Healthcare Administration, Pharmacy, and Stop Loss Annual Contract

Closed State & local contract opportunity Posted

Solicitation number
2025-01
State
Georgia
Responses due

Opportunity facts

Jurisdiction
UNSPSC codes
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Point of contact

Opportunity details come from bidnetdirect.com. Updated .

About this opportunity

Clayton County, Georgia is seeking comprehensive healthcare administration, pharmacy, and stop loss services through a competitive Request for Proposal (RFP #2025-01) for approximately 2,800 benefits-eligible employees. The procurement allows vendors to submit proposals for medical with integrated pharmacy and stop loss, standalone medical Third Party Administrative (TPA) Services, standalone pharmacy services, and standalone stop loss insurance. Vendors must submit an Intent to Bid by June 13, 2025, at 2:00 p.m. EST, with final proposals due by July 3, 2025. The contract will be an initial 36-month term with two optional one-year renewals, effectively creating a potential five-year agreement commencing January 1, 2026. Qualified vendors must demonstrate capability to manage medical plans currently provided by Anthem (three self-funded plans) and Kaiser Permanente of GA (two fully insured HMO plans), with proposal options covering either Anthem-only or combined Anthem and Kaiser members. Evaluation criteria will likely include comprehensive service capabilities, pricing structure, stop loss insurance options, and administrative service efficiency.

The county has established Small Local Business Enterprise (SLBE) participation requirements, with potential penalties for suppliers failing to meet designated participation percentages. Vendors must provide dual reporting of subcontractor agreements and payment information, indicating a commitment to local business engagement. Current medical benefits are administered by Anthem and Kaiser Permanente, suggesting potential integration challenges for new vendors. Stop loss insurance options range from $200,000 to $300,000 for Anthem-only members and $400,000 to $600,000 for combined Anthem and Kaiser members. Marsh McLennan Agency serves as the Broker of Record, and the county offers additional employee incentives such as a $50 monthly premium discount for completing annual physicals and HSA contributions of $800 for single coverage and $1,600 for family coverage for High Deductible Health Plan participants. While specific budget ranges are not explicitly stated, the scope of services covering 2,800 employees implies a substantial contract value for the selected vendor(s).

Opportunity text

You must respond with an Intent to Bid by Friday, June 13, 2025 at 2:00 p.m. EST. Clayton County, GA is seeking proposals from qualified vendors who can assume administrative services for their medical and pharmacy plans along with related managed care and clinical services. Proposals may include medical with integrated pharmacy and stop loss, standalone medical Third Party Administrative (TPA) Services, standalone pharmacy services and standalone stop loss insurance.

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