Delaware New Castle Civic Plus #26PP-128

Administrative Managed Care Services for Group Medical Plans – New Castle County

New Castle County, Delaware is seeking proposals for Administrative Managed Care Services for its Group Medical Plans, covering active employees and pre-65 retirees. - Government Buyer: - New Castle County Purchasing Division - Main office at 87 Reads Way, New Castle, DE 19720 - Services Requested: - Third-party administration (TPA) for medical plans (PPO, Indemnity/Comp 80, In Network Only) - Pharmacy Benefits Management (PBM) for certain plans, including bundled medical/pharmacy for the Indemnity Plan - Implementation and transition of care for employees, dependents, COBRA participants, retirees, and those on leave or layoff - Compliance with licensing, ethics, cybersecurity, and supplier diversity requirements - Current Administrators (OEMs highlighted): - Highmark of Delaware - Aetna - RxBenefits/Express Scripts (for PBM) - Notable Requirements: - Proposals must include detailed pricing structures (per employee per month, network access, broker consulting fees, etc.) - Vendors must address takeover issues (waiving actively-at-work and non-confinement rules) - Non-disclosure agreement required for census data access - Evaluation based on network accessibility, cost, plan administration, performance guarantees, experience, and commitment to green initiatives and supplier diversity - No specific product part numbers or quantities; focus is on service provision - Opportunity is open to all qualified TPAs and PBMs capable of meeting the County's requirements.

Description

This solicitation is for managed care services related to group medical plans for New Castle County. The county seeks competitive sealed bids and priced proposals for administrative managed services, including implementation, for group medical plans covering active and pre-65 retirees. The scope includes third party administration for medical plans and pharmacy benefits management for certain plans. The bid is open with a submission deadline of May 29, 2026, and includes a mandatory pre-bid meeting and evaluation process.

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