Tennessee Department of Finance and Administration Third Party Administrator Services RFP # 31786-00190, 2026
Tennessee Community Resource Board | State of TennesseeState · Nashville, TN- Due
- Dec 18, 2026
- 50 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 seeks proposals for Third Party Administrator (TPA) services with a Preferred Provider Organization (PPO) network servicing all 95 Tennessee counties statewide and nationally for public sector health plans. The scope includes network administration, utilization management, claims adjudication, call center services, benefits communication materials, and maintaining efficient and broad PPO networks. Approximately 306,000 employees, retirees, and dependents are covered across self-funded state, local education, and local government plans. The submission deadline is December 18, 2026, with a pre-response conference scheduled for September 21, 2026, and a written questions deadline on October 5, 2026.
Network administration, Utilization management, Claims adjudication, Call center services, Benefits communication materials
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 seeks proposals for Third Party Administrator (TPA) services with a Preferred Provider Organization (PPO) network servicing all 95 Tennessee counties statewide and nationally for public sector health plans.
The scope includes network administration, utilization management, claims adjudication, call center services, benefits communication materials, and maintaining efficient and broad PPO networks. Approximately 306,000 employees, retirees, and dependents are covered across self-funded state, local education, and local government plans. The submission deadline is December 18, 2026, with a pre-response conference scheduled for September 21, 2026, and a written questions deadline on October 5, 2026.
EVALUATION CRITERIA
REQUIRED DELIVERABLES
5- Network administration
- Utilization management
- Claims adjudication
- Call center services
- Benefits communication materials
REQUIRED ATTACHMENTS
7- Response Statement of Certifications & Assurances
- Technical Response & Evaluation Guide
- Cost Proposal & Scoring Guide
- Reference Questionnaire
- Score Summary Matrix
- Pro Forma Contract
- HIPAA Business Associate Assessment
REQUIRED STAFFING
7- Submit to
- Supplier Portal; [email protected]
- 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 Community Resource Board | State of Tennessee?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is December 18, 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: Supplier Portal; [email protected]. For questions, contact Heather Pease.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including Tennessee Community Resource Board | 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.
What staffing is required for this project?
This solicitation outlines specific staffing requirements. The required roles include: Account Executive, Account Manager, Operations Manager, Enrollment Analyst, Reporting Analyst, Medical/Clinical Program Director, Member Services Manager. Proposers should demonstrate relevant qualifications and experience for each required role.
What are the key deliverables?
The solicitation specifies the following deliverables: Network administration, Utilization management, Claims adjudication, Call center services, Benefits communication materials. Proposals should clearly address how each deliverable will be met.
Show 6 more questions
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 Community Resource Board | State of Tennessee?
All active and historical solicitations from Tennessee Community Resource Board | State of Tennessee are tracked and searchable. As a state agency, Tennessee Community Resource Board | 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, HIPAA Busine. Additionally, proposals should address staffing requirements as outlined in the solicitation. Review the full document from Tennessee Community Resource Board | 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.