Health and Pharmacy Benefits Administration

Hennepin County and Hennepin Healthcare System are seeking proposals for medical plan administration, pharmacy benefit management, and fully insured medical and pharmacy benefits for employees, dependents, and retirees.

Hennepin County > Hennepin Healthcare System, Inc.


General
Open
Oct 15, 2026 12:00 PM
Aug 07, 2026 01:38 PM
3 years base + 2 × 1 year options
Request for Proposal (RFP)
Local
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Original Solicitation Links
Contact
christine.longwell@hennepin.us
Submission Instructions
Online
Description

Hennepin County and Hennepin Healthcare System, Inc. are soliciting proposals for medical third-party administrator services, pharmacy benefit management, and fully insured medical and pharmacy plan options for employees, eligible dependents, and retirees. Proposers may respond to one or more scenarios covering either organization individually or both organizations together, including self-funded administrative services with pharmacy benefits carved in or out, direct PBM services, and fully insured medical and pharmacy benefits for the County. The requested scope includes eligibility and enrollment administration, claims adjudication, provider network services, customer service, care and utilization management, wellness support, stop-loss coordination, reporting, pharmacy network and mail-order services, specialty pharmacy management, formulary administration, rebate and financial transparency, clinical programs, compliance support, audit rights, performance guarantees, and implementation and data integration. Responses must identify the proposed scenario and include a cover letter, proposal summary, company overview, three references, completed workbooks, vendor guarantees, provider disruption and claims repricing reports, a GeoAccess report in Excel format, and sample reporting and member communication materials.

Classification Codes
NAICS524292Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
PSCG009Non-Government Insurance Programs
Smart Codes
health plan administrationpharmacy benefit managementmedical claims administration
Specifications
Service
Timeline
Aug 18, 2026-Preproposal Conference (optional)
Meeting ID: 296 421 882 588 465; Passcode: 6nM6Sc2T
Sep 28, 2026-Questions Due Date
Oct 15, 2026-Proposal Due Date
Requirements
Scored
  • Minimum 3 references
  • Client point of contact required for each reference
Documents
TitleDate Posted
rfp0807269Aug 07, 2026 01:38 PM
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