Third Party Claims Administration, Cost Containment and/or Network Program Establishment for Jefferson County

Closed State & local contract opportunity

Solicitation number
RFP25-030CG
State
Texas
Responses due

Opportunity facts

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Opportunity details come from txsmartbuy.com. Updated .

About this opportunity

Jefferson County is seeking a Third Party Administrator (TPA) for claims administration, cost containment, and network program establishment through a Request for Proposal (RFP 25-030 CG) issued by the Purchasing Department. The county, with a total workforce of 1,171 employees including 383 uniformed law enforcement personnel, requires comprehensive claims management services covering Workers' Compensation and Liability claims. Required services include electronic reporting, medical cost containment, pharmacy benefit management, and detailed reporting capabilities. The proposal is due on October 8, 2025, at 11:00 AM CT, with an anticipated contract award on October 28, 2025. The initial contract term is three years with two optional one-year renewals. Evaluation criteria will assess responsiveness (10%), implementation plan (30%), proposer qualifications (15%), personnel qualifications (15%), and cost of professional services (30%). The county seeks a TPA with an established Network Program or the ability to partner with an approved Network provider.

The procurement encourages participation from Disadvantaged Business Enterprises (DBEs), Minority/Women Business Enterprises (M/WBEs), and Historically Underutilized Businesses (HUBs). The RFP allows for a flat annual fixed fee option and requires detailed cost proposals including fees per claim for various claim types such as Workers' Compensation (incident, medical only, indemnity), General Liability, Automobile Liability, and additional claim administration services. While specific budget ranges are not explicitly stated, the comprehensive nature of the required services suggests a significant contract value commensurate with managing claims for a county with over 1,100 employees. The procurement is structured to enable flexible pricing models and seeks a vendor with robust technological capabilities for claims management and reporting. No incumbent vendor information is provided in the available documentation, indicating this may be a new or re-competed service contract for Jefferson County.

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