# University of New Mexico Sciquest #RFP-2652-27

Stop-loss coverage for UNMH’s self-funded employee health plan

**Posted:** October 02, 2026
**Respond By:** October 26, 2026
**Identifier:** RFP-2652-27
**NAICS:** 524114, 524130

The University of New Mexico Hospitals is seeking an insurance carrier to provide stop-loss coverage for its self-funded employee health plan.
- **Government buyer:** University of New Mexico Hospitals (UNMH), University of New Mexico, UNM Health Sciences Center.
- **Requested service:** Stop-loss insurance coverage for the self-funded plan, which offers PPO and High Deductible Health Plan (HDHP) options.
  - Eligible participants are active benefits-eligible employees with at least 0.5 FTE; retirees are excluded.
  - The notice does not provide coverage limits, quantities, or detailed insurance terms.
- **Existing plan-related providers:** Community Care Partners (claims administration), Blue Cross and Blue Shield of New Mexico (claims run-out for pre-transition plan years), and Prime Therapeutics (pharmacy benefits). These are identified as existing providers, not as requested bidders.
- **Notable plan arrangement:** UNMH plans to directly manage a proprietary provider network as part of the plan transition.
- **OEMs:** No product manufacturers or OEMs are identified; this is a request for insurance coverage.

### Description

The University of New Mexico Hospital seeks a qualified insurance carrier to provide stop-loss coverage for its self-funded health plan. The plan currently offers a PPO and a High Deductible Health Plan, and beginning January 1, 2027, will transition to a proprietary network managed directly by UNMH, with claims administration handled by Community Care Partners. Blue Cross and Blue Shield of New Mexico will manage claims run-out for plan years before 2027, and Prime Therapeutics will provide pharmacy benefits. Eligible participants are active benefits-eligible employees with a 0.5 FTE or higher; retiree coverage is not provided.

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