Specific Stop Loss Insurance Service

Posted Date: April 28th, 2026

Deadline for questions: May 5th, 2026

Submittal Due Date: May 19th, 2026

A government authority in Tucson, Arizona is seeking a vendor to provide specific stop loss insurance for its 4,508 covered employees and retirees, primarily those who are pre-Medicare. The service is to begin with an effective date of July 1, 2026. The insurance coverage should offer individual specific stop loss protection with a $1.1 million deductible on an incurred contract basis, with the additional request for alternate deductible options at $1.25 million and $1.5 million. Proposals for aggregate reinsurance are not requested.

Coverage must encompass medical and prescription drug benefits as provided under the agency’s current plan. Requirements include both a no laser option and a no laser renewal option, as well as no disclosure requirement for renewals. The successful vendor should provide a preliminary renewal no later than 120 days in advance and a firm renewal no later than 60–90 days before the effective date. Monthly reporting on claims is required, detailing submitted, pended, denied, and paid amounts for individual claimants. Providers must ensure that plan provisions, definitions, and eligibility rules match those of the underlying medical and prescription drug plan. The ability to offer advanced funding or similar programs is also necessary. The contract period will be for one year.