Medical, Prescription Drug, and Stop-Loss Coverage Plans Services

Overview

Healthcare Services, Wellness & Biotech

Frederick, Maryland, United StatesPosted 24 days agoDeadline: May 19th, 2026

Fit Score

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SUMMARY

Seeking a vendor to provide medical, prescription drug, and stop-loss coverage plan services with competitive pricing, robust management programs, and strong customer support for the county in Maryland.

KEY REQUIREMENTS

Must be engaged in providing Group Medical, Prescription Drug, and Stop-loss Insurance coverage for Government Employees and Retirees
Must have been actively engaged in this field for a minimum of ten (10) years
Must be qualified to do business in the State of Maryland
Must be ranked by either Standard and Poor’s, A.M. Best or Moody’s with a rating of “A” or greater
Must provide a Geographic Accessibility Report for the proposed Medical networks
Must provide initial transition and enrollment support to the County
Must provide a plan for transitioning mail order pharmacy orders and existing prior authorizations
Must assign a dedicated Account Manager as the primary contact for the County Benefits staff
Must maintain a 90%-member satisfaction rate as measured through and assessed by an annual Customer Satisfaction Survey

BUDGET

Estimate

$2,500,000 – $4,500,000

CONTRACT DURATION

12 months

TIMELINE

Pre-Proposal Conference: April 29th, 2026

Questions Due: May 1st, 2026

Proposal Due Date: May 19th, 2026

Tentative Presentation/Interview Dates: July 9th, 2026

Agreement Term: January 1st, 2027 through December 31st, 2027

QUESTION DEADLINE

May 1st, 2026

Issuing Agency

Frederick County, Maryland

Organization overview and procurement intelligence available on paid plans.

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DESCRIPTION

The county seeks a vendor to provide medical, prescription drug, and specific stop-loss coverage plan services. The objective is to maintain or improve the current benefit levels and network access, ensuring that plans deliver competitive discounts, quality services, administrative efficiency, favorable rates, and excellent customer service. Vendors should implement robust cost containment strategies across medical, pharmacy, and stop-loss management programs as well as offer strong claim administration and reporting systems.

The selected company must support auditable processes and provide superior customer service and support to county benefits staff, particularly around annual enrollment. Responsibilities also include receiving and maintaining enrollment data for employees, retirees, and dependents, conducting annual customer and member satisfaction surveys, and enhancing communication and access to information through user-friendly websites and mobile applications.

A pre-proposal conference is scheduled for April 29, 2026, and questions must be submitted by May 1, 2026.

Source attribution

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