Health and Wellness Medical/Rx and Dental Insurance Services

The Brazos River Authority (BRA) is seeking fully-insured Medical/Rx and Dental insurance coverage through Request for Proposals (RFP) No. 25-1371, with a new coverage effective date of January 1, 2026. This procurement targets comprehensive health and wellness insurance services for 263 active full-time employees, requiring carriers to submit two medical plan options (PPO, HSA, and HMO) that mirror or enhance current plan structures. Proposals are due on September 3, 2025, at 10:00 AM, with a virtual proposal opening on the same day. The evaluation will be conducted by HUB International and will assess proposals based on criteria including cost, network statistics, financial stability, communication capabilities, claims processing, integrated systems, and references. Carriers must provide detailed benefit specifications covering deductibles, out-of-pocket maximums, coinsurance, emergency room coverage, preventive care, prescription networks, and dental plan designs. The RFP mandates specific network requirements, such as having 2 primary care physicians within 10 miles, 2 specialists within 10 miles, and 1 hospital within 10 miles, with additional expectations for provider record match percentages.

The BRA emphasizes equal opportunity for small, minority, women-owned, and historically underutilized businesses, encouraging diverse participation in the procurement process. The current medical and dental provider is Blue Cross Blue Shield of Texas (BCBSTX), and the contract term is set for one year with potential annual renewals. Carriers are required to submit various mandatory forms, including W-9, Conflicts of Interest Questionnaire, and Non-Collusion Affidavit. The RFP includes specific financial allowances, such as $25,000 for wellness programs and $5,000 for communication efforts. While specific award values are not explicitly stated, the procurement covers insurance services for 263 employees, suggesting a substantial contract value. Proposing carriers must provide comprehensive enrollment financials, monthly and annual premiums, percentage changes from current plans, and detailed network geographic access metrics. The BRA seeks proposals that not only match but potentially enhance the current insurance plan structures while maintaining comparable overall benefits.