Medical Plan Third-Party Administrator Service
Overview
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SUMMARY
DESCRIPTION
The issuing organization seeks a vendor to provide medical plan third-party administrator services under a self-insured arrangement. The selected provider will be expected to deliver a strong, committed, and proactive account management team, respond promptly to agency inquiries, provide accurate and timely claims administration, and offer insight into emerging market trends.
The services will include data integration with pharmacy benefits, COBRA, health savings accounts, and health care flexible spending accounts. The administrator will also adjudicate medical claims submitted by or on behalf of plan members, process payments funded by the state, and maintain complete claims payment records. All questions regarding the opportunity must be submitted by November 6, 2026.
Similar RFPs
Frequently asked questions
- When is the submission deadline?
- Submissions are due November 13, 2026.
- Who is a good fit for this opportunity?
- Experienced medical plan third-party administrator
- Proven expertise in self-insured claims administration and adjudication
- Capability to integrate pharmacy, COBRA, HSA, and health care FSA data
- Strong account management and responsive client service capabilities
- Experience administering claims funded by public-sector or large organizational plan sponsors
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.