Group Medical Insurance Services

Bernalillo County is soliciting proposals for Group Medical Insurance Services through a comprehensive Request for Proposal (RFP) seeking an Administrative Services Organization (ASO) to provide medical claims administration services. The procurement targets claims administration for approximately 2,370 eligible employees, including permanent employees, elected officials, spouses, and dependents. The County seeks vendors capable of offering bundled medical plans with primary access to Lovelace, UNM, and Presbyterian networks, emphasizing comprehensive services including provider networks, utilization review, disease management, and wellness services. Proposals must be electronically submitted by January 14, 2026, at 4:00 p.m. Mountain Standard Time through the County's eProcurement System, with a non-mandatory pre-proposal conference scheduled for December 17, 2025, at 10:00 a.m. via Microsoft Teams. Evaluation will be conducted on a maximum of 1,025 points, with points allocated across organizational strength (225 points), client management team (200 points), network accessibility (300 points), and costs (300 points). If finalists are selected, written proposal rankings will be weighted at 55 percent and interview rankings at 45 percent in determining final selection.

The procurement includes several state and local business preferences, with total preference limitations not exceeding 18 percent and county preference dollar limits capped at $180,000. Preference will be given to resident businesses, resident veteran businesses, small businesses, local businesses, and pay equity businesses. The anticipated contract term is four years with options to renew for two additional two-year periods, not to exceed eight years total, with an effective date of July 1, 2026, through June 30, 2027. Vendors must provide Administrative Services Organization (ASO) fees on a per-employee-per-month (PEPM) basis with guaranteed rates for a minimum of two years, with a three-year guarantee preferred. No commission or broker compensation may be included in proposed rates. The County will evaluate both sole carrier and slice carrier arrangements and requires vendors to allow carriage of stop-loss coverage with an outside carrier. Prescription drug services are currently carved out to Clear Script and are not included in this solicitation. While specific contract value is not explicitly stated, the comprehensive nature of the procurement and the sizeable employee population suggest a significant potential contract value.