FY25- OHRM- Medical Plans, Pharmacy Benefit Management, and Vision Services RFP

Prince George's County Office of Procurement is issuing a Request for Proposals (RFP) to establish one or more contracts for comprehensive employee benefits administration services. The procurement seeks vendors to provide Medical Plan Administration, including self-insured PPO and HMO plans, fully insured staff model HMO, Pharmacy Benefit Management Services, and Self-insured Vision Plan Services for county government employees, retirees, qualified dependents, and COBRA recipients. Vendor qualifications include a minimum of 10 years of experience administering similar plans, at least 15,000 enrolled employees/retirees, minimum of three public sector clients, and at least two million covered lives across their book of business. The RFP was originally issued on December 11, 2024, with an initial proposal due date of January 24, 2025, which was subsequently extended to February 3, 2025, at 2:00 p.m. A virtual pre-proposal conference was held on December 16, 2024, at 10:00 a.m., and potential vendors could submit questions through December 23, 2024. The contract term will span three years from January 1, 2026, through December 31, 2028, with two additional one-year renewal options available.

The county currently serves approximately 7,000 employees across 27 departments and agencies, with coverage currently provided by Cigna (PPO and HMO plans), Kaiser Permanente (fully-insured Staff Model HMO), Express Scripts (pharmacy benefits), and Vision Service Plan (VSP). The procurement allows for awarding up to five contracts to responsive and responsible offerors providing the best value, with no broker commissions permitted. The county estimates covering approximately 6,500 active employees and 6,500 retirees through this procurement. Pricing must remain fixed for the initial contract period, with potential adjustments for option years based on the Consumer Price Index for the Washington Metropolitan Area. No specific set-aside designations or restrictions for disadvantaged enterprises were mentioned in the solicitation documents. The total contract value is not explicitly stated, but given the comprehensive nature of the services and the number of covered lives, it represents a significant municipal benefits administration contract. Vendors can access the full solicitation through the SPEED eProcurement Platform at http://discovery.ariba.com/profile/AN01496591158.