Blue & Gold HMO Plan Administration

The University of California is seeking a health plan administrator for its Blue & Gold HMO, including medical, pharmacy, and behavioral health benefits, with a three-year initial term and two optional one-year extensions.

University of California > UC Procurement Services


General
Open
Dec 04, 2026 12:00 PM
Nov 05, 2026 01:45 PM
3 years base + 2 × 1 year options
Request for Proposal (RFP)
State
Ask AI about this solicitation
Contact
matt.romano@ucop.edu
1111 Franklin Street, Oakland, CA, USA
Submission Instructions
CalUsource online portal
Description

The University of California seeks a supplier to administer its Blue & Gold HMO plan beginning in 2028. The scope includes a flex-funded medical and prescription drug component and fully insured behavioral health benefits. Key objectives include continuity of care, network access, claims and operational administration, member services, implementation, and cost management. The existing plan covers approximately 7,926 active subscribers and 2,872 non-Medicare retirees; these figures are not guaranteed enrollment or business volume. Proposals must address two pricing scenarios: an HMO network that best matches the current network and a lower-cost HMO network, both with flex-funded medical and prescription drug benefits and fully insured behavioral health benefits. The agreement has a three-year initial term and two optional one-year extensions. Responses, including questionnaires, pricing sheets, and requested attachments, must be submitted through CalUsource. Suppliers must complete the stated intent-to-bid and nondisclosure steps to receive restricted pricing and plan materials.

Classification Codes
NAICS524292Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
PSCG009Non-Government Insurance Programs
Smart Codes
health plan administrationhealth insurance benefitshealthcare network management
Specifications
Service Only
Timeline
Nov 4, 2026-Intent to Bid and executed nondisclosure agreements due
Nov 05, 2026 07:30 PM-Pre-proposal Conference (optional)
Meeting ID: 674 574 4344
Nov 10, 2026-Supplier Questions Due
Nov 18, 2026-UC Responses to Supplier Questions
Dec 4, 2026-Initial Proposal Due
Feb 4, 2027-Finalists Notified (if applicable)
Feb 18, 2027-Best and Final Offer Due
Feb 18, 2027-Finalist Presentations (if applicable)
Mar 1, 2027-Finalist Presentations conclude (if applicable)
May 6, 2027-Anticipated Award Date
Jan 1, 2028-Anticipated Start Date
Requirements
Scored
Documents
TitleDate Posted
rfp11052611Nov 05, 2026 01:45 PM
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