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Metro Nashville Public Schools·Tennessee

Medicare Advantage Plan

Closes 6/30/2026$10M – $30MRequest for Proposal
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Description

MNPS is seeking a fully‑insured Medicare Advantage (MA) health‑plan provider to serve its retired employees and eligible dependents. The contract will cover both HMO and PPO options, require a detailed benefit design that mirrors current plans (Option #1) and a variant without the $150 medical deductible (Option #2), and may include an optional third proposal for enhancements. The award will be heavily weighted toward the lowest monthly premium for Option #2, but the contractor must also meet extensive network continuity, reporting, implementation, and retiree‑support requirements over a five‑year performance period. • Provide a fully‑insured MA plan (medical + prescription drug) for ~4,160 retirees/dependents, with HMO and PPO options. • Submit detailed benefit designs for three options, with Option #2 (no deductible) being the primary evaluation factor. • Deliver implementation services: data‑exchange, enrollment processing, ID‑card issuance, communication plan, and ongoing utilization/reporting to MNPS and CMS. • Include retiree‑advocacy services, wellness incentives, and maintain a broad provider network that meets CMS adequacy standards. • Commit to a 5‑year contract (2027‑2032) with possible annual extensions, and provide annual pricing that does not exceed CPI‑U adjustments.

Attached files

The solicitation documents live at the source — open the bid source above to download them.

Contact

Scott Ghee(Procurement Buyer)

[email protected]

(615) 259‑8400

Key dates

Opened
5/22/2026
Questions due
6/15/2026
Closes
6/30/2026
Duration
5 years

Last updated

Details

Type
Request for Proposal
Industry
Insurance
NAICS
524114
Solicitation №
MNPS000061

Budget estimate

$10,000,000 – $30,000,000

The contract will pay MNPS a monthly premium of roughly $280 per member for about 4,160 beneficiaries, generating approximately $14 million in annual premium revenue (~$70 million over the 5‑year base term). Assuming a typical insurer profit margin of 5‑10%, the vendor’s net earnings could range from $3.5 million to $7 million over the contract, with potential additional revenue from optional retiree‑advocacy services and annual CPI‑capped price adjustments. Consequently, a realistic total budget estimate for the full term is between $10 million and $30 million.

AI estimate from the solicitation

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