City of Sebastian MyVendorLink #25523-RFP-DST

Award of Stop Loss Insurance Coverage for Self-Funded Medical/Rx Plan

Hillsborough County Public Schools (HCPS) has awarded a contract for Stop Loss Insurance coverage as part of its transition from a fully insured to a self-funded medical and pharmacy plan. - Government Buyer: - The School Board of Hillsborough County, Florida (Hillsborough County Public Schools, Procurement Services Department) - OEMs and Vendors: - Awarded: Symetra Life Insurance Company - Other proposers: Aetna, Alliant Insurance Services, BCS Insurance Company - Products/Services Requested: - Stop Loss Insurance coverage for approximately 24,328 eligible employees (about 19,121 currently enrolled in Medical/Rx) - Coverage includes active employees, COBRA participants, retirees (pre-65 and post-65), and surviving spouses - Specific deductible options: $1,000,000, $1,250,000, and $1,500,000 - 24/12 contract basis (24 months of claims paid in 12 months of coverage) - Unlimited annual and lifetime maximum reimbursements - Unique or Notable Requirements: - Waiver of 'actively at work' provisions - Inclusion of COBRA and retiree enrollees - 'No New Laser' product guarantee with a rate cap - Must meet all mutually agreed qualification requirements prior to service - Compliance with Florida statutes and HCPS policies - Small business participation considered in evaluation - Period of Performance: - One-year contract term, with possible temporary renewal not to exceed 180 days - Place of Performance/Delivery: - Hillsborough County Public Schools, 901 East Kennedy Blvd., Tampa, FL 33602

Description

Hillsborough County Public Schools (HCPS) is soliciting proposals for Stop Loss Insurance coverage effective January 1, 2026. The solicitation is for transitioning from a fully insured medical and pharmacy plan to a self-funded plan with Stop Loss coverage for claims cost protection. The total eligible employees are approximately 24,328 with about 78.5% currently enrolled in Medical/Rx coverage. Proposals are requested initially as illustrative using data through July 2025, with firm quotes to follow as additional data becomes available. The contract term is for one year, from January 1, 2026, to December 31, 2026.

View original listing