Tennessee Department of Finance and Administration - Third Party Administrator Services for Public Sector Health Plans RFP # 31786-00190 (2026)
Tennessee Department of General Services | State of TennesseeState · Nashville, TN- Due
- Dec 18, 2026
- 36 days left
- Posted
- Sep 15, 2026
- Contract term
- 7 years
- Primary contact
- Heather Pease
- (615) 917-4165
The 30-second brief
The State of Tennessee Department of Finance and Administration, Division of Benefits Administration, is seeking proposals from qualified contractors to provide Third Party Administrator (TPA) services with a Preferred Provider Organization (PPO) network servicing approximately 95 Tennessee counties statewide as well as nationally. The TPA shall provide network administration, utilization management, claims adjudication, call center services, and benefits communication materials for approximately 306,000 members across three self-funded public sector plans: the State Group Insurance Plan, Local Education Group Insurance Plan, and Local Government Group Insurance Plan. The contract term is 87 months, including a 9-month implementation period, 60 months of service delivery starting January 1, 2028, and an 18-month claims runout period. Proposals are due by December 18, 2026. A pre-response conference is scheduled for September 21, 2026, via Webex, and written questions are due by October 5, 2026.
General Qualifications & Experience (5), Technical Qualifications, Experience & Approach (30), Technical Qualifications, Network Analysis (30), Cost Proposal (35)
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Summary
The State of Tennessee Department of Finance and Administration, Division of Benefits Administration, is seeking proposals from qualified contractors to provide Third Party Administrator (TPA) services with a Preferred Provider Organization (PPO) network servicing approximately 95 Tennessee counties statewide as well as nationally.
The TPA shall provide network administration, utilization management, claims adjudication, call center services, and benefits communication materials for approximately 306,000 members across three self-funded public sector plans: the State Group Insurance Plan, Local Education Group Insurance Plan, and Local Government Group Insurance Plan. The contract term is 87 months, including a 9-month implementation period, 60 months of service delivery starting January 1, 2028, and an 18-month claims runout period. Proposals are due by December 18, 2026. A pre-response conference is scheduled for September 21, 2026, via Webex, and written questions are due by October 5, 2026.
EVALUATION CRITERIA
REQUIRED ATTACHMENTS
11- Response Statement of Certifications & Assurances
- Technical Response & Evaluation Guide
- Cost Proposal & Scoring Guide
- Reference Questionnaire
- Score Summary Matrix
- Pro Forma Contract
- Bank Reference
- Credit References
- Credit Rating
- Independent Audited Financial Statements
- TPA License from Tennessee Department of Commerce and Insurance
- Submit to
- https://www.tn.gov/generalservices/procurement/central-procurement-office--cpo-/supplier-information/request-for-proposals--rfp--opportunities1.html
- Duration
- 87 months
- Scope location
- Nashville, TN
- Reported agency
- State of Tennessee
Questions about this RFP
How do I respond to this RFP from Tennessee Department of General Services | State of Tennessee?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is December 18, 2026. Be sure to include all required attachments as outlined in the solicitation. Submissions should be delivered to: https://www.tn.gov/generalservices/procurement/central-procurement-office--cpo-/supplier-information/request-for-proposals--rfp--opportunities1.html. For questions, contact Heather Pease.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including Tennessee Department of General Services | State of Tennessee in TN, 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 Heather Pease at (615) 917-4165. 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: "General Qualifications & Experience (5), Technical Qualifications, Experience & Approach (30), Technical Qualifications, Network Analysis (30), Cost Proposal (35)" Vendors should carefully align their proposals with each criterion to maximize their score.
Where can I find more RFPs from Tennessee Department of General Services | State of Tennessee?
All active and historical solicitations from Tennessee Department of General Services | State of Tennessee are tracked and searchable. As a state agency, Tennessee Department of General Services | State of Tennessee 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 7 years. Contract terms may include renewal options.
Is this solicitation still open for submissions?
Based on the posted deadline of December 18, 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: Response Statement of Certifications & Assurances, Technical Response & Evaluation Guide, Cost Proposal & Scoring Guide, Reference Questionnaire, Score Summary Matrix, Pro Forma Contract, Bank Referen. Review the full document from Tennessee Department of General Services | State of Tennessee for the complete list.
What is the scope of this project?
This solicitation defines a specific project scope. The scope covers the following locations: Nashville, TN. Review the full solicitation for detailed scope requirements.