RFP for Medical & Pharmacy Benefits

The Public Employees' Benefit Board (PEBB) in Oregon is conducting a Request for Proposal (RFP) for comprehensive medical and pharmacy benefits services for its members. The procurement will be executed entirely through the Proposal Technologies Network, Inc.'s online platform, with all official documents posted on OregonBuys. Vendors are required to submit detailed proposals addressing medical and pharmacy benefit plan designs, including specific questionnaires, plan specifications, and comprehensive data analysis. The RFP encompasses extensive documentation, including census data, medical and pharmacy claims data, provider discount information, and clinical program details. Key deliverables include developing flexible benefit plans that meet PEBB's membership needs, providing robust pharmacy and medical coverage, and demonstrating comprehensive network access and pricing strategies. The proposal submission deadline is November 14, 2025, with all documents to be submitted electronically through the specified web platform. Evaluation criteria will likely include network coverage, pricing competitiveness, clinical program effectiveness, and overall value proposition for PEBB members.

The RFP includes specific provisions for diverse business participation, with Attachment E focusing on Certification of Business Inclusion and Diversity (COBID), suggesting potential set-aside opportunities or preferences for disadvantaged business enterprises. While specific incumbent vendors are not explicitly named, the extensive data provided (including claims data, provider disruption analysis, and geo-access templates) indicates a sophisticated procurement process designed to facilitate thorough vendor comparisons. The comprehensive documentation, including attachments covering census data, medical claims, pharmacy pricing terms, and provider network information, suggests a potential contract value in the millions of dollars. The procurement appears targeted at established healthcare benefits administrators with demonstrated capabilities in managing large-scale public employee benefit programs. Although specific budget ranges are not disclosed, the volume and complexity of data suggest a significant, multi-year contract opportunity for qualified healthcare benefits management organizations.