Third Party Administrators Service

Request for administrative review due by March 6th, 2026.

Questions due by March 18th, 2026.

Bid response due by April 16th, 2026.

Pre-implementation audit to be completed by August 31st, 2027.

Call center services to begin by December 1st, 2027.

Banking information for settlement services to begin collecting by December 1st, 2027.

Initial new ID card to be produced and distributed for receipt before January 1st, 2028.

Post-implementation contract compliance audit to be completed by April 30th, 2028.

The contracting entity seeks a provider for third party administrator (TPA) services covering health, dental, and life insurance plans. The selected vendor will be responsible for comprehensive claims administration, customer service, reporting, and other key professional services. Duties include making policy decisions related to group insurance plans, such as determining member benefits, setting premium rates, and managing premium investments.

The vendor must handle processing of eligible claims, including those incurred prior to the contract effective date and those that remain open for appeal, audit, adjustment, or reconsideration. Additional services required include utilization management and collaboration on strategic planning to deliver high-efficiency, competitively priced, and customized insurance benefits for a defined population. The contractor will provide operational and administrative support for Health Choice health, dental, and life plans.

Contract duration is one year. Vendors must submit at least three business references from non-affiliated clients with relevant service experience. All questions regarding the RFP must be submitted by March 18, 2026.