Medical, Dental, Vision Insurance Services

This Request for Proposals (RFP 2604-002) issued by Travis County Healthcare District d/b/a Central Health seeks comprehensive medical, prescription drug, dental, and vision insurance solutions for the Travis County Healthcare District System, including Central Health, CommUnityCare Health Centers, and Sendero Health Plans. Proposers may quote on any or all lines of coverage. The procurement requires vendors to provide detailed proposals addressing Account Management (10% evaluation weight), Customer Services and Support (10%), Claims Administration (20%), Technical and Reporting Capabilities (10%), Implementation Plan (10%), Fee Structure (20%), and Underwriting and Renewal Process (20%), with potential interview scoring of an additional 20 points. Deliverables include completion of Exhibit A-13 (Medical ASO, Dental, Vision Questionnaire), Exhibit A-14 (PBM Questionnaire), Exhibit B-1 (Medical ASO Pricing Sheet), Exhibit B-2 (Fully-insured Dental Pricing Sheet), Exhibit B-3 (Fully-insured Vision Pricing Sheet), and standard proposal forms including Acknowledgement of Receipt, Business Development Form, Conflict of Interest Questionnaire, Certificate of Secretary, and Insurance Coverage Form. The RFP includes a mandatory pre-proposal conference on May 5, 2026, at 10:30 AM via Microsoft Teams, with questions due by May 12, 2026, at 5:00 PM Central Time and vendor responses provided by May 19, 2026, at 5:00 PM. Proposals must be submitted by May 26, 2026, at 2:00 PM Central Time either online via Bidnet or in person at the Central Health Purchasing Office, 1111 East Cesar Chavez Street, Austin, Texas 78702. The initial contract term is one year with four optional one-year renewal periods, and proposals and pricing remain valid for 90 days following submission.

Central Health encourages participation by Minority Business Enterprises (MBE), Women Business Enterprises (WBE), and Veteran Heroes United in Business (VetHUB) certified vendors, requiring proposers to disclose all certified subcontractors and demonstrate good faith efforts in awarding work to minority, women, and veteran-owned businesses. Recognized certifying agencies include the State of Texas Comptroller VetHUB Program, City of Austin's Small and Minority Business Resources division (ASMBR), the Texas Unified Certification Program (TUCP), and the South Central Texas Regional Certification Agency (SCTRCA). Central Health is currently contracted with Aetna for medical Administrative Services Organization (ASO) with bundled CVS pharmacy benefits and fully-insured dental and vision coverage; proposers must confirm that pricing is net of commissions and provide detailed breakdowns of all fees and administrative costs. The RFP includes comprehensive supporting exhibits detailing current plan designs, including medical plans with deductibles ranging from $1,000 to $3,300 individual/$2,000 to $6,600 family, dental plans offering $1,500 to $2,000 annual maximums, and vision plans with established provider networks across Texas. Central Health reserves the right to award one or more contracts, conduct interviews with short-listed finalists prior to award, reject any or all proposals, accept proposals other than the lowest-priced option, and negotiate Best and Final Offers. Specific award values or budget ranges are not disclosed in the RFP documentation; however, pricing should be based on the census data and historical claims information provided in the supporting exhibits, which demonstrate significant covered populations and claims volumes across all three insurance lines.