Medical, Pharmacy, and Stop Loss Coverage Administrative Services

The City of Tacoma seeks a qualified vendor to administer its self‑insured health benefits program, encompassing medical, pharmacy, and stop‑loss coverage for roughly 3,800 employees and up to 10,000 covered individuals. The contractor must provide end‑to‑end enrollment, claims processing, member services, reporting, and health‑management programs, while maintaining U.S.–based customer support and meeting extensive insurance and performance‑guarantee requirements. The contract is a six‑year term with an optional six‑year renewal, and the City retains the right to terminate with 90 days’ notice. • Administer medical plan (PPO & HDHP/HSA), pharmacy benefits, and stop‑loss coverage, with the ability to carve out pharmacy or stop‑loss later. • Deliver digital member tools, HSA administration, limited retiree dental/vision services, and robust health‑management programs. • Meet strict insurance coverage limits, sustainability/equity certifications, and provide detailed data reporting (TRDS, pharmacy claim file, experience reports). • Submit a complete proposal (PDF, questionnaires, sustainability statement, personnel inventory, signatures) by 11 AM Pacific on 17 Mar 2026. • No budget ceiling disclosed; pricing will be heavily weighted in the evaluation (financial competitiveness and pricing analysis).