RFP #26034 - Employee and Retiree Medical Benefits

The Unified Government of Athens-Clarke County desires to solicit competitive proposals from responsible vendors to provide self-funded medical administration services as well as fully-insured proposals for the Benefits and Wellness Division of Human Resources Department, Athens, Georgia. The Unified Government of Athens-Clarke County plans to enter into an agreement with the selected vendor effective January 1, 2027.

Background

The Unified Government of Athens-Clarke County (ACCGov) is a unified city/county government located in the northeast section of the state of Georgia. ACCGov provides self funded health insurance coverage to approximately 1,500 benefit eligible employees and 800 retirees. ACCGov is requesting proposals from vendors for self-insured pharmaceutical insurance coverage and benefit management for full-time employees, long term disability recipients, COBRA participants, and retirees of all ages, as well as, eligible dependents.

Project Details

• Reference ID: 26034
• Department: Human Resources
• Department Head: - (-)

Important Dates

• Questions Due: 2026-04-20T18:00:00.000Z

Evaluation Criteria

• UNDERSTANDING OF THE REQUIREMENT (20 pts) —

  UNDERSTANDING OF THE REQUIREMENT and the ability to provide ACCGov and its benefit eligible population with a cost-effective, competitive plan of benefits that includes broad network access, best-in-class provider discounts, excellence in client/customer service, ease of administration, industry leading technology/product line and a demonstrated long-term commitment toward a partnership relationship.

• FIRM EXPERIENCE (15 pts) —

  FIRM EXPERIENCE in providing services to public sector organizations and why your company would be a good fit for ACCGov.

• QUALIFICATIONS (15 pts) —

  QUALIFICATIONS of staff assigned to the contract.

• QUALITY ASSURANCE AND CONTROL PLAN (10 pts) —

  QUALITY ASSURANCE AND CONTROL PLAN Assesses whether the contractor has a process of addressing quality of performance and a plan for ensuring that deliverables are met.

• ADDITIONAL BENEFITS, SERVICES, PROGRAMS (10 pts) —

  Description of ADDITIONAL BENEFITS, SERVICES or PROGRAMS not shown under scope of work.

• REFERENCES (10 pts) —

  REFERENCES to include a minimum of three references for contracts of a similar nature, and any applicable past work with ACCGov.

• PRICING (20 pts) —

  PRICING Completed ACCGov TPA pricing worksheet submitted (SEPARATELY).

Submission Requirements

• Respondent Submittals (without Cost) (required) —

  Please Upload your COMPLETE response, including any and all required forms listed in the solicitation and the corresponding attachments, EXCLUDING the price worksheet.

  (DO NOT UPLOAD PRICE INFORMATION IN THIS SECTION.  Including pricing in this section may result in rejection of submission.)

• Separate Cost Proposal (required) —

  Confirm that your pricing worksheet/proposal is NOT attached in your  initial proposal and is attached separately here.

• I certify that I have read, understood and agree to the terms in this solicitation, and that I am authorized to submit this response on behalf of my company. (required)
• Pricing (required) —
  • Choose Option 1 when you have set line items, for example:
    • This is a quote for goods or commodities.
    • This is a public works bid, with a pricing table that can be uploaded into OpenGov Procurement from an Excel spreadsheet.
    • Seeking services for hourly rate schedules.
  • Choose Option 2 when you need vendors to provide you with the line items. 
  • Choose Option 3 for when there is no pricing (Request For Qualifications)
• Evaluation Committee? (required) —

  Will there be an evaluation committee to review the proposals and score them based on weights and multiple criteria?

• Procurement and/or Project Contact —

  Select the information you would like display.