Public Education Employees' Health Insurance Plan Medicare Part D EGWP PBM Services RFP 2026
AL-State-Retirement Systems of AlabamaState · Montgomery, AL- Due
- Aug 7, 2026
- Deadline passed
- Posted
- Jun 30, 2026
- Contract term
- 1 year
- Primary contact
- Jennifer Slutzky
- (877) 211-8316 ext 84
The 30-second brief
The Alabama Public Education Employees' Health Insurance Plan (PEEHIP) is soliciting proposals from qualified offerors to provide fully insured Medicare Part D Employer Group Waiver Plan (EGWP) Pharmacy Benefit Manager (PBM) services for approximately 81,000 Medicare-eligible retirees and dependents. The scope of work encompasses member services, clinical programs, claims adjudication, data reporting, member enrollment and eligibility maintenance, formulary management, and pharmacy network management. The initial contract term is for one year beginning January 1, 2027, with three one-year optional renewals. Proposals are due by July 27, 2026, for technical proposals and August 7, 2026, for price proposals, with registration required via ProposalTech.
Fully insured Medicare Part D EGWP PBM services including member services, Clinical programs, Claims adjudication, Data reporting, Member enrollment and eligibility maintenance, Provider advocacy, Medication therapy management, Member communications, And drug utilization review
Cost of proposed benefits/services, Lowest net cost formulary and utilization management strategy, Value of benefit plans and services, Programs designed to minimize claim costs, Firm qualifications and staffing, Experience with fully insured Medicare Part D EGWP PBM services for large public sector employers, Network access and management, Education and communication capabilities, Avoidance of enrollees clinically harmful disruption, Coordination with third party MA administrator
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Summary
The Alabama Public Education Employees' Health Insurance Plan (PEEHIP) is soliciting proposals from qualified offerors to provide fully insured Medicare Part D Employer Group Waiver Plan (EGWP) Pharmacy Benefit Manager (PBM) services for approximately 81,000 Medicare-eligible retirees and dependents.
The scope of work encompasses member services, clinical programs, claims adjudication, data reporting, member enrollment and eligibility maintenance, formulary management, and pharmacy network management. The initial contract term is for one year beginning January 1, 2027, with three one-year optional renewals. Proposals are due by July 27, 2026, for technical proposals and August 7, 2026, for price proposals, with registration required via ProposalTech.
EVALUATION CRITERIA
Cost of proposed benefits/services, Lowest net cost formulary and utilization management strategy, Value of benefit plans and services, Programs designed to minimize claim costs, Firm qualifications and staffing, Experience with fully insured Medicare Part D EGWP PBM services for large public sector employers, Network access and management, Education and communication capabilities, Avoidance of enrollees clinically harmful disruption, Coordination with third party MA administrator
REQUIRED DELIVERABLES
Fully insured Medicare Part D EGWP PBM services including member services, Clinical programs, Claims adjudication, Data reporting, Member enrollment and eligibility maintenance, Provider advocacy, Medication therapy management, Member communications, And drug utilization review
REQUIRED ATTACHMENTS
11- Intent to Propose Form
- Exhibit 1 State of Alabama Disclosure Statement
- Exhibit 2 Sample PEEHIP State Contract
- Exhibit 3 Business Associate Agreement
- Exhibit 4 Immigration Compliance Certificate and E-Verify MOU
- Exhibit 5 IRS Form W-9
- Exhibit 6 HIPAA Compliance Documentation
- Exhibit 7 RSA Third Party Vendor Security Questionnaire
- Exhibit 8 Trading Partner Agreement
- Price Proposal Attachment 3
- Proposal Exceptions & Deviations Form
REQUIRED STAFFING
5- Submit to
- http://www.proposaltech.com/home/app.php/register
- Duration
- 48 months
- Scope location
- Montgomery, Alabama
- Reported agency
- Retirement Systems of Alabama
Questions about this RFP
How do I respond to this RFP from AL-State-Retirement Systems of Alabama?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is August 7, 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: http://www.proposaltech.com/home/app.php/register. For questions, contact Jennifer Slutzky.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including AL-State-Retirement Systems of Alabama in AL, 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 Jennifer Slutzky at (877) 211-8316 ext 84. Questions and answers are typically shared with all prospective bidders.
What staffing is required for this project?
This solicitation outlines specific staffing requirements. The required roles include: Strategic Account Executive, Account Manager, Clinical Pharmacist, Implementation Manager, Claims Data Analyst. Proposers should demonstrate relevant qualifications and experience for each required role.
What are the key deliverables?
The solicitation specifies the following deliverables: Fully insured Medicare Part D EGWP PBM services including member services, Clinical programs, Claims adjudication, Data reporting, Member enrollment and eligibility maintenance, Provider advocacy, Medication therapy management, Member communications, And drug utilization review. 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: "Cost of proposed benefits/services, Lowest net cost formulary and utilization management strategy, Value of benefit plans and services, Programs designed to minimize claim costs, Firm qualifications a..." Vendors should carefully align their proposals with each criterion to maximize their score.
Where can I find more RFPs from AL-State-Retirement Systems of Alabama?
All active and historical solicitations from AL-State-Retirement Systems of Alabama are tracked and searchable. As a state agency, AL-State-Retirement Systems of Alabama 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: Intent to Propose Form, Exhibit 1 State of Alabama Disclosure Statement, Exhibit 2 Sample PEEHIP State Contract, Exhibit 3 Business Associate Agreement, Exhibit 4 Immigration Compliance Certificate an. Additionally, proposals should address staffing requirements as outlined in the solicitation. Review the full document from AL-State-Retirement Systems of Alabama for the complete list.
What is the scope of this project?
This solicitation defines a specific project scope. The scope covers the following locations: Montgomery, Alabama. Review the full solicitation for detailed scope requirements.