Hidalgo County Self-Funded Health Plan - Stop-Loss Reinsurance Services RFP-26-0461-09-02-04 2026
Hidalgo CountyCounty · Edinburg, TX- Due
- Sep 2, 2026
- Deadline passed
- Posted
- Aug 12, 2026
- Contract term
- 1 year
- Primary contact
- Victor Webber
- (956) 318-2626 ext 4872
The 30-second brief
Hidalgo County is seeking proposals from qualified insurance providers for stop-loss reinsurance services to support its self-funded health plan under RFP-26-0461-09-02-04. The scope includes providing Individual Stop Loss (ISL) options ranging from $250,000 to $375,000 on a Paid or 36/12 contract basis, covering medical and Rx claims. The initial contract term is one year with two optional one-year renewals. Vendors must provide monthly claims experience reports, electronic communication materials, and comply with HIPAA regulations. Proposals are due by September 2, 2026, at 3:00 pm CST via the OpenGov portal or physical delivery to Edinburg, TX. A question deadline is set for August 26, 2026.
Stop Loss Reinsurance Workbook in Excel format, Company/Firm Response, Proposer's Affidavit, Reference Form, Insurance Certificates
Price and Overall Cost (30%), Quality and Effectiveness of Vendor's Good & Services (25%), Overall Content quality of vendor response (25%), Reputation and Experience of Vendor (10%), Long-term Value (10%)
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Summary
Hidalgo County is seeking proposals from qualified insurance providers for stop-loss reinsurance services to support its self-funded health plan under RFP-26-0461-09-02-04.
The scope includes providing Individual Stop Loss (ISL) options ranging from $250,000 to $375,000 on a Paid or 36/12 contract basis, covering medical and Rx claims. The initial contract term is one year with two optional one-year renewals. Vendors must provide monthly claims experience reports, electronic communication materials, and comply with HIPAA regulations. Proposals are due by September 2, 2026, at 3:00 pm CST via the OpenGov portal or physical delivery to Edinburg, TX. A question deadline is set for August 26, 2026.
EVALUATION CRITERIA
REQUIRED DELIVERABLES
5- Stop Loss Reinsurance Workbook in Excel format
- Company/Firm Response
- Proposer's Affidavit
- Reference Form
- Insurance Certificates
REQUIRED ATTACHMENTS
12- Requirements-Specifications
- Insurance Requirements
- COI Questionnaire
- HUB Declaration
- Certification Regarding Debarment
- Title VI Appendices
- 2 CFR 200
- FHWA 1273
- Proposer's Affidavit
- Draft Agreement
- Deficiencies and Deviations Form
- Reference Form
- Submit to
- 2802 S. Business Hwy 281, Edinburg, Texas 78539
- Scope location
- Edinburg, TX
Questions about this RFP
How do I respond to this RFP from Hidalgo County?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is September 2, 2026. The solicitation specifies required deliverables that must be addressed in your response. Be sure to include all required attachments as outlined in the solicitation. Submissions should be delivered to: 2802 S. Business Hwy 281, Edinburg, Texas 78539. For questions, contact Victor Webber.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including Hidalgo County in TX, encourage participation from small businesses, minority-owned, women-owned, and disadvantaged business enterprises (MBE/WBE/DBE). Check the full solicitation for any small business participation goals.
What happens after the RFP submission deadline?
After the deadline, the issuing agency reviews all submissions against the stated evaluation criteria. This typically includes a compliance check, technical evaluation, cost analysis, and may involve oral presentations with shortlisted vendors.
Can I ask questions about this solicitation before submitting?
Yes, most solicitations allow vendors to submit questions during a designated period. The primary contact is Victor Webber at (956) 318-2626 ext 4872. Questions and answers are typically shared with all prospective bidders.
What are the key deliverables?
The solicitation specifies the following deliverables: Stop Loss Reinsurance Workbook in Excel format, Company/Firm Response, Proposer's Affidavit, Reference Form, Insurance Certificates. Proposals should clearly address how each deliverable will be met.
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What are the evaluation criteria for this solicitation?
This solicitation includes specific evaluation criteria that will be used to score proposals. The criteria include: "Price and Overall Cost (30%), Quality and Effectiveness of Vendor's Good & Services (25%), Overall Content quality of vendor response (25%), Reputation and Experience of Vendor (10%), Long-term Value..." Vendors should carefully align their proposals with each criterion to maximize their score.
Where can I find more RFPs from Hidalgo County?
All active and historical solicitations from Hidalgo County are tracked and searchable. As a county agency, Hidalgo County regularly publishes solicitations. Visit the agency profile to see current open bids, past contracts, vendor relationships, and decision-maker contacts.
What is the contract term for this solicitation?
The anticipated contract term is 1 year. Contract terms may include renewal options.
What documents are required to bid on this RFP?
Requirements vary by solicitation, but common documents include a technical proposal, cost/price proposal, proof of insurance, relevant certifications, past performance references, and any forms specified in the solicitation. This solicitation specifically requires the following attachments: Requirements-Specifications, Insurance Requirements, COI Questionnaire, HUB Declaration, Certification Regarding Debarment, Title VI Appendices, 2 CFR 200, FHWA 1273, Proposer's Affidavit, Draft Agree. Review the full document from Hidalgo County for the complete list.
What is the scope of this project?
This solicitation defines a specific project scope. The scope covers the following locations: Edinburg, TX. Review the full solicitation for detailed scope requirements.