RFP 26-008 Alabama PEEHIP Medicare Part D EGWP PBM Services

Alabama’s Public Education Employees’ Health Insurance Plan (PEEHIP) is seeking a fully‑insured Medicare Part D Employer Group Waiver Program (EGWP) pharmacy‑benefit‑manager (PBM) to serve its Medicare‑eligible retirees and dependents. The contract will cover comprehensive PBM functions—including member portals, clinical programs such as medication‑therapy‑management, claims adjudication, data reporting, network and formulary management, compliance with CMS and HIPAA, and on‑site member‑service support. The award will be a single‑award to Humana Insurance Company, with a one‑year base term beginning Jan 1 2027 and up to three optional one‑year extensions. The solicitation follows a competitive RFP process with intent‑to‑award notice issued Oct 15 2026. • Core services: enrollment, web/mobile portals, MTM, utilization management, claims processing, reporting, network pharmacy management, and compliance. • Contract term: 1 year (Jan 1 2027‑Jan 1 2028) plus up to three optional one‑year renewals. • Performance guarantees: $5 PMPY implementation, $10 PMPY ongoing, $15 PMPY overall satisfaction, all “at‑risk” amounts.