Douglas County Ionwave #CI-2026-0062 Addendum 2

Omaha and Douglas County Seek Medical ASO, TPA, and PBM Services for Employee Health Plans

The City of Omaha and Douglas County are seeking proposals for Medical Administrative Services Organization (ASO), Third Party Administration (TPA), and Pharmacy Benefit Manager (PBM) services to support their self-funded healthcare and prescription drug plans. - Government Buyer: - City of Omaha and Douglas County Purchasing Department - Office of the City Clerk, Omaha-Douglas Civic Center - Products/Services Requested: - Medical ASO and TPA services for claims processing, plan document management, network access, clinical and claims management, customer service, subrogation/coordination of benefits, and reporting - Pharmacy Benefit Manager (PBM) services including claim repricing, formulary management, network disruption analysis, specialty drug management, and rebate administration - Notable Requirements: - Vendors must provide detailed cost proposals and performance guarantees - Ability to interface with the City's eligibility system (INFOR) is required - Compliance with collective bargaining agreements for various employee groups and retirees - Only full PBM service bids will be evaluated, and only one PBM/formulary bid per bidder is allowed - Proprietary information must be submitted separately as specified - Submission of a bid bond and completion of a Responsible Contractor Compliance Form are required - No specific OEMs or vendors are named in the solicitation - The contract term is three years with two optional one-year extensions, and performance guarantees and reporting are required throughout the contract duration

Description

The City of Omaha is requesting proposals from qualified companies to provide Medical Administrative Services Organization (ASO), Third Party Administration (TPA), and Pharmacy Benefit Manager (PBM) services. The solicitation includes requirements for bid bonds, insurance, and compliance forms. Bidders must submit a cost proposal as part of their response attachments. The contract involves managing medical and pharmacy benefit services with detailed requirements and evaluation criteria outlined in the RFP documents.

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