Health Benefits for Retirees

The City of Cincinnati is seeking proposals to design, administer, and finance retiree health‑benefit programs for its pre‑65 retired employees. The scope includes third‑party administration of a self‑insured medical plan, a pharmacy‑benefits management (PBM) solution, fully‑insured dental coverage, and optional pharmacogenomic testing services. Offerors must provide detailed cost proposals, performance guarantees, data‑management and reporting capabilities, and must operate on a net‑of‑commission basis while meeting “A”‑plus financial‑rating requirements. • Medical TPA services for a self‑insured plan (plan design, underwriting, member‑service, reporting). • Pharmacy Benefits Management with 100 % pass‑through pricing and generic‑first formulary. • Fully‑insured dental plan administration with multiple plan options. • Optional pharmacogenomic testing program with cost‑value weighting. • Required annual data‑management fee (minimum $90 K) and performance guarantees for a five‑year contract (2025‑2029) with possible extensions.