Disability Benefits & FMLA Administration Services

Pinellas County, Florida is seeking proposals for comprehensive Disability Benefits & FMLA Administration Services through RFP #25-0090-RFP, targeting approximately 3,200 employees across various county agencies. The procurement seeks a single vendor to provide integrated administrative services for short-term disability (STD), long-term disability (LTD), and Family and Medical Leave Act (FMLA) programs. Key deliverables include claim intake, processing, management, reporting, communication, medical intervention, and return-to-work strategies. The solicitation requires proposers to demonstrate experience with governmental clients of similar size, offer comprehensive reporting capabilities, and provide a unified customer service approach. The RFP was released on January 7, 2025, with questions due by January 16, 2025, and proposals due by February 6, 2025, at 3:00 pm through the OpenGov procurement portal. Proposers must provide detailed information about claim processing, integration with existing human resources systems, and capabilities for managing absence management services across multiple jurisdictions including Pinellas County and Clewiston City.

Current rates with the incumbent vendor, United HealthCare Services Inc., are established at $2.19 per employee per month for STD Administrative Services Only (ASO), $0.39 per $100 of monthly salary for LTD (with a $5,000 maximum monthly benefit), and $1.48 per employee per month for FMLA administration. The initial contract term is 60 months, with potential extensions for two additional 12-month periods. While no specific set-aside designations are mentioned, the RFP indicates a preference for vendors with demonstrated governmental experience. The current long-term disability program is administered by UnitedHealthcare, with historical claim data showing a declining trend in claims from 288 in 2021 to 40 in 2023. Total premium fees for the current long-term disability program have been $2,175,330.43, with paid claims of $733,171.83, suggesting potential cost-effectiveness and opportunities for future optimization. The county requires proposers to demonstrate robust technological solutions, including employer and employee portals, and the ability to provide comprehensive absence management services.