Third Party Administrator (TPA) for the Public Employees' Benefits Program (PEBP)

The State of Nevada's Public Employees' Benefits Program (PEBP) is seeking proposals from qualified vendors to provide Third Party Administrator (TPA) services for its medical and dental plans. The contract will include claims administration, network management, and related services for PEBP's self-funded program covering state and non-state employees and retirees. Key requirements include the ability to administer medical and dental claims, provide network access, meet reporting and compliance needs, and integrate with PEBP's ancillary vendors. Vendors must submit proposals by June 2, 2021, and PEBP intends to award a contract with a start date as early as December 1, 2021, though full implementation would not begin until July 1, 2022. The initial contract term is six years, with two optional one-year extensions.

The RFP details specific pricing requirements, including that fees must be firm for the first six years and that vendors cannot include broker fees or commissions. PEBP may want to maintain the existing in-state Aetna Signature Administrators network. While the current TPA is not named, the RFP indicates that PEBP may want to retain the incumbent. The contract opportunity is specific to the state of Nevada, with a focus on the jurisdiction of Churchill County. No set-aside designations or budget ranges are provided in the information given.