Upper Trinity Regional Water District Ionwave #HR2026-06

UTRWD Solicits Stop Loss and Dental Health & Welfare Benefits for Employees

The Upper Trinity Regional Water District (UTRWD) is seeking proposals for employee health and welfare benefits, focusing on Stop Loss insurance and Dental coverage for its workforce. - Government Buyer: - Upper Trinity Regional Water District (UTRWD), serving the Denton County area in Texas - Products and Services Requested: - Stop Loss insurance coverage for medical and prescription drug plans - Specific deductibles ranging from $35,000 to $50,000 - Aggregate maximums up to $1,000,000 - Historical premium rates provided for reference - Includes claims experience monitoring and customer service requirements - Dental insurance coverage (DPPO plan) - UCCI DPPO network - $2,000 annual maximum, $50/$150 deductible - 100% preventive, 80% basic, 50% major expense coverage - Orthodontic coverage for children up to age 19 - Network access/disruption analysis required - Additional health plan services (currently administered by UMR and Optum Rx) - Medical, prescription, vision, hearing, mental health, substance use disorder, and transplant benefits - Teladoc virtual care (general medicine, dermatology, behavioral health, expert opinions) - Durable medical equipment, home health care, specialty drugs (with prior authorization) - Vision and hearing aid benefits - Unique or Notable Requirements: - Proposals must include detailed premium costs, plan design, and administrative services - Compliance with Texas state laws and certifications (e.g., Form 1295, non-collusion, anti-boycott) - Plan must support 148 active employees - Flexible contract terms: five-year base with various renewal options - Utilization management and prior authorization services required for certain benefits - OEMs and Vendors: - United Concordia Companies, Inc. (UCCI) for DPPO dental network - UMR and Optum Rx (current plan administrators) - Teladoc (virtual care provider) - No specific product part numbers or quantities are provided, as this is a service-based solicitation.

Description

The Upper Trinity Regional Water District (UTRWD), a political subdivision of the State of Texas serving the Denton County Area, is seeking proposals for the provision of Stop Loss and Dental Health and Welfare coverage. The contract will begin on October 1, 2026. Proposals are to be submitted online by July 2, 2026, and vendors can request census and claims files via email. The solicitation includes detailed plan summaries, submission forms, and terms and conditions.

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