Pharmacy Benefit Management, Medical Provider Network, COBRA, Stop Loss and Insurance Administrative Services
Overview
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SUMMARY
KEY REQUIREMENTS
CONTRACT DURATION
TIMELINE
Release RFP to Vendors: July 13th, 2026
Deadline for Questions and Inquiries: July 24th, 2026
Proposal Submission Deadline: August 5th, 2026
Vendor Selection and Contract Negotiations: August 2026
Earliest Award of Any Single Contract: August 2026
Contract/Service Effective Date: October 1st, 2026
QUESTION DEADLINE
CONTACTS
Primary procurement contact — name, title, email, and phone
Additional decision-makers and their departments
Issuing Agency
Cameron County
DESCRIPTION
The issuing agency is seeking a vendor to provide pharmacy benefit management, medical provider network, COBRA services, stop loss, and insurance administrative services for its self-insured employee and pre-65 retiree health plan. The scope includes Administrative Services Only (ASO), network administration, and pharmacy benefit management support.
The current plan structure includes one health plan with two provider networks: an open access PPO network and an ACO provider network. The agency currently maintains stop loss coverage through Aetna and uses Aetna/CVS as the administrator for the pharmacy program. COBRA and HIPAA administration are currently contracted through Pay Flex.
The stop loss arrangement includes an individual specific deductible of $250,000 with a combined medical and prescription contract, and the stop loss contract is structured on a 24/12 basis. The resulting contract is expected to be awarded for a one-year term. Questions are due by July 24, 2026.
Similar RFPs
Frequently asked questions
- When is the submission deadline?
- Submissions are due August 5, 2026. Questions must be submitted by July 24, 2026.
- Who issued this RFP?
- It was issued by Cameron County. The work is located in Brownsville, Texas, United States.
- Who is a good fit for this opportunity?
- Third-party administrator with self-insured health plan expertise
- Pharmacy benefit management provider with employer health plan experience
- Firm experienced in COBRA and HIPAA administration
- Company with stop loss program coordination capabilities
- Health benefits administrator familiar with PPO and ACO network models
- Provider with experience serving public sector or large employer benefit programs
- Organization able to manage one-year insurance administrative service contracts
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.