RFP 2000004081 Administration of Medical and Vision Plans and Pharmacy Benefits Management

Fairfax County Public Schools (FCPS) has issued Request for Proposal (RFP) 2000004081 seeking comprehensive administration services for medical, vision, and pharmacy benefits plans. The procurement specifically targets administrative services only (ASO) for self-insured medical and vision plans, encompassing network management, disease management, claims processing, and operational compliance with federal and state mandates. Services will be provided for FCPS benefits-eligible employees, non-Medicare and Medicare-eligible retirees, and their covered dependents. The pharmacy benefit management (PBM) component requires an administrator capable of handling prescription drug coverage either through integrated or carved-out models, with the ability to administer an Employee Group Waiver Plan (EGWP) for Medicare-eligible participants. Proposals must be electronically submitted through the Bonfire portal by March 21, 2025, at 2:00 PM EST, with an optional pre-proposal conference held via Zoom on February 26, 2025, at 10:00 AM. Potential vendors must submit written questions to Contract Specialist Adrien Walker at awalker@fcps.edu by March 6, 2025, at 5:00 PM Eastern Time.

The RFP provides opportunities for various business classifications, including large, small, minority-owned, women-owned, and non-profit organizations, adhering to non-discrimination policies outlined in the Code of Virginia 2.2-4343.1. Vendors are required to provide their Federal Employer Identification Number or Social Security Number, State Corporation Commission Identification Number, and may offer prompt payment discounts. The procurement process emphasizes electronic submission, with no acceptance of paper, telephone, facsimile, or email proposals. While specific budget ranges are not detailed in the available documentation, the comprehensive nature of the medical, vision, and pharmacy benefits administration suggests a significant contract value. The RFP indicates a preference for vendors with extensive experience in managing complex, multi-faceted employee benefits programs, particularly those with demonstrated capabilities in ASO models and Medicare-related benefit administration.