Pompano Beach Ionwave #RFP26-035 Addendum 2

City of Pompano Beach Employee Medical Benefits Program (Fully Insured and Self-Funded Options)

The City of Pompano Beach is seeking proposals from qualified firms to provide a comprehensive Employee Medical Benefits Program for its employees, retirees, and their families. - Government Buyer: - City of Pompano Beach, Procurement and Contracts Department - OEMs and Vendors Mentioned: - Aetna - AvMed, Inc. - Cigna Health and Life Insurance Company - Curative - Florida Blue - UnitedHealthcare Insurance Company - Products/Services Requested: - Medical Insurance (Fully Insured and Self-Funded options) - Plan designs include BlueCare HMO 55 and BlueChoice PPO 0727 (notably for retirees over 65) - Coverage for employees, officials, retirees, COBRA participants, and families - Pharmacy Benefit Management (PBM) Services - Formulary management, claims processing, specialty drug management - Stop Loss Insurance - Options for specific and aggregate coverage, various deductible levels ($200K, $225K, $250K), contract terms (12/12, 12/15), aggregate stop loss corridors (120%, 125%), unlimited aggregating specific deductible, TLO coverage, renewal risk cap with no new lasers - Wellness Programs - Minimum $100,000 annual wellness funds - Administrative Services - Eligibility file integration, open enrollment support, employee communications, ongoing account management, reporting - Unique or Notable Requirements: - Proposals must address both combined and standalone pricing for Medical and Rx - Vendors may propose for any or all of: Medical Fully Insured, Medical Self-Funded, Stop Loss, and Rx only - Strict compliance with the City's Local Business Program (Tier 1 and Tier 2 vendor forms) - Insurance requirements include professional and cyber liability - Adherence to the Cone of Silence and drug-free workplace certifications - Comprehensive questionnaires covering medical, wellness, mental/behavioral health, pharmacy, stop loss, implementation, billing, and data/reporting - Detailed plan designs, census data, claims reports, and disruption reports provided as attachments - Emphasis on provider access, network discounts, performance guarantees, Medicare coordination, and robust reporting - Strong encouragement for local business participation - Place of Performance/Delivery: - City of Pompano Beach, Florida (1190 N.E. 3rd Avenue, Building C and 1010 NE 3rd Avenue, Pompano Beach, FL 33060)

Description

The City of Pompano Beach is soliciting experienced and qualified firms to provide employee medical benefits including medical insurance with fully-insured and self-insured funding arrangements. The solicitation also includes pharmacy benefit management services and stop loss insurance if applicable. Proposals must be submitted electronically by April 27, 2026, and firms must be registered on the City's eBid System to participate. The solicitation emphasizes compliance with the Cone of Silence and local business program requirements.

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