Request for Proposal
Self-funded Medical and
Prescription Drug Programs
The SJVIA consultant, Keenan & Associates, is pleased to
provide a Request for Proposal for the SJVIA’s self-funded
medical and prescription drug programs:
-
Medical: Administrative Services Contract Only (ASC or
ASO) or Third-Party Administration (TPA)
-
Medical: Preferred Provider Organization (PPO) network
-
Prescription Drug (Rx): Pharmacy Benefits Manager (PBM)
Please carefully review the
RFP Outline for proposal parameters and timeline:
|
The SJVIA is a Joint Powers Authority (JPA) providing
medical/prescription drug, dental and vision coverage to employees and their
eligible dependents for the County of Fresno and County of Tulare. The dental
and vision coverage is not out to bid at this time.
The SJVIA offers fully insured medical coverage through
Kaiser Permanente and self-funded medical coverage through Anthem Blue Cross.
The Kaiser Permanente coverage is not out to bid at this time.
Prescription drug coverage under the self-funded plans is
offered through EmpiRx for the EPO and PPO coverage. The HSA qualified HDHP PPO
plans utilize Anthem’s IngenioRx for prescription drug coverage. It is the
SJVIA’s preference to have one PBM administer the complete PBM program.
|
