Charlottesville Cty Pblc Schools Opengov #RFP 27-25

Charlottesville RFP for Pharmacy Benefits Manager Services for Employees and Pre-65 Retirees

The City of Charlottesville is seeking proposals for Pharmacy Benefits Manager (PBM) services to support its employee and pre-65 retiree health benefits program. - Government Buyer: - City of Charlottesville, Human Resources Department - Scope of Services: - Administration of PBM program for approximately 1,100 active, benefits-eligible employees and 90 pre-65 retirees - Coordination with the medical third-party administrator (currently Aetna) - Accumulator integration, eligibility exchange, claims data management, and reporting - Current Medical Plan Context: - Medical plans offered through Aetna (POS and HMO with HRA administered by Voya) - Potential addition of a high-deductible health plan (HDHP) - Other benefit programs (dental, vision, EAP, life, disability, voluntary benefits, FSA, retirement) are excluded from this RFP - Vendor Requirements: - Demonstrated experience, methodology, pricing, and references - Integration capabilities with medical TPA - Compliance with confidentiality, insurance, and legal requirements - Encouragement of participation from small, women-owned, minority-owned, veteran-owned businesses, and employment services organizations - No specific OEMs or vendors are named in the solicitation - Notable Requirements: - Integration with medical TPA - Data management and reporting - Legal and confidentiality provisions

Description

The City of Charlottesville is seeking proposals for pharmacy benefit management services supporting active employees and pre-65 retirees. The scope includes coordination with medical TPA, accumulator integration, eligibility exchange, claims data, and reporting. The initial contract is expected to start on January 4, 2027, with a duration through June 30, 2028, and options for renewal. The proposal must include experience, methodology, pricing, and references. The procurement process will follow Virginia Public Procurement Act guidelines and encourages participation of small, women-owned, minority-owned, veteran-owned businesses, and employment services organizations.

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