Flexible Group Medical Insurance Pharmacy and Wellness Services

The vendor is required to provide flexible group medical insurance, pharmacy benefit management, and wellness services to eligible agency employees, pre-65 retirees, cobra participants, and their eligible dependents.
- Plans:
•    Self-funded (ASO): UHC pos and UHC QHP (HSA) plans.
•    Fully insured: Kaiser HMO plan.
•    Pharmacy benefits: currently administered through care first BCBS for UHC self-funded plans; pharmacy is expected to be carved in effective July 1, 2026.
- Offerors shall submit proposals to:
•    Administer the current UHC self-funded plan designs, inclusive of integrated pharmacy benefit management, effective July 1, 2026.
•    Administer the current fully insured Kaiser HMO plan design.
•    Provide administrative services, including claims processing, enrollment, reporting, compliance, and customer service.
•    Support and enhance wellness programs, disease and case management, and preventive health initiatives.
•    Meet measurable performance guarantees for claims, customer service, and reporting accuracy.

- Contract Period/Term: 1 year
- Questions/Inquires Deadline: September 10, 2025