Third Party Administration: Health Benefits

Outagamie County is seeking a qualified firm to serve as the third‑party administrator (TPA) for its health‑benefits program, overseeing administration, ACA reporting, and migration to a new benefits platform effective January 1 2026. The contract is a three‑year term with a one‑year probationary period and potential annual extensions, and the County expects award decisions by August 2025. • Provide full health‑benefits administration services (enrollment support, data extracts for ACA compliance, and potential direct‑billing) • Implement and transition to a new benefits administration platform by the Jan 1 2026 go‑live date • Must meet extensive insurance and indemnity requirements outlined in Attachment A (workers’ comp, auto, general liability, umbrella, cyber) • No call‑center enrollment support or subsidy management required; optional offshore work for non‑client‑facing tasks allowed • Proposals are public record; confidential page exemptions may be requested per Attachment B