OSUA&M Third Party Administration (TPA) Services

Oklahoma State University and the A&M System are seeking a best‑in‑class Third‑Party Administrator (TPA) to manage a custom‑designed, self‑funded health plan for all OSU/A&M employees and their families. The selected TPA must provide full financial transparency, build and maintain custom provider networks, support a range of reimbursement models, administer claims, coordinate stop‑loss, and deliver detailed data analytics and reporting. The contract is a one‑year base term with the option to renew up to four additional one‑year periods, and the award will be made on a best‑value basis. The solicitation is open now and will close on 18 May 2026. • Build, manage, and update a custom provider network (including direct contracts, percent‑of‑charge, bundled fees, etc.). • Provide end‑to‑end claims administration, electronic data exchange with PBMs, medical‑management vendors, and stop‑loss carriers. • Deliver transparent reporting (claim‑level data, eligibility, cost‑sharing, and performance metrics) at no additional cost to the client. • Support client‑chosen point‑solutions (PBM, telehealth, clinics, wellness programs) without penalty. • Meet extensive administrative capability requirements (prior authorizations, fraud detection, deductible tracking, coordination of benefits, etc.).