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Third-Party Administrator Services

Overview


Healthcare Services, Wellness & Biotech
Santa Fe, New Mexico, United StatesPosted 20 days agoDeadline: May 20th, 2026

Fit Score


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SUMMARY


Seeking a third-party administrator to manage benefits enrolment, financial coordination, and customer service for state programs covering over 60,000 lives.

KEY REQUIREMENTS


BUDGET

Estimate

$2,000,000 – $5,000,000

CONTRACT DURATION


48 months

TIMELINE


Issue RFP: April 17th, 2026

Acknowledgement of Receipt Form: April 21st, 2026

Pre-Proposal Conference: April 22nd, 2026

Deadline to submit Written Questions: April 27th, 2026

Response to Written Questions: April 29th, 2026

Submission of Proposal: May 20th, 2026

Proposal Evaluation: June 10th, 2026

Selection of Finalists: June 12th, 2026

Oral Presentation(s): June 22nd, 2026

Best and Final Offers: June 23rd, 2026

Finalize Contractual Agreements: July 22nd, 2026

Contract Awards: July 23rd, 2026

Protest Deadline: August 13th, 2026

QUESTION DEADLINE


April 27th, 2026

Issuing Agency


Health Care Authority

Organization overview and procurement intelligence available on paid plans.

DESCRIPTION


The agency seeks a vendor to provide third–party administrator services to support benefits enrolments, manage changes, and administer both Flexible Spending Account (FSA) and Health Saving Account (HSA) programs. The selected contractor will be responsible for responding to participant inquiries and issues, maintaining a secure system for all enrollment actions and records, and administering billing and financial coordination including premium calculation, invoice generation, discrepancy reconciliation, and account monitoring.

The third-party administrator will support the delivery, coordination, and ongoing administration of the benefits program, serving approximately 60,000 or more covered lives. Responsibilities include coordinating with multiple carriers, vendors, and state agencies to ensure accurate and timely administration of benefits, as well as identifying and resolving system defects and data discrepancies prior to the start of Open Enrollment. The contractor must provide real-time issue resolution throughout the enrollment period and maintain a physical office with dedicated operational staff.

A dedicated customer service function must be operated and managed, serving as the primary point of contact for all member inquiries related to the program. The contractor is expected to perform a wide range of administrative, operational, and coordination functions that are essential to the successful management of the program and delivery of benefits.

Source attribution

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

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