Group Health Insurance Coverage Services
Overview
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SUMMARY
DESCRIPTION
A government authority located in Window Rock, Arizona is seeking a vendor to provide fully insured group health insurance coverage services for its employees. The requested benefits include medical, dental, vision, basic life and accidental death and dismemberment (AD&D), short-term disability, and the potential continuation of COBRA coverage for departing employees.
The selected provider is expected to deliver a quality and affordable health insurance program that meets member needs while maintaining membership files for all covered individuals. The scope also includes centralized claims processing, customer service capabilities, direct claims acceptance and reimbursement to healthcare providers, and periodic accounting statements showing funds received, claims paid, administrative costs, and claims exceeding stop-loss limits.
The provider must also support accurate data tracking and reporting, including utilization reports, savings analysis, and claims delay reviews, whether upon request or through an internet portal. Questions are due by July 20, 2026, and the anticipated contract term is one year.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due July 31, 2026.
- Who is a good fit for this opportunity?
- Licensed group health insurance carrier or benefits administrator
- Experience serving public sector or government employee benefit programs
- Capability to provide fully insured medical, dental, vision, life, AD&D, and short-term disability plans
- Strong claims processing and provider reimbursement infrastructure
- Established customer service and member file administration capabilities
- Ability to deliver utilization reporting, savings analysis, and online reporting portal access
- Familiarity with COBRA continuation coverage administration
Analysis generated by Settle AI from the source RFP.
RFP Hunter shows what is open. Settle shows what is forming.
Settle pieces together buyer signals, budgets, contract activity, and the sources your team already monitors. See why an opportunity fits and what to do before the RFP posts.