Active SLED Opportunity · TEXAS · CITY OF COPPELL
AI Summary
The City of Coppell seeks proposals for medical stop loss insurance services under RFP #224, with submissions due April 30, 2026. The opportunity includes claims repricing, pharmacy benefit management, and COBRA administration. Physical bid submission is required.
The City of Coppell is accepting proposals for RFP #224 2040 Medical Stop Loss. Proposals can be submitted until 10:00 a.m. CST Thursday, April 30, 2026, at Coppell Town Center, 255 Parkway Blvd, Coppell, TX 75019 at which time they will be publicly opened. RFP Open – Thursday, April 30 – 10:00 a.m. Join Zoom : https://www.zoomgov.com/webinar/register/WN_pGOd0uy0TxOpMTJQ_SWvPQ **Solicitation Type**: RFP - Request for Proposal (Formal) **Source ID**: PU.MU.USA.2738532.C18340176 **Piggyback Contract**: No **Questions are submitted online**: Yes **Bid Submission Type**: Physical Bid Submission **Additional Bidding Instructions**: Physical Bid Submission required with one original paper copy and 1 digital copy on a USB. **Solicitation Number**: RFP #224 **Reference Number**: 0000418451 **Questions and Answers**: - Q1 Arrow Right Question: Carve Out Vendors Please advise of any carve out vendors other than the current OTC with Tokio Marie HCC (i.e., dialysis vendor, specialty Rx, PAP, zero card, etc.) -If there are any, please provide reporting associated with the program Answer: Answered in Communication 2 03/30/2026 10:55 AM EDT 03/31/2026 06:06 PM EDT - Q2 Arrow Right Question: Monthly Claims Monthly Claims and Enrollment (Inclusive of medical and rx): Can data through March be provided as specified below? -10/1/25-3/31/26 Answer: Answered in Communication 2 03/30/2026 10:59 AM EDT 03/31/2026 06:06 PM EDT - Q3 Arrow Right Question: Large Claims Large Claims (Inclusive of medical, rx, and diagnosis): Can data through March be provided as specified below? -10/1/25-3/31/26 Answer: Answered in Communication 2 03/30/2026 11:00 AM EDT 03/31/2026 06:06 PM EDT - Q4 Arrow Right Question: Questions for RFP Lively is preparing to submit our COBRA proposal in response to your RFP. To ensure our proposal is as accurate as possible, could you please confirm the following details? - Who is your current benefits administration and payroll platform provider? -How many employees are currently on COBRA? - What is the anticipated COBRA effective date? - Can you confirm if your current employee headcount is 400? - Who is your current COBRA administrator? - Do you require quotes for FSA, HRA, or HSA services? I noted that proposals must be submitted in person via a physical copy and USB. Additionally, are there any specific pain points Lively should address within our executive summary? Thank you Answer: Answered in Communication 1 03/30/2026 02:30 PM EDT 03/30/2026 03:34 PM EDT - Q5 Arrow Right Question: COBRA Question We noticed in the Q&A 1 Document, it says there are 2 active COBRA members, however, we only see 1 on the census. Can we have an updated census that includes the other member or the information for the other COBRA which also states whether they are enrolled in medical coverage and the coverage tier? Answer: Answered in Communication 3 03/31/2026 03:46 PM EDT 04/01/2026 03:22 PM EDT - Q6 Arrow Right Question: FSA, COBRA, and electronic signature 1. Does the FSA include General Purpose, Dependent Care, and Limited Purpose? 2. Is it possible to get a breakdown of those enrolled in the FSA by General Purpose FSA, Dependent Care FSA and Limited Purpose FSA? 3. Can you provide the costs or per participant per month for FSA and cost per benefit eligible for COBRA? 4. Is electronic signature acceptable for each proposal page where required or does this need to be wet, manual signature? 