Group Benefits Office Administrative Services

Overview

Healthcare Services, Wellness & Biotech

Baton Rouge, Louisiana, United StatesPosted about 2 months agoDeadline: April 28th, 2026

Fit Score

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SUMMARY

Seeks a partner to manage group benefits office administrative operations, including claims, communications, plan management, and compliance functions for a Baton Rouge governmental authority.

KEY REQUIREMENTS

Must have at least five continuous years of experience providing and implementing medical claims administration with a group size of 100,000 or more covered lives
Must be able to adjudicate at least 529,000 claims per month
Must be able to pay at least $31.4 million per week in claims in advance of receiving payment from OGB
Must be able to secure a performance bond in the amount of $50,000,000
Must offer plan options that include at least a PPO, an HMO, and an HDHP with an HSA
Must be the primary contractor and not subcontract contracting directly with providers for networks, adjudicating claims, or customer service
Must not utilize any alternative pricing models such as a capitated pricing model
Must be registered and in good standing with the Louisiana Secretary of State
Must ensure no contractor functions involving PII or PHI are performed outside of the United States of America

BUDGET

Verified

$1,172,503,690

CONTRACT DURATION

36 months

TIMELINE

RFP posted: March 16th, 2026

Deadline to submit Exhibit IV: Data Use Agreement: March 23rd, 2026

Deadline to submit questions: March 31st, 2026

Proposal Opening Date: April 28th, 2026

QUESTION DEADLINE

March 31st, 2026

Issuing Agency

State Of Louisiana Office Of State Procurement

Organization overview and procurement intelligence available on paid plans.

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DESCRIPTION

The government authority located in Baton Rouge, Louisiana is seeking a vendor to provide comprehensive group benefits office administrative services. Key responsibilities include leading initial implementation, ongoing account management, plan participant communications, and network management. Vendors will also oversee product and plan design management, medical management programs, and all aspects of enrollment, including electronic data interchange (EDI) and data management.

Additional duties encompass claims processing and appeals management, claims audit, recovery and investigation, and ensuring an optimal customer experience. The scope also extends to compliance with the No Surprises Act and independent dispute resolution requirements. The contract period will be for one year, with all vendor questions due by March 31, 2026.

Source attribution

This Settle analysis is based on the issuing organization’s public RFP listing.