Third Party Administration Services for Medical Insurance
Overview
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SUMMARY
DESCRIPTION
The issuing organization is seeking a vendor to provide third party administration services for employee and retiree medical insurance programs. The scope includes administration of self-funded medical plans and fully insured dental and vision plans, along with a retiree Medicare Supplement plan and stop-loss coverage.
The selected provider will support the organization in obtaining competitive pricing and rates for these benefits and will deliver cost analysis, premium analysis, and COBRA calculations. Additional responsibilities include providing information to support collective bargaining unit negotiations and facilitating the preparation and completion of plan documents and summary plan descriptions.
The vendor will also assist in resolving claims and administrative issues, including support for employees with complex claim questions. Other deliverables include development of employee benefits booklets reflecting plan updates, quarterly administrative meetings to review and evaluate benefits, and comprehensive annual reporting covering plan performance, cost containment recommendations, and strategic planning review.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due August 10, 2026.
- Who is a good fit for this opportunity?
- Third-party administrator with employee benefits and health plan administration expertise
- Experience managing self-funded medical and fully insured dental and vision plans
- Capability to support retiree Medicare supplement and stop-loss programs
- Strong actuarial, pricing, and benefits cost analysis capabilities
- Experience with COBRA administration and employee claims resolution
- Familiarity with collective bargaining environments and benefits negotiations
- Ability to prepare plan documents, summary plan descriptions, and employee benefit booklets
- Proven track record delivering quarterly reviews and annual strategic benefits reporting
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.