Annual Contract for Worker's Compensation-Third Party Administrator (TPA) Services

Chatham County, Georgia has issued Request for Proposal (RFP) No. 25-0096-3 seeking a Third Party Administrator (TPA) for its self-funded Workers' Compensation Program. The county is soliciting comprehensive workers' compensation claims administration services, including nurse triage services, telephonic case management, medical bill review, and administrative support for its approximately 2,400 employees. Required services encompass managing medical only and lost-time claims, incident reporting, and potentially optional services like Medicare Set-Aside and loss control. The evaluation process will assess proposals across multiple dimensions: experience and qualifications (25 points), technical approach (30 points), fee proposal (25 points), MBE/WBE participation (15 points), and references (5 points), with a potential follow-up interview stage offering an additional 30 points. The pre-proposal conference was held on August 5, 2025, via WebEx, with proposals due by 5:00 PM on August 26, 2025. The anticipated contract term is twelve months, with potential for four additional one-year renewals, and the county currently uses Riskmaster as its risk management information system.

The procurement opportunity includes specific provisions for Minority and Women-owned Business Enterprises (M/WBE), with evaluation criteria explicitly allocating points for diverse business participation. The current incumbent is Charles Taylor TPA, who has managed the contract for ten years, with annual workers' compensation claims ranging from $1.9 million to $2.5 million and prescription costs totaling $531,767 over five years. Eleven potential proposers have been identified, including Brentwood Service Administrators, Broadspire Services, CorVel Corporation, and others, with Caring Cover Agency, LLC noted as an MBE and Johnston & Associates - OccuSure as a WBE. The county currently maintains excess insurance through Midwest Employers Casualty and utilizes a traditional physician panel. The existing contract value from a previous agreement was $329,400 for a five-year term, with annual costs ranging from $64,180 to $67,680, suggesting a similar budget range for the upcoming contract. Proposers must demonstrate capability to integrate with the county's existing systems and provide comprehensive claims management services.