Medical and Pharmacy Benefits Manager for Self-Insurance and/or Fully Insured Medical and Pharmacy Benefits

The City of Norfolk (“City”), on behalf of the City, Norfolk Public Schools (“NPS”), and Norfolk Redevelopment and Housing Authority (“NRHA”), hereafter collectively referred to as the “Consortium” or “NHC”, is seeking to procure medical plan administration services and pharmacy benefit management services for the Consortium employees, pre-65 retirees and their qualified dependents for a five (5) year period beginning January 1, 2028 through December 31, 2032, with the possibility of  one (1) additional five-year renewal. The Consortium prefers a carved-in approach to these benefits to ensure ease of administration, capture bundled pricing considerations, and avoid disjointed reporting, however, it will consider separate proposals for medical and pharmacy services if, in its sole discretion, the Consortium determines that separate proposals provide the best value to the Consortium. In addition to the self-insured services, the Consortium is also seeking fully insured proposals for medical and pharmacy with plans similar to its current offerings.

Offerors may, but are not required to, submit proposals for multiple service areas covered by this solicitation. If an offeror submits proposals for multiple service areas, separate proposals must be submitted under each service area in OpenGov.

NOTE: ***Please visit Project Details section under the Project Documents for links to submit proposal for each service area.***

Project Details

• Reference ID: 11237-0-2026/TN
• Department: Healthcare Consortium
• Department Head: Denise Sikes (Director)

Important Dates

• Questions Due: 2026-07-15T21:00:00.000Z

Evaluation Criteria

• Scope of Services —

  Four service areas covered by this solicitation RFP 11237-0-2026 TN Medical Administrator and Pharmacy Benefit Manager Are:

  1: Medical Self Insured

  2: Medical Fully Insured

  3: Pharmacy Self Insured

  4: Pharmacy Fully Insured

• Instructions to Offeror —

  NOTE: To submit proposals for each service area, offerors must select appropriate link to submit required documentation.

• Please select the appropriate link below to submit RFP response. —

  Medical Self Insured: https://procurement.opengov.com/portal/norfolk/projects/276879

  Medical Fully Insured: https://procurement.opengov.com/portal/norfolk/projects/277895

  Pharmacy Self Insured: https://procurement.opengov.com/portal/norfolk/projects/277916

  Pharmacy Fully Insured: https://procurement.opengov.com/portal/norfolk/projects/277906

Submission Requirements

• VENDOR RESPONSE (required) —

  Please upload your ENTIRE proposal here as one PDF document.

• REDACTED PROPOSAL —

  If you are requesting certain portions of your proposal containing trade secrets or proprietary information to be withheld from release under Virginia Freedom of Information Act (VFOIA), please upload your redacted proposal here as one PDF document AND state the reasons why protection is necessary. If you do not submit a redacted proposal your entire proposal will be available pursuant to VFOIA. Any redactions will be subject to review by the City Attorney’s Office.

  NOTE: Pricing cannot be withheld as trade secret or proprietary information. The entire proposal cannot be designated as trade secret or proprietary information.

• Response Confirmation —

  Each proposer is required to confirm they have included these signed forms as part of your vendor response submitted above.

• Anti-Collusion Statement (required)
• Ethics in Public Contracting (required)
• Non-Discrimination (required)
• Debarment Certification (required)
• Compliance with Federal Immigration Law (required)
• Compliance with State Law – Authorization to Transact Business in the Commonwealth of Virginia (required)
• Equal Opportunity Business Status (required)
• Bid Form (required) —

  Bid submissions that do not include fully completed bid form will not be accepted. By confirming this item, you are confirming that you completed the bid form and have included it in your response above.

• Acknowledgment of Addenda and Q&A (required) —

  Proposer acknowledges that they received and reviewed all Addenda and Questions and Answers

• Pricing Proposal Options (required) —

  Select how you want the bidder to submit their pricing proposals