Health and Pharmacy

The City of Hagerstown, Maryland is requesting proposals for health and pharmacy benefit services, with proposals due August 1, 2026. The City seeks a carrier to duplicate current benefits with minimal network disruption, provide superior service, and achieve cost savings through discounts and reduced fixed costs.

The scope includes pharmacy network management, medical benefit administration, pharmacy claims processing, prior authorization procedures, and member communication programs serving the municipal workforce and retirees. The selected carrier must maintain existing benefit structures while demonstrating measurable improvements in service delivery and operational efficiency. Network adequacy requirements and specific performance benchmarks apply throughout the contract term.

Pricing must be competitive and demonstrate tangible savings compared to current expenditures while maintaining or enhancing existing benefit levels. Payment terms are net thirty calendar days with all discounts deducted and reflected in net prices; term discounts of less than twenty calendar days will not be considered.

Bidders must provide complete information as specified in the RFP, including catalogs and descriptive literature. All bids must be submitted via a designated Dropbox link; facsimile or emailed bids are not accepted. Bids remain binding for ninety calendar days following the bid opening date unless extended by mutual agreement. Award will be made to the lowest responsive and responsible bidder whose price is reasonable, based on a combination of cost, service quality, network breadth, and the vendor's demonstrated ability to transition from the incumbent carrier with minimal operational disruption.

Contractors must maintain comprehensive insurance coverage including workers compensation (statutory limits), comprehensive general liability ($1,000,000 each occurrence), and business automobile liability ($1,000,000 combined single limit), with the City named as an additional insured. All work, supplies, and materials are guaranteed against faulty or imperfect materials and workmanship for one year from final acceptance.