-RFP_WorkersCompensationThirdPartyAdministratorFAQs.pdf PDF
26-0137_-_Insurance_Requirements_-_Workers_Compensation_Third_Party_Administrator_Services_(1).docx DOCX document
No_BAA_per_Attorney_Email.msg MSG file
26-0137_-_Insurance_Requirements_-_Workers_Compensation_Third_Party_Administrator_Services_(1).docx DOCX document
26-0137_-_Insurance_Requirements_-_Workers_Compensation_Third_Party_Administrator_Services_(1).docx DOCX document
No_BAA_per_Attorney_Email.msg MSG file
No_BAA_per_Attorney_Email.msg MSG file
HIPAA_BAA_1.2025.docx DOCX document
UPDATED_SCOPE_OF_WORK_TPA_WC_9_25_2025.docx DOCX document
Non-Competitive_Oversight_Committee_Justification_Form.docx DOCX document
UPDATED_SCOPE_OF_WORK_TPA_WC_9_25_2025.docx DOCX document
HIPAA_BAA_1.2025.docx DOCX document
Non-Competitive_Oversight_Committee_Justification_Form.docx DOCX document
HIPAA_BAA_1.2025.docx DOCX document
Notice_of_Intent_to_Sole_Source_07-25-2023.pdf PDF
Notice_of_Intent_to_Sole_Source_07-25-2023.pdf PDF
Non-Competitive_Oversight_Committee_Justification_Form.docx DOCX document
Notice_of_Intent_to_Sole_Source_07-25-2023.pdf PDF
UPDATED_SCOPE_OF_WORK_TPA_WC_9_25_2025.docx DOCX document
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