Oregon Buys #S-C00360-00018403

Yamhill County group medical and prescription drug coverage services

Yamhill County is seeking an insurer to replace its current group medical and prescription drug coverage for eligible employees and dependents. - Buyer: Yamhill County Board of County Commissioners, Human Resources; the RFP identifies HR Director Patricia Rojas. - Requested service: One group medical and pharmacy benefit-services contract for eligible employees and dependents. No specific plan part numbers or member quantities are provided. - Scope: Medical and pharmacy benefits, provider networks, enrollment and eligibility administration, claims, customer service, appeals and grievances, digital resources, implementation and open-enrollment support, and reporting. - Important requirements: Maintain coverage close to current benefit levels; provide broad local, statewide, and national network access; support continuity and transition of care; and deliver an efficient experience for members and the County. - Named providers: Providence Health Plan is the current coverage being replaced. Kaiser Permanente is expressly outside the replacement request and remains excluded from the scope. No insurer is named as the prospective provider. - Term: Anticipated three-year initial term with annual renewal options for up to 10 years, subject to County approval. Coverage is planned to begin in 2027; the County is interested in moving future renewals to a calendar-year cycle. - Value: No estimated contract value or pricing is provided.

Description

Yamhill County is requesting proposals from qualified, licensed health insurers to provide group medical and prescription drug coverage for eligible County employees and dependents. The RFP anticipates one contract, with an initial term of three years and options for annual renewal for up to 10 years, subject to County approval. Proposals are due January 8, 2027, at 5:00 p.m. PST.

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