Description: INTEGRATED ELIGIBILITY AND ENROLLMENT SYSTEM
Other · GU, US
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New York State Department of Health
State AgencyNY
Posted
Oct 29, 2026
Feb 19, 2027
Services to maintain and operate the Medicaid Eligibility and Client Management System and Appeals Management System, improve both systems, and integrate NY State of Health functionality into a converged eligibility and enrollment system.
Hudson County Community College
Higher EducationNJ
Posted
-
Nov 18, 2026
Hudson County Community College ("HCCC" or "College") hereby seeks proposals from qualified vendors for: Employees Supplemental Insurance Products. Objective: The objective of this RFP is to seek qualified and experienced providers for supplemental insurance plans not being offered for approximately 415 full time faculty and staff of Hudson County Community College. Some examples of needed supplemental insurance plans include but are not limited to: cancer indemnity insurance, term life insurance, critical care and recovery insurance, accident indemnity insurance, hospital confinement indemnity insurance, disability insurance, pet insurance, and funeral costs. The requested services must include: 1. Eligibility calculations and maintenance, including administration of eligibility rules, making current and required changes to the eligibility files, providing premium reports, providing eligibility information reports and updates, and related reporting. 2. Call center services for members, including enrollment support and assistance, coverage verification, answering questions, resolution of problems, and related reporting and documentation. 3. Administer web-based enrollment and changes, including all open enrollment activities, eligibility. 4. Elections, dependent information, family status changes, personalized electronic mail and confirmations to employees, maintain online forms and related reporting and documentation. An online inquiry function is to be maintained to allow members, staff, and vendors to submit inquiries and receive responses. 5. Administer annual open enrollment period and benefit effective dates. Administer periodic, special, or off-cycle open enrollment periods and benefit effective dates. 6. Produce and distribute personalized enrollment books/worksheets to employees open for enrollment, new hires, employment status, benefit coverage change events, and related reporting and documentation. 7. Provide Flexible Spending Account administration services. 8. Verify dependent eligibility and accuracy for new hires and changes in status. 9. An outline of what is covered under each listed service. Additional requirements and evaluation criteria: Vendors must include a brief business summary and implementation methodology, provide evidence of at least seven (7) years' experience (with a focus on community colleges), provide at least three (3) references from the past five (5) years, meet insurance and affirmative action requirements, and supply required submission forms (e.g., Affirmative Action Evidence, Contractor Vendor Questionnaire/Certification, Statement of Ownership Disclosure, Non-Collusion Affidavit, Quotation Proposal Form, Combined Iran/Russia/Belarus disclosure). The RFP specifies insurance limits, documentation requirements, contract terms, and other general conditions as set forth in the solicitation. The requested services will be of no cost to Hudson County Community College; vendors should list plan costs that will be incurred by employees for evaluation purposes. Note: The solicitation document includes detailed general conditions, forms to be returned with the proposal, insurance and indemnification requirements, New Jersey statutory compliance requirements (e.g., business registration, affirmative action, Iran/Russia/Belarus disclosures), and other contractual terms and procedures as provided in the full RFP specifications.
Maryland Health Benefit Exchange
State AgencyMD
Posted
Nov 2, 2026
Dec 17, 2026
Operation of the Maryland Health Benefit Exchange’s consolidated service center, including call center, live chat, and consumer assistance for health coverage eligibility and enrollment.
Higher EducationMI
Posted
Oct 22, 2026
Nov 16, 2026
DESCRIPTION: Michigan State University (the "University" or "MSU") is soliciting proposals through this Request for Proposal ("RFP") for the purpose of administration of its retiree medical and prescription drug programs. The requested services are more thoroughly described under the Scope of Work Section of this RFP. Firms intending to respond to this RFP are referred to herein as a "Respondent" or "Supplier." RFP TIMELINE (selected dates provided in RFP): Issue RFP: October 22, 2026; Deadline for Respondent Questions to MSU: October 27, 2026; Deadline for providing intent to bid: October 28, 2026; RFP Response Due Date: November 16, 2026, 3:00 pm Eastern; Finalist Presentations: Week of December 14, 2026; Estimated Contract Award: February 1, 2027. BACKGROUND: Michigan State University provides medical and prescription drug coverage to eligible retirees and their dependents, including approximately 1,600 pre-65 members and 7,200 Medicare-eligible members. Current programs include a non-Medicare PPO arrangement and separate Medicare Advantage and Medicare Part D coverage. Bidders are directed to the 2028 Michigan State University Retiree Medical RFP Introduction Document and associated materials for additional background and data. SCOPE OF WORK: MSU is seeking proposals for administration and delivery of retiree medical and prescription drug benefits effective January 1, 2028. The scope includes plan administration; provider and pharmacy access; eligibility and enrollment support; member service and communications; clinical and care management programs; reporting; compliance support; implementation; and coordination across pre-65 medical, pre-65 prescription drug, Medicare Advantage, and stand-alone Part D programs as applicable. Bidders may propose an integrated solution or specific program(s) for which they were invited to bid. Respondents must refer to the Introduction Document, questionnaires, financial templates, data files, and reference materials for complete details. MANDATORY MINIMUM REQUIREMENTS (summary): applicable licensure and regulatory authority in Michigan and other jurisdictions; CMS authorization and good standing for Medicare bidders; ability to serve eligible MSU retirees and dependents nationwide; readiness to implement by January 1, 2028 (including support for October 1, 2027 annual enrollment period); eligibility and enrollment capability including support for Medicare transitions and mixed-Medicare-status households; experience serving employer-sponsored group health plans covering 1,000+ members; existing operational capability (no reliance on undeveloped products/platforms); and sufficient financial and organizational capacity. Accessibility requirements (WCAG 2.2 Level AA VPAT) apply for digital products/services. PRICING: Respondents must provide complete pricing for each program and funding arrangement proposed including premiums, administrative fees, implementation charges, credits, guarantees, and other applicable costs. Applicable pricing templates (Medicare Fully Insured Quote Template and/or ASO Quote Template) must be completed and submitted in original format and per instructions; pricing templates serve as the primary basis for financial evaluation. EVALUATION: Proposals will be evaluated on criteria including Financial Competitiveness (30%), Provider Disruption (15%), Formulary Disruption (15%), Network Access (5%), Performance Guarantees (5%), Clinical Programs and Care Management (15%), Retiree Experience (10%), and Innovation/Strategic Partnership (5%). The RFP reserves rights regarding selection, clarifications, negotiations, and award conditions as detailed in the RFP.
