Medical Stop-Loss Insurance Coverage

Hillsborough County's Human Resources Department is seeking competitive sealed bids for medical stop-loss insurance coverage for a 10-year period beginning January 1, 2025. The solicitation targets experienced and qualified insurance providers with a proven track record of providing medical stop-loss insurance to public government clients. The county requires bidders to have a current AM Best Rating of no lower than A- and demonstrate at least five years of experience serving public government clients with a member size of at least 10,000 lives. The procurement will cover approximately 12,000 lives across eight separate agencies, including the Board of County Commissioners, County Administrator, Clerk of Court & Comptroller, Children's Board, Court Administrator, Expressway Authority, Property Appraiser, and Tampa Sports Authority. A pre-bid conference is scheduled for October 7, 2025, at 10:00 A.M., with bids due on October 21, 2025, at 2:00 P.M. Eastern Time through the county's electronic bidding system (Euna Procurement). Bidders must provide a guaranteed composite per employee per month (PEPM) rate for the first year, with subsequent years allowing either a guaranteed PEPM rate or a percentage increase (maximum 20%).

The solicitation does not explicitly indicate specific set-aside designations or restrictions for disadvantaged enterprises. The current medical stop-loss insurance is provided by Cigna, with a specific/individual claim limit of $675,000 and an unlimited annual individual stop-loss maximum. The county will pay a monthly stop-loss interface fee of $3.00 per employee to the third-party administrator, and the Baldwin Group currently serves as the county's employee benefits consultant. The estimated project budget is $43,970,461.98, covering a comprehensive 10-year contract period. Historical claims data from 2022-2025 indicates total annual claims ranging from $104 million to $119 million, with monthly per-member costs fluctuating between $534 and $782. The county currently contracts with Cigna for two health plans, pharmacy benefits management, behavioral health services, and an Employee Assistance Program, suggesting potential integration requirements for the selected vendor.