Third Party Administrator for Self-Funded Medical Benefit Plans

The City of Houston is requesting proposals for third-party administrator (TPA) and chronic disease management (CDM) services for the City's self-funded medical benefit plans, with proposals due August 27, 2026.

The contract term is five years with two optional one-year renewals, for a maximum seven-year duration. The scope encompasses comprehensive TPA administration and CDM services designed to improve operational efficiency, member experience, and health outcomes for City employees and their dependents. Vendors must demonstrate capability to process claims in accordance with specified data layouts (fee-for-service claims, encounter data, and census data formats), integrate with the City's network infrastructure per stated access standards, and comply with the City's security compliance standards. The RFP includes a sample contract document establishing performance standards, service-level agreements, claims processing requirements, member services, and reporting obligations that vendors must meet throughout the engagement.

Prospective bidders must complete the Minimum Requirements Form to confirm eligibility and meet mandatory qualifications, which likely include relevant TPA and CDM experience, financial stability, staffing capability, and technology infrastructure. Vendors must acknowledge and comply with a Non-Disclosure Agreement as a prerequisite to participation. The cost proposal attachment specifies pricing structures and fee methodologies; bidders may request exceptions or deviations to standard terms and conditions through the designated exceptions document, subject to City review and approval.

The RFP documents, attachments, and detailed proposal requirements are accessible through the BeaconBid platform. The City's Human Resources department is the procuring entity. No incumbent, contract value estimate, evaluation criteria weighting, pre-bid meeting, or question-due date are disclosed in the available source material.