Edmond Ionwave #RFP27-010

City of Edmond seeks aggregate and specific stop-loss coverage for self-funded health plans

The City of Edmond is seeking carrier proposals for stop-loss protection for its self-funded employee medical and prescription plans. - Buyer: City of Edmond, Oklahoma; no sub-agency or office is identified. - Requested coverage: Aggregate and specific stop-loss insurance for medical and prescription drug claims, using paid-contract terms. - Provide Employee Only and Family rates. - Quote specific deductible options of $210,000, $220,000, and $230,000. - Aggregate coverage must include a 125% corridor and a $1,000,000 annual maximum. - Plan population: Approximately 874 active participants and 34 enrolled retirees. - Named vendors in plan history: Aetna (medical administration), ServeYouRx (pharmacy benefit management), Berkshire Hathaway (current stop-loss carrier), and Symetra and Voya (prior stop-loss carriers). These are not identified as awardees. - Notable requirements: Quotes must come from medical or stop-loss carriers, not through third-party administrators. Pricing must be net of commissions and include all costs; proposals should state any enrollment requirements. The City may award one or more coverage components.

Description

The City of Edmond is requesting proposals for aggregate and specific stop loss coverage for its self-funded medical plans. Coverage is to begin January 1, 2027, and continue through December 31, 2027, with annual renewal options subject to performance and mutual agreement. Proposals should include two-tier Employee Only and Family rates, pricing for the specified specific-deductible options and aggregate coverage, and required submission forms. Responses must be submitted electronically by November 16, 2026, at 2:00 PM CT.

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