5. Is there a rate guarantee recommendation for FSA, HRA, COBRA and Retiree? Thank You! Answer: Answered in Communication 4 04/01/2026 02:04 PM EDT 04/03/2026 02:10 PM EDT - Q7 Arrow Right Question: Claims File The file provided has "Eligible Amounts" please define eligible amounts. Please provide file with Billed Amounts. Answer: Answered in Communication 5 04/01/2026 02:14 PM EDT 04/07/2026 04:17 PM EDT - Q8 Arrow Right Question: RFP Reason Is the City experiencing any pain points under the current plan that need to be addressed directly in the RFP response? Answer: Answered in Communication 4 04/01/2026 02:22 PM EDT 04/03/2026 02:10 PM EDT - Q9 Arrow Right Question: Ringmaster Claims Good afternoon, When evaluating the PBM portion of this RFP, does a claim level reprice need to be completed utilizing the provided claims within Ringmaster? Additionally, does the City of Coppell wish to cover weight loss drugs? If so, is this with UM in place? Thank you! Answer: Answered in Communication 4 04/01/2026 03:29 PM EDT 04/03/2026 02:10 PM EDT - Q10 Arrow Right Question: RFP Submission Could you please confirm how this is to be submitted? Sealed bid? If so, how many binders vs USB drives and how many? There is also mention of RingMaster. Could you please clarify? Answer: Answered in Communication 4 04/01/2026 03:48 PM EDT 04/03/2026 02:10 PM EDT - Q11 Arrow Right Question: Signatures The RFP instructions say ‘each page’ must be manually signed. Only the forms have signature lines. Could you please clarifiy if that means only the forms need to be signed or each page of the RFP? Answer: Answered in Communication 4 04/01/2026 03:50 PM EDT 04/03/2026 02:10 PM EDT - Q12 Arrow Right Question: Dental Renewal What is expected for the 2026 renewal? Are there caps on the 2026 dental renewal or will they be mid-guarantee? Answer: Answered in Communication 4 04/02/2026 07:39 AM EDT 04/03/2026 02:10 PM EDT - Q13 Arrow Right Question: Dental Tax Exemption Please provide the tax exemption form/paperwork. Answer: Answered in Communication 4 04/02/2026 07:40 AM EDT 04/03/2026 02:10 PM EDT - Q14 Arrow Right Question: Benefits Census Please provide benefit census: DOB, gender, zip code, Plan election, status. Answer: Answered in Communication 4 04/02/2026 10:20 AM EDT 04/03/2026 02:10 PM EDT - Q15 Arrow Right Question: Dental Disruption Could you please provide an updated dental provider disruption listing that includes zip codes? Answer: Answered in Communication 5 04/02/2026 02:30 PM EDT 04/07/2026 04:17 PM EDT - Q16 Arrow Right Question: Stop Loss - ASL Corridor % What is the requested ASL Corridor %? Answer: Answered in Communication 5 04/03/2026 02:38 PM EDT 04/07/2026 04:17 PM EDT - Q17 Arrow Right Question: Binder Requirements Due to file size, would it be acceptable to include Network Information and Samples on USB drive only? Answer: Answered in Communication 5 04/03/2026 02:38 PM EDT 04/07/2026 04:17 PM EDT - Q18 Arrow Right Question: RFP Documents Please confirm whether the "City of Coppell Medical Claim File.xlsx" files should be used for both a medical repricing and medical disruption, or if a separate Medical "Top Providers for Disruption" (referenced on page 31 of the RFP) will be provided. Answer: Answered in Communication 5 04/03/2026 02:39 PM EDT 04/07/2026 04:17 PM EDT - Q19 Arrow Right Question: RFP Documents Please confirm whether the "City of Coppell Dental Provider for Disruption - Service 36Mo thru 2026-02.xlsx" file is the same file referenced as "Dental Top Provider for Disruption" on page 31 of the RFP, or if an additional file will be issued. Answer: Answered in Communication 5 04/03/2026 02:39 PM EDT 04/07/2026 04:17 PM EDT - Q20 Arrow Right Question: RFP Documents The "City of Coppell Dental Provider for Disruption - Service 36Mo thru 2026-02.xlsx" file does not include all data elements required for a disruption analysis. Please provide an updated file that includes the following: a. 9 digit TIN Number b. Provider First Name c. Provider Last Name d. Provider Zip (5 Digit) e. Provider Address. Answer: Answered in Communication 5 04/03/2026 02:39 PM EDT 04/07/2026 04:17 PM EDT - Q21 Arrow Right Question: Manual Signatures The RFP asks