Brownsville Independent School District Ionwave #26-112 Addendum 5

Brownsville ISD Solicits TPA Services for Self-Funded Health Plan with PPO Networks and Wellness Programs

Brownsville Independent School District (BISD) in Texas is seeking proposals for Third-Party Administrator (TPA) services to manage its self-funded employee health plan. - Scope of Work: - Administration of Preferred Provider Organization (PPO) networks - Claims administration, COBRA administration, enrollment services, and subrogation investigation/recovery - Wellness and disease management program options, including optional programs for diabetes and hypertension - On-site wellness center/gym representative and support for direct primary care solutions - Actuarial services and optional additional services - Vendor Requirements: - Must be a licensed TPA in Texas with at least five years of experience - Must provide references, certifications, and a three-year fee schedule - Pharmacy (RX) and stop-loss administration are excluded from this contract - Submission Details: - Proposals must be submitted both online and in hard copy (two paper sets and one digital USB) - Strict submission protocols and required forms (e.g., Conflict of Interest Questionnaire, Affidavit, Form 1295, Agent's License, Statement of Qualifications) - All questions must be submitted through the IONWAVE system - Unauthorized communication with district staff or board members is prohibited - Current administrative fee rate is $30.50 per employee per month (PEPM) - No specific OEMs or vendors are named, as this is a services procurement - Place of performance and contracting office: BISD Administration Building, 1900 Price Road, Brownsville, TX 78521

Description

This solicitation is a competitive sealed proposal issued by Brownsville Independent School District (BISD) for Third-Party Administrator (TPA) services to support a self-funded health plan. The services include administration of Preferred Provider Organization (PPO) networks and wellness and disease management program options. Proposals must be submitted online by April 21, 2026, with a question cutoff date of April 8, 2026. The solicitation requires submission of two paper sets and one digital USB of the proposal, and tentative board approval is scheduled for June 9, 2026.

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