Charlottesville Cty Pblc Schools Opengov #RFP 27-24

Charlottesville Medical Plan Administration Services Solicitation

The City of Charlottesville Human Resources department is seeking proposals for Medical Plan Administration services for its active employees and pre-65 retirees. - Government Buyer: - City of Charlottesville Human Resources - OEMs and Vendors Mentioned: - Aetna (incumbent medical carrier) - Voya (HRA and FSA administration) - MetLife (vision, voluntary benefits) - Sentara (Employee Assistance Plan) - Securian (Basic and Voluntary Life) - OCHS/Madison (Long Term Disability) - Aflac (voluntary benefits) - Products/Services Requested: - Medical insurance third-party administration (TPA) for ~1,100 active employees and ~90 pre-65 retirees - Administration of two current medical plan options: POS and HMO, both with HRA - Potential addition of a high-deductible health plan (HDHP) and associated HSA administration/banking - Claims processing, benefits administration, provider network management - Unique/Notable Requirements: - Proposals must address impact of adding HDHP and HSA strategies, capabilities, and pricing - Separate solicitations for Pharmacy Benefit Manager and Dental ASO services - City reserves right to make multiple awards - Comprehensive experience, methodology, and pricing required - Must support HRA and FSA administration (currently with Voya) - Coverage for both active employees and pre-65 retirees (not eligible for Medicare) - Annual administration with potential for multi-year extension

Description

The City of Charlottesville is seeking proposals for Medical Plan Administration services, including claims processing, benefits administration, and provider network management for active employees and pre-65 retirees. The project involves establishing a contract for medical insurance TPA services, with consideration for adding a high-deductible health plan and HSA strategies. Separate solicitations are issued for pharmacy and dental services. The initial contract begins January 4, 2027, with options for renewal. Proposals must include experience, methodology, price, and other required documentation.

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