that each page be manually signed. Please confirm whether manually signing a cover page only would be acceptable to satisfy this requirement. Alternately, please confirm whether electronic signatures, which are considered binding, are acceptable. Answer: Answered in Communication 5 04/03/2026 02:40 PM EDT 04/07/2026 04:17 PM EDT - Q22 Arrow Right Question: Repricing Request Please confirm if a line by line repricing is being requested. If so, please provide us with an email that we may send an NDA to for the City of Coppell to sign and return. Alternatively, we can provide a summary repricing. Answer: Answered in Communication 5 04/03/2026 02:41 PM EDT 04/07/2026 04:17 PM EDT - Q23 Arrow Right Question: Aggregate Experience Reports Could you please provide aggregate experience reports with full membership lives? The information provided has Single EEs and Family EEs, but not the total membership. Answer: Answered in Communication 5 04/03/2026 02:42 PM EDT 04/07/2026 04:17 PM EDT - Q24 Arrow Right Question: PBM/Pharmacy With respect to the pharmacy (PBM) benefit, is the plan ERISA or non-ERISA? Also, is the plan grandfathered or non-grandfathered under HealthCare Reform? Answer: Answered in Communication 5 04/03/2026 02:42 PM EDT 04/07/2026 04:17 PM EDT - Q25 Arrow Right Question: Contract & Term • Please confirm the intended initial contract term for medical coverage effective 10/1/2026. • Does the City intend the 12-month contract with extension options to apply to all benefit lines? • Is the City requesting long-term rate guarantees, or simply contractual extension rights at the City’s discretion? Answer: Answered in Communication 5 04/03/2026 03:08 PM EDT 04/07/2026 04:17 PM EDT - Q26 Arrow Right Question: Financial Credits & Allowances • Please confirm whether the following requested credits are new requests or renewals of existing arrangements: o $50,000 wellness credit o $15,000 communication allowance o $25,000 audit allowance • Please clarify if the audit allowance apply to both medical and pharmacy. Answer: Answered in Communication 5 04/03/2026 03:10 PM EDT 04/07/2026 04:17 PM EDT - Q27 Arrow Right Question: Claims Runout Is the requested 24-month claims runout a strict requirement, or would standard runout terms be acceptable? Answer: Answered in Communication 5 04/03/2026 03:10 PM EDT 04/07/2026 04:17 PM EDT - Q28 Arrow Right Question: Record Retention Is the requested 8-year record retention mandatory, or will standard 7-year record retention provisions be accepted? Answer: Answered in Communication 5 04/03/2026 03:11 PM EDT 04/07/2026 04:17 PM EDT - Q29 Arrow Right Question: Carve-Outs Please confirm which services are currently carved out, including to which vendors. Answer: Answered in Communication 5 04/03/2026 03:14 PM EDT 04/07/2026 04:17 PM EDT - Q30 Arrow Right Question: EOB Customization Please clarify the scope of the requested Explanation of Benefits (EOB) customization, including whether this is limited to branding or includes content/format changes. Answer: Answered in Communication 5 04/03/2026 03:14 PM EDT 04/07/2026 04:17 PM EDT - Q31 Arrow Right Question: Medical Network - Projected Plan Cost Please confirm whether the City is requesting a line-by-line claims reprice. Should a detailed reprice be required, would the City be willing to enter into a Non‑Disclosure Agreement (NDA)? Answer: Answered in Communication 5 04/03/2026 03:19 PM EDT 04/07/2026 04:17 PM EDT - Q32 Arrow Right Question: Offshoring Does the City require onshore-only customer service, or are partial offshore arrangements acceptable? Answer: Answered in Communication 5 04/03/2026 03:19 PM EDT 04/07/2026 04:17 PM EDT - Q33 Arrow Right Question: Submission Platforms • Please confirm where all official communications, addenda, and submissions will be posted. The following were referenced in the RFP: o BidNetDirect o Ringmaster o Rambler • If Rambler is required, please provide access instructions or a direct link. Answer: