# University Of Maine Maineuniversity #2027-032

Medical stop-loss coverage for the University of Maine System employee health plan

**Posted:** October 22, 2026
**Respond By:** November 13, 2026
**Identifier:** 2027-032
**NAICS:** 524114

The University of Maine System is seeking a licensed insurer to provide medical stop-loss coverage for its self-funded employee health plan.
- **Government buyer:** University of Maine System, Office of Strategic Procurement.
- **Coverage requested:** Specific stop-loss coverage and, if applicable, aggregate stop-loss coverage, with $1,000,000 individual stop-loss coverage under a 24/12 policy.
  - Covers medical claims administered by **Anthem Maine (Anthem)** and pharmacy claims managed by **CapRx, now JudiRx**.
  - No lasers at inception or renewal; renewal rate cap of 40%.
  - Include Cell & Gene Therapy, retirees under age 65, and LTD coverage through age 65.
- **Carrier services:** Underwriting plan experience and risk data; coordinating eligibility, claims, and reimbursement with benefit partners; processing reimbursements; and providing account management, reporting, claim monitoring, and reimbursement documentation. The carrier should also identify high-cost claim risks and reimbursement opportunities.
- **Named organizations:** Anthem Maine, CapRx (now JudiRx), and WTW, which is identified as a contact for quote-preparation materials. No insurance carrier is named as the incumbent or required OEM.
- **Bidder eligibility:** Bids are sought from insurers licensed in Maine; managing general underwriters, brokers, and other vendors are not eligible bidders. Pricing is requested on a per-employee-per-month basis.
- **Items and quantities:** No physical products, part numbers, or coverage quantities are listed beyond the $1,000,000 individual stop-loss limit.

### Description

The University of Maine System is seeking a qualified medical stop loss carrier to provide specific and, if applicable, aggregate stop loss coverage for its self-funded employee health plan. The carrier will help protect the plan against catastrophic and high-cost claims and is expected to provide timely reimbursements, dedicated account management, reporting, and coordination with the University's health plan vendors. Respondents must be insurers licensed to provide stop loss in Maine; MGUs, brokers, and other vendors are not qualified bidders. Responses are due November 13, 2026, at 2:00 p.m. EST.

[View original listing](https://www.maine.edu/strategic-procurement/upcoming-bids/)