Healthcare Enrollment Administration, District Relation Liaison Team, and Direct Billing Services

The Teacher Retirement System of Texas (TRS) has issued a Request for Proposals (RFP) seeking qualified vendors to provide comprehensive healthcare enrollment and administration services across three primary service categories: TRS-ActiveCare Enrollment Administration and District Relations Liaison Team Services, TRS-Care Direct Billing Services, and TRS-Care Enrollment Administration Services. The solicitation (TRS000527) targets vendors capable of managing healthcare services for approximately 417,915 TRS-ActiveCare participants and 225,374 TRS-Care participants. Mandatory minimum requirements include vendor experience managing at least 500,000 covered lives for ActiveCare enrollment and demonstrating five years of relevant service experience. The RFP will be issued on April 16, 2025, with a pre-proposal conference scheduled for April 24, 2025, and proposal submissions due by May 16, 2025. Vendors will be evaluated based on past performance, key personnel, technical approach, and pricing, with a total possible score of 100 points. The anticipated contract term is two years, with options to extend for up to four additional years, with operational start dates of September 1, 2026 for TRS-ActiveCare and January 1, 2027 for TRS-Care.

The solicitation includes specific Historically Underutilized Business (HUB) subcontracting plan requirements, with agency-specific HUB goals ranging from 10% to 50% depending on the service category. Vendors must complete a HUB Subcontracting Plan form, demonstrating their commitment to including diverse businesses in the contract execution. While specific award values are not explicitly stated, the comprehensive nature of the services and the large number of participants suggest a significant potential contract value. The RFP allows for potential contract awards to one or multiple vendors across the service categories, providing flexibility in vendor selection. Respondents must carefully review and comply with all requirements, including the detailed HUB subcontracting guidelines and the specific qualifications needed for each service category. The multi-year contract structure and potential for extension indicate a strategic approach to long-term healthcare enrollment and administration services for the Texas Teacher Retirement System.