Douglas County Ionwave #CI-2026-0062 Addendum 3

Omaha/Douglas County Seeks Medical ASO, TPA, and Pharmacy Benefit Manager Services

The City of Omaha and Douglas County are seeking proposals for comprehensive administration of their self-funded medical and prescription drug benefit plans. - Government Buyer: - City of Omaha and Douglas County Purchasing Department - Office of the City Clerk, 1819 Farnam Street LC-1, Omaha-Douglas Civic Center - Services Requested: - Medical Administrative Services Organization (ASO) and Third Party Administration (TPA) - Claims processing, plan document management, network access, clinical and claims management, customer service, subrogation/coordination of benefits, and reporting - Must interface with the City's eligibility system (INFOR) - Compliance with collective bargaining agreements for employees and retirees - Performance guarantees required - Pharmacy Benefit Manager (PBM) Services - Pharmacy benefit management, including claim repricing, formulary management, network disruption analysis, specialty drug list, and limited distribution drugs at NDC 11 level - Rebates, guarantees, and contracts must be included in proposals - Use of an exclusive specialty pharmacy network for specialty medications - Notable Requirements: - Detailed cost proposals and line-by-line claim repricing data - Only one bid per bidder for PBM services; full PBM service bids required - Non-Disclosure Agreement required for access to certain RFP attachments - Responsible Contractor Compliance Form required - Proprietary information submission guidelines - No specific OEMs or vendors are named; opportunity is open to all qualified providers

Description

The City of Omaha is soliciting proposals from qualified vendors to provide Medical Administrative Services Organization (ASO), Third Party Administration (TPA), and Pharmacy Benefit Manager (PBM) services. The scope includes administrative services related to medical and pharmacy benefits for City employees and eligible dependents. The solicitation requires submission of a cost proposal as an attachment and mandates a bid bond or acceptable substitute. The contract term and detailed scope are outlined in the RFP documents.

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