Medicare Advantage Third Party Administrative Services (Closed)

Must have at least 5 years of continuous experience administering or underwriting group Medicare Advantage plans
Must have an A.M. Best financial strength rating of A- or higher
Must be registered with the Florida Division of Corporations
Must register with and use the E-Verify system
Must provide a reference list of at least four customers for whom similar services were performed
Must provide proof of authority to operate and underwrite Medicare Advantage plans
Must provide recent SOC 2 Type II reports or documented procedures for protecting Protected Health Information
Must provide a toll-free number for member services
Must have a dedicated account management team and customer service representatives familiar with the County's benefits plan

The County is seeking a vendor to provide third-party administration services for its fully-insured Medicare Advantage medical and pharmacy plan, which serves retired county employees and their dependents. The selected vendor will deliver comprehensive administrative support, including documentation, plan brochures, member insurance cards, and compliance with all agency specifications and relevant laws and regulations.

Key responsibilities include issuing identification cards at no cost to members or the County, maintaining stable contracts with practicing providers, and offering case management for complex health cases. The provider will also oversee clinical management for chronic conditions, facilitate wellness programs, provide a nurse line for member health inquiries, and ensure timely and accurate claims processing. Additionally, the vendor is expected to participate in regular service calls with the agency and its consultant, submit annual experience reports, and provide allowances for communication and first-year implementation costs.

Frequently asked questions

When is the submission deadline?

This RFP closed on July 21, 2026 and is no longer accepting submissions.

Who issued this RFP?

It was issued by Pinellas County Board Of County Commissioners. The work is located in Clearwater, Florida, United States.

Who is a good fit for this opportunity?

Established third-party administrator with Medicare Advantage experience
Proven track record in administering county or public sector retiree health plans
Ability to meet compliance and reporting requirements
Strong relationships with healthcare providers
Experience with wellness and clinical management programs

Medicare Advantage Third Party Administrative Services

Overview

Settle Signals

SUMMARY

KEY REQUIREMENTS

CONTRACT DURATION

TIMELINE

QUESTION DEADLINE

CONTACTS

Issuing Agency

DESCRIPTION

Similar RFPs

Frequently asked questions

RFP Hunter shows what is open. Settle shows what is forming.