Stop Loss Insurance Service

Overview

Financial, Legal, HR & Staffing

Palm Beach Gardens, Florida, United StatesPosted 7 days agoDeadline: May 29th, 2026

Fit Score

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SUMMARY

Palm Beach Gardens, Florida seeks a provider for comprehensive stop loss insurance covering medical and prescription drug claims, with both individual and aggregate protection.

KEY REQUIREMENTS

Must have qualified staff with experience to support the insurance services being offered
Must have no less than five years of experience in providing services to a municipality or other public entity in Florida
Must have a minimum A.M. Best rating of A- or better and a financial size category of VII
Must be a Florida-licensed insurance company allowed to provide reinsurance in the State of Florida
Must document full compliance with HIPAA regarding Protected Health Information (PHI)
Must maintain Commercial General Liability insurance with minimum $1,000,000 per occurrence / $2,000,000 aggregate
Must maintain Workers’ Compensation and Employer’s Liability insurance
Must maintain Professional Liability (Errors & Omissions) insurance with minimum $1,000,000 per claim / $2,000,000 aggregate
Must be able to coordinate effectively with Florida Blue and other vendors supporting the City's health plan

BUDGET

Estimate

$500,000 – $1,000,000

CONTRACT DURATION

12 months

TIMELINE

Request for Proposals Advertised: May 1st, 2026

Due Date and Time for Proposals: May 29th, 2026

Evaluation of Proposals Begin: June 2026

Evaluation of Proposals End: July 2026

Award of Contract: July/August 2026

Issuing Agency

City Of Palm Beach Gardens

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DESCRIPTION

A government authority located in Palm Beach Gardens, Florida, is seeking a vendor to provide comprehensive and competitively priced stop loss insurance services for medical and prescription drug claims. The selected provider must offer both individual stop loss coverage—protecting against high-cost claims from any individual covered member who exceeds selected deductible levels—and aggregate stop loss coverage, which shields against total claims surpassing a defined percentage of expected claims.

Additionally, the vendor must disclose any proposed lasers, including claimant details, laser amounts, and provide rationale for such proposals. The provider is also required to outline detailed procedures and timelines for claims reimbursement, specifying necessary documentation and expected turnaround times. The contract will be for a period of one year.

Source attribution

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