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Self-Funded Plan Third Party Administrator and Utilization Review Services

Overview

Healthcare Services, Wellness & Biotech

Weslaco, Texas, United StatesPosted 10 days agoDeadline: May 19th, 2026

Fit Score

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SUMMARY

Texas seeks a third party administrator for self-funded plan and utilization review services on an as-needed basis.

KEY REQUIREMENTS

Must be licensed by the Texas Department of Insurance
Must be permitted to contract with the State of Texas or its subdivisions
Insurance carriers must be rated A- or better by AM Best Company
Must provide Fiduciary claims responsibility
Must agree to hold the District harmless for ACA compliance failures
Must submit a draft Administrative Service Agreement (ASA) with the proposal
Must be able to conduct on-site enrollment meetings at multiple campuses
Must provide a contingency plan for transition of enrollment and accumulator information

BUDGET

Estimate

$12,000,000 – $15,000,000

CONTRACT DURATION

12 months

TIMELINE

Issue Date: April 27th, 2026

Questions Deadline: May 8th, 2026

Response Deadline: May 19th, 2026

QUESTION DEADLINE

May 8th, 2026

Issuing Agency

Weslaco Independent School District

Organization overview and procurement intelligence available on paid plans.

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DESCRIPTION

An organization in Texas is seeking a vendor to provide third party administrator and utilization review services for a self-funded plan. Services will be required on an as-needed basis to support the administration and review of health plan utilization.

Interested vendors should be prepared to address any questions related to the RFP by May 8, 2026. Proposals are expected to detail experience with self-funded plans, third party administration, and comprehensive utilization review processes.

Source attribution

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