Answered in Communication 5 04/03/2026 03:20 PM EDT 04/07/2026 04:17 PM EDT - Q34 Arrow Right Question: Signatures Will the City accept electronic or autopen signatures for proposal documents? Answer: Answered in Communication 5 04/03/2026 03:22 PM EDT 04/07/2026 04:17 PM EDT - Q35 Arrow Right Question: Non‑Disclosure Agreement (NDA) If the City is willing to enter into a Non‑Disclosure Agreement (NDA) in order to receive line-by-line claims repricing detail, please provide the following: • The name and email address of the individual at the City who the NDA should be sent to. • Additionally, if the details of the line-by-line claims reprice is intended to be shared with a broker/consultant relationship, please provide the following: 1. What is the full, legal name of the consulting/broker firm? NOTE: if more than one consultant or vendor is involved, they must also be listed, and provide clarification on the data flow (see #4, below) 2. Consulting firm email address for NDA signature 3. Are any other consultants or vendors involved? 4. If any other consultants or vendors are involved, they must be listed, and we will need clarification on the data flow. Answer: Answered in Communication 5 04/03/2026 03:48 PM EDT 04/07/2026 04:17 PM EDT - Q36 Arrow Right Question: Questions for RFP 1. Can you please confirm the current FSA participation count for the group? 2. Can you please confirm the total number of employees covered under a COBRA eligible plan (medical, dental, vision? 3. We see that the group is a requesting a $15,000 Onboarding Allowance. If we are only quoting FSA, COBRA and Direct Billing - Is offering the full allowance a requirement of the group? 4. We see the group is requesting an onsite, pre-implementation Claims Audit. Is this a requirement of the group? 5. Can you confirm what the Direct Bill population consists of from a census standpoint (LOA? Retiree?) Answer: Answered in Communication 5 04/03/2026 05:09 PM EDT 04/07/2026 04:17 PM EDT - Q37 Arrow Right Question: Repricing Request Please confirm if a dental repricing is being requested. If so, The "City of Coppell Dental Provider for Disruption - Service 36Mo thru 2026-02.xlsx" file does not include all data elements required for a Repricing analysis. Please provide an updated file that includes the following: a. Provider Name b. Provider TIN c. Provider Zip Code d. Procedure Code (ADA Code) e. Eligible Charges Before Discount Answer: Answered in Communication 6 04/05/2026 12:52 PM EDT 04/08/2026 05:48 PM EDT - Q38 Arrow Right Question: Plan Designs Could you please provide the Medical and Dental Summary of Benefits and Coverage (SBCs)? Answer: Answered in Communication 6 04/06/2026 02:53 PM EDT 04/08/2026 05:48 PM EDT - Q39 Arrow Right Question: Pharmacy Repricing The MedicalRx Network SF Tab of the Coppell RFP Submission Forms.xlsx file refers to a pharmacy repricing. Could you please provide us with the Pharmacy Repricing file? Answer: Answered in Communication 6 04/06/2026 04:15 PM EDT 04/08/2026 05:48 PM EDT - Q40 Arrow Right Question: Dental Disruption File Dental: In order to complete a disruption for City of Coppell, we need a working file with Address, City, Zip, TIN, etc. A disruption cannot be completed with just NPI and Name Answer: Answered in Communication 6 04/07/2026 12:34 PM EDT 04/08/2026 05:48 PM EDT - Q41 Arrow Right Question: PBM Claims File Issues Upon completing an analysis for the PBM claims from Ringmaster, it appears that there are elevated claims/duplicate claims for multiple members. Is a new claims file possibly available or is the provided claims in Ringmaster accurate? Thanks! Answer: Answered in Communication 7 04/09/2026 08:39 AM EDT 04/09/2026 01:12 PM EDT
SLED stands for State, Local, and Education. These are solicitations issued by state governments, counties, cities, school districts, utilities, and higher education institutions — as opposed to federal agencies.
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