RFP 2607-002 Stop Loss Insurance

Closed State & local contract opportunity Posted

Solicitation number
2607002
State
Texas
Responses due

Opportunity facts

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Opportunity details come from txsmartbuy.com. Updated .

About this opportunity

Travis County Healthcare District d/b/a Central Health is requesting proposals for comprehensive stop loss insurance coverage for its self-funded medical and prescription drug plans under RFP 2607-002, with proposals due August 19, 2026 at 2:00 PM Central Time and a pre-proposal conference scheduled for July 27, 2026 at 11:00 AM via Microsoft Teams.

Central Health is a Texas hospital district serving low-income residents of Travis County with an employee census of approximately 2,000 lives across three medical benefit plans effective January 1, 2027: Medical ACO Seton (full-time and part-time), HDHP HSA, and TMN EPO. The stop loss requirement encompasses both individual stop loss (ISL) and aggregate stop loss (ASL) coverage with claims administration, account management, technical reporting capabilities, and underwriting support integrated with the incumbent carrier Aetna. Current pricing is ISL Composite PEPM $112.60 and ASL Composite PEPM $4.55 with a minimum aggregate stop loss amount of $35.8 million. The contract term is one year with four optional one-year renewal periods.

Proposers must demonstrate good faith effort in utilizing certified Historically Underutilized Businesses (HUBs) as subcontractors. Pricing must be submitted on Exhibit B net of commissions with all fees and administrative costs fully disclosed. Multi-year rate guarantees of at least three years are preferred, with renewal rate caps of 30%, 40%, or 50% and no renewal rate lasers, run-in limits, or new laser provisions at renewal required.

Evaluation criteria are Account Management (10% weight), Claims Administration (30% weight), Technical and Reporting Capabilities (10% weight), Fee Structure (25% weight), and Underwriting and Renewal Process (25% weight), with potential interview scoring adding up to 20% to the final evaluation. A single award is contemplated with no multiple awards anticipated. Written questions are due August 3, 2026 at 5:00 PM with responses provided by August 10, 2026 at 5:00 PM. Proposals and pricing are valid for 90 days.

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