Medical Administration, Pharmacy Benefit Management (PBM), Third- Party Administrator (TPA) Claims Payor Services, Dental, HSA Administration, and Cobra Administration

Lamar CISD, a 50,000‑employee K‑12 school district in Fort Bend County, Texas, is seeking a single vendor to provide comprehensive benefits administration services effective September 1 2027. The contract covers medical administration, pharmacy benefit management (PBM), third‑party administrator (TPA) claims payor services, dental coverage, health‑savings‑account (HSA) administration, and COBRA administration for full‑time employees and eligible dependents. The initial term is one year with up to four optional annual renewals, subject to Board approval. The district requires the vendor to submit detailed pricing, adhere to specified commissions (net for medical, dental, HSA, COBRA) and provide annual/one‑time allowances (General Purpose $120 k, Implementation $60 k, Wellness $30 k, Communication $60 k). Proposals must be submitted electronically via the IonWave system by October 2 2026; questions are due September 17 2026. The award recommendation will be made at the Board meeting in August 2025, with the contract potentially lasting up to five years. Compliance with Texas education code, conflict‑of‑interest, anti‑collusion, and Israel‑boycott certifications is mandatory. • Scope: Full‑service health, dental, HSA, and COBRA administration for district employees. • Contract length: 1 year, renewable up to 4 additional years. • Mandatory electronic submission; no paper/fax. • Required credits/allowances and net‑commission structures outlined. • Extensive documentation required (conflict‑of‑interest, Form 1295, certifications, etc.). • Evaluation weighted: Fixed Costs 30 %, Cost of Care 40 %, Quality 20 %, Credibility 10 %.