RFP# 2026-01 – Medical Coverage

Accomack County School Board in Virginia is soliciting proposals through RFP# 2026-01 to provide comprehensive medical coverage administration for its employees and retirees, effective October 1, 2026 through September 30, 2027. The procurement seeks quotes for both fully insured and self-funded medical plan options, including pharmacy administration services that may be provided by the responding vendor or through third-party administrators. Proposers must address 30 significant evaluation areas encompassing quality of care, financial stability, network access, service quality, cost competitiveness, wellness programs, and utilization management expertise. Deliverables include firm pricing proposals on a per-employee-per-month (PEPM) basis with itemized administrative fees, itemized stop-loss coverage at $150,000 with 24/12 terms, and detailed responses demonstrating plan design matching ability, network adequacy, service capabilities, and technological implementation tools. Evaluation criteria are weighted as follows: pricing (25 points), plan design matching ability (20 points), network access matching (20 points), service and support (15 points), technology and implementation tools (10 points), and references (10 points). Proposals must be submitted electronically through eVA by May 22, 2026 at 2:00 p.m., with seven printed binders and a PDF on a thumb drive delivered to the specified address. Vendors with questions should contact Mark III Brokerage consultant Heath Thomas at 804-240-8986 or Heath@markiiieb.com.

This procurement is restricted to carriers and third-party administrators only; responses from other entity types are not permitted. The incumbent carrier is Anthem, which has provided fully insured coverage since October 1, 2024, while the prior carrier, United Healthcare, maintained coverage for over 20 years without significant service issues. All pharmacy rebates must be returned to the school board quarterly and annually, and administrative fees must be guaranteed through at least September 30, 2027 with a 150-day advance notice requirement for any rate increases or changes. The school board census includes full-time employees working a minimum of 30 hours weekly plus pre-65 retirees. The County will cover the cost of a Milliman analysis of network discounts ($10,000) if the selected vendor is chosen. While no specific award value or budget range is disclosed in the RFP, renewal quotes are required by June 1, 2027 for subsequent plan years, indicating the contract's multi-year potential.