# Tennessee Department of General Services #RFP 31786-00190

Tennessee Public Sector Health Plan TPA Services RFP

**Posted:** September 15, 2026
**Respond By:** December 18, 2026
**Identifier:** RFP 31786-00190
**NAICS:** 524292

This opportunity is for Third Party Administrator (TPA) services to manage Tennessee's statewide public sector health plans.
- Government Buyer:
  - State of Tennessee Department of Finance and Administration, Division of Benefits Administration
  - State Insurance Committee, Local Education Insurance Committee, Local Government Insurance Committee
- OEMs and Vendors Mentioned:
  - Merative (data submission)
  - Aon (financial analytic modeling)
- Services Requested:
  - TPA services for approximately 306,000 employees, retirees, and dependents
  - Network administration for a Preferred Provider Organization (PPO) network covering all 95 Tennessee counties and national coverage
  - Utilization management, claims adjudication, call center operations, member communications
  - Implementation of all current and future benefit options, including a new Copay PPO
  - Compliance with State plan designs and the No Surprises Act
  - Detailed reporting for utilization management, prior authorization, out-of-network claims, pre- and post-payment activities
  - Data integration, provider disruption analysis, HIPAA business associate assessment
- Unique/Notable Requirements:
  - Efficient, high-quality, cost-effective commercial PPO networks
  - Strict adherence to access standards and performance guarantees
  - Extensive data specifications and appendices for bidders
  - Digital submission instructions
- Contract Details:
  - Up to two contracts awarded
  - 87-month term: 9 months implementation, 60 months service delivery, 18 months claims runout
  - Go-live date for services is January 1, 2028

### Description

This solicitation is for the provision of third-party administrator services for the state's public sector health plans. The State of Tennessee intends to secure up to two contracts with Third Party Administrator(s) (TPAs) that provide access to a Preferred Provider Organization (PPO) network servicing all 95 Tennessee counties statewide and nationally for members outside the state. The TPA(s) will provide network administration, utilization management, claims adjudication, call center services, and benefits communication materials for members, ensuring all benefit options and plan designs are implemented and administered in strict adherence with the State's intent. The procurement is managed by the Tennessee Department of General Services and includes detailed appendices and data specifications for bidders to review.

[View original listing](https://www.tn.gov/generalservices/procurement/central-procurement-office--cpo-/supplier-information/invitations-to-bid--itb-.html)