RFP 27-10/AB MEDICARE ADVANTAGE

The City of Hampton seeks qualified offerors to establish a contract for underwriting and administering a fully‑insured group Medicare Advantage program, including a Medicare Part D plan, for city retirees and their spouses. This contract will cover all aspects of plan design, enrollment, claims processing, provider network management, compliance, and reporting. The award will be a single‑source, performance‑based agreement with a focus on cost‑effective delivery of benefits to six identified planholders (current retirees). • Scope: Full administration of a group Medicare Advantage and Part D plan for city retirees and spouses. • Required services: underwriting, benefit design, enrollment, claims adjudication, provider network management, regulatory compliance, and ongoing reporting. • Deliverables: Detailed plan documentation, quarterly performance metrics, and annual financial statements. • Submission: Proposals must be submitted electronically by the deadline indicated; all required attachments (summary of benefits, price quotation, questionnaire) are included in the bid package. • Evaluation: Based on technical capability, cost competitiveness, and demonstrated experience in managing Medicare Advantage programs.