Employee Healthcare Benefits Provider

The Town of Paradise Valley has issued a Request for Proposals (RFP) for an Employee Healthcare Benefits Provider, seeking comprehensive benefits administration services for its approximately 110 staff members. The procurement covers medical, dental, vision, life, and short-term disability insurance effective July 1, 2026, with vendors able to submit proposals for all or some of the listed benefits. Key deliverables include administering multiple medical PPO plan designs, providing provider networks, and offering services such as EAP and telemedicine. The RFP allows for both self-funded and fully insured proposals, with specific requirements for medical plan administration, stop-loss insurance, and provider network coverage. Evaluation criteria will assess vendors' service capabilities, network details, pricing, and unique program features. Critical dates include a non-mandatory pre-submittal conference on December 1, 2025, proposal submissions due by December 15, 2025, and an anticipated contract award on March 26, 2026. Vendors must provide rates for four coverage tiers and demonstrate comprehensive benefits administration capabilities.

The Town of Paradise Valley currently participates in the Arizona Metropolitan Trust, a self-funded governmental employee benefit pool, suggesting potential continuity requirements for prospective vendors. The municipality contributes significantly to employee insurance premiums, covering 100% for employee-only plans, 90% for employee+spouse or employee+children plans, and 85% for employee+family plans. For High Deductible Health Plan (HDHP) participants, the Town contributes $1,450 annually to HSA accounts for employee-only coverage and $2,900 for employee+dependents. While no specific set-aside designations were mentioned, vendors must provide detailed references from current municipal clients and demonstrate integration capabilities with existing benefits platforms. The current benefit structure includes multiple plan options such as PPO, PPO Buy-Up, and HDHP, with prescription drug benefits administered by Navitus Health Solutions. Though exact budget ranges were not specified, the comprehensive nature of the services and the Town's current benefit structure suggest a substantial contract value for the selected healthcare benefits provider.