Volusia Opengov #26-P-67TF

Medicare Supplement and Part D Pharmacy Insurance Administration for Volusia County Retirees

This opportunity seeks proposals for administering Medicare Supplement and Medicare Part D pharmacy insurance for Volusia County retirees. - Government Buyer: - Human Resources department, Volusia County - Vendors and OEMs: - No specific OEMs are named; this is a services-based procurement - Current Third Party Administrator (TPA): WEX (manages eligibility, enrollment, and billing) - Products/Services Requested: - Administration of Medicare Supplement insurance plans for county retirees - Administration of Medicare Part D Employer Group Waiver Plan (EGWP) pharmacy benefits - Services include eligibility, enrollment, and billing management - Unique or Notable Requirements: - Compliance with federal and state insurance laws and standards - Adherence to HIPAA and responsible contracting practices - Open to new proposals; not limited to the incumbent TPA - Detailed scope of work, insurance requirements, and compliance obligations provided in solicitation documents - Attachments include draft agreements, insurance requirements, pricing plans, and compliance affidavits

Description

Volusia County's Human Resources department is soliciting proposals for Medicare Supplement Plans and Medicare Part D Employer Group Waiver Plans (EGWP) benefits for retirees, effective January 1, 2027. The current Third Party Administrator (TPA), WEX, manages eligibility, enrollment, and billing. The solicitation includes detailed scope of work, insurance requirements, and compliance with federal and state laws. Interested bidders can review multiple attachments including draft agreements, insurance requirements, and pricing plans.

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