26-500-02 CalHR Dental PPO and HMO Program

The California Department of Human Resources (CalHR) is seeking a contractor to provide Dental PPO and HMO plans for active and retired state employees, spouses, domestic partners, and eligible dependents. The selected vendor will be responsible for designing, implementing, and managing dental insurance plans, including enrollment processing, claims processing, provider network management, and customer service. The contract is expected to be for three years, with the option for two one-year extensions. Key services include: • Dental plan administration • Claims processing and management • Provider network management • Member services • Compliance and reporting • Quality assurance and improvement • Additional services such as wellness programs and preventive care initiatives The contractor will be required to provide a comprehensive benefits program, ensure timely and efficient claims processing, and promote preventive dental care among members.