Pompano Beach Ionwave #RFP26-035 Addendum 3

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

The City of Pompano Beach is seeking proposals for a comprehensive Employee Medical Benefits Program to serve employees, officials, retirees, COBRA participants, and their families. - Government Buyer: - City of Pompano Beach, Procurement and Contracts Department - OEMs and Vendors Mentioned: - Aetna - AvMed - Cigna Health and Life Insurance Company - Curative - Florida Blue - UnitedHealthcare Insurance Company - Products and Services Requested: - Medical Insurance (Fully Insured and Self-Funded options) - Plan designs such as BlueCare HMO 55 and BlueChoice PPO 0727 - Retiree coverage (Plan 0727 for retirees over 65) - Tiered rate structures and alternative plan options - Pharmacy Benefit Management (PBM) Services - Open specialty pharmacy network - Low WAC pricing and expanded preventive drug list - Coverage for weight loss medications and biosimilar strategies - Participating retailers: CVS, Walgreens, Publix, Walmart - Stop Loss Insurance (for self-funded plans) - Contract basis: 12/12 and 12/15 - Deductibles: $200K, $225K, $250K - Aggregate corridor: 120% & 125% - Unlimited aggregating specific deductible, include TLO, no lasers - Unique or Notable Requirements: - Wellness program funding of at least $100,000 annually - Administrative services: eligibility file integration, open enrollment support, employee communications, ongoing account management, and reporting - Compliance with the City's Local Business Program and drug-free workplace certifications - Strict insurance and liability standards - Adherence to the Cone of Silence - Proposers must be registered on the City's eBid System and submit proposals electronically - Flexibility for both combined and standalone pricing for medical and pharmacy benefits - National and regional network options accepted - Period of Performance: - Initial five-year contract term, with up to two one-year renewal options - Rate guarantees: 12 months for medical, 36 months for ASO - Contract may be extended up to 180 days for continuity if needed - Place of Performance: - City of Pompano Beach, Florida (primary government facility at 1190 N.E. 3rd Avenue, Building C, 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. Proposers must be registered on the City's eBid System to view documents and submit proposals. The solicitation emphasizes compliance with the Cone of Silence and requires electronic submission by April 27, 2026, at 2:00 PM ET.

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