Town of Vernon Medical Benefits Administrative Services RFP 2025
Vernon School DistrictSchool · Vernon, CT- Due
- Jan 6, 2026
- Deadline passed
- Posted
- Nov 25, 2025
- Contract term
- 3 years
- Primary contact
- Steve May
The 30-second brief
The Town and Public Schools of Vernon are soliciting bid proposals for administrative services (ASO) for Medical, Behavioral Health Care, Pharmacy Benefit Management (PBM), Dental, and Stop-Loss Insurance components of their self-funded employee health plan. The RFP requests proposals for a comprehensive benefits plan through a traditional self-insured arrangement, mirroring the current funding arrangement. Bidders can propose a complete package or carve-out options. The effective date for the new contract is July 1, 2026, for an initial term of 36 months with options for renewal.
Comprehensive benefits plan administration, Including medical, Behavioral health, Pharmacy, Dental, And stop-loss insurance. Proposals must include detailed cost proposals, Administrative fee guarantees, Network access fee guarantees, And performance guarantees.
Organizational Stability and Experience, Total Cost - Administrative Fees, Rates & Other Guarantees, Aggressive Multi-Year Rate and Discount Guarantees, Competitive Hospital and Physician Negotiated Rates, Proven health promotion and long-term chronic disease prevention programs, Outcome-driven evaluation of disease prevention program effectiveness, Network Access, including National Networks, Minimal Membership Disruption, Quality proven Utilization Management Programs, State of the art administrative and claim paying services, Ability to accurately administer Vernon's plan options, Demonstrated ability to manage costs, Proven flexibility in reporting, Integrated on-line systems, Flexibility in administration and funding of behavioral health benefit, Aggressive performance guarantees and performance penalties, Fully Transparent Pricing Models, Data Reporting, Adherence to RFP conditions, Bidder's stability, Strength of financial guarantees, Alignment with Vernon's strategic goals, Strength of client account management, Strength in analytics and reporting, Systems including claims adjudication and eligibility maintenance, Customer service to members.
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Summary
The Town and Public Schools of Vernon are soliciting bid proposals for administrative services (ASO) for Medical, Behavioral Health Care, Pharmacy Benefit Management (PBM), Dental, and Stop-Loss Insurance components of their self-funded employee health plan.
The RFP requests proposals for a comprehensive benefits plan through a traditional self-insured arrangement, mirroring the current funding arrangement. Bidders can propose a complete package or carve-out options. The effective date for the new contract is July 1, 2026, for an initial term of 36 months with options for renewal.
EVALUATION CRITERIA
28- Organizational Stability and Experience
- Total Cost - Administrative Fees
- Rates & Other Guarantees
- Aggressive Multi-Year Rate and Discount Guarantees
- Competitive Hospital and Physician Negotiated Rates
- Proven health promotion and long-term chronic disease prevention programs
- Outcome-driven evaluation of disease prevention program effectiveness
- Network Access
- Including National Networks
- Minimal Membership Disruption
- Quality proven Utilization Management Programs
- State of the art administrative and claim paying services
- Ability to accurately administer Vernon's plan options
- Demonstrated ability to manage costs
- Proven flexibility in reporting
- Integrated on-line systems
- Flexibility in administration and funding of behavioral health benefit
- Aggressive performance guarantees and performance penalties
- Fully Transparent Pricing Models
- Data Reporting
- Adherence to RFP conditions
- Bidder's stability
- Strength of financial guarantees
- Alignment with Vernon's strategic goals
- Strength of client account management
- Strength in analytics and reporting
- Systems including claims adjudication and eligibility maintenance
- Customer service to members
REQUIRED DELIVERABLES
6- Comprehensive benefits plan administration
- Including medical
- Behavioral health
- Pharmacy
- Dental
- Stop-loss insurance
Proposals must include detailed cost proposals, Administrative fee guarantees, Network access fee guarantees, And performance guarantees.
REQUIRED ATTACHMENTS
Fee Proposal Exhibit.xls
- Duration
- 24 months
- Scope location
- Vernon, CT
- Reported agency
- Town of Vernon
Questions about this RFP
How do I respond to this RFP from Vernon School District?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is January 6, 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. For questions, contact Steve May.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including Vernon School District in CT, 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 Steve May. Questions and answers are typically shared with all prospective bidders.
What are the key deliverables?
The solicitation specifies the following deliverables: Comprehensive benefits plan administration, Including medical, Behavioral health, Pharmacy, Dental, And stop-loss insurance. Proposals must include detailed cost proposals, Administrative fee guarantees, Network access fee guarantees, And performance guarantees.. 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: "Organizational Stability and Experience, Total Cost - Administrative Fees, Rates & Other Guarantees, Aggressive Multi-Year Rate and Discount Guarantees, Competitive Hospital and Physician Negotiated R..." Vendors should carefully align their proposals with each criterion to maximize their score.
Where can I find more RFPs from Vernon School District?
All active and historical solicitations from Vernon School District are tracked and searchable. As a school agency, Vernon 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 3 years. 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: Fee Proposal Exhibit.xls. Review the full document from Vernon 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: Vernon, CT. Review the full solicitation for detailed scope requirements.