Active SLED Opportunity · UTAH · UNIVERSITY OF UTAH - CAMPUS
AI Summary
RFP for Specific and Aggregate Stop Loss Insurance for University of Utah's Employee and Transitional Health Care Plans, seeking innovative, cost-effective service providers.
The purpose of this Request for Proposals (RFP) is to solicit proposals to enter into a contract with a qualified vendor to obtain Specific and Aggregate Stop Loss Insurance for the University of Utah Employee Health Care Plan and the University of Utah Transitional Health Care Plan, hereafter referred to as the "University." The University is examining several alternatives for providing this coverage and may decide, after reviewing proposals submitted, not to enter into any agreement. The qualified offeror will provide stop loss insurance for the University’s medical, pharmacy and mental health/substance use disorder coverage and offer a high level of service to the institution’s Human Resources’ benefits team, with a desire to partner with the University to provide cost-effective, cutting-edge ideas, technology and forward-thinking concepts in the future. The University of Utah currently offers self-funded health care plans to eligible individuals. A health plan census is included as Attachment B and health plan claims data is provided as Attachment C. Employee Health Care Plan – The university’s eligibility and enrollment rules are the same for all plan design options under the Employee Health Care Plan and are stated in the plan Summary Plan Descriptions. See page 54 (68th electronic page) of Attachment D, Advantage Plan Summary Plan Description. Although the SPD states employees must enroll within 30 days, the university provides an additional 60-day grace period for a total of 90 days. Advantage Plan Medical Claims Administrator: Regence BlueCross BlueShield of Utah Pharmacy Benefit Manager: Cooperative Benefit Group / RealRx Mental Health/Substance Use Benefit Administrator: University of Utah Health Plans Networks: Preferred ValueCare and Participating Community Plan Medical Claims Administrator: University of Utah Health Plans Pharmacy Benefit Manager: Cooperative Benefit Group / RealRx Mental Health/Substance Use Benefit Administrator: University of Utah Health Plans Network: Healthy Premier Consumer Directed Health Plan (QHDHP) Medical, Pharmacy and Mental Health/Substance Use Benefit Claims Administrator: Regence BlueCross BlueShield of Utah using Prime Therapeutics for PBM Network: Preferred ValueCare Transitional Health Care Plan – The University also offers a Transitional Health Care Plan for certain individuals who meet eligibility criteria. Covered services, coinsurance amounts and administrators under the Transitional Plan are the same as those in the Advantage Plan. Eligible Participants: Individuals who were an employee or member of a Non-University group and were enrolled in the Employee Health Care Plan on the day before enrollment in the Transitional Health Care Plan; and meet one of the following criteria: While employed, became totally disabled as defined by the University's Long Term Disability Plan – coverage available for up to 24 months; Retired from the University through the University’s Early Retirement Incentive Program – coverage available for up to 60 months or until Social Security Normal Retirement Age; or Is age 50 or older, (ii) has a minimum of 5 years of benefit-eligible service with the University or has a formal employment agreement in place with the University, and (iii) has a written, fully executed settlement or retirement agreement with the University offering coverage in the Transitional Plan – coverage available for up to 60 months. **Solicitation Type**: RFP - Request for Proposal (Formal) **Source ID**: PU.AG.USA.2756265.2757355.C18636076 **Piggyback Contract**: No **Question Acceptance Deadline**: 05/14/2026 07:00 PM EDT **Questions are submitted online**: Yes **Bid Submission Type**: Electronic Bid Submission **Solicitation Number**: UU215457454 **Reference Number**: 0000422689 **Pricing**: In attached document **Bid Documents List**: | Item Name | Description | Mandatory | Limited to 1 file | |---|---|---|---| | Bid Documents | Documents defining the proposal | Yes | No |
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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