Stop Loss Insurance Services
Overview
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SUMMARY
DESCRIPTION
A government authority in Pasadena, Texas, is seeking a vendor to provide stop loss insurance services covering medical and prescription drug benefits payable under its underlying plan.
The selected provider must submit monthly reports detailing submitted, pended, denied, and paid amounts for individual claimants. Policy provisions, definitions, and eligibility rules must align with those contained in the underlying medical and prescription drug plan.
The requested coverage includes individual specific stop loss insurance with a $175,000 deductible on an incurred contract basis. Alternate stop loss deductibles of $185,000 and $200,000 are also being requested, along with aggregate excess loss insurance.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due September 28, 2026.
- Who is a good fit for this opportunity?
- Insurance carrier or employee benefits provider specializing in stop loss coverage
- Demonstrated experience with medical and prescription drug plan administration
- Capability to provide individual specific and aggregate excess loss insurance
- Established claims reporting and monthly financial reporting processes
- Licensed and authorized to provide insurance services in Texas
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.