RFP023_2024 -Medical and RX Benefits for Active Employees

The City of Cincinnati is seeking qualified medical insurance carriers and pharmacy benefits managers to provide comprehensive health and prescription drug benefits for its active municipal employees. The solicitation requires detailed financial proposals, performance guarantees, and extensive reporting on utilization, enrollment, and member satisfaction. Offerors must submit a completed Excel data summary, sign‑off worksheets for both medical and Rx components, and meet strict licensing, rating, and compliance requirements. • Provide stand‑alone or combined (carved‑in) contracts for medical and/or Rx benefits, with a minimum three‑year term and optional one‑year extensions. • Deliver full administration services: eligibility processing, claims handling, prior‑authorization support, open‑enrollment assistance, and annual member surveys. • Must be an A‑rated medical insurer (or licensed PBM) operating in OH, KY, IN with nationwide member access, and supply detailed cost‑value analysis and performance guarantees.