FULLY INSURED AND LEVEL FUNDED MEDICAL AND RX COVERAGE SERVICES

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Title:  

FULLY INSURED AND LEVEL FUNDED MEDICAL AND RX COVERAGE SERVICES

Agency:  

IDEA Public Schools

State:  

Texas

NAICS Code:  

524114

Industry:  

Healthcare and Medical Services

Solicitation Type:  

Request for Proposal

Solicitation ID:  

25-MAS-0426

Open Date:  

2/9/2026

Pre-Bid Meeting Date:  

2/18/2026

Questions Due Date:  

2/25/2026

Close Date:  

3/18/2026

Projected Award Date:  

4/1/2026

Project Duration:  

1 year

Last Updated:  

Description:
IDEA Public Schools is seeking proposals from qualified and experienced firms to provide Fully Insured or Level Funded Medical and RX Coverage services for eligible IDEA employees and their enrolled dependents. The selected vendor will be required to administer comprehensive medical, pharmacy, wellness, and behavioral health benefit programs in compliance with applicable federal and state regulations. The proposal should include a detailed description of the proposed service model, key assumptions and exclusions, and any deviations from the requirements outlined in the RFP. • Fully Insured or Level Funded Medical and RX Plan Administration • Behavioral Health • Diabetes Management • Fertility/Pregnancy Programs • Wellness Program / Biometric Screenings • Musculoskeletal Programs • Weight Management • Mobile App • Pharmacy Containment Solutions • Telehealth • Network access and provider management • Claims processing and adjudication • Member services and customer support • Eligibility and enrollment administration • Reporting, analytics, and compliance support • Onsite/Virtual Dedicated Representative • Wellness Funds • Implementation Funds • 2nd Year Rate Cap
Attached Files:

Please visit the bid source via the “Link to Bid Source” button below for documentation.

Contact Information:

Mia Harris(Assistant Director of Procurement)

mia.harris@ideapublicschools.org

(956) 373-3819

Budget Estimate (AI):

$5,000,000 – $20,000,000

The budget for this opportunity is likely to be in the range of $5 million to $20 million per year, considering the scope of services required, including medical, pharmacy, wellness, and behavioral health benefit programs for a large and geographically distributed employee population. The actual budget will depend on the specific proposal submitted by the selected vendor and the negotiated contract terms. Factors that may influence the likely payment range include the number of employees and dependents covered, the level of benefits provided, and the administrative costs associated with the services.

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