New Mexico Public Schools Insurance Authority - Workers' Compensation Claims Auditing Services - RFP# 342-2027-03 (2026)
New Mexico Public School Insurance Authority | State of New MexicoState · Santa Fe, NM- Due
- Nov 12, 2026
- 5 days left
- Posted
- Oct 13, 2026
- Contract term
- 4 years
- Primary contact
- Claudette Roybal
- (505) 469-5746
The 30-second brief
The New Mexico Public Schools Insurance Authority (NMPSIA) is soliciting proposals from qualified vendors to provide dedicated unit workers' compensation third-party claims administration services, medical bill review, utilization review, nurse case management, preferred provider network, and pharmacy benefits management statewide. The scope of work involves claim investigation, reserving, litigation management, check preparation, excess carrier reporting, and electronic loss information system (RMIS) access for approximately 500 users. Proposals are due by November 12, 2026, at 3:00 PM MST and must be submitted electronically via email to [email protected]. A pre-proposal question deadline is set for October 26, 2026. The resulting contract term will be for four years.
Organizational Experience (160), Organizational References (140), Desirable Specification (200), Oral Presentations (200), Cost (300)
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Summary
The New Mexico Public Schools Insurance Authority (NMPSIA) is soliciting proposals from qualified vendors to provide dedicated unit workers' compensation third-party claims administration services, medical bill review, utilization review, nurse case management, preferred provider network, and pharmacy benefits management statewide.
The scope of work involves claim investigation, reserving, litigation management, check preparation, excess carrier reporting, and electronic loss information system (RMIS) access for approximately 500 users. Proposals are due by November 12, 2026, at 3:00 PM MST and must be submitted electronically via email to [email protected]. A pre-proposal question deadline is set for October 26, 2026. The resulting contract term will be for four years.
EVALUATION CRITERIA
REQUIRED ATTACHMENTS
12- Signed Letter of Transmittal
- Signed Campaign Contribution Form
- Response to Contract Terms and Conditions
- Offeror's Additional Terms and Conditions
- Response to Specifications including Organizational Experience
- Organizational References
- Mandatory Specifications
- Desirable Specifications
- Financial Stability
- Performance Surety Bond
- New Mexico/Native American Resident Preferences
- Completed Cost Response Form
- Submit to
- [email protected]
- Scope location
- Santa Fe, NM
- Reported agency
- New Mexico Public Schools Insurance Authority
Questions about this RFP
How do I respond to this RFP from New Mexico Public School Insurance Authority | State of New Mexico?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is November 12, 2026. Be sure to include all required attachments as outlined in the solicitation. Submissions should be delivered to: [email protected]. For questions, contact Claudette Roybal.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including New Mexico Public School Insurance Authority | State of New Mexico in NM, 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 Claudette Roybal at (505) 469-5746. Questions and answers are typically shared with all prospective bidders.
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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: "Organizational Experience (160), Organizational References (140), Desirable Specification (200), Oral Presentations (200), Cost (300)" Vendors should carefully align their proposals with each criterion to maximize their score.
Where can I find more RFPs from New Mexico Public School Insurance Authority | State of New Mexico?
All active and historical solicitations from New Mexico Public School Insurance Authority | State of New Mexico are tracked and searchable. As a state agency, New Mexico Public School Insurance Authority | State of New Mexico 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 4 years. Contract terms may include renewal options.
Is this solicitation still open for submissions?
Based on the posted deadline of November 12, 2026, this solicitation appears to still be accepting submissions. Deadlines may change through amendments or addenda, so always verify the current status directly with the issuing agency before preparing your response.
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: Signed Letter of Transmittal, Signed Campaign Contribution Form, Response to Contract Terms and Conditions, Offeror's Additional Terms and Conditions, Response to Specifications including Organization. Review the full document from New Mexico Public School Insurance Authority | State of New Mexico for the complete list.
What is the scope of this project?
This solicitation defines a specific project scope. The scope covers the following locations: Santa Fe, NM. Review the full solicitation for detailed scope requirements.