Medical / RX Stop Loss

The City of Georgetown is seeking qualified insurers to provide Specific and Aggregate Medical and Prescription Drug Stop‑Loss coverage for its self‑funded employee health plans in 2027. The contract will cover approximately 1,000 full‑time employees and will require three deductible scenarios ($150k, $200k, $250k) with a 125% aggregate corridor and a $1 million aggregate limit. Proposers must submit detailed pricing, coverage terms, claims administration processes, financial stability evidence, and references, and must meet licensing and A.M. Best rating requirements. The award will be made after a review period (Nov 16‑20 2026) with an expected contract start in early 2027. • Provide Specific and Aggregate stop‑loss insurance (medical & Rx) for 2027 plan year. • Three required Specific deductible options ($150k, $200k, $250k) with a 125% aggregate corridor. • $1 million minimum aggregate limit; no claimant lasers; 50% renewal rate cap for 2028. • Required documentation: pricing form, policy specimen, underwriting questionnaire, financial ratings, references. • Submission via City’s E‑bid system by 2:00 PM CT on 11/13/2026; questions due 5:00 PM CT on 11/5/2026. • Evaluation weighted heavily on overall price (65%) and coverage/underwriting terms (15%).