When is the submission deadline?

Submissions are due October 14, 2026. Questions must be submitted by September 29, 2026.

It was issued by Cis. The work is located in Wilsonville, Oregon, United States.

Who is a good fit for this opportunity?

Experienced third-party administrator of self-insured medical health plans. Robust healthcare provider and hospital network with statewide and broader coverage. Proven claims processing, member support, and care coordination capabilities. Demonstrated healthcare cost containment and trend mitigation expertise. Strong HIPAA, mental health parity, and healthcare regulatory compliance programs. Advanced reporting, analytics, provider directories, and member decision-support tools.

Medical Third-Party Administration Services (Due October 14, 2026)

Overview

Healthcare Services, Wellness & Biotech

Wilsonville, Oregon, United StatesPosted: September 15, 2026Deadline: October 14, 2026

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SUMMARY

The agency seeks a third-party administrator for its self-insured medical plans, including claims administration, provider network access, member services, compliance support, cost mitigation, and reporting. The selected vendor must support members statewide and wherever agency membership exists.

KEY REQUIREMENTS

Must be authorized to do business in the State of Oregon
Must provide network access across the State of Oregon
Must support compliance with HIPAA, mental health parity, and other relevant healthcare regulations
Must agree to administer current plan designs with no deviations
Must provide tools and resources for members to make informed healthcare decisions
Must provide regular reporting and analytics on healthcare utilization and cost trends
Must maintain Comprehensive General Liability insurance of at least $2,000,000 per occurrence
Must maintain Automobile Liability insurance of at least $1,000,000 per accident
Must maintain Workers' Compensation insurance in compliance with ORS Chapter 656 if employing subject workers

TIMELINE

Issuance of RFP: September 14th, 2026

Informational Call on RFP: September 21st, 2026

Intent to Bid Due: September 23rd, 2026

Submission of Questions about the RFP: September 28th, 2026

Proposal Due: October 14th, 2026

Evaluation of Proposals, Finalists Selected: October 15th–30th, 2026

Finalist Interviews: November 2nd–13th, 2026

Anticipated Contract Award: February 5th, 2027

Commencement of Contract: January 1st, 2028

QUESTION DEADLINE

September 29, 2026

CONTACTS

Primary procurement contact — name, title, email, and phone

Additional decision-makers and their departments

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Issuing Agency

Cis

Organization overview and procurement intelligence available on paid plans.

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DESCRIPTION

The agency is seeking a vendor to provide medical third-party administration services for its self-insured health plans. Services include claims processing, healthcare provider network access, member support, and administration of medical benefits across Oregon and wherever agency members are located.

The selected provider should demonstrate a strong partnership approach and deliver high-quality member services, including responsive customer support, personalized assistance, inquiry resolution, appointment scheduling support, referrals, care coordination, and educational resources regarding benefits, coverage options, and healthcare rights. The vendor should also provide online provider directories, cost estimator tools, and other resources to help members make informed healthcare decisions.

The vendor is expected to drive healthcare savings and mitigate cost trends through proven strategies, support compliance with HIPAA, mental health parity requirements, and other applicable healthcare regulations, and coordinate with the agency’s point solutions. Regular reporting and analytics on healthcare utilization, costs, and member satisfaction will be required to support informed decision-making. Questions must be submitted by September 28, 2026.

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Frequently asked questions

When is the submission deadline?: Submissions are due October 14, 2026. Questions must be submitted by September 29, 2026.
Who issued this RFP?: It was issued by Cis. The work is located in Wilsonville, Oregon, United States.
Who is a good fit for this opportunity?: Experienced third-party administrator of self-insured medical health plans
Robust healthcare provider and hospital network with statewide and broader coverage
Proven claims processing, member support, and care coordination capabilities
Demonstrated healthcare cost containment and trend mitigation expertise
Strong HIPAA, mental health parity, and healthcare regulatory compliance programs
Advanced reporting, analytics, provider directories, and member decision-support tools

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.

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