Group Health Insurance (Stop Loss Coverage)

The City of Edmond is requesting proposals to provide stop loss coverage for its self-funded medical plans. The city has approximately 853 active health plan participants and 33 retirees enrolled in the health plan. The proposed coverage should be effective from January 1, 2026, to December 31, 2026, with the option to renew annually. The city is looking for a provider that can offer competitive pricing and meet the requirements outlined in the RFP. Some key points to consider include: • The city's current medical plans are self-funded PPO plans with aggregate and specific excess loss coverage on a 24x12 basis. • The city is looking for a provider that can offer a two-tier (Employee Only and Family) rating mechanism. • The provider should be able to offer sample agreements and detailed information on their organization, financial information, and any contingency requirements. • The city reserves the right to reject any proposal that does not meet the requirements outlined in the RFP. • The city is looking for a provider that can offer competitive pricing and meet the requirements outlined in the RFP.