RFP 2000004149 Administration of Medical and Vision Plans and Pharmacy Benefits Management
Closed State & local contract opportunity Posted
- Solicitation number
- 91562
- State
- Virginia
- Responses due
Opportunity facts
- Jurisdiction
Opportunity details come from mvendor.cgieva.com. Updated .
About this opportunity
Fairfax County Public Schools (FCPS) is seeking sealed proposals through Request for Proposal (RFP) 2000004149 for comprehensive medical, vision, and pharmacy benefits administration services. The procurement solicits an Administrative Services Only (ASO) provider to manage medical and vision plans for FCPS benefits-eligible employees, non-Medicare retirees, and their dependents. The selected vendor must provide network management, disease management, claims processing, payment services, and ensure operational compliance with federal and state mandates. Additionally, the contract requires Pharmacy Benefit Management (PBM) services for prescription drug coverage, which can be integrated or carved out from medical plans, serving all eligible employees, retirees, and dependents. The RFP specifically requires the vendor to administer PBM benefits on an ASO basis and manage an Employer Group Waiver Plan (EGWP) for Medicare-eligible retirees and dependents. The solicitation was posted on March 28, 2025, with proposals due by April 16, 2025, indicating a procurement timeline of approximately three weeks for potential bidders to prepare and submit comprehensive proposals.
While specific set-aside designations are not explicitly outlined in the provided document, the procurement appears to be open to qualified healthcare administration and benefits management firms with demonstrated capabilities in ASO and PBM services. The contract will cover a comprehensive benefits administration program for Fairfax County Public Schools, suggesting a potentially significant contract value given the scope of services required. The procurement encompasses medical, vision, and prescription drug coverage for a large public school system's employees and retirees, which implies a robust and complex service requirement. Potential bidders should have extensive experience in managing large-scale, self-insured health benefit programs, with particular expertise in administrative services, network management, claims processing, and Medicare-related benefit administration. Although specific budget ranges are not disclosed, the comprehensive nature of the services suggests a substantial contract value that would be attractive to major healthcare administration and benefits management firms.
Opportunity text
The purpose of this Request for Proposal (RFP) is to solicit sealed proposals to establish a contract or contracts through competitive negotiation for the provision of the program(s) described below for eligible employees and retirees of Fairfax County Public Schools (FCPS): i. Administration of Medical and Vision Plans - Administrative Services Only (ASO) for FCPS’ self-insured medical and vision plan(s), including network management, disease management, claims processing and payment, and operational compliance with federal and state mandates. Services are to be provided for FCPS’ benefits-eligible employees, non-Medicare eligible retirees, and their covered dependents.ii. Pharmacy Benefit Management (PBM) for prescription drug coverage to be offered on an integrated or carved out basis with the self-insured medical. PBM services are to be provided for eligible employees, retirees and dependents of FCPS’ self- insured health benefits plan, including Medicare-eligible retirees and their covered dependents. The successful Offeror must be able to administer PBM benefits on an ASO basis, as well as administer an Employer Group Waiver Plan (EGWP) benefit for Medicare-eligible retirees/dependents.
On GovTribe
Work this opportunity
- Track it in your pipeline
- Similar opportunities
- Ask GovTribe AI about this opportunity