3rd Party Administrator - Benefits, Medical Provider Network

The City of Mesa awarded a five‑year, firm‑fixed‑price contract to provide comprehensive third‑party administration (TPA) services for its self‑funded medical plans. The awardee will handle claims processing, appeals, utilization and case management, cost‑containment initiatives, and maintain access to a national provider network for roughly 10,000 active participants and 4,000 retirees. The contract runs from January 1 2023 through December 31 2027, with options for up to two one‑year renewals and a six‑month extension. • Scope includes 24/7 claims administration, electronic EOBs, re‑pricing of non‑network claims, and detailed reporting. • Additional services: dedicated on‑site client representative (up to 40 hours/week), wellness program administration, and support for HDHP/HSA options. • Pricing is firm‑fixed‑price; the City will pay $1,882,440 annually, totaling approximately $9.4 million over the base term.