SLED Opportunity · PENNSYLVANIA · PENNSYLVANIA
AI Summary
RFP for a third party administrator to provide recordkeeping and administrative services for Pennsylvania's Health Options and Premium Assistance Programs, including claims adjudication and eligibility services for various medical, prescription, dental, and vision plans.
The Board is looking for a third party administrator to provide recordkeeping and administrative services to the Health Options Program and the Premium Assistance Program, including claims adjudication for the HOP Medical Plan, Value Medical Plan, the HOP Pre-65 Medical Plan (and other similar plans as they may be implemented), and eligibility and administrative services for the HOP Medicare Prescription Drug Plan, participating managed care organizations offering Medicare Advantage plans, and pre-65 managed care plans, HOP SilverSneakers program, and the Dental and Vision programs.
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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