Description
Cameron County (Texas) is seeking a single‑award contractor to provide a full suite of health‑benefit services for its employee/retiree population, including Administrative Services Only (ASO) for a self‑funded plan, Pharmacy Benefit Management (PBM), a medical provider network, COBRA administration, and stop‑loss insurance. The contract will be a three‑year base term (Oct 1 2026 – Sep 30 2027) with two optional one‑year extensions. Bidders must respond to detailed questionnaires for each service area, demonstrate experience with public‑sector health plans, and meet insurance‑coverage requirements. The award will be based on a weighted score of cost (30 %), qualifications (20 %), support services (25 %) and fit to county needs (25 %).
• Manage self‑funded health‑plan administration, claims processing, and reporting for ~1,600 active employees/benefit‑eligible retirees.
• Provide PBM services including formulary design, pharmacy network negotiations, dispensing data reporting, and rebate management.
• Deliver a PPO/ACO medical provider network, handle COBRA continuation coverage, and arrange individual/aggregate stop‑loss insurance with attachment points around $250‑$300 k.
• Required certifications include HUB, Texas residency, and non‑boycott statements; $1 M errors‑and‑omissions coverage is mandatory.
• Submission deadline is Aug 10 2026 3 p.m.; questions must be submitted by July 24 2026.