When is the submission deadline?

Submissions are due October 26, 2026.

It was issued by University Of New Mexico Hospital. The work is located in Albuquerque, New Mexico, United States.

Who is a good fit for this opportunity?

Insurers or employee benefits providers specializing in stop-loss coverage. Experience supporting self-funded university or healthcare employer health plans. Capability to administer medical and pharmacy claims. Expertise managing out-of-network claims through agreements or authorizations.

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Stop Loss Insurance Coverage Service

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Overview

Healthcare Services, Wellness & Biotech

Albuquerque, New Mexico, United StatesPosted: October 3, 2026Deadline: October 26, 2026

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SUMMARY

A New Mexico government authority seeks individual stop-loss insurance coverage for a university hospital’s self-funded health plan, including medical and pharmacy claims. The service must address out-of-network claims through letters of agreement or authorization.

KEY REQUIREMENTS

Must be a qualified insurance carrier
Must have a minimum AM Best Rating of A-
Must mirror the plan document for eligibility, benefit design, and inclusions/exclusions
Must acknowledge the underlying network is a proprietary network owned and managed by UNM Hospital
Must be willing to enter into a Business Associate Agreement
Must be willing to enter into a Non-Disclosure Agreement
Must accept self-billing
Must provide weekly notifications of claims activity if selected
Must provide reports that reconcile any amounts over the deductible that were ineligible to be paid

CONTRACT DURATION

48 months

TIMELINE

Census and claims files will be available on October 2nd, 2026.

Goal is for each carrier to work up a quote and be ready for a claim update with data through September, which should be available on approximately October 20th, 2026.

CONTACTS

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

Additional decision-makers and their departments

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Issuing Agency

University Of New Mexico Hospital

Organization overview and procurement intelligence available on paid plans.

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DESCRIPTION

The government authority in New Mexico is seeking a vendor to provide stop-loss insurance coverage for a university hospital’s self-funded health plan. The requirement includes individual stop-loss coverage.

Coverage must include medical and pharmacy claims and mirror the plan document for eligibility. Claims falling outside the domestic in-network network will be managed through letters of agreement or authorization.

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Frequently asked questions

When is the submission deadline?: Submissions are due October 26, 2026.
Who issued this RFP?: It was issued by University Of New Mexico Hospital. The work is located in Albuquerque, New Mexico, United States.
Who is a good fit for this opportunity?: Insurers or employee benefits providers specializing in stop-loss coverage
Experience supporting self-funded university or healthcare employer health plans
Capability to administer medical and pharmacy claims
Expertise managing out-of-network claims through agreements or authorizations

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.

See how Settle works