Ada County Medical TPA

Project:Ada County Medical TPA

Ref. #:RFP 22032

Type:RFP

Status: 
Open

Open Date: 
Feb 28th 2022, 2:30 PM MST

Questions Due Date: 
Mar 14th 2022, 4:00 PM MDT

Contact Information: 
Robyn Swaney, rswaney@adacounty.id.gov

Close Date: 
Apr 15th 2022, 4:00 PM MDT

Days Left: 
17
Project Description:Ada County is requesting proposals from organizations that can provide medical third-party administration (TPA) services for the County’s employee self-funded medical program. Ada County intends to award a contract for TPA services that includes bundled medical claims administration, network, case and disease management, stop loss, Employee Assistance Program (EAP), pharmacy benefit management (PBM), and vision services. However, Ada County reserves the right to carve out PBM, EAP, and vision services, and may have a separate RFP process

for these services. These TPA services must be provided beginning October 1, 2022, with Open Enrollment to begin in August 2022. Proposals for dental claims administration services are being requested separately, in RFP 22033 Ada County Dental TPA. Ada County will review proposals from organizations that can provide all of the requested services as explained below. Only organizations licensed to do business in Idaho will be considered. After the initial contract, which ends on September 30, 2023, there will be one-year renewal options for up to five (5) years.
Important Events:OngoingOpen DateOnline PortalPosting date for the OpportunityFeb 28th 2022, 2:30 PM MSTN/AUpcomingClose DateOnline PortalDeadline for SubmissionsApr 15th 2022, 4:00 PM MDTN/APassedQuestions Due DateOnline PortalDeadline to submit QuestionsMar 14th 2022, 4:00 PM MDTN/A
Supporting Documentation:Medical TPA Fees Workseet.xlsxDocumentationPlease download the Medical TPA Fees Worksheet, complete, and upload as part of the Requested Information.Read more...Feb 25th 2022, 5:00 PM MST
-RFP22032 Addendum No. 1.pdfOtherDocument - Addendum No. 1Mar 25th 2022, 3:44 PM MDT
-RFP22032 Specifications.pdfDocumentationRFP 22032 Ada County Medical TPAFeb 28th 2022, 12:59 PM MST
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Commodity Codes:

UNSPSC 8413
Insurance and retirement services


UNSPSC 8510
Comprehensive health services


UNSPSC 641221
Health insurance contracts:
A broad range of commercial risk management contracts, in the form of policies, that protect individuals or members of a group against the risk of damage due to health related conditions and maladies

UNSPSC 841316
Life and health and accident insurance


UNSPSC 851017
Health administration services


UNSPSC 851222
Individual health screening and assessment services


UNSPSC 64122101
Individual health insurance policy:
A type of commercial risk management contract, in the form of a policy, that protects individuals against the risk of damage due to health related conditions and maladies

UNSPSC 64122102
Group health insurance policy:
A type of commercial risk management contract, in the form of a policy, that protects group members against the risk of damage due to health related conditions and maladies

UNSPSC 84131609
Employee assistance programs:
Costs related to insurance services for confidential counseling services to eligible employees, retirees, and their eligible dependents

UNSPSC 84131610
Flexible spending accounts FSA:
Provides the employee with a way to reimburse themselves for health care expenses not covered under the medical and dental plans and not payable by any other source with before-tax dollars