San Benito Consolidated Independent School District - Self-Funded Medical, Pharmacy, Stop Loss Plan, and Fully Insured Medical Plans - RFP-0426-EHBHP (2026)
- Due
- Apr 28, 2026
- Deadline passed
- Posted
- Apr 1, 2026
- Contract term
- 1 year
The 30-second brief
San Benito Consolidated Independent School District requests proposals for self-funded employee benefits including pharmacy benefit management (PBM), third-party administration (ASO/TPA), provider network, stop loss / excess loss insurance, and fully insured medical plans under RFP-0426-EHBHP. The plan sponsor has a plan effective date of October 1, 2026, covering approximately 1,381 employees and 1,771 lives in Texas. Vendors must submit completed workbooks containing administrative fees, rebate guarantees, pricing guarantees, network access fees, and performance guarantees by April 28, 2026. All pricing must be guaranteed for a minimum of 12 months, administrative fees must be unbundled and quoted on a PEPM basis, and proposals must include performance guarantees with financial penalties.
Network access and repricing requirements, PPO network offered in Texas, Texas-specific network compliance, balance billing protection mechanism
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Summary
San Benito Consolidated Independent School District requests proposals for self-funded employee benefits including pharmacy benefit management (PBM), third-party administration (ASO/TPA), provider network, stop loss / excess loss insurance, and fully insured medical plans under RFP-0426-EHBHP. The plan sponsor has a plan effective date of October 1, 2026, covering approximately 1,381 employees and 1,771 lives in Texas.
Vendors must submit completed workbooks containing administrative fees, rebate guarantees, pricing guarantees, network access fees, and performance guarantees by April 28, 2026. All pricing must be guaranteed for a minimum of 12 months, administrative fees must be unbundled and quoted on a PEPM basis, and proposals must include performance guarantees with financial penalties.
EVALUATION CRITERIA
4- Network access and repricing requirements
- PPO network offered in Texas
- Texas-specific network compliance
- Balance billing protection mechanism
- Scope location
- San Benito, TX
Questions about this RFP
How do I respond to this RFP from San Benito Consolidated Independent School District?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is April 28, 2026.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including San Benito Consolidated Independent School District 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.
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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: "Network access and repricing requirements, PPO network offered in Texas, Texas-specific network compliance, balance billing protection mechanism" Vendors should carefully align their proposals with each criterion to maximize their score.
Where can I find more RFPs from San Benito Consolidated Independent School District?
All active and historical solicitations from San Benito Consolidated Independent School District are tracked and searchable. As a school agency, San Benito Consolidated Independent School District 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. Review the full document from San Benito Consolidated Independent School District for the complete list.
What is the scope of this project?
This solicitation defines a specific project scope. The scope covers the following locations: San Benito, TX. Review the full solicitation for detailed scope requirements.